Nexgen found to be best value for total knee replacement

Source:  Dissemination Centre, National Institute for Health Research

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Date of publication: 28th June 2016

Publication type: Review

In a nutshell: There is a lack of evidence on the cost-effectiveness of alternative brands of prosthesis available for knee replacement. An economic analysis was made of the five most commonly-used brands. The cheapest brand was AGC Biomet, but Nexgen gave greater quality of life improvement and had the lowest rates of revision surgery. However, the data for the analysis was observational studies rather than from randomised controlled trials so confounding is a risk and the results need to be interpreted with caution.

Length of publication: 1 webpage

Some important notes:  You will need an NHS Athens username and password to access this article.  Please contact your local NHS library if you cannot access the full text.  Follow this link to find your local NHS library.

Acknowledgement: Cost-Effectiveness of Five Commonly Used Prosthesis Brands for Total Knee Replacement in the UK

Advances in 3D-printed pediatric prostheses for upper extremity differences

Source:  Journal of Bone & Joint Surgery 2016, 98(15), 1320-26

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Date of publication:  August 2016

Publication type:  Journal article

In a nutshell:  New developments in 3D printing have the potential to increase the accessibility, customization, and procurement of prosthetic limbs, and the low cost of 3D printing makes repairs and upgrades substantially more affordable, especially for children who quickly damage and outgrow prostheses.

Length of publication:  7 pages

Some important notes:  You will need an NHS OpenAthens username and password to access this article.  Please contact your local NHS library if you cannot access the full text.  Follow this link to find your local NHS library.

Acknowledgement:  JBJS

The Oxford unicompartmental knee fails at a high rate in a high-volume knee practice

Source:  Clinical Orthopaedics and Related Research 2013 August 2. [Epub ahread of print]

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Date of publication:  August 2013

Publication type:  Journal article

In a nutshell:  Looks at the failure rate of this implant and whether increased experience with this implant would decrease failure rate.

Some important notes:  You will need an NHS Athens username and password to access this article.  Please contact your local NHS library if you cannot access the full text.  Follow this link to find your local NHS library.

Acknowledgement:  Clinical Orthopaedics and Related Research

Implant use for primary hip and knee arthroplasty: are we getting it right first time?

Source:  Journal of Arthroplasty 2013, 28(6), 908-12

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Date of publication:  June 2013

Publication type:  Journal article

In a nutshell:  Looks at evidence-based use of prostheses which may lead to lower overall revision rates and provide better value for money.  Uses data from the National Joint Registry for England and Wales Annual Reports for 2010 and 2011.

Length of publication:  5 pages

Some important notes:  You will need an NHS Athens username and password to access this article.  Please contact your local NHS library if you cannot access the full text.  Follow this link to find your local NHS library.

Acknowledgement:  Journal of Arthroplasty

Arthroplastywatch : expert information on joint implants

Source:  Arthroplastywatch.com

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Date of publication:  1 February 2013

Publication type:  Website

In a nutshell:  This website compiled by a team at Lund University, Sweden provides information about joint arthroplasty products, alerts, recalls and safety information, much of which is lost across national borders or is little reported.   It is run by an independent operational team overseen by an advisory board representing major professional organisations and orthopaedic centres.  Their stated aim is to address the lack of fast, reliable, accurate and easily accessible information on orthopaedic devices.

Length of publication:  1 web page

Some important notes:   Please contact your local NHS library if you cannot access the full text.  Follow this link to find your local NHS library.

Acknowledgement:  BMJ 19th February 2013

NICE hip fracture pathway updated

Source:  NICE

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Date of publication: 20 December 2012

Publication type:  Website

In a nutshell:  Details about MHRA advice on the follow-up of people with metal on metal hip replacements has been added to the performing surgery node in the surgery path.

Acknowledgement:  NHS Evidence

New hinged knee implant launched in USA and Canada

Source:  Smith & Nephew press release 

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Date of publication: 12 September 2012

Publication type:  News item

In a nutshell:  This is the first hinged knee to be designed using normal knee kinematics. The implant provides a new option for those patients facing difficult primary or revision knee surgery.  For surgeons, this new hinge knee offers simplicity and familiarity; an extension of an already clinically successful total knee system.

Length of publication:  1 web page

Some important notes:    Please contact your local NHS library if you cannot access the full text.  Follow this link to find your local NHS library.

Acknowledgement:  Medical News Today