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Thread 'Major Study of TKR Patients Finds a "Quiet" Approach Is Better Than Aggressive Physical Therapy During Early  Recovery'
A study involving more than 15,000 knee replacement patients at the Hospital for Special Surgery (HSS) found that aggressive physical therapy during the early days of TKR recovery is counterproductive to recovery. Patients following a “Quiet Knee” protocol do better not only during early recovery, but also in the long term. HSS, the world’s leading academic medical center focused on musculoskeletal health, shared the results of the study at the American Association of Hip and Knee Surgeons...
Thread 'New radiology procedure may offer relief from knee arthritis pain without surgery'
A new radiological treatment designed to block inflammation-driving blood vessels in the knee could become a new alternative for people seeking relief before considering knee replacement. According to a study published in June 2026 issue of Radiology, is a journal of the Radiological Society of North America (RSNA), the procedure can provide pain relief and improve function for knee osteoarthritis patients, with benefits lasting at least a year. Known as genicular artery embolization...
Thread 'U.K. Researchers Recommend Patellar Resurfacing in Total Knee Replacement Surgery'
Researchers in the U.K., after a study comparing the outcomes of patients who underwent patellar resurfacing during total knee replacement with those who did not, are recommending it as "the approach of first choice" for its quality of life benefits. The study, reported in The Lancet (June 17, 2026) was conducted in the UK and funded by the National Institute for Health and Care Research Health Technology Assessment Programme. It followed more than 1700 patients -- half had the...
Thread 'Association for Dental Safety Advises Against Routine Antibiotic Prophylaxis for Most Patients'
The Association for Dental Safety (ADS) recently shared this advice with its members about antibiotic prophylaxis for joint replacement patients prior to dental procedures. ADS is a nonprofit organization dedicated to infection prevention and control education, training, and credentialing that supports safe dental visits. (myads.org)
A major international study led by researchers who have used extensive data from the NJR estimates that modern total hip replacements, those using today’s more advanced bearing surfaces, are likely to last over 30 years in 92% of patients. This new finding marks a significant improvement in long term implant longevity and durability, compared with previous generations of medical implant devices. Published on 26 February 2026, the research represents the largest and most contemporary analysis...
Thread 'A Hip Replacement That’s Lasted 50 Years is Still Going Strong'
One of the last remaining hip replacements by the pioneer of modern hip replacement surgery is still functioning well more than 50 years on. In 1975, a young woman from Aberdeen, Scotland underwent total hip replacement surgery at Wrightington Hospital in Appely Bridge, England. That hip, now more than 50 years old, is still going strong. It is one of just six remaining from the groundbreaking work of hip replacement pioneer Sir John Charnley. Charnley performed the first-ever total...
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Thread 'Nutritional deficiencies increase your risk of surgical complications'
One in three joint replacement patients go into surgery malnourished, putting them a risk of infection and slowing recovery. Are you one of them? And, if so, what you can do about it? Scientific studies over the past decade have found surprising evidence that between 25-35% of patients undergoing total hip or knee replacement have some degree of preoperative malnutrition or nutritional deficiency. The most common deficiencies are protein malnutrition, vitamin...
The second in GIRFT’s (Getting It Right First Time) series of ‘greener’ pathways highlights the high-impact steps trusts can take to decarbonise the elective hip replacement pathway, helping to reduce the environmental impact of the NHS while improving patient care. Click here to read and download GIRFT Greener pathways: A practical guide to decarbonising the total hip replacement pathway The new green pathway has been developed in conjunction with Greener NHS, the British Orthopaedic...
Artificial intelligence can help to predict how well patients with hip osteoarthritis will be able to walk again after an operation. Researchers at Karlsruhe Institute of Technology (KIT) have developed an AI model to analyse movement patterns. This gait biomechanics analysis also enables rehabilitation programs to be tailored to patients’ personal needs. The researchers consider it possible that this approach, developed for the hip joint, could be extended to other joints in the future...
At the Oscars on Sunday night, ballet legend Misty Copeland put her pointe shoes back on to dance in an ensemble performance to “I Lied to You,” the original song from the film “Sinners." Copeland, who retired from the American Ballet Theatre in October 2025, had undergone a total hip replacement in December. She amazed audiences by dancing center stage just 3 months post-op. In an interview with National Public Radio, Copeland said as she was preparing for her farewell performance with...
Tens of thousands of scheduled joint replacement surgeries in the UK are expected to be postponed due to a shortage of bone cement available through the NHS’s supplier in Germany. Here is an article with more details.
For the past 25 years, BoneSmart has supported patients dealing with joint issues. Our staff expertise, educational resources and caring community have helped more than one million people around the world. But as the need for our expertise and resources has grown, so has the cost of maintaining our award-winning website and forum. Without member donations, we literally cannot pay for the servers, maintenance, system upgrades, and technical support to keep us going. In the early days of...
A new prescription pain medication is now available to help deal with preop and postop joint pain. Journavx has recently been approved by the FDA for moderate to severe acute (not chronic) pain. For people who prefer or cannot take opioids, this may be the answer for your pain relief. You can read more about this new medication at the link provided. If you decide to give this medication a try, please let us know your experience. If you’re an Insiders Club member, start a new thread or...
We are excited to announce the opening of The BoneSmart Recovery Shop, stocked with items you’ve read about on the Forum along with other products to help you in your recovery journey. For years, BoneSmart has shared advice about products that we believe can make recovery easier for joint replacement patients. Thanks to a new partnership with The Recovery Shop, we now can offer our members direct access to many of the most helpful recovery items — all in one place and at great prices. No...
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