Getting it right in five
1) Under-correction of limb alignment: ensures that the weight-bearing axis is not transferred to the lateral compartment. This helps prevent overload and disease progression in the lateral compartment, and so reduces the potential risk of revision1. 2-3mm of laxity...
Are more anatomic components the key to more satisfied TKR patients?
At two year follow-up patients treated with an anatomic knee system reported higher KOOS symptom (p = 0.037) and KOOS QOL scores (p < 0.001) than patients with the NexGen® Knee System. All other PROMs outcomes were similar1. The authors stated that “the KOOS...
Mind the treatment gap
Autologous anti-inflammatory injections (AAI) for grade 2-3 arthritis have been studied for the past 10 years. The most recent publication evidences that an intra-articular injection of an autologous protein solution (APS) continues to provide significant pain relief...
Addressing knee instability and activity limitation post TKR
The concept of ‘mid-flexion instability’ is defined as a condition in which the TKR component is stable in both extension and 90◦ of flexion but is unstable between the two positions. 2 It is more common in cruciate retaining (CR) Knee designs and has been identified...
Given an informed choice, up to 58% of patients choose PKR over TKR
Giving patients an informed choice based on the evidence for the risks and benefits of different treatments has shown that a larger number of patients with knee osteoarthritis would prefer a PKR than the current usage rates in most countries suggest. In order to...
Helping your patients “forget” their new knee
“The patient’s ability to ‘forget’ their joint replacement during everyday activities is an important expectation and goal of the surgery, as it reflects patient satisfaction.”1 Research has shown that PKR patients are more likely to forget their joint replacement...
Should younger TKR patients be treated with cementless components?
This randomized single-blinded study compared survivorship, clinical outcomes, and radiographs of cementless tibial components with those of cemented tibial components of a matched design at a mean follow-up of 13.2 years (11 to 15 years).1 Both components provided...
Personalized TKR alignment improves functional outcomes
According to the authors, this technique was shown To enable faster recovery, Deliver better functional outcomes, And lower rates of residual pain, compared to mechanical alignment. At short-term follow-up (max 2 years), reoperation and revision rates were similar....
It’s time to get Personalized
Studies suggest that one in four patients are not fully satisfied with their new knee. Upon review of the literature, many patient complaints stem from the fact that their total knee replacement simply feels different than their healthy knee felt prior to...