scholarly journals FRI0548 Association of omeract core domains of pain and function with patient satisfaction after total joint replacement

2018 ◽  
Author(s):  
S.M. Goodman ◽  
B. Mehta ◽  
L.A. Mandl ◽  
J. Szymonifka ◽  
M.P. Figgie ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Joint Replacement ◽  
Total Joint Replacement ◽  
And Function

scholarly journals TOTAL JOINT REPLACEMENT OF THE LOWER EXTREMITY IN PATIENTS WITH JUVENILE IDIOPATHIC ARTHRITIS

2014 ◽  
Vol 2 (1) ◽  
pp. 3-12
Author(s):  
Stuart B. Goodman
Keyword(s):  
Juvenile Idiopathic Arthritis ◽  
Lower Extremity ◽  
Joint Replacement ◽  
Severe Pain ◽  
Total Joint Replacement ◽  
Point Of View ◽  
Patient Centered ◽  
Operative Care ◽  
End Stage ◽  
And Function

Joint replacement of the lower extremity in Juvenile Idiopathic Arthritis (JIA) is becoming more commonly performed worldwide. These young adults experience severe pain and disability from end-stage arthritis, and require joint replacement of the hip or knee to alleviate pain, and restore ambulation and function. These procedures are very challenging from the anesthesia and surgical point of view, due to small overall proportions, numerous bony and other deformities and soft tissue contractures. Joint replacement operations for JIA are best performed by experienced teams, where pre-operative and peri-operative care, and post-operative rehabilitation can be optimized in a collaborative, patient-centered environment.

scholarly journals Total Joint Replacement of Ankle, Knee, and Hip: How Do Patients Perceive Their Operative Outcomes at 10 Years?

2021 ◽  
Vol 6 (3) ◽  
pp. 247301142110227
Author(s):  
Jayasree Ramaskandhan ◽  
Karen Smith ◽  
Simon Kometa ◽  
Nachiappan Chockalingam ◽  
Malik Siddique
Keyword(s):  
Patient Satisfaction ◽  
Joint Replacement ◽  
Total Joint Replacement ◽  
Short Form ◽  
Case Series ◽  
Total Ankle Replacement ◽  
Ankle Replacement ◽  
Sf 36 ◽  
Patient Reported

Background: Patient-reported outcomes (PROMs) are an integral part of national joint registers in measuring outcomes of operative procedures and improving quality of care. There is lack of literature comparing outcomes of total ankle replacement (TAR) to total knee replacement (TKR) and total hip replacement (THR). The aim of this study was to compare PROMs between TAR, TKR, and THR patient groups at 1, 5, and 10 years. Methods: Prospective PROMs from patients who underwent a TAR, TKR, or THR procedure between 2003 and 2010 were studied. Patients were divided into 3 groups based on their index joint replacement (hip, knee, or ankle). Patient demographics (age, gender, body mass index), patient-reported outcome scores (Western Ontario and McMaster Universities Osteoarthritis Index [WOMAC], 36-Item Short Form Health Survey [SF-36]) and patient satisfaction scores (4-point Likert scale) at follow-up were compared between the 3 groups. Results: Data was available on 1797 THR, 2475 TKR, and 146 TAR patients. TAR patients were younger and reported fewer number of comorbidities. All 3 groups improved significantly from preoperative to 10 years for WOMAC scores ( P < .001). For SF-36 scores at 10 years, the THR group (32.2% follow-up) scored the highest for 3 domains ( P = .031) when compared to the TKR group (29.1% follow-up). All 3 groups had similar outcomes for 5 of 8 domains; P < .05). For patient satisfaction, the THR group reported overall 95.1% satisfaction followed by 89.8% for the TKR group and 83.9% in the TAR group (42.4% follow-up). Conclusion: In this cohort with diminishing numbers over the decade of time the patients were followed up we found that patients are equally happy with functional and general health outcomes from total ankle replacement vs other major lower extremity joint replacement. TAR surgery should be considered as a viable treatment option in this patient group. Level of Evidence: Level III, retrospective case series.

scholarly journals Ankylosed joint replacement with custom total joint prosthesis and custom miniplates.

2020 ◽  
Vol 9 (6) ◽  
pp. e15963095
Author(s):  
Douglas Voss de Oliveira ◽  
José Thiers Carneiro Junior ◽  
Eber Coelho Paraguassu ◽  
Luis Raimundo Serra Rabelo
Keyword(s):  
Joint Replacement ◽  
Orthognathic Surgery ◽  
Total Joint Replacement ◽  
Joint Prosthesis ◽  
Accuracy And Precision ◽  
Custom Made ◽  
History Of ◽  
Suitable Treatment ◽  
Cutting Guides ◽  
And Function

When managing a severely ankylosed joint in a patient with a history of multiple previous operations since the development phase, it is necessary besides the total joint replacement also the orthognathic surgery. Miniplates and total joint custom-made prosthesis are the state of arts in accuracy and precision; therefore use them concurrently in a complex surgery, such this, is a suitable treatment option. A 44-year-old male patient with bilateral  temporomandibular joint ankylosis where the TMJ architecture was completely replaced by a large bone mass was treated through orthognathic surgery with customized cutting guides and customized material for maxilla, jaw and chin fixation, in addition to the installation of two complete custom-made joint-prosthesis in one-stage surgery. This is the first report in the literature using custom Miniplates and Joint-Prosthesis for treatment of Ankylosis. The treatment was successful and the patient benefited from adequate aesthetics and function.

Outcome Domains and Measures in Total Joint Replacement Clinical Trials: Can We Harmonize Them? An OMERACT Collaborative Initiative

2015 ◽  
Vol 42 (12) ◽  
pp. 2496-2502 ◽  
Author(s):  
Jasvinder A. Singh ◽  
Michael Dohm ◽  
Andrew P. Sprowson ◽  
Peter D. Wall ◽  
Bethan L. Richards ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Clinical Trials ◽  
Patient Satisfaction ◽  
Joint Replacement ◽  
Working Group ◽  
Total Joint Replacement ◽  
Core Domain ◽  
Trial Outcome ◽  
Clinical Trial Outcome ◽  
Core Domain Set

Objective.To develop a plan for harmonizing outcomes for people undergoing total joint replacement (TJR), to achieve consensus regarding TJR outcome research.Methods.The TJR working group met during the 2014 Outcome Measures in Rheumatology (OMERACT) 12 meeting in Budapest, Hungary. Multiple conference calls preceded the face-to-face meeting. Brief presentations were made during a 1.5-h meeting, which included an overview of published systematic reviews of TJR trials and the results of a recent systematic review of TJR clinical trial outcome domains and measures. This was followed by discussion of potential core set areas/domains for TJR clinical trials (as per OMERACT Filter 2.0) as well as the challenges associated with the measurement of these domains.Results.Working group participants discussed which TJR clinical trial outcome domains/areas map to the inner versus outer core for core domain set. Several challenges were identified with TJR outcomes including how to best measure function after TJR, elucidating the source of the pre- and post-TJR joint pain being measured, joint-specific versus generic quality of life instruments and the importance of patient satisfaction and revision surgery as outcomes. A preliminary core domain set for TJR clinical trials was proposed and included pain, function, patient satisfaction, revision, adverse events, and death. This core domain set will be further vetted with a broader audience.Conclusion.An international effort with active collaboration with the orthopedic community to standardize key outcome domains and measures is under way with the TJR working group. This effort will be further developed with new collaborations.

scholarly journals Neuropathic pain-like symptoms and pre-surgery radiographic severity contribute to patient satisfaction 4.8 years post-total joint replacement

2017 ◽  
Vol 8 (10) ◽  
pp. 761-769 ◽  
Author(s):  
Sophie C Warner ◽  
Helen Richardson ◽  
Wendy Jenkins ◽  
Thomas Kurien ◽  
Michael Doherty ◽  
...  
Keyword(s):  
Neuropathic Pain ◽  
Patient Satisfaction ◽  
Joint Replacement ◽  
Total Joint Replacement ◽  
Radiographic Severity

Age, gender, race/ethnicity, and socioeconomic status in osteoarthritis and its outcomes

2016 ◽  
Author(s):  
Joanne M. Jordan ◽  
Kelli D. Allen ◽  
Leigh F. Callahan
Keyword(s):  
Socioeconomic Status ◽  
Joint Replacement ◽  
Social Factors ◽  
Total Joint Replacement ◽  
Ethnic Variation ◽  
Joint Injury ◽  
Significant Disability ◽  
Race Ethnicity ◽  
And Function ◽  
Racial Ethnic

Osteoarthritis (OA) is the most common joint condition worldwide. It can impair mobility and result in significant disability, need for total joint replacement, and healthcare utilization. OA is unusual in those younger than 40 years, then commonly the result of an underlying metabolic disorder or a prior joint injury. Some geographic and racial/ethnic variation exists in the prevalence and incidence of OA for specific joints, likely due to variation in genetics, anatomy, and environmental exposures. Many OA outcomes vary by socioeconomic status and other social factors. This chapter describes demographic and social determinants of knee, hip, and hand OA, including how these factors impact radiographic and symptomatic OA, OA-related pain and function, and its treatment.

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