Now into the fourth decade of widespread clinical acceptance and use, joint replacement surgery has had a major impact on the preservation of physical independence and general health in the ageing population. However, today's data are tomorrow's history. Rather than tell clinicians and patients what they might expect today from yesterday's procedure, this chapter surveys the role of joint replacement in the treatment of degenerative disease, assesses the associated fiscal burden on society and notes the significant gaps in our current knowledge. Strategies and approaches for future study are critically reviewed.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.berh.2004.04.003 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
The response to pericapsular soft tissue and pelvic realignment therapy may be partially predicted by the relevant factors influencing the program's response of the candidates with hip osteoarthritis for joint replacement.
Curr Med Res Opin
January 2025
Investigator Initiated Study Promotion Center, Tokyo, Japan.
Objective: To explore the risk factors for discontinuation of pericapsular soft tissue and pelvic realignment (PSTP-R) therapy derived from Shiatsu in the candidates with osteoarthritis for total hip replacement (THR) (i.e., candidates for total hip replacement) treated from 2017 to 2020, and to identify the effect modifiers of PSTP-R therapy for patients who continued therapy for 6 months.
View Article and Find Full Text PDFTreatment of Intertrochanteric and Peritrochanteric Fractures: Femoral Head Replacement and Proximal Femoral Locking Plate Implantation.
J Coll Physicians Surg Pak
January 2025
Department of Orthopaedics, Gansu Provincial Hospital, Lanzhou, China.
Null.
View Article and Find Full Text PDFPeripheral Nerve Block Combined with Low-Dose General Anaesthesia in Elderly Patients Receiving Hip Arthroplasty.
J Coll Physicians Surg Pak
January 2025
Department of Anaesthesiology, Chongqing University Central Hospital, Chongqing Emergency Medical Centre, Chongqing, China.
The study assessed the effectiveness and safety of nerve block combined with low-dose general anaesthesia in elderly hip arthroplasty patients, conducted by a meta-analysis of RCTs. Six trials involving 403 patients were identified from databases such as Cochrane, MEDLINE, and PubMed. The results demonstrated a statistically significant difference in pain scores at postoperative 12hours (95% CI, -2.
View Article and Find Full Text PDFComparing different timings of tourniquet application in total knee arthroplasty: effects on postoperative pain and bone cement interface.
J Orthop Surg Res
January 2025
Department of Orthopaedics, FuyangHospital of Anhui Medical University, Fuyang, Anhui, China.
Objective: This study aims to elucidate the impact of varying tourniquet application timings on postoperative pain and the bone cement interface following TKA.
Method: Patients who underwent TKA in our department between March 2021 and July 2023 were included in this study. They were randomly assigned to three groups: Group 1 used tourniquets throughout the operation, Group 2 applied tourniquets before the osteotomy, and Group 3 applied tourniquets after completing the osteotomy.
Musculoskeletal complications in sickle cell disease: Pathophysiology, diagnosis and management.
Best Pract Res Clin Rheumatol
January 2025
ICMR-National Institute of Research in Tribal Health, Jabalpur, India; Academy of Scientific and Innovative Research (AcSIR), Ghaziabad, India; Model Rural Health Research Unit, Jheet, Durg, India. Electronic address:
Sickle cell disease (SCD) is a mono-genic disorder causing chronic hemolysis, anemia, and vaso-occlusion, leading to musculoskeletal complications such as osteonecrosis, osteoporosis, and bone fractures affecting 50-70% SCD patients. These complications result from a complex interplay of genetic and physiological factors, including abnormal hemoglobin production, chronic inflammation, and oxidative stress. This review discusses the pathophysiology, pre-clinical symptoms, and clinical manifestations of musculoskeletal complications in SCD, as well as current treatment options, including pharmacological interventions, surgical procedures, and bone marrow transplantation.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!