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Knee replacement

Carr, Andrew J.; Robertsson, Otto LU ; Graves, Stephen; Price, Andrew J.; Arden, Nigel K.; Judge, Andrew and Beard, David J. (2012) In The Lancet 379(9823). p.1331-1340
Abstract
Knee-replacement surgery is frequently done and highly successful. It relieves pain and improves knee function in people with advanced arthritis of the joint. The most common indication for the procedure is osteoarthritis. We review the epidemiology of and risk factors for knee replacement. Because replacement is increasingly considered for patients younger than 55 years, improved decision making about whether a patient should undergo the procedure is needed. We discuss assessment of surgery outcomes based on data for revision surgery from national joint-replacement registries and on patient-reported outcome measures. Widespread surveillance of existing implants is urgently needed alongside the carefully monitored introduction of new... (More)
Knee-replacement surgery is frequently done and highly successful. It relieves pain and improves knee function in people with advanced arthritis of the joint. The most common indication for the procedure is osteoarthritis. We review the epidemiology of and risk factors for knee replacement. Because replacement is increasingly considered for patients younger than 55 years, improved decision making about whether a patient should undergo the procedure is needed. We discuss assessment of surgery outcomes based on data for revision surgery from national joint-replacement registries and on patient-reported outcome measures. Widespread surveillance of existing implants is urgently needed alongside the carefully monitored introduction of new implant designs. Developments for the future are improved delivery of care and training for surgeons and clinical teams. In an increasingly ageing society, the demand for knee-replacement surgery will probably rise further, and we predict future trends. We also emphasise the need for new strategies to treat early-stage osteoarthritis, which will ultimately reduce the demand for joint-replacement surgery. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
The Lancet
volume
379
issue
9823
pages
1331 - 1340
publisher
Elsevier Limited
external identifiers
  • wos:000302531100031
  • scopus:84859429242
ISSN
1474-547X
DOI
10.1016/S0140-6736(11)60752-6
language
English
LU publication?
yes
id
128c7a5c-f0e1-4b03-b394-6770c3996988 (old id 2587520)
date added to LUP
2012-06-01 09:37:04
date last changed
2017-11-19 03:09:54
@article{128c7a5c-f0e1-4b03-b394-6770c3996988,
  abstract     = {Knee-replacement surgery is frequently done and highly successful. It relieves pain and improves knee function in people with advanced arthritis of the joint. The most common indication for the procedure is osteoarthritis. We review the epidemiology of and risk factors for knee replacement. Because replacement is increasingly considered for patients younger than 55 years, improved decision making about whether a patient should undergo the procedure is needed. We discuss assessment of surgery outcomes based on data for revision surgery from national joint-replacement registries and on patient-reported outcome measures. Widespread surveillance of existing implants is urgently needed alongside the carefully monitored introduction of new implant designs. Developments for the future are improved delivery of care and training for surgeons and clinical teams. In an increasingly ageing society, the demand for knee-replacement surgery will probably rise further, and we predict future trends. We also emphasise the need for new strategies to treat early-stage osteoarthritis, which will ultimately reduce the demand for joint-replacement surgery.},
  author       = {Carr, Andrew J. and Robertsson, Otto and Graves, Stephen and Price, Andrew J. and Arden, Nigel K. and Judge, Andrew and Beard, David J.},
  issn         = {1474-547X},
  language     = {eng},
  number       = {9823},
  pages        = {1331--1340},
  publisher    = {Elsevier Limited},
  series       = {The Lancet},
  title        = {Knee replacement},
  url          = {http://dx.doi.org/10.1016/S0140-6736(11)60752-6},
  volume       = {379},
  year         = {2012},
}