Author: Jai Chitnavis

Speakers include Dr Richard Pye, Professor Harold Ellis, Dr Cecilia Brassett and Mr Roger Watkins.

Mr Chitnavis’ patients Internal Audit data for outcomes of partial and total knee replacements in patients who underwent surgery 1/1/2011 to 31/12/2013

Based on available knee scores

(Hospital for Special Surgery and Knee Society combined score. Maximum is 200)

Total cases = 113

Missing data obviating scoring from before to latest follow-up (minimum 6 months) = 39 replacements

Available scores on 74 knee replacements

Number better after surgery in terms of knee scores: 70 out of 74

Average rise in scores for these was 48 (70 knee replacements)

Number no better after surgery : 4 out of 74.

Average fall in scores for these four was 21 (range of scores: -31,-16,-14,-24)

Complications

Angina, Atrial fibrillation, sacral sore, wound infection warranting debridement and closure (two operations), urinary tract infection, spacer mis-match to Oxford knee (discussed with international expert), stiffness (2 cases), stitch abscess, wound edge overlap.

Average rise in score for entire cohort was 44 (74 knee replacements)

 

Acknowledgements: Hari Chitnavis who helped collate data.

Calculations by Jai Chitnavis. 22^nd October 2014. Raw data available for review.