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Article Summary: A Randomized, Controlled Trial of Total Knee Replacement
In this study, the authors conduct an assessment of two approaches for addressing moderate-to-severe knee osteoarthritis. The said approaches are; total knee replacement followed by a nonsurgical program, and the adoption of nonsurgical interventions. It is, however, important to note that as the authors point out, both approaches lead to improvements that are deemed clinically relevant. More specifically, the authors of this particular study present their findings on the efficacy rate of the fusion of both surgical treatment and nonsurgical treatment, with the nonsurgical treatment program coming after the surgical intervention. The nonsurgical treatment program was implemented for a total of 12 weeks and it included pain medications, utilization of insoles, advice on diet, education, and exercise. The patient I took care of during my clinical rotation has knee pain and is scheduled for total knee replacement. On the strength of the findings of this particular study, I would recommend that she proceeds with this surgical intervention.
From the onset, the authors of this particular article point out that “total knee replacement is considered to be an effective treatment for end-knee osteoarthritis.” It is perhaps for this reason that...
The present study comes to the conclusion that “in patients with knee osteoarthritis who were eligible for unilateral total knee replacement, treatment with total knee replacement followed by nonsurgical treatment resulted in greater pain relief and functional improvement after 12 months than did nonsurgical treatment alone.”
For these results to ring true for my patient, the surgical operation as well as the nonsurgical treatment plan ought to follow the same standard as that of the study highlighted herein. If this were to happen, my patient would likely experience significant improvements in the quality of life, functionality, as well as greater pain relief after she undergoes the total knee replacement and follows this up with the appropriate nonsurgical approaches. The patient would also have to contend with the possibility of adverse events following surgery. It should also be noted that as per the study findings, “total knee replacement was associated with, a higher number of serious adverse events than was nonsurgical treatment…” Towards this end, the adverse events my patient would expect include stiffness calling for brisement force, and deep venous thrombosis. The said…
References
Skou, S.T., Roos, E.M., Laursen, M.B., Rathleff, M.S., Nielsen, L.A., Simonsen, O. & Rasmussen, S. (2015). A Randomized, Controlled Trial of Total Knee Replacement. The New England Journal of Medicine, 373(17), 1597 – 1606.
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A collaborative communication strategy is pursued in relational, supportive, symmetrical channel conditions; and, 2. An autonomous communication strategy is pursued in transactional, unsupportive, asymmetrical channel conditions (Varney 2002, p. 139). Therefore, marketers at Smith & Nephew can fine-tune their marketing communications with business partners and customers depending on the existing relationship in order to maximize the return on their investment of resources in the marketing campaign (Varney 2002). These respective communication
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Running head: MATRIX [Type text] [Type text] [Type text]13MATRIXMatrix DocumentMatrixAPA Citation:Lassen, M. R., Gallus, A., Raskob, G. E., Pineo, G., Chen, D., & Ramirez, L. M. (2010). Apixaban versus Enoxaparin for Thromboprophylaxis after Hip Replacement. New England Journal of Medicine, 363(26), 2487�2498. https://doi.org/10.1056/NEJMoa1006885Variable and key conceptsThe study sought to compare the effectiveness of apixaban and enoxaparian as treatments for thromboprophylaxis following hip replacement. The hypothesis was not clearly stated, but
Hip replacement surgery puts its recipients at risk of deep venous thrombosis (DVT) or venous thromboembolism (VTE), whose complications include, but they are not limited to pulmonary embolism. With thousands of Americans opting for hip replacement every year, and statistics indicating that a significant percentage of patients develop thromboembolism after surgery, there is need to formulate and adopt an effective preventive plan to minimize the risk of DVT or VTE
MatrixAPA Citation:Pannucci, C. J., Dreszer, G., Wachtman, C. F., Bailey, S. H., Portschy, P. R., Hamill, J. B., ... & Pusic, A. L. (2011). Post-operative enoxaparin prevents symptomatic venous thromboembolism in high-risk plastic surgery patients. Plastic and reconstructive surgery, 128(5), 1093.Variable and key concepts� Acknowledges that VTE is a significant patient safety issue, hence the need for the Venous Thromboembolism Prevention Study looking specifically at post-operative treatment of plastic surgery