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[When should we perform a knee or hip arthroplasty?]

Anna-Katharina Calek & Henrik Behrend

abstract When should we perform a knee or hip arthroplasty? Total hip (THA) and knee arthroplasties (TKA) rank among the most successful and effective orthopedic operations. They improve health-related quality of life and result in high patient satisfaction. But when is the right moment to perform an arthroplasty? A differentiated indication is decisive for a good outcome. Pain, limitations in quality of life because of osteoarthritis, radiological confirmation of osteoarthritis and inadequate response to conservative treatment should be reported. Moreover, medical history, clinical examination and radiographic findings need to be conclusive. Expectations need to be realistic and reasonable. When all of these criteria are met, the attending physician may indicate an operation. Finally, the patients' level of suffering and discomfort defines the timing of an arthroplasty.
   
citation Calek A K, Behrend H. [When should we perform a knee or hip arthroplasty?]. Ther Umsch 2020; 77:469-474.
   
type journal paper/review (English)
date of publishing 11-12-2020
journal title Ther Umsch (77/10)
ISSN print 0040-5930
pages 469-474
PubMed 33272052
DOI 10.1024/0040-5930/a001220
contact Henrik Behrend