The RESTORE Research Programme
Osteoarthritis of the hip or knee is associated with pain and disability, particularly among older people. As the UK’s population ages, the number of people living with osteoarthritis will rise.
One of the treatments for osteoarthritis of the hip or knee is surgical replacement of the affected joint (known as ‘joint replacement surgery’ or ‘arthroplasty’). Joint replacement surgery is now one of the most common elective surgical procedures in the UK (Judge, 2006). Over 120,000 of these operations take place every year, which accounts for 1% of the UK’s total healthcare budget (NICE Osteoarthritis Guidelines, 2008).
With an ageing population, more and more people will undergo joint replacement surgery every year.
There is a pressing need to improve patients’ experiences of the procedure and to improve long-term outcome. This need is being addressed by the RESTORE Research Programme (Research Studies into the Orthopaedic Experience). RESTORE is based at the University of Bristol within the School of Clinical Sciences.
Collaborators
- Department of Social Medicine, University of Bristol
- School of Health and Population Sciences, University of Birmingham
- Arthritis Care
RESTORE is funded by a programme grant for applied research from the UK’s National Institute for Health Research (NIHR).
Within RESTORE, a team of researchers are working alongside clinicians to understand outcome after joint replacement surgery and to design ways of improving outcome. RESTORE is made up of several individual research projects each addressing parts of the programme.
Research projects
APEX
A randomised controlled trial of an injection of local anaesthetic into the wound during hip and knee replacement surgery to provide long-term pain
Participants
600 people undergoing primary hip or knee replacement
ADAPT
A cohort study to examine changes in pain and disability after joint replacement. This study includes functional tests using an accelerometer for motion analysis.
Participants
200 people undergoing primary or revision hip or knee replacement
Experience
A longitudinal qualitative study to understand the patient experience and ‘journey’ through total joint replacement
Participants
50 people undergoing primary hip or knee replacement
Spiral Study
A pilot randomised controlled trial of delivering a pain self-management course (run by Arthritis Care) to patients undergoing total hip replacement
Participants
80 people undergoing primary hip replacement
PROOF THR
A pilot randomised controlled trial of occupational therapy to optimise recovery for patients undergoing primary total hip replacement. This study is being run by the University of Birmingham.
Participants
60 people undergoing primary hip replacement
ARENA Study
A pilot randomised controlled trial of a physiotherapy exercise classes for patients following total knee replacement.
Participants
40 Patients
Contact details
Vikki Wylde
RESTORE Programme Coordinator
University of Bristol, School of Clinical Science Orthopaedic Surgery
Musculoskeletal Research Unit
Lower Level, Avon Orthopaedic Centre
Southmead Hospital
Westbury on Trym
Bristol
BS10 5NB
UK
Tel: + 44 (0)117 323 5906
Email: V.Wylde@bristol.ac.uk