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- Talk
- UK
NICE Joint Replacement Guidelines: Partial vs Total Knee Replacement and Patellar Resurfacing
Description
In this VTT transcript, Andrew Metcalfe is discussing the recent updates in the NICE joint replacement guidelines, which cover hip, knee, and shoulder replacements. He aims to provide insight into how NICE develops their recommendations, focusing particularly on controversial topics such as patella resurfacing and the choice between partial and total knee replacements for patients with isolated medial compartmental osteoarthritis. Metcalfe highlights the multidisciplinary nature of the guideline development committee, comprised of various stakeholders including patients, surgeons, and health professionals. He explains the rigorous process that involves detailed systematic reviews of randomized controlled trials, culminating in recommendations that are evidence-based.
Metcalfe outlines that the committee recommends offering both partial and total knee replacement options to patients, emphasizing the importance of informed patient choice in discussing potential benefits and risks of each. The recommendation for patella resurfacing is also examined, with the committee considering the economic implications and patient perspectives, ultimately concluding that resurfacing could prevent the need for future surgical interventions. While he acknowledges the challenges in implementing these recommendations into practice, he emphasizes the importance of collaborative efforts in generating robust evidence to guide future changes in clinical practice.