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Knee replacement is one of the commonest surgical procedures performed in older adults, and its incidence is increasing rapidly. It is the only curative procedure for knee osteoarthritis, and it has excellent outcomes overall in terms of reoperation, functional outcomes and cost-effectiveness. However, a significant proportion of patients are dissatisfied after knee replacement surgery and there is a growing body of research into predictors of poor outcome and dissatisfaction.In this review, we discuss the place of total knee replacement (TKR) in the management of osteoarthritis, together with operative and non-operative alternatives to TKR. We discuss the different ways in which outcome can be measured, and the influence of patient and surgical factors on the success or failure of knee replacement surgery.

Original publication

DOI

10.1016/j.maturitas.2013.03.005

Type

Journal article

Journal

Maturitas

Publication Date

06/2013

Volume

75

Pages

131 - 136

Addresses

Nuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, University of Oxford, United Kingdom.

Keywords

Humans, Osteoarthritis, Knee, Treatment Outcome, Arthroplasty, Replacement, Knee, Patient Satisfaction