Projections of Primary and Revision Hip and Knee Arthroplasty in the United States from 2005 to 2030

Kurtz, Steven M.; Ong, Kevin; Lau, Edmund; Mowat, Fionna; Halpern, Michael T.

doi:10.2106/00004623-200704000-00012

Cited by 4,863 publications

(2,054 citation statements)

References 3 publications

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“…Its consequences represent a great clinical and economic burden [25], as they have considerable impact on patient quality of life and often require further complex surgery [5,36]. The number of PJIs encountered annually is increasing, as the number of primary and revision arthroplasty procedures performed worldwide continues to grow [24,26].…”

Section: Introductionmentioning

confidence: 99%

Accuracy of diagnostic tests for prosthetic joint infection: a systematic review

Ahmad

Shaker

Saffarini³

et al. 2016

Knee Surg Sports Traumatol Arthrosc

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Section: Introductionmentioning

confidence: 99%

Accuracy of diagnostic tests for prosthetic joint infection: a systematic review

Ahmad

Shaker

Saffarini³

et al. 2016

Knee Surg Sports Traumatol Arthrosc

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“…ежегодно в мире проводится около 2,5 млн операций по эндопротезированию крупных суста-вов нижних конечностей. например, в германии в 2014 г. было проведено 384 924 эндопротезирова-ний тазобед ренного и коленного суставов*, а в сШа к 2030 г. ожидают увеличения количества анало-гичных операций до 4 млн в год [4]. очевидно, что количество первичных и ревизионных тотальных эндопротезирований в большинстве развитых стран будет увеличиваться в течение следующих нескольких десятилетий, что связано в первую очередь с увеличением продолжительности жиз-ни, общим старением населения и ростом числа лиц, страдающих ожирением [5].…”

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Do We Know All About Prevention of Venous Thromboembolism After Major Orthopedic Surgery?

Божкова¹,

Касимова²,

Накопия³

et al. 2018

Traumatology and Orthopedics of Russia

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Venous thromboembolic events including deep venous thrombosis of lower limbs, tromboembolia of the pulmonary artery as well as non-symptomatic venous thromboembolic events are identified via venography and are considered to be potentially life-threatening implications after such major surgeries as total hip and knee arthroplasty. The need for tromboprophylaxis is well realized at present, and there is a wide range of medications with the indication of post-surgical prophylaxis of venous thromboembolic events.In this report the attempt has been made to carry out the comparative analysis of various currently used functional national guidelines on prophylaxis of venous thromboembolic events after total hip and knee arthroplasty. Moreover, having done the research in the systems PubMed (http://www.ncbi.nlm.nih.gov/pubmed, 2007–2017 гг.) and eLIBRARY (http://elibrary.ru, 2007–2017 гг.) the data of the last 10 years of experience in administration of oral anticoagulants has been collected and thoroughly analyzed (dabigatran etexilat, rivaroxaban, apixaban) and antiaggregant (acetylsalicylic acid) in clinical practice, besides comparative data has been also collected based on results obtained from laboratory control of anticoagulative effect of thrombin and x-factor direct inhibitors, even though the opportunities that laboratory control can provide are so far highly limited.At present the efficacy of pharmacological prophylaxis of venous thromboembolic events after total hip and knee arthroplasty is absolutely proven, and the issues concerning the safety of anticoagulants administration are the main focus. These issues frequently require personalized approach to selection of medication for tromboprophylaxis in accordance with the patient’s characteristics and the type of surgery chosen. All these aspects should become the focus for further research.

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“…[5][6][7] This problem is compounded by the fact that TJA procedures are predicted to increase by 673% (3.48 million) and 174% (572,000) for total knee arthroplasty (TKA) and total hip arthroplasty (THA), respectively, over the next decade. [8] Given the prevalence of SSIs in TJA, these complications will continue to be a major financial burden to our healthcare system. According to the Center for Disease Control and Prevention (CDC) and Consumer price index (CPI), it is believed that SSI's currently account for $3.5 billion to $10 billion a year in healthcare expenditures.…”

Section: Introductionmentioning

confidence: 99%

Does a one hour educational class improve compliance of chlorhexidine gluconate baths prior to operation?

Levieddin

Chen

Kim

et al. 2017

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Background: Surgical site infections (SSIs) continue to be a major contributor to morbidity and mortality post-operatively. One of the treatments used to prevent such infections is chlorhexidine gluconate (CHG) baths prior to surgery. An obstacle to using CHG as a pre-operative preventative measure to infection has been the low patient compliance rates. Our study aimed to analyze whether an educational class explaining the proper usage of CHG prior to the surgery date will improve patient compliance. Methods: We evaluated two different groups. One group consisted of patients who were scheduled for total joint arthroplasty (TJA) and attended an educational class in addition to receiving the standard preoperative protocol explaining the proper application of CHG. A second group consisted of subjects undergoing any other type of surgery but was not offered the additional educational class. Results: Subjects undergoing TJA had a higher compliance rate than all other surgeries (95.8% and 77.8% respectively; p < .001). Interestingly, throughout time, the effectiveness of the educational class to improve compliance also improved (from 90.9% in the first month to 100% in the final month; p < .001). Discussion: The addition of an educational class to the standard preoperative educational protocol significantly improved patient compliance to the preoperative application of CHG in TJA Patients, and increasingly so overtime. This suggests the importance of proper patient education in the prevention of costly comorbidities such as infection. Conclusions: The use of instructional classes may be useful for improving compliance to patient protocols prior to undergoing surgery. Further research is needed to fully assess the benefits of educational classes and their correlation to patient compliance.

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Projections of Primary and Revision Hip and Knee Arthroplasty in the United States from 2005 to 2030

Cited by 4,863 publications

References 3 publications

Accuracy of diagnostic tests for prosthetic joint infection: a systematic review

Accuracy of diagnostic tests for prosthetic joint infection: a systematic review

Do We Know All About Prevention of Venous Thromboembolism After Major Orthopedic Surgery?

Does a one hour educational class improve compliance of chlorhexidine gluconate baths prior to operation?

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