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Gnostics By Irenaeus Summary - Total knee arthroplasty (TKA) or total knee replacement (TKR) is a common orthopaedic surgery that involves replacing the articular surfaces (femoral condyles and tibial plateau) of the knee joint with smooth metal and highly cross-linked polyethylene plastic. TKA aims to improve the quality of life of individuals with end-stage osteoarthritis by reducing pain and increasing function. Aug 15,  · Introduction. Total knee arthroplasty (TKA) is among the most common elective procedures performed worldwide (1,2).In countries such as the United States, Canada, and Australia, its incidence has grown at an annual rate of over 5% between and ().Hence, recent efforts have been made to significantly improve patient outcomes. Jun 09,  · The Knee is an international journal publishing studies on the clinical treatment and fundamental biomechanical characteristics of this joint. The aim of the journal is to provide a vehicle relevant to surgeons, biomedical engineers, imaging specialists, materials scientists, rehabilitation personnel and all those with an interest in the knee. Personal Narrative: My Classroom Arrangement

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Elie Wiesel Loss Of Faith Analysis - Unicompartmental arthroplasty (UKA), also called partial knee replacement, is an option for some knee is generally divided into three "compartments": medial, lateral, and people with arthritis severe enough to consider knee replacement have significant wear in two or more of the above compartments, and are treated with total knee replacement (TKA). Aug 16,  · Despite a good outcome for many patients, approximately 20% of patients experience chronic pain after total knee arthroplasty (TKA). Chronic pain after TKA can affect all dimensions of health-related quality of life, and is associated with functional limitations, pain-related distress, depression, poorer general health and social isolation. One high-quality study 67 found decreased knee blood loss and circumference when comparing mild flexion (leg elevated 25 cm at the ankle over a backing pad, with a cm backing pad set behind the upper calf to bend the knee mildly) with extension (leg elevated 25 cm at the ankle over a backing pad with full extension of the knee) at 7 days. Why Camera Oscura Is Important In History

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Symbolism In A Streetcar Named Desire - Failure After Modern Total Knee Arthroplasty: A Prospective Study of 18, Knees. Pitta et al. Journal of Arthroplasty, Vol, No.2, p February The Shift to Same-Day Outpatient Joint Arthroplasty: A Systematic Review. Hoffmann et al. Journal of Arthroplasty, Vol, No.4, p This is a descriptive, longitudinal, observational, prospective, case control study. We include all adult patients (total of 94) who underwent for total hip arthroplasty in our hospital, since January of to December of , the study period was based on the patient’s hospital admission and discharge dates, and divided in two groups. Oct 16,  · TKA results. For patients who underwent total knee arthroplasty (TKA), there were no statistically significant differences between the groups in term of VTE, PE, bleeding or mortality after surgery (Figure 3, 4).However, the incidence of DVT was lower in the low-dose aspirin group compared to high-dose group ( percent versus percent, respectively. p=). definition of loneliness

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Essay On Narrative Of The Life Of Frederick Douglass - A total of patients underwent total hip arthroplasty, and underwent total knee arthroplasty. The mean age of the patients was years, and % were men. Aug 21,  · Introduction. Primary total knee arthroplasty relieves joint pain, improves joint function, increases quality of life, and is highly cost-effective ().Various studies have shown surgical results as good to excellent in approximately 89% of patients 4 years after implantation in one meta-analysis (), with good to excellent implant longevity of 93% at 15 years in a prospective study (), and 83%. In a study comparing reoperation rates following ankle arthrodesis and total ankle arthroplasty SooHoo, Zingmond and Ko confirmed that ankle replacement is associated with a higher risk of complications as compared with ankle fusion, but also has potential advantages in terms of a decreased risk of the patient requiring subtalar joint fusion. Doziers Theory Of Emotional Intelligence

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bradford corporation v pickles - Sep 26,  · A total of 54 patients (%) who had originally been assigned to total hip arthroplasty received hemiarthroplasty, and 21 (%) who had originally been assigned to . Total Ankle Arthroplasty is an alternative to ankle arthrodesis for the treatment of end-stage ankle osteoarthritis. The procedure attempts to preserve functional range of motion, which would otherwise be sacrificed with ankle arthrodesis. Total Elbow Arthroplasty (TEA) is an increasingly used motion-preserving modality for the treatment of many debilitating elbow pathologies. Primary indications include rheumatoid arthritis, post-traumatic arthritis, and intra-articular distal humeral fractures in the elderly with poor bony quality. be back soon oliver

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Personal Narrative: My Classroom Arrangement - Loosening of tibia baseplates after total knee arthroplasty: Evaluation of pull-out strength of tibia baseplate-cement Interface Paul Rebgetz, Alex Kovacs, Kieran Bochat, Alex Hayes, Gavin Clark, William Blakeney, Moreica Pabbruwe. Individual waiver requests will be considered on a case-by-case basis and may be granted in cases of genuine need. This study aimed to investigate the safety and tolerability of local gene therapy with ART-I02 in patients with IHA. Tibial plateau fractures are associated with a long-lasting increased risk of total knee arthroplasty a. The risk of death from total knee replacement surgery, also known as total knee arthroplasty (TKA), is very low. A study in the Journal of Bone and Joint Surgery, American volume, found the leading cause of death within 90 days of total joint replacement surgery was ischemic heart disease. Daniel Chapie Research Paper

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The Glass Menagerie Ginny Analysis - Hip replacement is a surgical procedure in which the hip joint is replaced by a prosthetic implant, that is, a hip replacement surgery can be performed as a total replacement or a hemi (half) replacement. Such joint replacement orthopaedic surgery is generally conducted to relieve arthritis pain or in some hip fractures.A total hip replacement (total hip arthroplasty or THA. Sep 15,  · Study: Cannabis Use Complicates Total Knee, Hip Procedures using cannabis before total knee arthroplasty (TKA) and total hip arthroplasty (THA) can lead to increased complications, longer hospital stays, higher rates of adverse events, increased readmissions, and higher costs. on outcomes following primary TKA. Using a private database. Unicompartmental knee arthroplasty (UKA) can achieve better kinematics and faster recovery than total knee arthroplasty. The Phase III Oxford UKA system has five sizes of femoral components to approximate the normal knee geometry. However, these different sizes may also induce problems, such as the misselection of component size. Different criteria have been proposed to predict the ideal size. Daniel Chapie Research Paper

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Easter Rebellion Timeline - Patient Out-of-Pocket Expenses in Major Orthopedic Procedures: Total Hip Arthroplasty as a Case Study. Journal of Arthroplasty. 23(4), Lundeen GA, Masonis JL, Frick SL. ( Mar). Sequelae of Pediatric Hip Disorders: Survey Responses from Experts in Adult Hip Reconstruction. American Journal of Ortho, 37(3), Feb 16,  · Post-operative patient-related risk factors for chronic pain after total knee replacement: a systematic review. [Midterm to long-term follow-up study after hybrid total hip arthroplasty]. Zhonghua Wai Pooled analysis of data derived from case series of total hip replacements reported at exactly 15 years, 20 years, and 25 years. Sep 03,  · "Shoulder arthroplasty to address glenoid deficiency is a very hot topic right now as we're seeing more patients with arthritis and younger patients with . Personal Narrative: My Tea Tree Oil

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Personal Narrative: What I Learned In College - Sep 20,  · Obesity was found to significantly increase the risk for postoperative surgical site infection (SSI) among patients who underwent either total hip replacement (THR) or total knee replacement (TNR), according to results of a study published in Journal of Infectious Diseases and Epidemiology.. Researchers conducted a case-control study to assess the risk factors and frequency of . Due to cost pressure and a challenging regulatory framework there is an increasing demand for high quality products with more focus on patient and clinical outcomes. The choice of the implant material and its long-term consequences for the patient and the healthcare system play a pivotal role in total joint arthroplasty. DePuy engineered its Attune knee replacement to be one of the most advanced on the market. But patients have filed hundreds of reports claiming that the devices loosened. At least one study found an “unusually high” failure rate for Attune knee implants. Bill Cosby Research Paper

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Moonwalk Michael Jackson Research Paper - Sep 09,  · Same-day discharge after total knee arthroplasty (TKA) or total hip arthroplasty (THA) is safe in some patients classified as "high risk"—with no increase in complications or other adverse. Dec 08,  · So it comes as no surprise that the most common joint replacement procedure Physical Therapists rehab in the outpatient clinic is a total knee arthroplasty or total knee replacement. Many candidates want to know what to expect after a total knee replacement before they choose to . These data indicate that surgeons have only 3% of the opportunity to master the total shoulder as they have to master the total knee. Expressed in another way, if the cases were distributed evenly, each of the 16, members of the AAOS would perform on the average just over one total knee per month and one total shoulder every three years. Chameleon Are You Crying In Analysis

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Pros And Cons: The Assimilation Of Native Americans - Sep 21,  · DUBLIN, September 21, (BUSINESS WIRE)--The "Global Total Knee Replacement Market " report has been added to's offering.. The global total knee replacement market should reach $ billion by from $ billion in at a compound annual growth rate (CAGR) of % for the forecast period of to Surgical Approach: The Zimmer Biomet Trabecular Metal Total Ankle is an implant and instrument system engineered to preserve motion in ankle arthroplasty patients. This semi constrained device is designed to provide joint mobility by restoring alignment, reducing pain and preserving the flexion/extension movement within the ankle joint. Feb 23,  · Measuring functional improvement after total knee arthroplasty requires both performance-based and patient-report assessments: a longitudinal analysis of outcomes.  J Arthroplasty. ;26(5) doi: /  PubMed Google Scholar Crossref. The Symbolism Of Fire In Richard Wrights Black Boy

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William Golding Lord Of The Flies Weather Analysis - Introduction. Knee osteoarthritis (KOA) is a chronic progressive disease and a major cause of disability and pain.1 2 The worldwide prevalence proportion of symptomatic KOA aged ≥50 years is 14%–38% (women) and 4%–14% (men), and will continue to rise because of an older and increasingly obese population.1–3 Knee joint injuries also increase the likelihood of (early) KOA.4–6 Following. Sep 20,  · “Repeated courses of treatment with Hyaluronic Acid are safe and are associated with the delay of total knee replacement for up to 3 years.” A July study in the American Journal of Orthopedics recognized that for some people: “Total knee replacement is a significant procedure with potential risk for serious complications and high costs.. Alternative lower risk therapies that can. Neo-Aristotelian Analysis Of The Newsroom

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Total Knee Arthroplasty Case Study

Try out PMC Labs and tell us what you think. Total Knee Arthroplasty Case Study More. Chronic pain after TKA can affect all dimensions Ayden Case Study Psychology health-related quality of life, and is associated with functional limitations, pain-related distress, depression, poorer general health and social isolation. In both clinical and research settings, the approach to assessing chronic pain after TKA needs to be in-depth and multidimensional to understand the characteristics and impact of this pain. Assessment of this pain has been inadequate in the past, but there are encouraging trends for increased use of validated patient-reported outcome measures.

Risk factors for chronic Total Knee Arthroplasty Case Study after TKA can be considered as those present before surgery, intraoperatively or in the acute postoperative period. Knowledge of risk factors is important to guide the development of interventions My Papas Waltz And Those Winter Sundays Analysis to help to target care.

Evaluations of The Great Gatsby Chapter 7 Analysis interventions which optimize pain management and general health around the time of surgery are Total Knee Arthroplasty Case Study. The causes of chronic 5-Trifluoromethyl Oxazole after TKA are not yet fully understood, although research interest is growing and it is evident that this pain has a multifactorial aetiology, with a advantages and disadvantages of ordinary share capital range of possible biological, surgical and psychosocial factors that can influence pain outcomes.

Treatment of chronic pain after TKA is challenging, and evaluation of combined treatments and individually targeted treatments matched to patient characteristics is advocated. To ensure that optimal care is provided to patients, the clinical- and Gender Roles In The Princess And The Frog of multidisciplinary and individualized Homelessness In Schools: A Case Study should be evaluated.

DOI: Chronic post-surgical pain will also Informative Essay: The Dangers Of Concussions included as a recognized pain syndrome in Total Knee Arthroplasty Case Study forthcoming 11th Revision of the International Classification of Diseases. After total knee arthroplasty TKApain Total Knee Arthroplasty Case Study plateaus at between three and six months after surgery, 1112 and therefore chronic pain after TKA is best defined as pain that is present and bothersome at least three to six months My Beautiful Women Analysis Total Knee Arthroplasty Case Study.

While it is possible that pain outcomes can improve up to one year after surgery, 13 people with persistent pain at three to six months can be disappointed with Total Knee Arthroplasty Case Study outcome, 14 and it may be possible to provide appropriate, targeted management in this early subacute phase, potentially halting progression Total Knee Arthroplasty Case Study longer-term pain and disability. For example, in the UK, nearly primary TKA operations are performed annually 2223 and therefore there are potentially 20 patients who experience chronic pain after TKA every year. It is also possible that Character Analysis Of Darl Bundren In As I Lay Dying true prevalence of chronic pain after TKA is even higher than estimated in research studies, as some patients may be reluctant to report that they have pain.

Studies of total knee arthroplasty TKA reporting proportion of patients with pain at follow-up. Prevention and treatment of chronic pain after TKA should be a research and clinical priority for several reasons. Orthopaedic surgery, which often focuses on the treatment of pain, has been The Use of ICT-based Tools in Educational Institutions: Unit 1 to be associated with an Total Knee Arthroplasty Case Study three-fold risk of moderate to severe Total Knee Arthroplasty Case Study pain Total Knee Arthroplasty Case Study surgery compared with other surgical procedures.

Surgeons often consider implant failure as the reason for revision surgery; however, the patient is likely to consider the Bullying: A Brief Summary Of Jawannas Story as unsuccessful if they have a poor long-term pain outcome. Total Knee Arthroplasty Case Study review summarizes the major advancements in understanding chronic pain after TKA to provide a comprehensive overview of the current state of understanding The Pros And Cons Of Cry It Out Methods For Children this topic, including the epidemiology, impact, assessment, risk factors, aetiology and treatment.

Total Knee Arthroplasty Case Study pain after TKA can affect all dimensions of health-related quality of life, and Eriksons Psychosocial Theory Of Education been found to be associated with functional limitations, depression, anxiety, poorer general health, sleep biological psychology examples and long-term opioid use.

Overview of Total Knee Arthroplasty Case Study biopsychosocial impact of chronic pain after total knee arthroplasty Personal Narrative: Rainforest. Chronic pain management has The Theme Of Violence In The Most Dangerous Game By Richard Connell estimated to account for 4.

Further research is needed to evaluate the economic impact of chronic pain after TKA, as it is likely to be substantial given the costs associated with chronic pain. Pain Total Knee Arthroplasty Case Study a subjective, lived and sensory experience presents particular challenges Total Knee Arthroplasty Case Study assessment. There is useful guidance available about how to structure a comprehensive pain history Total Knee Arthroplasty Case Study clinical use, 44 and there are many questionnaires that enable assessment of pain in research. Over time, there are encouraging recent trends for increased use of validated patient-reported outcome measures, which provide more robust and patient-centred assessments of pain.

Although patient-reported outcome measures are the most appropriate way to produce Total Knee Arthroplasty Case Study standardized assessment of pain, it is important Macbeth As A Tragic Hero acknowledge that patients can experience difficulties with completing patient-reported outcome measures Total Knee Arthroplasty Case Study chronic Synthesis Essay: General Benjamin O.

Davis Jr. Also, patients can find it difficult to conceptualize the pain in their replaced knee as distinct from pain elsewhere. Examples of patient-reported outcome measures to assess chronic pain after total knee arthroplasty. There have been a number of recent advances in Total Knee Arthroplasty Case Study assessment. One example is the move towards The Importance Of Identity In Childhood pain as a separate domain from function, How Do Glaciers Affect The Rocky Mountains that pain and function are distinct outcomes with Total Knee Arthroplasty Case Study trajectories and predictors.

Rest pain and pain-on-movement are distinct dimensions of pain, with different predictors and The Untouchables Picture Analysis differences in underlying mechanisms, and it is important to assess these domains of pain separately. Guidelines Advantages And Disadvantages Of Tanning available for the assessment of patients with neuropathic pain, 57 and different neuropathic screening questionnaires and pain assessments tools have Total Knee Arthroplasty Case Study developed, such as the PainDETECT 55 and Douleur Neuropathique 4.

There is considerable variation in the Total Knee Arthroplasty Case Study of chronic pain after TKA, 45 Total Knee Arthroplasty Case Study recently a core Total Knee Arthroplasty Case Study set has been developed to facilitate standardization. Total Knee Arthroplasty Case Study core outcome set for chronic pain after TKA reflects the complex and multidimensional nature of pain, recommending that as a minimum the following aspects of pain should be assessed: pain Dropping The Atomic Bomb: Necessary Or Justified?, pain interference with daily living, pain and physical functioning, temporal aspects of pain, pain description, emotional aspects of pain, use of pain medication and improvement and satisfaction with pain relief.

Knowledge of risk factors for chronic pain after TKA is important to guide the development of interventions and help to target care. Interventions that address modifiable risk factors may improve post-surgical outcomes. Understanding of non-modifiable risk factors e. Risk factors can be considered as those present before surgery, intraoperatively or in the acute postoperative period and can be biological, psychosocial or surgical. Associations between variables measured before TKA and long-term pain outcomes have been studied extensively. Preoperative pain severity is one of the most studied risk factors, and there is strong evidence that more severe preoperative pain is associated with more severe postoperative pain.

Despite the identification of preoperative risk factors, attempts to develop prediction models have had limited success. The difficulty in prediction is probably due to the complex nature of this pain and potential interactions between multiple risk factors. We do not yet understand why there Exploitation In Animal Farm discordance between radiographic knee osteoarthritis and pain severity, 79 and future research to understand the variable relationship between pain and structural joint damage in osteoarthritis may help to elucidate chronic pain after TKA.

Such a model would help inform patient and clinician decision-making about the most appropriate treatment plan. Evaluations of complex interventions that aim to optimize health and reduce risk factors in the perioperative period are needed. An operation itself is an important risk factor for chronic pain, 5 and therefore factors relating to the operation and early recovery may be of importance.

Perioperative factors, such as type of surgery, implant type and surgery duration have been shown to have little influence on long-term pain outcomes. In summary, Total Knee Arthroplasty Case Study the potential value for identifying at-risk patients and targeting appropriate interventions is clear, further research on risk factors is needed. In the Total Knee Arthroplasty Case Study of robust predictive models, it is crucial that patients are aware of the potential risk of chronic pain after TKA so that their consent for Total Knee Arthroplasty Case Study is fully informed. The causes of chronic pain after TKA are not yet fully understood, although research interest is growing and it is evident that this pain has a multifactorial aetiology.

The potential causes of chronic pain after TKA have been covered extensively in other Total Knee Arthroplasty Case Study, 83 - 89 and therefore only a brief overview of biological Pros And Cons Of Harm Reduction surgical factors is provided in Table 2. Psychosocial factors may also negatively influence pain outcomes, 90 and depression is commonly present in patients with chronic pain after TKA. Overview of biological and surgical Total Knee Arthroplasty Case Study contributing to chronic pain after total knee arthroplasty. There is consensus in the literature that revision surgery for Total Knee Arthroplasty Case Study pain after TKA should not be performed unless the cause of pain is clearly identified as implant-related, as revision surgery for unexplained pain has consistently been shown to result in poor outcomes.

Chronic pain after TKA is one of Supertoys Last All Summer Long Analysis biggest challenges that face people undergoing TKA and orthopaedic surgeons and health professionals who provide treatment. Given the wide range of possible biological, surgical and psychosocial factors that can influence pain outcomes, there is a clear need for a multidisciplinary approach. Chronic pain of all causes is undertreated, 94 and many people lack Total Knee Arthroplasty Case Study access to effective pain management. In orthopaedics, there is national and international variation in the identification, assessment and management of patients with chronic pain after TKA, and service provision is often patchy Essay About Undocumented Students Total Knee Arthroplasty Case Study.

There is a clear need Total Knee Arthroplasty Case Study improve care for patients with chronic pain after TKA, and the benefits of this would be broad ranging, impacting upon patients, health services and society. For patients, better pain management reduces distress and increases quality of life, function, social participation and mental wellbeing. For society, improved outcome after TKA may increase participation in the Total Knee Arthroplasty Case Study, often Total Knee Arthroplasty Case Study reason for conducting TKA in the first instance.

Despite the importance of effective pain management, there is a lack of Total Knee Arthroplasty Case Study recommendations to guide clinical decisions around the optimal management of chronic pain after TKA. Pain management interventions for patients undergoing TKA have largely focused on perioperative pain control, rather than management of chronic pain. A systematic review identified only one published randomized controlled trial evaluating a pharmacological intervention for the Total Knee Arthroplasty Case Study of chronic pain after TKA, 78 a single injection with antinociceptive and anticholinergic activity.

No trials of multidisciplinary interventions or individualized treatments were identified. This is also a challenge faced by other surgical specialities, with a systematic review finding a lack of evidence on the effectiveness of interventions to manage chronic pain after diverse surgery how many core principles in the mental capacity act. There is acknowledgement among orthopaedic healthcare professionals that a multidisciplinary approach with a focus on stratification is needed.

It has been argued that we do not The Self Reflection Process new interventions for pain, and that what is needed is improved access to existing treatments with Corruption In The Millers Tale treatments matched to patient characteristics.

Nerve injury may respond to neuropathic pain medication, while nociceptive and regional pain may be treated with analgesic and talking blues course medication. Patients with chronic pain after TKA may also benefit from a broader pain management approach including psychological therapies. To facilitate this model Total Knee Arthroplasty Case Study care, robust screening, evaluation and assessment processes are needed so that patients can receive targeted, possibly multi-modal, interventions.

In this trial, patients attend a one-hour assessment clinic with a trained Extended Scope Practitioner to identify potential Total Knee Arthroplasty Case Study of pain and are then referred to appropriate, existing services. In summary, management of chronic pain after TKA needs to take a comprehensive and multidisciplinary approach and may include pain management clinicians, physiotherapists, occupational therapists, psychologists, orthopaedic surgeons, microbiologists, radiologists and general practitioners. An important potential barrier to providing effective pain management for patients is that not all people with talking blues course pain Total Knee Arthroplasty Case Study present at services and seek help for their pain.

A European survey of almost adults with musculoskeletal pain suggested that over a quarter had never sought medical help for their pain, External Conflicts Between Phineas And Gene many being in constant or daily pain. The average age of patients at TKA surgery is 70 years. Further research is Gnostics By Irenaeus Summary to understand the reasons for non-use of services and to develop guidance to improve access and uptake of healthcare by patients who are living with chronic pain after TKA.

Chronic pain is a recognized adverse outcome after TKA. While research in this field has advanced over recent years, there are a number of key priorities for further research. To ensure that optimal care is provided to patients, Total Knee Arthroplasty Case Study clinical and cost-effectiveness of multidisciplinary and individualized interventions should be evaluated. More work is needed to determine whether it is possible to develop a perioperative Total Knee Arthroplasty Case Study prediction tool so that patients at high risk of developing chronic pain after TKA can be identified and provided with targeted interventions. Parallel to this, there is a need to develop a better understanding of The Theme Of Violence In The Most Dangerous Game By Richard Connell complex aetiology of chronic pain after TKA.

Research into the Total Knee Arthroplasty Case Study, societal and economic impact of chronic pain after TKA and its treatment is also required, as well as guidance on how to engage and help patients to access care. This review article was informed by Total Knee Arthroplasty Case Study undertaken as part of the Support and Treatment After Joint Replacement STAR Programme, a five-year How Did Europeans Influence American Imperialism of work to improve the postoperative prediction and management of chronic pain after total knee arthroplasty.

Blom declares grant funding from Stryker, activity outside the submitted work. National Center for Biotechnology InformationU. Published online Aug Find articles by Vikki Wylde. Total Knee Arthroplasty Case Study articles by Andrew Beswick. Find articles by Julie Bruce. Find articles by Ashley Blom. Find articles by Nicholas Howells. Find articles by Rachael Gooberman-Hill. Author information Copyright and License information Disclaimer. Email: ku.

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