Download or read book White Paper on Joint Replacement written by Hans-Holger Bleß and published by Springer. This book was released on 2017-11-03 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is published open access under a CC BY 4.0 license. White Paper on Joint Replacement This White Paper details the status of hip and knee arthroplasty care in Germany. Hip and knee replacements are amongst the most frequently performed procedures and usually become necessarily due to age-related wear of the joint, osteoarthritis and fractures of the femoral neck. In light of demographic change, demands with regard to standards of care and the procedures are likely to rise. Contents • This White Paper contains information on indications, procedures, health economic aspects and the healthcare system stakeholders involved. • It portrays current developments with regard to the prevalence of hip and knee arthroplasty, the healthcare situation and quality of care within the chain of medical care. • This book is complemented by a chapter assessing the current situation from an expert perspective with contributions from renowned experts in the fields of science, medical technology and medical practice. This book addresses people involved in shaping and representing the healthcare system from a variety of fields including medical professions, health insurances and health sciences as well as journalists and patient representatives.

Download or read book Life After Hip Replacement written by Troy A. Miles and published by Createspace Independent Publishing Platform. This book was released on 2016-03-19 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dr. Troy A. Miles gives patients a clear understanding of what to expect following hip replacement surgery. He reveals how patients can improve their odds of successful outcomes and includes specific activity recommendations for the weeks, months, and years following surgery. This comprehensive and thoroughly illustrated guide bridges the gap between scientific evidence and real world advice. Readers will find information on what to expect after returning home from surgery, learn about which home modifications are essential during the early recovery phase, and gain a better understanding of how to safely resume popular sports such as golf, skiing, and tennis. Dr. Miles welcomes readers of all ages to learn more about the rapidly evolving field of adult join replacement.

Download or read book Occupational Therapy for Adults Undergoing Total Hip Replacement written by and published by . This book was released on 2017-12 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Quality of Life After Total Hip Replacement written by Maya M. Walkington-Stauber and published by . This book was released on 1994 with total page 102 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Changes in Quality of Life Post total Hip Replacement written by Lyndell Jacqueline Brodie and published by . This book was released on 1995 with total page 370 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Personalized Hip and Knee Joint Replacement written by Charles Rivière and published by Springer Nature. This book was released on 2020-06-30 with total page 346 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book describes and illustrates the surgical techniques, implants, and technologies used for the purpose of personalized implantation of hip and knee components. This new and flourishing treatment philosophy offers important benefits over conventional systematic techniques, including component positioning appropriate to individual anatomy, improved surgical reproducibility and prosthetic performance, and a reduction in complications. The techniques described in the book aim to reproduce patients’ native anatomy and physiological joint laxity, thereby improving the prosthetic hip/knee kinematics and functional outcomes in the quest of the forgotten joint. They include kinematically aligned total knee/total hip arthroplasty, partial knee replacement, and hip resurfacing. The relevance of available and emerging technological tools for these personalized approaches is also explained, with coverage of, for example, robotics, computer-assisted surgery, and augmented reality. Contributions from surgeons who are considered world leaders in diverse fields of this novel surgical philosophy make this open access book will invaluable to a wide readership, from trainees at all levels to consultants practicing lower limb surgery

Download or read book The Impact of Having a Total Hip Replacement on Quality of Life written by Susan Wright Selman and published by . This book was released on 1988 with total page 142 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book 1868 Does Surgical Approach Influence The Long term Patient Reported Outcomes After Primary Total Hip Replacement Comparison Of The Three Main Surgical Approaches written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: INTRODUCTION: The effectiveness of total hip replacement as a surgical intervention has revolutionized the care of degenerative conditions of the hip joint. However, the surgeon is still left with important decisions in regards to how best deliver that care with choice of surgical approach being one of them especially in regards to the short-term clinical outcome. It is however unclear if a particular surgical approach offers a long-term advantage. This study aims to determine the influence of the three main surgical approaches to the hip on patient reported outcomes and quality of life after 5 years post-surgery.METHODS: We extracted from our prospective database all the patients who underwent a Total Hip Replacement surgery for osteoarthritis or osteonecrosis between 2008 and 2012 by an anterior, posterior or lateral approach. All the pre-operative and post-operative HOOS (Hip disability and Osteoarthritis Outcome Score) and WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) scores were noted. Analysis of covariance (ANCOVAs) were used to study the relationship between amount of change in HOOS and WOMAC subscales (dependant variables) and approach used, by also including confounding factors of age, gender, ASA (American Society of Anaesthesiologists) score, Charnley score and Body Mass Index. A total of 1895 patients underwent a primary total hip arthroplasty during the considered period. Among them, 367 had pre-operative and u22655 years post operative PROM scores (19.47%) RESULTS: The mean follow-up for the study cohort was 5.3 years (range 5 to 7 years) with, 277 at 5 years, 63 at 6 years, and 27 at 7 years. In the posterior approach group we had 138 patients (37.60%), 104 in the lateral approach (28.34%) and 125 in the anterior approach (34.06%). There were no significant differences between the 3 groups concerning the Charnley classification, BMI, Gender, ASA score, side and pre-operative functional scores. But, the anterior group was significantly younger. We did not observe any significant difference in the amount of change in HOOS and WOMAC subscales between the 3 groups. There were no differences either in the post-operative scores in ultimate value.DISCUSSION: Our monocentric observational study shows that the anterior, lateral or posterior surgical approaches provide predictable and comparable outcomes on HRQL and PROMs at long-term follow-up both in terms of final outcome but also in percent improvement.This study has several limitations. We excluded patients who underwent revision surgery leaving the unanswered question of how choice of surgical approach could lead to different revision rates, which have an impact on the functional outcomes. This holds true for the risk of instability associated with a surgical approach, which cannot be commented upon as those were either excluded (i.e. underwent revision surgery) or our sample was too small. Another limitation is the impact of adjacent joint arthritis and/or other joint replacement on PROMs. We did try to address this by controlling the Charnley classification, which did not show differences between the three approaches. Moreover, even if we controlled for the most important confounders by a multivariate analysis model, there is still some involved cofounders, which could potentially lead to a bias such as smoking, socio-economical status or femoral head diameter. But we do not have any reason to think that these parameters could be unequally distributed between the three groups. Finally, our study cohort represents of 19.47% of the complete cohort. The fact that not all patients have PROM's was pre-determined as eight years ago we instituted that only 1 in 5 patients that returned their pre-operative questionnaire would get their PROM's at follow-up. So, this is missing at random. Despite this, our statistical power was sufficient. Finally, although PROMs are part of the key performing indicators for joint arthroplasty, there is evidence that from a biomechanical standpoint i.e. gait studies, surgical approaches do differ which may explain why in the short term some approaches may provide a more rapid recovery with the differences attenuating over time.SIGNIFICANCE: Our study provides valuable information in regards to the significant benefits that total hip replacement provides in regards to quality of life related outcome as well as PROMs at long-term follow-up when comparing the three most common surgical approaches. Further studies are needed to assess the role of implant design as well as pre-rehabilitation protocols in further optimizing recovery both at the short and long term.

Download or read book Joint Arthroplasty written by Shinichi Imura and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt: The introduction of total joint arthroplasty throughout the world has contributed manifold benefits to patients who suffer from joint diseases. Concurrently, however, there has been an increase in revision surgery. Many orthopedic surgeons agree that durability of prostheses is an eternal problem. In particular, periprosthetic osteolysis recently has been identified as one of the serious problems affecting prosthetic dura bility. To improve durability, osteolysis and many other problems must be investi gated and solved both experimentally and clinically with respect to such aspects as prosthetic material, design, and biological and biomechanical behavior. This book comprises 37 papers that were presented by orthopedic surgeons and biomedical engineers at the 28th Annual Meeting of the Japanese Society for Replace ment Arthroplasty, held in March 1998 in Kanazawa, Japan. The volume is thus a compilation of the latest knowledge about the pathogenesis and reduction of osteolysis and wear, newly developed total hip prostheses, and other current topics of total knee arthroplasty. We earnestly hope that this book will be of benefit to clinicians and researchers, and that it will contribute to the creation of more durable total joint prostheses in the future. SHINICHI IMURA v Contents Preface .................... '" .. .. .. ... . .. .. .. . ... .. . . .. . ... . . .. . V List of Contributors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . XI . . . . . . . . . . . . Part 1 Wear and Pathogenesis of Osteolysis Friction and Wear of Artificial Joints: A Historical Review N. AKAMATSU ................................................ , 3 Matrix Degradation in Osteoclastic Bone Resorption Under Pathological Conditions .

Download or read book Hip Joint Restoration written by Joseph C. McCarthy and published by Springer. This book was released on 2016-10-18 with total page 1256 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hip Joint Restoration is a comprehensive yet practical guide to the basic science and clinical applications of arthroscopy, arthroplasty, osteotomy and preservation surgery for the treatment of diseases and conditions of the hip. This generously illustrated text offers a comprehensive introduction to essential features of hip evaluation, the medical management of hip procedures, and treatment of specific conditions, and covers practical topics such as surgical anatomy of the hip, surgical approaches, instrumentation, and indications for arthroscopy and other surgical procedures aimed at restoration of the hip joint. Additional chapters cover clinical outcomes and equality of life following hip surgery, the current state of research and education of arthroscopic hip procedures throughout the world, other topics such as complications and rehabilitation in different patient populations. This book will be a useful resource for Orthopedic Surgeons and Osteopaths who perform open and arthroscopic hip preservation and total joint replacement, as well as for orthopedic residents and researchers.

Download or read book The Adult Hip written by John J. Callaghan and published by Lippincott Williams & Wilkins. This book was released on 2007 with total page 872 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now in its Second Edition, this two-volume reference is the only current book available that focuses on the adult hip. More than 100 chapters by the foremost leaders in hip surgery provide comprehensive coverage of disorders of the adult hip—from practical basic science to detailed surgical techniques including hip arthroscopy and developing techniques in minimally invasive surgery. More than 2,600 illustrations complement the text. This edition has new chapters on minimally invasive surgery of the hip. Other new topics covered include use of fiber metal mesh in acetabular revision reconstruction, revision press-fit Wagner type of stems, and implant retrievals.

Download or read book Osteoarthritis written by J.-Y. Reginster and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 790 pages. Available in PDF, EPUB and Kindle. Book excerpt: Musculoskeletal diseases are rapidly becoming a major health concern. The incidence of osteoarthritis, the most common arthritic disorder, is increasing steadily due to the graying of the world population. This disease is responsible of human life, a time in for significant morbidity, particularly in the second half which the quality of life is of primary importance. The aim of this publication is to bring to physicians and scientists a comprehensive overview of the field, from molecules to men. The direct costs related to osteoarthritis have been increasing steadily over the years and will soon be comparable to those of other major illnesses, such as cardiovascular diseases. This, of course, does not take into account all of the other costs related to the disease which often cannot be simply calculated in dollars and cents. There has been a great deal of renewed interest in osteoarthritis in the last few decades. This has been brought on by the need to improve our knowledge of all aspects of the disease, especially with regard to its etiopathogenesis and treatment. The most recent findings and developments on the structural, bio chemical, biomechanical and molecular changes observed in clinical and ex perimental osteoarthritis are presented in this book.

Download or read book Rehabilitation After Elective Total Hip Replacement written by Corinne Coulter and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Primary total hip replacement surgery was performed on over 40,000 Australians in 2013. While THR is tremendously successful in terms of pain relief for patients, outcome studies report some residual impairment and functional limitations in these patients post operatively. Despite the rising number of hip replacements performed, the optimum rehabilitation after total hip replacement lacks consensus throughout the literature and no evidence based guidelines exist worldwide on this topic. Physiotherapy exercises and protocols within rehabilitation programs are largely based on level 4 evidence. There is little evidence to support the effectiveness of physiotherapy post total hip replacement, and little to support physiotherapy supervised exercise programs in favour of home exercise programs. This thesis aimed to inform best practice in rehabilitation following hip replacement. First, by systematically reviewing the current evidence for total hip replacement rehabilitation. Secondly by a prospective study to determine the benefit of supervised and unsupervised rehabilitation interventions on patient outcomes, namely functional and quality of life measures (WOMAC and SF-36 scores); post total hip replacement surgery in the adult population. Finally, to contribute to the evidence supporting clinical decisions in Australia for total hip replacement rehabilitation. Our systematic review aimed to synthesise the current literature for rehabilitative exercise effectiveness on strength, gait, function and quality of life after a total hip replacement including comparison in a home based or supervised setting. Five randomised controlled trials were included comprising 234 participants. Meta-analysis showed that physiotherapy can improve abductor muscle strength of the operated leg, as well as gait speed and cadence. Function and quality of life measures were unable to be measured due to the broad variation in outcome measures used in the studies. There was no difference between supervised and unsupervised exercise programs. Further well designed research is needed to compare the efficacy of home based to supervised programs. A randomised controlled trial was performed to investigate the efficacy of two rehabilitation programs; a supervised (centre based) and an independent (home-based) program in the early phase of rehabilitation (

Download or read book Principles and Practice of Geriatric Surgery written by Ronnie Ann Rosenthal and published by Springer Science & Business Media. This book was released on 2011-07-12 with total page 1364 pages. Available in PDF, EPUB and Kindle. Book excerpt: "In the preface to this impressive and well-produced book, the editors state that their aim is not to describe a new surgical specialty, since most surgeons will soon need to be "geriatric surgeons," but to assemble a comprehensive account that will allow "all providers of healthcare to the elderly to understand the issues involved in choosing surgery as a treatment option for their patients." This is a useful book that deserves to do well. I hope that the editors and their publisher will have the stamina to make this the first of several editions, as it is clear that updated information about surgery in the elderly will be required to keep pace with this important field." NEJM Book Review

Download or read book Total Hip Replacement written by Vaibhav Bagaria and published by BoD – Books on Demand. This book was released on 2018-11-07 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: The incidence of total hip arthroplasty is increasing in number because of successful outcomes. Although technically challenging, once mastered a hip replacement is one of the most gratifying surgeries for both patient and surgeon. This book covers some of the most important aspects of hip replacement surgery. These include preoperative planning, anesthesia, classification systems, management of proximal femur fractures, anterior approach, complications, and rehabilitation aspects of hip arthroplasty. The book is intended for arthroplasty surgeons, anesthetists, and physical therapists who will find the book useful in parts and as a whole if they deal with arthroplasty cases on a regular basis. Experience-based narration of various subjects by authors ensures that first-hand experience is passed on to readers in a simple, easy-to-understand manner.

Download or read book A Comparison of Reported Quality of Life written by Steven R. Kalfus and published by . This book was released on 2001 with total page 124 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Individual Quality of Life written by Charles Richard Boddington Joyce and published by Taylor & Francis. This book was released on 1999 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt: The rubric "Quality of Life" first came to the explicit attention of the medical profession a little over thirty years ago. Despite the undoubted fact that each one of us has his or her own Quality of Life, be it good or bad, there is still no general agreement about its definition, or the manner in which it should be evaluated. Although much has been written about quality of life, this work has been largely concerned with population-based studies, especially in health policy & health economics. The importance of individual quality of life has been neglected, in part because of a failure to define quality of life itself with sufficient care, in part perhaps because of a belief that it is impossible to develop a meaningful method of measuring individual variables. It is a fundamental belief of the editors of this book that the primary focus of quality of life is & must continue to be the individual, who alone can define it & assess its changing personal significances. The individual perspective is of vital importance not only to patients but to their doctors too, & is more & more frequently proposed as the most meaningful measure of outcome in clinical research, especially in non-remitting or chronic conditions. Workers who wish to consider wider aspects of influences on the illnesses suffered by individuals & the health care that they receive will find much to stimulate them in the methods of documentation proposed in this book. Those mainly concerned with population samples rather than individuals may also find the sensitive methods of investigation proposed here not only to be applicable to their own areas of interest, but also rewarding in perhaps unexpected ways.