| Patient demand matching in total knee arthroplasty: is it necessary? | |
| | |
MedLine Citation:
|
PMID: 11216718 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Patient demand matching has been accepted as an appropriate method of implant management by hospitals for cost reduction. However, there have been no prospective studies to substantiate whether these patients change their demand levels postoperatively. Theoretically, functional activity levels should not increase significantly postoperatively in patients with preoperative low demand levels for patient demand matching to be effective in avoiding premature prosthetic failure. Preoperative and postoperative demand levels were prospectively reviewed in 279 patients undergoing total knee arthroplasty (TKA). Preoperatively, the medium/high-demand patients performed significantly more activities overall than low-demand patients. Postoperatively, both low- and medium/high-demand patients dramatically increased the number of activities performed. The hypothesis that prosthetic choice should be determined by preoperative activity level (demand matching) was not validated by this study because patient activity levels significantly increased in all categories subsequent to TKA. |
| | |
Authors:
|
J M Bert; M Gross; C Kline |
Related Documents
:
|
3960978 - Decreased isometric knee flexion torque with hip extension in hemiparetic patients. 8717118 - Magnetic resonance imaging of dialysis-related amyloidosis of the shoulder and hip. 9423648 - Osteochondral defect of the glenoid fossa: cross-sectional imaging features. 22353308 - Repeat percutaneous epicardial mapping and ablation of ventricular tachycardia:: safety... 10898178 - Use of advanced breast biopsy instrumentation while performing stereotactic breast biop... 2823538 - Syndrome of inappropriate antidiuresis in small-cell lung cancer. classification and ef... |
Publication Detail:
|
Type: Clinical Trial; Journal Article; Multicenter Study; Randomized Controlled Trial; Validation Studies |
Journal Detail:
|
Title: The American journal of knee surgery Volume: 14 ISSN: 0899-7403 ISO Abbreviation: Am J Knee Surg Publication Date: 2001 |
Date Detail:
|
Created Date: 2001-02-16 Completed Date: 2001-04-12 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 8804841 Medline TA: Am J Knee Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 39-42 Citation Subset: IM |
Affiliation:
|
Summit Orthopedics, St Paul, Minn. 55102, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Activities of Daily Living* Adult Age Factors Aged Aged, 80 and over Arthroplasty, Replacement, Knee / economics, instrumentation, utilization* Body Weight Cost Control Female Geriatric Assessment Health Status Humans Knee Prosthesis / economics, supply & distribution* Male Middle Aged Needs Assessment / standards* Patient Selection* Prospective Studies Prosthesis Design United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Operative versus nonoperative treatment of knee dislocations: a meta-analysis.
Next Document: Surgical aspects of patellar tendonitis: technique and results.