Joint Replacement — Literature for Clinicians

This section organises dated discussions of joint replacement literature for doctors and physiotherapists. Each discussion considers study design, population, outcomes and limitations, and distinguishes individual publication findings from standards of care.

Knee replacement

• Robotic knee replacement — cemented or cementless fixation?
• Bicompartmental knee replacement — are patients more active?
• Robotics in partial knee replacement — greater precision, but better outcomes?
• Unicompartmental knee replacement — do patient-specific guides improve outcomes?
• Robotic TKA — results of the RACER-Knee trial
• Posterior tibial slope after knee replacement — does it matter?
• HbA1c before knee replacement and the risk of early postoperative stiffness
• Tranexamic acid in knee replacement — intra-articular or periarticular administration?

Hip replacement

• SuperPATH — muscle preservation and clinical outcomes
• Short neck-fixation stems and bone preservation after THA
• Does an orthopaedic surgeon’s hip replacement volume affect outcomes?
• Stem collars and periprosthetic fracture risk after cementless THA
• Dual mobility in THA after femoral neck fracture — fewer dislocations

Patient selection and perioperative care

• GLP-1 agonists before joint replacement — fewer complications?
• Osteopenia before joint replacement — increased reoperation risk
• Duloxetine after joint replacement — opioids and pain relief
• Eight sensory blocks after knee replacement — fewer opioids?
• Intraosseous morphine in knee replacement — no additional benefit
• Fewer opioids after knee replacement — statistical difference without clear clinical benefit
• PENG block after hip replacement — possible strength preservation without consistent analgesic superiority

Revisions, complications and other joints

• One-stage or two-stage revision of an infected hip replacement?
• Infection after ankle replacement — a signal involving calcaneal osteotomy
• Should the subscapularis tendon be repaired during reverse shoulder replacement?

Joint replacement resources are collected here by topic. Discussions also involving trauma, rehabilitation or imaging can be found in the corresponding sections.