Revision Total Knee Replacement Surgical Practice Guidelines

Description

The video presentation, led by Paul Baker, focuses on newly established surgical practice guidelines for revision total knee replacement, developed by BASK and endorsed by the BOA with support from GIRFT and NHS England. Paul outlines the rise in the demand for revision knee replacements, projected to increase due to an aging population and higher rates of knee implant usage in younger individuals. He emphasizes the complexities and variations in outcomes seen in revision surgeries compared to primary replacements, which lead to increased costs and complications. Baker calls for maximizing patient outcomes through adherence to the new guidelines, which stress the importance of experience in performing these complex procedures.



The guidelines recommend creating specialized centers (revision hubs) that handle more complex cases, with support systems to ensure effective collaboration between hubs and spoke units, which handle routine surgeries. They also suggest a minimum number of procedures (30 revision cases annually for hubs) to maintain surgical proficiency and improve patient outcomes. The presentation finishes by highlighting the need for thorough patient evaluations and discussions within multidisciplinary teams (MDTs) to assess suitability for complex revisions based on specific criteria, aiming for a collaborative approach across the surgical community to enhance patient care.

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