scholarly journals Predictors of Pain and Function Following Total Joint Replacement

10.5772/53245 ◽  
2013 ◽  
Author(s):  
Michelle M. ◽  
Peter F. M. Choong
2014 ◽  
Vol 2 (1) ◽  
pp. 3-12
Author(s):  
Stuart B. Goodman

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.


2020 ◽  
Vol 9 (6) ◽  
pp. e15963095
Author(s):  
Douglas Voss de Oliveira ◽  
José Thiers Carneiro Junior ◽  
Eber Coelho Paraguassu ◽  
Luis Raimundo Serra Rabelo

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.


Author(s):  
Joanne M. Jordan ◽  
Kelli D. Allen ◽  
Leigh F. Callahan

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.


2015 ◽  
Vol 04 (S 02) ◽  
Author(s):  
M. Rizzo ◽  
A. Hooke ◽  
K. An ◽  
W. Cooney

1992 ◽  
Vol 63 (6) ◽  
pp. 658-660
Author(s):  
Michel Boeckstyns ◽  
Marianne Backer ◽  
Else Petersen ◽  
Iben Høj ◽  
Henrik Albrechtsen ◽  
...  

Author(s):  
Gaziev Z.T. ◽  
Avakov V.E. ◽  
Shorustamov M.T. ◽  
Bektemirova N.T.

Objective: To evaluate the efficacy and safety of patient-controlled analgesia through prolonged epidural analgesia after joint replacement of the lower extremities. Material and methods. We analyzed the postoperative period of 213 elderly and senile patients who were operated on for degenerative-dystrophic and traumatic injuries of the joints of the lower extremities. All patients underwent total joint replacement (164 - THA and 49 - TKA). The age of patients is from 65 to 90 years (average age was 78 ± 8 years) with a physical status of ASA 3 and above. All examined patients were divided into 2 groups. 63 patients comprised the main group, which in the postoperative period underwent patient-controlled analgesia (PCA) through prolonged epidural analgesia. The control group consisted of 150 patients, for the anesthesia of which in the postoperative period only standard systemic multimodal analgesia was used Conclusion. Patient-controlled analgesia is an alternative to traditional analgesic regimens. This method should be one of the main methods after surgical anesthesia for joint replacement of the lower limb in elderly and senile patients.


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