Approach towards total knee arthroplasty in Brazil: cross-sectional study

Abstract

The majority of Brazilian orthopedists work in the southeastern region of the country and agree about the main aspects of the approaches towards TKA.

Total hip and knee joint replacement: perioperative clinical aspects

“…The use of hip and knee joint replacement has been steadily increasing during the last decade because these are effective procedures that improve the patients' quality of life, their functional capacity and diminish the pain (1)(2)(3)(4)(5)(6)(7) . Although joint replacement is a cost-effective treatment both from the clinical and joint perspective, there is a considerable variation on the clinical aspects surrounding the procedure from the perioperative period until the moment of discharge, including variations according to region, sex, race or socioeconomic status, aspects related to the surgical technique itself and the duration of prophylaxis against infections and venous thromboembolism, among others.…”

“…Although joint replacement is a cost-effective treatment both from the clinical and joint perspective, there is a considerable variation on the clinical aspects surrounding the procedure from the perioperative period until the moment of discharge, including variations according to region, sex, race or socioeconomic status, aspects related to the surgical technique itself and the duration of prophylaxis against infections and venous thromboembolism, among others. In addition, with the increase in the prevalence of arthritis, obesity, and old age, a further increase in total knee and joint replacement procedures can been anticipated (5,8,9) . The analysis of the evolution of hip and knee arthroplasties can enlighten information on future developments of the surgery as well as to the population characteristics.…”

Comparison of thromboprophylaxis patterns in arthroplasty in public and private hospitals

“…Patients submitted to TKA presented with a mean age of 68.2 years (SD=9.8) and about 75% were females, while the patients submitted to the THA presented with mean age of 56.3 years (SD=15.6) and 53% were females. Most of the patients submitted to both operations were not smokers, were overweight, with mean body mass index (BMI) of 29.5kg/m 2 for TKA, and 27.7kg/m 2 for THA. The patients submitted to TKA had more comorbidities than those undergoing THA, such as hypertension (75% versus 55%) and diabetes (22% versus 11%).…”

“…Venous thromboembolism (VTE) is condition characterized by deep venous thrombosis (DVT) with the possibility of evolving to pulmonary embolism (PE). 1 , 2 Some surgical procedures, such as total knee arthroplasty (TKA) and total hip arthroplasty (THA), represent an important factor associated with the occurrence of VTE, increasing the risk of its occurrence by 40 to 70%. In these cases, it is possible to adopt preventive measures, which make VTE the primary cause of avoidable in-hospital death.…”

“…O tromboembolismo venoso (TEV) é uma condição caracterizada por trombose venosa profunda (TVP) com a possibilidade de evolução para embolia pulmonar (EP). ( 1 , 2 ) As cirurgias de artroplastia total de joelho (ATJ) e artroplastia total de quadril (ATQ) representam um importante fator associado à ocorrência de TEV, aumentando o risco de sua ocorrência em 40 a 70%. Nesses casos, é possível a adoção de medidas preventivas, o que torna o TEV a principal causa de óbito hospitalar evitável.…”