Long-term follow-up care recommendations after total hip and knee arthroplasty

Teeny, Steven M.; York, Sally; Meško, Jozef; Rea, Ruth E.

doi:10.1016/j.arth.2003.09.001

Cited by 87 publications

(32 citation statements)

References 38 publications

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“…Previous investigation has shown improved followup compliance when attempts to contact patients are made while others have questioned the value of an office followup visit when compared to a mailed questionnaire [1,4]. The benefits of regular followup include regular joint evaluation and possible avoidance of more costly revision in the event of joint failure and collection of current and complete data allowing more comprehensive evaluation of implants and surgical techniques [8][9][10]14]. The appropriate interval for regular followup, whether appropriate followup requires a visit to the surgeon or followup by other means, and the costs associated to maintain followup are controversial and beyond the scope of this study [2,3,7,13,14,16].…”

Section: Resultsmentioning

confidence: 99%

Lessons Learned From Managing a Prospective, Private Practice Joint Replacement Registry: A 25-year Experience

Carothers

White

Tripuraneni

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Background In 1984, we developed a private practice joint replacement registry (JRR) to prospectively follow patients undergoing THA and TKA to assess clinical and radiographic outcomes, complications, and implant survival. Little has been reported in the literature regarding management of this type of database, and it is unclear whether and how the information can be useful for addressing longer-term questions. Questions/purposes We answered the following questions: (1) What is the rate of followup for THA and TKA in our JRR? (2) What factors affect followup? (3) How successful is this JRR model in capturing data and what areas of improvement are identified? And (4) what costs are associated with maintaining this JRR? Methods We collected clinical data on all 12,047 patients having primary THA and TKA since 1984. Clinical and radiographic data were collected at routine followup intervals and entered into a prospective database. We searched this database to assess the rate of successful followup and data collection and to compare the effect of patient variables on followup. Costs related to database management were evaluated. Results Followup was poor at every time interval after surgery, with a tendency for worsening over time. Patients with a complication and those younger than 70 years tended to followup with greater frequency. There were difficulties with data capture and substantial expenses related to managing the database. Conclusions Our findings highlight the difficulties in managing a JRR. Followup is poor and data collection is often incomplete. Newer technologies that allow easier tracking of patients and facilitate data capture may streamline this process and control costs.

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Section: Resultsmentioning

confidence: 99%

Lessons Learned From Managing a Prospective, Private Practice Joint Replacement Registry: A 25-year Experience

Carothers

White

Tripuraneni

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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“…However by the time the patient has pain or loss of function the destruction of periprosthetic bone may be extensive, making revision surgery more difficult (Teeny et al, 2003). It is advocated therefore that patients are monitored long-term after THR surgery and the need for this will be even greater with MIH surgery, as it is a new technique which needs long-term evaluation.…”

Section: Long-term Follow-upmentioning

confidence: 96%

“…It is advocated therefore that patients are monitored long-term after THR surgery and the need for this will be even greater with MIH surgery, as it is a new technique which needs long-term evaluation. A survey of American orthopaedic surgeons found that 95% believed that an orthopaedic surgeon rather than another health professional such as a nurse should carry out long-term followup of patients (Teeny et al, 2003). In reality however nursing input into the long term follow-up of THR patients is increasing.…”

Section: Long-term Follow-upmentioning

confidence: 99%

Through the keyhole: An examination of minimally invasive hip surgery

Lucas

2006

Journal of Orthopaedic Nursing

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“…There are almost 1.5 million joint replacement surgeries performed worldwide each year and the number is expected to increase to 4 million annually by 2030 (1, 2). Despite the great success of joint replacement surgery, the overall ten-year revision rate for total joint replacement is close to 10%.…”

Section: Introductionmentioning

confidence: 99%

Early Diagnosis of Orthopedic Implant Failure Using Macromolecular Imaging Agents

et al. 2014

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Purpose To develop and evaluate diagnostic tools for early detection of wear particle-induced orthopaedic implant loosening. Methods N-(2-hydroxypropyl)methacrylamide (HPMA) copolymer was tagged with an near infrared dye and used to detect the inflammation induced by polymethylmethacrylate (PMMA) particles in a murine peri-implant osteolysis model. It was established by inserting implant into distal femur and with routine PMMA particles challenging. The osteolysis was evaluated by micro-CT and histological analysis at different time points. Results Significant peri-implant osteolysis was found three-month post PMMA particle challenge by micro-CT and histological analysis. At one-month time point, when there was no significant peri-implant bone loss, HPMA copolymer-near infrared dye conjugate was found to specifically target to the femur with PMMA particles deposition, but not the contralateral control femur with PBS infusion. Conclusion The results from this study demonstrated the feasibility of utilizing the macromolecular diagnostic agent to report particle-induced peri-implant inflammation prior to the development of detectable osteolysis. Recognition of this early pathological event would provide the window of opportunity for prevention of peri-implant osteolysis and subsequent orthopaedic implant failure.

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Long-term follow-up care recommendations after total hip and knee arthroplasty

Cited by 87 publications

References 38 publications

Lessons Learned From Managing a Prospective, Private Practice Joint Replacement Registry: A 25-year Experience

Lessons Learned From Managing a Prospective, Private Practice Joint Replacement Registry: A 25-year Experience

Through the keyhole: An examination of minimally invasive hip surgery

Early Diagnosis of Orthopedic Implant Failure Using Macromolecular Imaging Agents

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