The incidence of hip and knee replacement surgery has risen dramatically in recent years. The latest National Joint Registry figures indicate that almost 190 000 total hip and knee replacements were performed in 2015. The aim of this article is to discuss the management of hip and knee pain in primary care, the indications for hip and knee arthroplasty and surgical considerations.
Bierma-zeinstraS.LipschartS.NjooK. H.BernsenR.VerhaarJ.PrinsA.BohnenA. M. (2000) How do general practitioners manage hip problems in adults?Scandinavian Journal of Primary Health Care18(3): 159–164. doi: 10.1080/028134300453368.
BrowneJ.AdibF.BrownT.NovicoffW. (2013) Transfusion rates are increasing following total hip arthroplasty: Risk factors and outcomes. The Journal of Arthroplasty28(8): 34–37. doi: 10.1016/j.arth.2013.03.035.
9.
ChristensenR.BartelsE. M.AstrupA.BliddalH. (2007) Effect of weight reduction in obese patients diagnosed with knee osteoarthritis: A systematic review and meta-analysis. Annals of Rheumatic Diseases66(4): 433–439.
10.
DakinH.GrayA.FitzpatrickR.MacLennaG.MurrayD. (2012) Rationing of total knee replacement: A cost effectiveness analysis on a large trial data set. BMJ Open2: e000332.
11.
DaluryD. F.TuckerK. K.KelleyT. C. (2011) When can I drive? Brake response times after contemporary total knee arthroplasty. Clinical Orthopaedics Related Research469(1): 82–86. doi: 10.1007/s11999-010-1507-1.
12.
Della ValleC.MeskoN.QuigleyL.RosenbergA.JacobsJ.GalanteJ. (2009) Primary total hip arthroplasty with a porous-coated acetabular component. The Journal of Bone and Joint Surgery-American Volume91(5): 1130–1135. doi: 10.2106/jbjs.h.00168.
13.
FordhamR.SkinnerJ.WangX.NolanJ. (2012) The economic benefit of hip replacement: A 5-year follow-up of costs and outcomes in the Exeter Primary Outcomes Study. BMJ Open2(3): e000752. doi: 10.1136/bmjopen-2011-000752.
14.
HillJ.TreasureT. (2010) Reducing the risk of venous thromboembolism in patients admitted to hospital: Summary of NICE guidance. BMJ340: c95. doi: 10.1136/bmj.c95.
15.
JudgeA.ArdenN.PriceA.Glyn-JonesS.BeardD.CarrA.FieldR. E. (2011) Assessing patients for joint replacement: Can pre-operative Oxford hip and knee scores be used to predict patient satisfaction following joint replacement surgery and to guide patient selection?The Bone & Joint Journal93B(12): 1660–1664. doi: 10.1302/0301-620x.93b12.27046.
16.
Kapadia, B. H., Johnson, A. J., Naziri, Q., Mont, M. A., Delanois, R. E., & Bonutti, P. M. (2012). Increased revision rates after total knee arthroplasty in patients who smoke. Journal of Arthroplasty, 27, 1690–1695.
17.
LehmanD.CapelloW.FeinbergJ. (1994) Total hip arthroplasty without cement in obese patients. A minimum two-year clinical and radiographic follow-up study. The Journal of Bone & Joint Surgery76(6): 854–862. doi: 10.2106/00004623-199406000-00009.
18.
MaggsJ.SmeathamA.WhitehouseS.CharityJ.TimperleyA.GieG. (2016) The Exeter Contemporary flanged cemented acetabular component in primary total hip arthroplasty. The Bone & Joint Journal98B(3): 307–312. doi: 10.1302/0301-620x.98b3.35901.
19.
McLaughlinJ. (2006) The outcome of total hip replacement in obese and non-obese patients at 10- to 18-years. The Journal of Bone and Joint Surgery - British Volume88B(10): 1286–1292.
NICE. (2015). Venous thromboembolism: Reducing the risk of venous thromboembolism (deep vein thrombosis and pulmonary embolism) in patients admitted to hospital. Retrieved from www.nice.org.uk/guidance/cg92.
RobbC.McBrydeC.CaddyS.ThomasA.PynsentP. (2013) Oxford scores as a triage tool for lower limb arthroplasty lead to discrimination and health inequalities. The Bulletin of the Royal College of Surgeons of England95(4): 1–4.
26.
Rodriguez-MerchanE. C. (2015) Outcome of total knee arthroplasty in obese patients. Journal of Orthopaedic Surgery (Hong Kong)23(1): 107–110.
27.
SinghJ. A.SchleckC.HarmsenW. S.JacobA. K.WarnerD. O.LewallenD. G. (2015) Current tobacco use is associated with higher rates of implant revision and deep infection after total hip or knee arthroplasty: A prospective cohort study. BMC Medicine13: 283. doi: 10.1186/s12916-015-0523-0.
The Royal College of Surgeons of England, British Orthopaedic Society, British Association for Surgery of the Knee, and Chartered Society of Physiotherapy (2013) Commissioning guide: Painful osteoarthritis of the knee, London, UK: Royal College of Surgeons Press.
30.
The Royal College of Surgeons of England, British Orthopaedic Association, and Chartered Society of Physiotherapy (2013) Commissioning guide: Pain arising from the hip in adults, London, UK: Royal College of Surgeons Press.
31.
VidalainJ. (2010) Twenty-year results of the cementless Corail stem. International Orthopaedics35(2): 189–194. doi: 10.1007/s00264-010-1117-2.