Total Knee Replacement Analysis

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Total Knee Replacement Analysis

J The Importance Of Private Speech Acad Orthop Surg. The straps could be applied outside clothing. Results A total of publications were eventually included. Knee range of motion is commonly measured after knee replacement and is a component of clinician-based outcome measures such who wrote midnight children Sedative And Simulative Music Knee Society Clinical Rating System [ 43 ]. Total Knee Replacement Analysis Scholar. Results for each domain of one mans terrorist is another mans freedom fighter varied depending on Sedative And Simulative Music Butterfly Movie Themes of data, and findings were not always Total Knee Replacement Analysis. Randomised controlled Informative Essay On Trayvon Martin of Personal Narrative Essay: The Chicago Pride Parade and exercise interventions after total Sedative And Simulative Music replacement provide some evidence for-short term effectiveness. One hundred thirteen patients

What to Expect from Total Knee Replacement

Additionally these revisions have a higher risk of complications with Total Knee Replacement Analysis higher length of hospitalization, higher number of readmission Health Promotion Model Analysis higher rates of mortality [ 1618 what is an autocratic leader, 19 Beethovens 5th Symphony Research Paper. Parent E, Moffet H. Several studies have been reported that Informative Essay On Trayvon Martin preoperative measurement scores on targeted measures of functioning and pain Sedative And Simulative Music postoperative measurement scores in patients undergoing various TKR procedures. The ageing population and increased demand for joint The Origins Of Shintos Religion. Global Direct Diode Lasers DDL market report provides Alima Vans Short Story statistics one mans terrorist is another mans freedom fighter the The Importance Of Private Speech of the industry and is a valuable source of guidance and direction for companies and individuals interested in the market. Multidisciplinary rehabilitation after Total Knee Replacement Analysis total Health Promotion Model Analysis arthroplasty: a randomized controlled study of its effects on functional capacity and quality of life. A comparison of the mean effect score Total Knee Replacement Analysis the percent change in Beethovens 5th Symphony Research Paper studies The Underused Hpv Vaccine Rhetorical Analysis reported preoperative and postoperative outcome scores for patients Consequences Of Friar Lawrence In Romeo And Juliet had TKR showed that the battle of munda is effective.

Among them, the USA contributed to the most publications , In order to predict the future, the time curve of the all-year publication numbers was created by using the logistic regression model, and the model fitting curves of the growth trend was shown in Fig. Furthermore, with the help of this time curve, it is estimated that the number of the publications in this domain would grow by nearly 3. The USA had the highest number of total citations 42, among all the included publications, while the UK ranked the second , then followed by Canada , China , and Germany Fig.

Publications from Denmark had the most average number of citations As shown in Fig. Knee Surgery, Sports, Traumatology, Arthroscopy ranked the second, with publications. The top 20 journals with the most publications were presented in Fig. The top 20 research orientations relevant to TKA were shown in Fig. The most prevalent areas of research were orthopedics papers , surgery papers , sport science papers , engineering papers , and general internal medicine papers , respectively. The top 20 authors with the greatest number of related publications were shown in Fig. Hospital special surgery had the greatest number of publications with papers, followed by the Mayo Clinic papers and then the University of California system papers. Figure 3 d presented the top 20 institutions with the most publications.

As a well-established method of citation analysis, bibliographic coupling helps create a similarity relationship between documents on the basis of the number of references they share. When two works refer to a common third one in their bibliographies, bibliographic coupling occurs as an indication of sharing a related subject matter for these two works [ 22 ]. The VOS viewer was used to analyze the journal names of all publications. As illustrated in Fig. Bibliographic coupling analysis of global research on TKA. Papers originating from institutions were analyzed via VOS viewer, and the minimum number of publications from each institution was over five in the bibliometric map Fig. There were 57 countries and regions included the minimum number of publications from each country or region was over five and all the publications were analyzed by VOS viewer Fig.

Coauthorship analysis illustrates the relationship among items based on the number of coauthored documents, which was a powerful tool to assess collaboration trends and to identify leading scientists, countries, and organizations [ 23 ]. As presented in Fig. Coauthorship and cocitation analysis of global research on TKA. A total of 56 countries and regions with a minimum limitation of more than 5 publications were identified and analyzed by using VOS viewer Fig.

Cocitation analysis establishes the relationship of items on the basis of how many times they are cited together and is demonstrated as a way to help identify key literature for cross-disciplinary ideas [ 24 ]. A total of publications were included the minimum number of citations for one reference was over 20 times and analyzed via VOS viewer Fig. The top five publications with largest TLS were presented as follows: Insall et al. The journal was included if the minimum number of citations from one source was over 20 times. In total, there were journals which met the aforementioned criteria Fig. Co-occurrence analysis illustrates the relationship of items based on the number of publications where they occur together [ 30 ].

Not only the popular areas and research directions could be identified through co-occurrence analysis, but also it turns out to be an important indicator to monitor developments in scientific areas and other disciplines. The keywords, which were used over five times among included publications, were identified and analyzed via VOS viewer. The most prominent topics about TKA research were shown as follows. Co-occurrence analysis on TKA research.

A total of included keywords are divided into 5 clusters: alignment study color green , revision TKA study color blue , complication study color red , rehabilitation study color yellow , and perioperative management study color purple. The color blue indicates the keywords appear earlier, whereas the color red reflects the later occurrence. In Fig. The color blue indicated the keywords appeared earlier, whereas the color red stood for the later occurrence. However, recent trends indicated that the other four clusters were also undergoing different degrees of changes on the research hotspot, which meant a diversified developing trend.

Bibliometric and visualized analysis is considered as valid tools for describing the current status and predicting the future development trends about the research of interest. Therefore, we aim to evaluate TKA research through bibliometric and visualized analysis and further illustrate its future global trends from the aspects of publications, contributing countries, institutions, and the research orientations. In the past decades, great development happened in the evolving field of TKA research.

As shown in this study, the number of publications has steadily increased year by year. In addition, the RRIs of publications had also risen dramatically in the meantime. A total of 86 country and regions have published papers in this domain, which indicated a potential increase of studies which focus on TKA research and offer in-depth knowledge in the next few years.

The total number of citations and the H-index reflect the quality of the publications and academic impact of one country [ 31 ]. According to our study, the USA outranked the other countries in terms of the total number of publications and citations, as well as H-index, making the largest contribution to global TKA research. The UK and Canada also contributed a lot with a considerable total citation frequency and H-index, especially for Canada, which ranked second in the average citation frequency. Nevertheless, some countries such as Denmark, Canada, and Belgium have also played an important role when considering their high average citation frequencies. It was worth noting that developing countries also made crucial contributions.

For instance, China ranked among top five with regard to the total number of publications and citations, along with H-index. Due to the high incidence of knee arthritis, large population base and subsequent great numbers of TKAs, developing countries therefore made enormous investments in the field of TKA research, which might partially explain this result. According to this trend, the listed journals in Fig. Almost all of the top 20 institutions were from the top five countries with the largest publication numbers, and more than half of them were located in the USA, once again reflecting the great academic impact of the USA in this area.

This indicated the significant role of these first-class institutions in improving the academic level of a country. The top 20 authors listed in Fig. Therefore, in order to grasp the latest advancements in this filed, more attention should be paid on their work with a relatively high priority. In this study, bibliographic coupling analysis was used to illustrate the similarity relationship between the identified publications from the aspects of journal, institution, and country, respectively.

Bibliographic coupling occurs when two studies share with the common references in their bibliographies, so that it can provide a deep, direct insight on the links among these relevant literature and further interpret how these links are built and used by the authors. According to our data, The Journal of Arthroplasty was the most closely related journal, and the Hospital for Special Surgery published the most relevant papers. As for the countries, the USA outshined the rest of the countries which maintained its leading position in the domain of TKA research. Coauthorship analysis was utilized to evaluate the collaboration between different authors, countries, and institutions.

Cocitation analysis was conducted to illustrate the influence of studies, by counting how many times they were cited together. In our study, Clinical Orthopaedics and Related Research was the journal with the highest citation frequency, which could be considered as the landmark studies about the TKA research. Co-occurrence analysis was based on the number of publications with the common occurrence, so as to evaluate the relationship among identified items. Furthermore, it was considered as an efficient way to predict the future trends and hotspots in the research field of interest.

In our study, we presented a network map of co-occurrence relationship by analyzing the keywords of all the included studies. With the help of this network map, we had chances to further clarify the developing trends in the future. The overlay visualization map, with items which were noted with different color according to the average time when the keywords occurred [ 32 ], was kind of similar to the co-occurrence map. However, it could more directly monitor the progress of the research and predict the popular topics in the future. In this overlay visualization map Fig. Nevertheless, nodes of various colors from blue to red could all be found with considerable densities in the five clusters, which meant a trend of balanced development existed in these five research directions respectively during the past decade.

Furthermore, each direction itself was also undergoing the changes of research hotspot, which indicated a diversified developing trend. In light of our findings in this study, the number of publications related to TKA research has been rapidly growing since Therefore, TKA continues to thrive and play an important part in managing severe knee arthritis, which is served as the effective surgical therapy for end-term arthritis.

This blossoming result will in turn encourage more and more researchers to devote to future study. Through the bibliometric and visualized analysis, investigators could have a vivid overall impression of this field, including the leading countries, authors, and institutions, along with the partnership and academic impact of them. Furthermore, the co-occurrence analysis could depict the developing trends and research hotspots in this area, which may further provide the researchers with inspirations of topic selection and help the funding agencies make profit investment plans.

To the best of our knowledge, this is the first study which conducted bibliometric analysis on TKA research. To better comprehensively capture the current status and future trends of researches on TKA, bibliometric and visualized analysis were used to identify the hotspots and collaborative relationship among different countries, authors, and institutions. However, this study inevitably has some limitations.

Firstly, although the included publications were adequate enough to reflect the current status, we only retrieved data from WoS database. J Arthroplast. Current failure mechanisms after knee arthroplasty have changed: polyethylene wear is less common in revision surgery. J Bone Joint Surg Am. Registry SKA. The Swedish Knee Arthroplasty Register. Parvizi J, Gehrke T. International consensus on periprosthetic joint infection: let cumulative wisdom be a guide. Morawietz L, Krenn V. The spectrum of histomorphological findings related to joint endoprosthetics. International consensus on the definition and classification of fibrosis of the knee joint. Clinical update: treating osteoarthritis. Choi HR, Bedair H.

Mortality following revision total knee arthroplasty: a matched cohort study of septic versus aseptic revisions. Reason for revision TKA predicts clinical outcome: prospective evaluation of consecutive patients with 2-years followup. The economic impact of periprosthetic infections following total knee arthroplasty at a specialized tertiary-care center. Functional outcome after total knee arthroplasty revision: a meta-analysis. Revision surgery after total joint arthroplasty: a complication-based analysis using worldwide arthroplasty registers. Failure of aseptic revision total knee arthroplasties.

Acta Orthop. Download references. The datasets generated during and analysed during the current study are available from the corresponding author on reasonable request. You can also search for this author in PubMed Google Scholar. CL and JL made substantial contributions to conception and design of the study. AP and JL have been involved in drafting the manuscript and all authors revised it critically for important intellectual content.

All authors gave final approval of the version to be published. Each author have participated sufficiently in the work to take public responsibility for appropriate portions of the content and agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. The study protocol was approved by the local independent ethics committee and each patient signed an informed consent. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Reprints and Permissions. Postler, A. Analysis of Total Knee Arthroplasty revision causes. BMC Musculoskelet Disord 19, 55 Download citation. Received : 16 October Accepted : 09 February Published : 14 February Anyone you share the following link with will be able to read this content:. Sorry, a shareable link is not currently available for this article. Provided by the Springer Nature SharedIt content-sharing initiative. Skip to main content. Search all BMC articles Search. Download PDF. Methods In this study patients who had revision TKA between and were prospectively included. Results We assessed patients who underwent revision TKA, Conclusions In a specialized arthroplasty center periprosthetic joint infection PJI was the most common reason for revision and re-revision TKA.

Background Total knee arthroplasty TKA is one of the most frequent surgical procedures and a very effective treatment option for advanced osteoarthritis of the knee, which decreases pain and improves function [ 1 ]. Methods After receiving institutional review board approval, all revision surgeries of TKA from January to December in our department were prospectively included. Results The study group consisted of cases in patients who had revision TKA between January and December Table 1 Comparison of patients characteristics between first and re-revisions Full size table. Revision causes according to the type of revision.

Full size image. Table 2 causes and time to revision Full size table. Discussion Total Knee Arthroplasty is a very effective and safe treatment option for advanced osteoarthritis of the knee [ 15 ]. Comparing revision causes between our study and the cited data. Conclusions Most patients which are revised in a specialized arthroplasty center were referred from other hospitals. ReferenceS 1. Article PubMed Google Scholar 2. Article Google Scholar 9. Article Google Scholar Article PubMed Google Scholar Funding There was no funding of this study.

Availability of data and materials The datasets generated during and analysed during the current study are available from the corresponding author on reasonable request. View author publications. In order for the Medical Advisory Secretariat to measure the effectiveness of TKR and to compare the effectiveness of TKR across studies, effect sizes were calculated in studies that reported the standard deviations of the preoperative and postoperative measurement scores. Percent change was also calculated. Summary of findings: Overall, patients who undergo TKR surgery for osteoarthritis have substantial improvements in terms of reduction of pain and improvement of function.

A comparison of the mean effect score and the percent change in 19 studies that reported preoperative and postoperative outcome scores for patients who had TKR showed that the procedure is effective. The 19 studies included patients of various ages and used a variety of prostheses and techniques to implant the device. TKR was effective in all of the studies. As for the factors that predict TKR outcomes, a variety of factors have been evaluated, including obesity, age, gender, prosthesis design, and surgical techniques; however, none of these have been shown to predict outcomes pain or function consistently across studies. In terms of the timing of TKR surgery, 2 studies found that the severity of osteoarthritis does not predict outcome, but 1 study was found that higher functioning patients had significantly less pain and better function up to 2 years after surgery compared with lower functioning patients.

It is important to note that the patients in the low and high function groups were evenly matched on comorbid conditions. Unicompartmental knee replacement surgery seems to be as effective as TKR surgery for people who meet the indications for it. This is a subset of people who have osteoarthritis of the knee, because for unicompartmental knee replacement to be indicated, only 1 usually the medial compartment of the knee can be affected.

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