Description
The presentation by Gijs van Hallemondt discusses revision total knee arthroplasty practices in the Netherlands as part of the BASK virtual meeting 2021. Initially, he expresses gratitude for the invitation and outlines the increasing rates of knee revision surgeries across the Netherlands and Europe, with a specific emphasis on younger patients and male predominance in surgical revisions. He notes that many hospitals perform relatively few revisions annually, highlighting the discrepancy in surgical volumes across different healthcare facilities.
The talk delves into the various types of knee revisions, including major and minor revisions, and discusses a national registry that categorizes these procedures based on the underlying issues, such as patella pain and instability. Van Hallemondt emphasizes the implications of patella resurfacing and the limited success rates of secondary surgeries.
The speaker also addresses the challenges faced in managing patient outcomes following total knee arthroplasty, stressing that a majority of patients dissatisfied after surgery do not undergo further procedures due to unexplained pain or unrealistic expectations. He introduces a multidisciplinary approach to care for these patients, which includes a collaborative evaluation to devise conservative treatments when necessary.
The presentation further outlines research findings related to fixation methods, post-operative outcomes linked to diagnoses, and complication rates associated with various knee revision scenarios, particularly noting the high incidence of anterior knee pain. He mentions the necessity of patient education regarding realistic expectations of pain relief post-revision surgeries.
Van Hallemondt concludes by advocating for standardized protocols in managing infections and revisions, highlighting the importance of specialization in treatment centers, and stresses the role of quality outcome data in improving surgical care and decision-making processes in hospitals. His detailed analysis underscores the complexities involved in knee revision arthroplasty and the importance of collaboration, research, and evidence-based practices.