Patients with Osteoarthritis want to be rid of their pain and ultimately want to get back to normal. I want them coming back to the office saying:
How good is my knee replacement?
Last year I did a study asking patients to report on the success of their Knee Replacement comparing two different implants. Patients were asked to rate the function of their operated knee using the Forgotten Joint Score. Patients reported mean scores of 77 (outstanding, when people of the same age rate “normal” knees only in the high 70s).
Across a range of daily activities, patients were highly likely to report “Never” being aware of their Knee Replacement (“Forgotten”) or only “Rarely aware”.
These Results have now been Published in the International Peer Reviewed Journal of Arthroplasty.
Another way of ensuring Best Practice is accessing the Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR). It not only monitors the performance of implants, but can also provide Surgeons with statistics on their individual performance and usage of particular devices. I regularly compare my own results against Peers.
We are constantly being encouraged to try new techniques or devices which might seem to be advantageous. However, only by continual monitoring of your own results after any change can any surgeon provide scientific evidence of real benefit to the patient.
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