V Wylde

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..Despite the prevalence and impact of acute postoperative pain, there is a paucity of published data regarding its occurrence and sensory qualities after joint replacement...

..This highlights that patients with continuing problems after THR may benefit from a thorough multidisciplinary assessment to diagnose the underlying cause of the problems...

..The aim of the present study was to determine if self-efficacy is a significant and independent preoperative predictor of patient-reported pain and function at one year after total knee replacement (TKR)...

..currently, assessment of outcomes after joint replacement is predominantly centred on impairment and activity limitation (e.g. walking), with little consideration of participation restriction...

..These issues reflect those that have arisen previously in patients with musculoskeletal pain, and need to be considered when assessing persistent joint pain, both before and after joint replacement...

..The aim of this study was to use quantitative sensory testing (QST) to explore the range and prevalence of somatosensory abnormalities demonstrated by patients with advanced knee OA...

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..This provides support for the inclusion of pressure algometry in studies assessing pain perception abnormalities in OA...

..The relative strengths and weaknesses of each method of assessment are discussed, with the aim of aiding the surgeon or researcher in choosing an outcome measure when designing a clinical trial...

..5%) were women. No statistically significant differences could be identified in any of the patient-reported outcome scores between patients who received the fixed-bearing or the mobile-bearing knee up to two-years post-operatively...

..Therefore, the aim of this study is to assess whether the OHS is an adequate disability measure from the patient's perspective using qualitative analysis of annotations written on the OHS by patients...

..After controlling for the influence of age and gender, there was no significant difference in the rate of return to sport according to the type of operation...

..001) and reported more limping than those patients without a perceived LLD. This study found that a third of patients perceived an LLD after THR and that perceived LLD was associated with a significantly poorer midterm functional outcome...

..To improve patient selection for TKR, future research needs to focus on developing a pre-operative screening protocol to identify those patients at risk of medically unexplained pain and disability after TKR...

..In rheumatoid arthritis, research has shown patients have different importance values for similar disabilities, and these individual values can be used to weight disability levels, creating a measure of personal impact...

..A small percentage of patients have severe persistent pain after joint replacement, and this is associated with depression and the number of pain problems elsewhere...

..This study aimed to evaluate the PI HAQ in osteoarthritis (OA)...

..3), or patient satisfaction (p = 0.42). Staples were quicker and easier to use than skin adhesive and also less expensive. Skin adhesive and surgical staples are both effective skin closure methods in total hip replacement...

..To gain insight into patients' experiences of adjustment to chronic pain following recovery from total knee replacement (TKR) surgery...

..BoneSave (Stryker, UK), a porous tricalcium phosphate-hydroxyapatite ceramic, is one such alternative, employed in spinal fusion over the past few years. Very little research exists into the clinical outcomes associated with its use...

..001). In conclusion, TKA patients experience a significantly poorer functional outcome than THA patients 5 to 8 years postoperatively...

..Previous in vitro and in vivo studies have yielded good results using mixtures of allograft and BoneSave, when compared with allograft alone. This study is the first reported human clinical trial of BoneSave in impaction grafting...

..The purpose of the present study was to examine whether a change in the natural history of pain in the contralateral knee was related to postoperative pain in the index knee...

..This editorial considers the shortcomings of assessing outcome after joint replacement only by the survival of the implant...

..75% to zero. These results demonstrate that there is a strong argument for the routine administration of aspirin after elective total hip replacement...

..The authors provide examples of alternative approaches, concluding that there is real scope for improving assessment and measurement of musculoskeletal pain in the clinical setting...

..Measures proven to decrease intra-operative wound contamination include chlorhexidine lavage, removal of jewellery, covering old jewellery, ears, nose, mouth and hair and wearing theatre clothing in an occlusive manner...