Total joint replacements for end-stage osteoarthritis of the hip and knee are cost-effective and demonstrate significant clinical improvement.However, robust population based lifetime-risk data for implant revision are not available to aid patient decision making, which is a particular problem in young  patient groups deciding on best-timing for surgery.

The study used novel methodology to investigate and offer new insight into the importance of young age and risk of revision after total hip or knee replacement. Our evidence challenges the 外汇交易平台 increasing trend for more total hip replacements and total knee replacements to be done in the younger patient group,and these data should be offered to patients as part of the shared decisión making process.

Lancet. 2017 Feb 13. pii: S0140-6736(17)30059-4. doi:10.1016/S0140-6736(17)30059-4.

Bayliss LE, Culliford D, Monk AP, Glyn-Jones S, Prieto-Alhambra D,Judge A, Cooper C, Carr AJ, Arden NK, Beard DJ, Price AJ