The impact of the COVID-19 pandemic on hip and knee arthroplasty: A systematic review

2021 ◽  
Vol 2 (1) ◽  
pp. 40-49
Author(s):  
Krisna Yuarno Phatama ◽  
I Gusti Ngurah Arga Aldrian Oktafandi ◽  
Felix Cendikiawan ◽  
Edi Mustamsir
Keyword(s):  
Knee Arthroplasty ◽  
Public Interest ◽  
Literature Search ◽  
Medical Personnel ◽  
Clinical Results ◽  
Surgical Volume ◽  
Orthopaedic Patients ◽  
Outpatient Procedures ◽  
Hip And Knee Arthroplasty ◽  
The Impact

Background: In order to ameliorate the burden the coronavirus disease 2019 (COVID-19) pandemic had on the medical resources, and to ensure the safety of orthopaedic patients and medical personnel, some hip and knee arthroplasties, as forms of elective surgeries, were suggested to be canceled or postponed. This review aims to analyze the available literature on the impact of COVID-19 pandemic on all areas surrounding hip and knee arthroplasty service. Materials and Methods: A systematic literature search was conducted in five databases from July 5th to 10th, 2020. We included studies that assessed any impacts the COVID-19 pandemic had on the patients who require hip or knee arthroplasty, hip and knee surgeons, and any other areas that are related to hip and knee arthroplasty service. We excluded studies that do not report complete clinical results, reviews, editorials, and letters.Results: After the screening, a total of nine articles were selected. Two studies evaluated the impact of COVID-19 on the hip and knee arthroplasty patients, one study on public interest in hip and knee arthroplasty, three studies on the hip and knee arthroplasty surgeons, two studies on surgical volume, and one study on industry partners. Of 360 surveyed patients, 60% felt anxious about the uncertainty of the rescheduled arthroplasty. Of 1770 surveyed surgeons, 61.9%, 54.7%, and 20.9% of them reported canceled elective inpatient procedures, outpatient procedures, and all types of surgeries, respectively.Conclusions: COVID-19 pandemic had some impacts on the patients, public interest, surgeons, industry partners, and hip and knee arthroplasty volume.

The Influence of Implant Position on Final Clinical Outcome and Gait Analysis after Total Knee Arthroplasty

2018 ◽  
Vol 32 (09) ◽  
pp. 891-896
Author(s):  
Jarosław Jabłoński ◽  
Marcin Sibiński ◽  
Michał Polguj ◽  
Jacek Kowalczewski ◽  
Dariusz Marczak ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Femoral Component ◽  
Knee Arthroplasty ◽  
Clinical Results ◽  
Functional Score ◽  
X Ray ◽  
Gait Parameters ◽  
Total Knee ◽  
One Year ◽  
The Impact

AbstractThe aim of the study was to evaluate the impact of implant component alignment on objective and subjective outcomes after total knee arthroplasty (TKA). The rotation of the femoral component and its influence on the final results were also examined. After exclusion, the study examined 102 patients (mean age, 66.28 years; range, 51–79 years) who had undergone unilateral TKA. All of the operative procedures were performed by one surgeon with one type of implant. One year after the operation, improvements in Knee Society's Knee Scoring System, functional score, Western Ontario and McMaster Universities Osteoarthritis Index, and Visual Analog Scale were observed; however, none showed a significant correlation with any of the parameters analyzed by X-ray or computed tomography (CT) (α, β, γ, δ angles and posterior condylar angle [PCA]). Significant improvements were found for the vast majority of the parameters used for gate analysis at the final follow-up. Significant correlations were found between PCA angle and differences in stance phase, swing phase of the operated limb, and step width (all p = 0.03). No other significant relationships were found between gait parameters and indicators measured by X-ray and CT. None of the analyzed radiographic parameters, including rotation of the femoral component, correlated with final clinical results. Neither femoral internal rotation of 3° to 6°, nor rotation of 0° ± 3° or 0° ± 6° influenced the outcome. One year after TKA, a significant improvement was observed in both functional and gait parameters.

Periprosthetic Infection following Primary Hip and Knee Arthroplasty: The Impact of Limiting the Postoperative Surveillance Period

2016 ◽  
Vol 38 (2) ◽  
pp. 147-153 ◽  
Author(s):  
Virginia R. Roth ◽  
Robyn Mitchell ◽  
Julie Vachon ◽  
Stéphanie Alexandre ◽  
Kanchana Amaratunga ◽  
...  
Keyword(s):  
Median Time ◽  
Knee Arthroplasty ◽  
Joint Infection ◽  
Surveillance Program ◽  
Surveillance Systems ◽  
Surveillance Period ◽  
Postoperative Surveillance ◽  
Hip And Knee Arthroplasty ◽  
Time To Detection ◽  
The Impact

BACKGROUNDHip and knee arthroplasty infections are associated with considerable healthcare costs. The merits of reducing the postoperative surveillance period from 1 year to 90 days have been debated.OBJECTIVESTo report the first pan-Canadian hip and knee periprosthetic joint infection (PJI) rates and to describe the implications of a shorter (90-day) postoperative surveillance period.METHODSProspective surveillance for infection following hip and knee arthroplasty was conducted by hospitals participating in the Canadian Nosocomial Infection Surveillance Program (CNISP) using standard surveillance definitions.RESULTSOverall hip and knee PJI rates were 1.64 and 1.52 per 100 procedures, respectively. Deep incisional and organ-space hip and knee PJI rates were 0.96 and 0.71, respectively. In total, 93% of hip PJIs and 92% of knee PJIs were identified within 90 days, with a median time to detection of 21 days. However, 11%–16% of deep incisional and organ-space infections were not detected within 90 days. This rate was reduced to 3%–4% at 180 days post procedure. Anaerobic and polymicrobial infections had the shortest median time from procedure to detection (17 and 18 days, respectively) compared with infections due to other microorganisms, including Staphylococcus aureus.CONCLUSIONSPJI rates were similar to those reported elsewhere, although differences in national surveillance systems limit direct comparisons. Our results suggest that a postoperative surveillance period of 90 days will detect the majority of PJIs; however, up to 16% of deep incisional and organ-space infections may be missed. Extending the surveillance period to 180 days could allow for a better estimate of disease burden.Infect Control Hosp Epidemiol 2017;38:147–153

The Impact of Preoperative Education on Patients Undergoing Elective Total Hip and Knee Arthroplasty

2020 ◽  
Vol 39 (4) ◽  
pp. 218-224
Author(s):  
Julie L. Giardina ◽  
Katrina Embrey ◽  
Kathy Morris ◽  
Helen M. Taggart
Keyword(s):  
Knee Arthroplasty ◽  
Preoperative Education ◽  
Total Hip ◽  
Hip And Knee Arthroplasty ◽  
The Impact

The impact of peripheral nerve blocks on perioperative outcome in hip and knee arthroplasty—a population-based study

Pain ◽  
2016 ◽  
Vol 157 (10) ◽  
pp. 2341-2349 ◽  
Author(s):  
Stavros G. Memtsoudis ◽  
Jashvant Poeran ◽  
Crispiana Cozowicz ◽  
Nicole Zubizarreta ◽  
Umut Ozbek ◽  
...  
Keyword(s):  
Peripheral Nerve ◽  
Knee Arthroplasty ◽  
Population Based ◽  
Perioperative Outcome ◽  
Nerve Blocks ◽  
Population Based Study ◽  
Peripheral Nerve Blocks ◽  
Hip And Knee Arthroplasty ◽  
The Impact

The Impact of Advanced Age on the Outcomes of Primary Total Hip and Knee Arthroplasty for Osteoarthritis

JBJS Reviews ◽  
2018 ◽  
Vol 6 (2) ◽  
pp. e6-e6 ◽  
Author(s):  
Benjamin P.d’S. Murphy ◽  
Michelle M. Dowsey ◽  
Peter F.M. Choong
Keyword(s):  
Knee Arthroplasty ◽  
Advanced Age ◽  
Total Hip ◽  
Hip And Knee Arthroplasty ◽  
The Impact

scholarly journals The Effect of the COVID-19 Pandemic on Total Hip and Knee Arthroplasty Surgical Volume in 2020 in Poland

2021 ◽  
Vol 18 (16) ◽  
pp. 8830
Author(s):  
Maria Czubak-Wrzosek ◽  
Jarosław Czubak ◽  
Dariusz Grzelecki ◽  
Marcin Tyrakowski
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Significant Decline ◽  
First Year ◽  
Surgical Volume ◽  
Total Hip ◽  
Revision Arthroplasties ◽  
Hip And Knee Arthroplasty ◽  
Total Knee ◽  
Second Wave

The aim of this study was to analyse the effect of the first year of the COVID-19 pandemic on total hip arthroplasty (THA) and total knee arthroplasty (TKA) surgical volume in Poland. A retrospective analysis of data concerning THA and TKA collected by the National Health Fund in Poland in 2019 and in 2020 has been conducted. The number of primary hip or knee arthroplasties in 2020 was around 71% and 67% of the number registered in 2019, respectively. There was also a decline in the volume of revision arthroplasties observed, with 65% and 63% of THA and TKA revisions performed in 2019. The most significant decrease was observed in April and May, and during the second wave of the pandemic in November 2020, with a decline of 87%, 55% and 56%, respectively. The results of this study show the significant impacts that the COVID-19 pandemic had on the volume of elective hip and knee arthroplasties in Poland in 2020. In comparison with 2019, a decrease of around 30% for primary and of 40% for revision arthroplasties was observed. The most significant decline was observed in April and May 2020, and during the second wave of the COVID-19 pandemic in Poland in November 2020.

scholarly journals Impact of comorbidities on the safety and effectiveness of hip and knee arthroplasty surgery

2021 ◽  
Vol 103-B (1) ◽  
pp. 56-64
Author(s):  
Bélène Podmore ◽  
Andrew Hutchings ◽  
John A. Skinner ◽  
Alexander J. MacGregor ◽  
Jan van der Meulen
Keyword(s):  
Heart Disease ◽  
Knee Arthroplasty ◽  
Hip Arthroplasty ◽  
Length Of Hospital Stay ◽  
Safety Risks ◽  
Related Quality ◽  
Hip And Knee Arthroplasty ◽  
Health Related ◽  
Mean Differences ◽  
The Impact

Aims Access to joint replacement is being restricted for patients with comorbidities in a number of high-income countries. However, there is little evidence on the impact of comorbidities on outcomes. The purpose of this study was to determine the safety and effectiveness of hip and knee arthroplasty in patients with and without comorbidities. Methods In total, 312,079 hip arthroplasty and 328,753 knee arthroplasty patients were included. A total of 11 common comorbidities were identified in administrative hospital records. Safety risks were measured by assessing length of hospital stay (LOS) and 30-day emergency readmissions and mortality. Effectiveness outcomes were changes in Oxford Hip or Knee Scores (OHS/OKS) (scale from 0 (worst) to 48 (best)) and in health-related quality of life (EQ-5D) (scale from 0 (death) to 1 (full health)) from immediately before, to six months after, surgery. Regression analysis was used to estimate adjusted mean differences (LOS, change in OHS/OKS/EQ-5D) and risk differences (readmissions and mortality). Results Patients with comorbidities had a longer LOS and higher readmission and mortality rates than patients without. In hip arthroplasty patients with heart disease, for example, LOS was 1.20 days (95% confidence interval (CI) 1.15 to 1.25) longer and readmission rate was 1.52% (95% CI 1.34% to 1.71%) and mortality 0.19% (95% CI 0.15% to 0.23%) higher. Similar patterns were observed for knee arthroplasty patients. Patients without comorbidities reported large improvements in function (mean improvement OHS 21.3 (SD 9.91) and OKS 15.9 (SD 10.0)). Patients with comorbidities reported only slightly smaller improvements. In patients with heart disease, mean improvement in OHS was 0.39 (95% CI 0.27 to 0.51) and in OKS 0.56 (95% CI 0.45 to 0.67) less than in patients without comorbidities. There were no significant differences in EQ-5D improvement. Conclusion Comorbidities were associated with small increases in adverse safety risks but they have little impact on pain or function in patients undergoing hip or knee arthroplasty. These results do not support restricting access to hip and knee arthroplasty for patients with common comorbidities. Cite this article: Bone Joint J 2021;103-B(1):56–64.

scholarly journals The Impact of Hepatitis C and Liver Disease on Risk of Complications After Total Hip and Knee Arthroplasty: Analysis of Administrative Data From Louisiana and Texas

2021 ◽  
Vol 7 ◽  
pp. 200-207
Author(s):  
Brett Salomon ◽  
Peter C. Krause ◽  
Vinod Dasa ◽  
Lizheng Shi ◽  
Deryk Jones ◽  
...  
Keyword(s):  
Liver Disease ◽  
Hepatitis C ◽  
Administrative Data ◽  
Knee Arthroplasty ◽  
Total Hip ◽  
Hip And Knee Arthroplasty ◽  
The Impact

The impact of medicare reimbursement policies on simultaneous bilateral total hip and knee arthroplasty

2003 ◽  
Vol 18 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Craig J. Della Valle ◽  
Jeremy Idjadi ◽  
Rudi N. Hiebert ◽  
William L. Jaffe
Keyword(s):  
Knee Arthroplasty ◽  
Medicare Reimbursement ◽  
Total Hip ◽  
Hip And Knee Arthroplasty ◽  
The Impact
Sign in / Sign up

Export Citation Format

Share Document