Priority 4 from the Hip and Knee Replacement for Osteoarthritis PSP
| UNCERTAINTY: What (health service) pre-operative, intra-operative, and post-operative factors can be modified to influence outcome following hip and knee replacement? (JLA PSP Priority 4) | |
|---|---|
| Overall ranking | 4 |
| JLA question ID | 0020/4 |
| Explanatory note | Not available for this PSP |
| Evidence | None available |
| Health Research Classification System category | Musculoskeletal |
| Extra information provided by this PSP | |
|---|---|
| Original uncertainty examples | Does obesity raise the likelihood of prosthetic loosening/ failure?) ~ What is the effect of weight on recovery from an major joint replacement?) ~ What if the spine is out of alignment due to congenital dislocation of the hip which wasn't detected when a child plus the discs are disintegrating in the neck and lumber region to be taken into consideration, plus c.o.p.d if an operation is suggested) ~ patients with personality disorders or other mental health issues-how do they fare compared to general population after joint replacement ~ What are the long term implications of having a partial knee replacement rather than a total knee replacement? ~ Are outcomes better with a TKR rather than a UKR followed by a TKR? UKR is less invasive but do you have better/worse mobility with a UKR?) ~ Can changes to intra-operative techniques (e.g. surgical technique) be altered to reduce the incidence of continuing pain following knee replacement) ~ The cost-benefit of wound closure with absorbable sub-cuticular suture versus skin clips) ~ TKR - is there evidence to suggest that the patellofemoral joint should routinely be resurfaced? |
| Submitted by | Uncertainty identified by 8 patient/carers, 30 clinicians, and 2 from patient/ carer discussion groups |
| Outcomes to be measured | |
| PSP information | |
|---|---|
| PSP unique ID | 0020 |
| PSP name | Hip and Knee Replacement for Osteoarthritis |
| Total number of uncertainties identified by this PSP. | 123 (To see more about the Top 10, please see the detailed spreadsheet held on the JLA website) |
| Date of priority setting workshop | 27 March 2014 |