Priority 18 from the Revision Knee Replacement PSP
|UNCERTAINTY: What are the best non-surgical treatments around the time of revision knee surgery to improve outcomes (e.g. reducing bleeding, improving wound care)? (JLA PSP Priority 18)
|JLA question ID
|What else can be done in addition to the revision knee operation itself, to ensure the best possible outcome for patients? This might include strategies ,including but not limited to pharmacological interventions or dressing options, to optimise all elements related to recovery following knee surgery?
1. Newman, J.M., et al., Use of Closed Incisional Negative Pressure Wound Therapy After Revision Total Hip and Knee Arthroplasty in Patients at High Risk for Infection: A Prospective, Randomized Clinical Trial. The Journal of arthroplasty, 2019. 34(3): p. 554-559. e1.
|Health Research Classification System category
|Extra information provided by this PSP
|Original uncertainty examples
|Do negative pressure dressings reduce early wound complications following revision total knee replacement. ~ Should ERAS (ENHANCED RECOVERY AFTER SURGERY) be tested in these patients (& indeed all TKR patients) ~ Does effective perioperative analgesia improve long-term outcome measures after revision surgery? ~ What measures can be undertaken to prevent/reduce the risk perioperative comorbidity?
|See data spreadsheet on JLA website
|PSP unique ID
|Revision Knee Replacement
|Total number of uncertainties identified by this PSP.
|32 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
|Date of priority setting workshop
|21 May 2019