Background Total knee arthroplasty (TKA) is performed to treat end-stage knee osteoarthritis. In Germany, a minimum volume threshold of 50 TKAs/hospital/year was implemented to ensure outcome quality. This study, embedded within a systematic review, aimed to investigate the perspectives of potential TKA patients on the hospital volume-outcome relationship for TKA (higher volumes associated with better outcomes). Methods A convenience sample of adults with knee problems and heterogeneous demographic characteristics participated in the study. Qualitative data were collected during a focus group prior to the systematic review (n = 5) and during telephone interviews, in which preliminary results of the systematic review were discussed (n = 16). The data were synthesised using content analysis. Results All participants (n = 21) believed that a hospital volume-outcome relationship exists for TKA while recognising that patient behaviour or the surgeon could also influence outcomes. All participants would be willing to travel longer for better outcomes. Most interviewees would choose a hospital for TKA depending on reputation, recommendations, and service quality. However, some would also choose a hospital based on the results of the systematic review that showed slightly lower mortality/revision rates at higher-volume hospitals. Half of the interviewees supported raising the minimum volume threshold even if this were to increase travel time to receive TKA. Conclusions Potential patients believe that a hospital volume-outcome relationship exists for TKA. Hospital preference is based mainly on subjective factors, although some potential patients would consider scientific evidence when making their choice. Policy makers and physicians should consider the patient perspectives when deciding on minimum volume thresholds or recommending hospitals for TKA, respectively.
Feng-Chih Kuo,1 Pao-Yen Lin,2 Jun-Wen Wang,1 Po-Chun Lin,1 Mel S Lee,1 and Antonia F Chen3
2018
Drug Des Devel Ther. 2018; 12: 3163–3170.
Open
Perspective of potential patients on the hospital volume-outcome relationship and the minimum volume threshold for total knee arthroplasty: a qualitative focus group and interview study
Charlotte M. Kugler,corresponding author1 Karina K. De Santis,1,2 Tanja Rombey,1 Kaethe Goossen,1 Jessica Breuing,1 Nadja Könsgen,1 Tim Mathes,1 Simone Hess,1 René Burchard,3,4,5 and Dawid Pieper1
2021
BMC Health Serv Res. 2021; 21: 633.
Open
Plasma levels of D-dimer and fibrin degradation product are unreliable for diagnosing periprosthetic joint infection in patients undergoing re-revision arthroplasty
Hong Xu,# Jinwei Xie,# Duan Wang, Qiang Huang, Zeyu Huang, and Zongke Zhoucorresponding author
2021
J Orthop Surg Res. 2021; 16: 628.
Open
Activity following reverse total shoulder arthroplasty: What should surgeons be advising?
Scott J MacInnes,1 Katherine E Mackie,2 Andrew Titchener,1 Rebekah Gibbons,2 and Allan W Wang1,3
2019
Shoulder Elbow. 2019 Jul; 11(2 Suppl): 4–15.
Open
Short-term outcomes of outpatient surgery for total knee arthroplasty
Muhammet Sadık Bilgen, MD,1 Osman Yaray, MD,2 Müren Mutlu, MD,2 Ahmet İdris Çakır, MD,2 and Ömer Faruk Bilgen, MD2
2019
Singapore Med J. 2019 Jun; 60(6): 314–316.
Open
The projected volume of primary and revision total knee arthroplasty will place an immense burden on future health care systems over the next 30 years
Alexander Klug,corresponding author1 Yves Gramlich,1 Maximilian Rudert,2 Philipp Drees,3 Reinhard Hoffmann,1 Manuel Weißenberger,#2 and Karl Philipp Kutzner3,4
2021
Knee Surg Sports Traumatol Arthrosc. 2021; 29(10): 3287–3298.
Open
Predictors for Unfavorable Early Outcomes in Elective Total Hip Arthroplasty: Does Extreme Body Mass Index Matter?
Chun-Yu Hung, 1 Chih-Hsiang Chang, 1 , 2 Yu-Chih Lin, 1 , 2 Shen-Hsun Lee, 1 , 2 Szu-Yuan Chen, 1 , 2 and Pang-Hsin Hsiehcorresponding author 1 , 2
2019
Biomed Res Int. 2019; 2019: 4370382.
Open
Using implementation science to develop and implement a guideline to reduce unnecessary preoperative testing for asymptomatic bacteriuria prior to elective arthroplasty
Judith S. L. Partridge,corresponding author 1, 2 Madeleine Daly, 1 Carolyn Hemsley, 3 Zameer Shah, 4 Krishanthi Sathanandan, 5 Cathryn Mainwaring, 6 and Jugdeep K. Dhesi 1, 2, 7
2020
J Bone Jt Infect. 2020; 6(3): 57–62.
Open
Abnormally high dislocation rate following constrained condylar knee arthroplasty for valgus knee: a case-control study
Feng Li,1 Ning Liu,2 Zijian Li,1 Kirkham B. Wood,2 and Hua Tiancorresponding author1
2019
J Orthop Surg Res. 2019; 14: 268.
Open
Bone cement with screw augmentation technique for the management of moderate tibial bone defects in primary knee arthroplasty patients with high body mass index
Özal Özcan,1 Murat Yeşil,corresponding author1 Uğur Yüzügüldü,1 and Furkan Kaya2
2021
Jt Dis Relat Surg. 2021 Apr; 32(1): 28–34.
Open
Determinants of return to work 12 months after total hip and knee arthroplasty
CS Leichtenberg,corresponding author1 C Tilbury,1 PPFM Kuijer,2 SHM Verdegaal,3 R Wolterbeek,1 RGHH Nelissen,1 MHW Frings-Dresen,2 and TPM Vliet Vlieland1,4,5
2016
Ann R Coll Surg Engl. 2016 Jul; 98(6): 387–395.
Open
Second generation cephalosporin antibiotic prophylaxis and Clostridium difficile infection in hip and knee arthroplasty
K Al-Tawil,corresponding author A Babu, M Loeffler, and T Williams
2017
Ann R Coll Surg Engl. 2017 May; 99(5): 351–354.
Open
Autologous Platelet Gel and Platelet-Poor Plasma Reduce Pain With Total Shoulder Arthroplasty
Douglas P. Zavadil, MPS, CCP, LCP,* C. Craig Satterlee, MD,† Jaime M. Costigan, RN,‡ David W. Holt, MA, CCT,§ and Valerie K. Shostrom, MS¶
2007
J Extra Corpor Technol. 2007 Sep; 39(3): 177–182.
Open
Fracture fixation versus revision arthroplasty in Vancouver type B2 and B3 periprosthetic femoral fractures: a systematic review
Karl Stoffel,1,2 Michael Blauth,3 Alexander Joeris,4 Andrea Blumenthal,4 and Elke Rometschcorresponding author4
2020
Arch Orthop Trauma Surg. 2020; 140(10): 1381–1394.
Open
Regional anesthesia and readmission rates following total knee arthroplasty
Debbie Chi, BS,1,2 Edward R. Mariano, MD MAS,2,3 Stavros G. Memtsoudis, MD PhD,4 Laurence C. Baker, PhD,5,6 and Eric C. Sun, MD PhD2,5
2019
Anesth Analg. 2019 Jun; 128(6): 1319–1327.
Open
No association between preoperative physical activity level and time to return to work in patients after total hip or knee arthroplasty: A prospective cohort study
Anton R. Boersma, Conceptualization, Data curation, Formal analysis, Investigation, Writing – original draft, Writing – review & editing,1 Sandra Brouwer, Conceptualization, Data curation, Investigation, Methodology, Project administration, Supervision, Writing – original draft, Writing – review & editing,2 Wendy Koolhaas, Conceptualization, Investigation, Methodology, Project administration, Supervision, Writing – original draft, Writing – review & editing,2 Reinoud W. Brouwer, Data curation, Investigation, Writing – review & editing,3 Wierd P. Zijlstra, Data curation, Investigation, Writing – review & editing,4 Jan van Beveren, Data curation, Investigation, Writing – review & editing,5 and Martin Stevens, Conceptualization, Investigation, Methodology, Project administration, Supervision, Writing – original draft, Writing – review & editing1,*
2019
PLoS One. 2019; 14(9): e0221932.
Open
Closed suction drainage following routine primary total joint arthroplasty is associated with a higher transfusion rate and longer postoperative length of stay: a retrospective cohort study
Hong Xu,# Jinwei Xie,# Yiting Lei, Qiang Huang, Zeyu Huang, and Fuxing Peicorresponding author
2019
J Orthop Surg Res. 2019; 14: 163.
Open
Prevalence of total hip and knee arthroplasty in former National Football League players: comparison with the general US population and other populations of professional athletes
Adam S Tenforde,corresponding author1,2 Bryan Cortez,2 Jillian Baker,2 Joanne Borg-Stein,1,2 Meagan Wasfy,2,3 Aaron L Baggish,2,3 and Ross Zafonte1,2
2020
BMJ Open Sport Exerc Med. 2020; 6(1): e000833.
Open
Clinical Faceoff: Should Routine Histopathological Analysis be Performed on Specimens Obtained During Primary Arthroplasty Surgery?
Stephen S. Raab, MD,corresponding author Thomas W. Bauer, MD, PhD, and Ola Rolfson, MD, PhD
2019
Clin Orthop Relat Res. 2019 Aug; 477(8): 1781–1785.
Open
Validation of Lithuanian Arthroplasty Register Telephone Survey of 2769 Patients Operated for Total Knee Replacement
Egle Terteliene,1,* Kazimieras Grigaitis,2 Otto Robertsson,3 Narunas Porvaneckas,1 Jolanta Dadoniene,1,4 and Algirdas Venalis1,4
2019
Medicina (Kaunas). 2019 Jun; 55(6): 310.
Open
Use of proximal humerus plates for the fixation of the subtrochanteric femoral shortening osteotomy during total hip arthroplasty for Crowe type IV developmental dysplasia of the hip patients
Ömür Çağlar,corresponding author1 Erdi Özdemir,1 Ahmet Mazhar Tokgözoğlu,1 and Bülent Atilla1
2020
Jt Dis Relat Surg. 2020 Aug; 31(2): 306–311.
Open
Induction of anti-PF4/heparin antibodies after arthroplasty for rheumatic diseases
Kiyoshi Migita, 1 , 2 Tomoyuki Asano, 1 Shuzo Sato, 1 and Satoru Motokawa 2 , 3
2018
Fukushima J Med Sci. 2018; 64(1): 1–8.
Open
Background Stemless shoulder arthroplasty systems with uncemented metaphyseal fixation have been used for glenohumeral osteoarthritis since 2004 (Hawi, et al. BMC Musculoskelet Disord 17:376, 2016). The stemless design has several theoretical advantages compared with the stemmed shoulder arthroplasty systems: restoring patients’ anatomy; preserving humeral bone stock; and few complications in component removal if the need for a revision arthroplasty arises. The purpose of the study is to compare the short-term, patient-reported outcome of stemless and stemmed total shoulder arthroplasty (TSA). Materials and methods A randomized clinical trial will be conducted. Eighty patients with clinical and radiological signs of primary or post-traumatic glenohumeral osteoarthritis, computed tomography (CT) scan-verified adequate glenoid bone stock, and no total rupture of rotator cuff tendons verified by a magnetic resonance imaging (MRI) scan will be randomly allocated to a stemless or stemmed TSA. The primary outcome will be the Western Ontario Osteoarthritis Shoulder (WOOS) score at 12 months. Secondary outcomes are the WOOS score at three months and the Oxford Shoulder Score (OSS) and EQ-5D at 3 and 12 months. All complications, including glenoid and humeral component loosening, instability, rotator cuff tear, intraoperative and postoperative periprosthetic fracture, nerve injury, infection, deltoid injury, and symptomatic deep venous thrombosis, will be reported. Discussion Findings will provide patients with better information about the potential benefits and harms of stemless and stemmed TSA and will assist shoulder surgeons and patients in decision-making.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6031535/
2018
HSS J. 2018 Jul; 14(2): 202–210.
Open
Patient-reported outcome after stemmed versus stemless total shoulder arthroplasty for glenohumeral osteoarthritis: a patient-blinded randomized clinical trial
Zaid Issa,corresponding author1 Jeppe Vejlgaard Rasmussen,2 John Kloth Petersen,1 Kim Schantz,3 and Stig Brorson1
2019
Trials. 2019; 20: 427.
Open
Hip-inspired implant for revision of failed reverse shoulder arthroplasty with severe glenoid bone loss
Ofir Uri,corresponding author Ian Bayley, and Simon Lambert
2014
Acta Orthop. 2014 Apr; 85(2): 171–176.
Open