Talk:Knee replacement
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Benefits or not of weight-loss surgery before TKR
[edit source]As a layman, the following statements seem to be contradictory:
- In Pre-operative preparation: "weight loss surgery before a knee replacement does not appear to change outcomes."
- In Risks: "There is increased risk of complications for obese people going through total knee replacement. The morbidly obese should be advised to lose weight before surgery and, if medically eligible, would probably benefit from bariatric surgery."
Is there a way to reconcile these statements? --Gronk Oz (talk) 07:21, 10 November 2019 (UTC)
Risks
[edit source]I think the most serious complication is death, which was reported in the NEJM Danish study as 0.5%. --Nbauman (talk) 20:37, 3 July 2022 (UTC)
Adding a History Section
[edit source]Looking at the article, there isn't much about the history of knee replacement. Doctors and scientists have been attempting replacement for almost 100 years before the first successful one in 1974. Here is my proposed history section, along with a few other sentences that could improve the Wikipedia article in other sections. Let me know what you think.--Chefmikesf (talk) 22:26, 5 May 2026 (UTC)
- Thanks for this work! I edited your draft for WP:CONCISE following WP:MEDMOS neutral wording to not specify people or institutions. Other tips: 1) no need to use URLs when PMID or PMC is used; 2) for repeat use of the same ref, apply WP:REFNAME (some of your refs were repeated back-to-back); 3) ref publication dates in the format 2026-05 can assume day 01 (ref errors reported); 4) acronyms can be avoided with wikilinks. Zefr (talk) 19:58, 6 May 2026 (UTC)
- Hi @Zefr, Good catch on WP:REFNAME for the publications and references, thank you. Also thank you for bringing attention to WP:MEDMOS, I read through the guideline looking for the specific guideline about excluding people or institutions. WP:MEDSAY guides the writer to not hype a study with people or institutions, while we are discussing the history of the surgical procedure. To comply with WP:MEDSAY, I've removed the professional titles and added some historical facts back to the content for the general encyclopedia reader.-- Chefmikesf (talk) 20:28, 8 June 2026 (UTC)
- Made a few edits for neutrality and a publicly-available review of PROMIS. Zefr (talk) 21:58, 8 June 2026 (UTC)
- @Zefr This looks good. I added the knee specific PROMs to the sentence from the source. If you okay with this version, feel free to add to the article when you're ready.--Chefmikesf (talk) 19:31, 11 June 2026 (UTC)
- As the Gupta source discusses the KOOS and FJS scores, among others, I felt it was sufficient to mention only these two. Added with Special:Diff/1358913075. Thanks for the work! Zefr (talk) 20:05, 11 June 2026 (UTC)
- @Zefr This looks good. I added the knee specific PROMs to the sentence from the source. If you okay with this version, feel free to add to the article when you're ready.--Chefmikesf (talk) 19:31, 11 June 2026 (UTC)
- Made a few edits for neutrality and a publicly-available review of PROMIS. Zefr (talk) 21:58, 8 June 2026 (UTC)
- Hi @Zefr, Good catch on WP:REFNAME for the publications and references, thank you. Also thank you for bringing attention to WP:MEDMOS, I read through the guideline looking for the specific guideline about excluding people or institutions. WP:MEDSAY guides the writer to not hype a study with people or institutions, while we are discussing the history of the surgical procedure. To comply with WP:MEDSAY, I've removed the professional titles and added some historical facts back to the content for the general encyclopedia reader.-- Chefmikesf (talk) 20:28, 8 June 2026 (UTC)
Adding a History section |
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History[edit source]The first documented artificial knee replacement was a device using ivory knee components fixed together with plaster of Paris, reported in 1890.[1] In the 1950s, a cobalt-chrome hinged knee was used to replace both the femur and tibia, although this device had high failure rates due to an inability to accommodate the knee's natural rotational movement.[2] In 1970, a knee replacement that featured metal runners with polyethylene components was applied, although this device was limited in design and instrumentation.[3] The total condylar knee replacement was used to accommodate all three knee components (femur, tibia, and patella), with the first successful total condylar surgery performed at Hospital for Special Surgery in New York City in 1974.[4] The first smart knee replacement, called Persona IQ smart implant, enabled remote daily monitoring for one year, as reported in 2021.[5] Technology[edit source]In 2020, the first knee replacement surgeries assisted by augmented reality were performed to enhance precision and accuracy in bone cuts and implant placement.[6][7] Post-operative follow-up[edit source]As of 2023, surgeons use Patient-Reported Outcome Measures such as the Knee Injury and Osteoarthritis Outcome Score (KOOS) and The Forgotten Joint Score (FJS) to evaluate pain, mobility, quality of life, and satisfaction before and after knee replacement surgery.[8] References
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