Finding the Optimal Screening Test for Periprosthetic Joint Infection: A Prospective Study
This study aimed to determine the utility of standard-of-care serological tests as a screening tool for PJI in patients undergoing revision arthroplasty. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 5, 2024 Category: Orthopaedics Authors: Saad Tarabichi, Juan D. Lizcano, Elizabeth A. Abe, Graham S. Goh, Colin M. Baker, Javad Parvizi Source Type: research
Finding the Optimal Serological Screening Test for Periprosthetic Joint Infection: A Prospective Study
This study aimed to determine the utility of standard-of-care serological tests as a screening tool for PJI in patients undergoing revision arthroplasty. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 5, 2024 Category: Orthopaedics Authors: Saad Tarabichi, Juan D. Lizcano, Elizabeth A. Abe, Graham S. Goh, Colin M. Baker, Javad Parvizi Source Type: research
Total Hip Arthroplasty in Human Immunodeficiency Virus Positive Patients: A Systematic Review of Outcomes
Total hip arthroplasty (THA) has become a common intervention for Human Immunodeficiency Virus (HIV)-positive patients who have osteonecrosis of the femoral head. This paper provides a systematic review to assess survivorships, patient-reported outcomes (PROMs), infection rates, other complications, and immune competence for patients who had THAs who did and did not have HIV. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 5, 2024 Category: Orthopaedics Authors: Alexandra Baker Lutz, Deepak V. Patel, Christopher Bibbo, Ian S. Hong, Daniel Hameed, Jeremy Dubin, Michael A. Mont Source Type: research
Surgery Within 24 Hours Reduces Mortality and General Complication Rates in Patients Who Have Periprosthetic Femoral Fractures at the Hip
In patients who have hip fractures, treatment within 24 hours reduces mortality and complication rates. A similar relationship can be assumed for patients who have hip periprosthetic fractures (PPF) owing to the similar baseline characteristics of the patient populations. This monocentric retrospective study aimed to compare the complication and mortality rates in patients who had hip PPF treated within and after 24 hours. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 2, 2024 Category: Orthopaedics Authors: Christian Wulbrand, Bernd F üchtmeier, Markus Weber, Christoph Eckstein, Alexander Hanke, Franz Müller Source Type: research
The Impact of Preoperative Weight Loss Timing on Surgical Outcomes in Total Hip Arthroplasty
This study evaluated patients who had initial BMIs between 40 and 50, and then achieved a BMI under 35 at various intervals before their THA. Comparisons were made with consistent obese and non-obese groups to understand potential complications. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 1, 2024 Category: Orthopaedics Authors: Craig Shul, Daniel Hameed, Brittany Oster, Jeremy A. Dubin, Sandeep S. Bains, Michael A. Mont, Aaron J. Johnson Source Type: research
Decreased Patellar Fractures and Subluxation with Patellar Component Replacement at Stage-One Spacer
Periprosthetic joint infection (PJI) is a devastating complication of total knee arthroplasty (TKA) and is often treated with two-stage revision. We retrospectively assessed whether replacing the patellar component with articulating stage-one spacers was associated with improved outcomes compared to spacers without patellar component replacement. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 1, 2024 Category: Orthopaedics Authors: Joshua P. Rainey, Brenna E. Blackburn, Zachary Moore, Michael J. Archibeck, Christopher E. Pelt, Lucas A. Anderson, Jeremy M. Gililland Tags: Proceedings of the Knee Society 2023 Source Type: research
The AAHKS Clinical Research Award: Extended Postoperative Oral Tranexamic Acid in Total Knee Arthroplasty: A Randomized Controlled Pilot Study
Perioperative tranexamic acid (TXA) use with total knee arthroplasty (TKA) is widely accepted today. Recently, a few international groups have published on the safety and outcomes of extending TXA use in the postoperative period. Through a double-blinded, randomized control trial (RCT), we aimed to investigate the safety and clinical efficacy of extended postoperative oral TXA use in TKA performed in an American, free-standing ambulatory surgery center (ASC). (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - February 29, 2024 Category: Orthopaedics Authors: Mateo J. Kirwan, Zachary R. Diltz, Derek T. Dixon, Carlos A. Rivera-Peraza, Christal J. Gammage, Willliam M. Mihalko, James W. Harkess, James L. Guyton, John R. Crockarell, Marcus C. Ford Tags: 2023 AAHKS Award Paper Source Type: research
AAHKS Clinical Research Award: Extended Postoperative Oral Tranexamic Acid in Total Knee Arthroplasty: A Randomized Controlled Pilot Study
Perioperative tranexamic acid (TXA) use with total knee arthroplasty (TKA) is widely accepted today. Recently, a few international groups have published on the safety and outcomes of extending TXA use in the postoperative period. Through a double-blinded, randomized control trial, we aimed to investigate the safety and clinical efficacy of extended postoperative oral TXA use in TKA performed in an American, free-standing ambulatory surgery center (ASC). (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - February 29, 2024 Category: Orthopaedics Authors: Mateo J. Kirwan, Zachary R. Diltz, Derek T. Dixon, Carlos A. Rivera-Peraza, Christal J. Gammage, Willliam M. Mihalko, James W. Harkess, James L. Guyton, John R. Crockarell, Marcus C. Ford Tags: 2023 AAHKS Award Paper Source Type: research
The Impact of Obesity on Total Hip Arthroplasty Outcomes When Performed by High-Volume Surgeons —A Propensity Matched Analysis From a High-Volume Urban Center
This study aimed to evaluate the impact of patient obesity on THA outcomes when surgery is performed by HV surgeons. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - February 28, 2024 Category: Orthopaedics Authors: Itay Ashkenazi, Jeremiah Thomas, Kyle W. Lawrence, Morteza Meftah, Joshua C. Rozell, Ran Schwarzkopf Source Type: research
Continuation of Oral Antidiabetic Medications Was Associated With Better Early Postoperative Blood Glucose Control Compared to Sliding Scale Insulin After Total Knee Arthroplasty
This study evaluated blood glucose (BG), creatinine levels, metabolic issues, length of stay (LOS), and early postoperative complications in diabetic primary total knee arthroplasty (TKA) patients. It examined those who continued home oral antidiabetic medications and those who switched to insulin postoperatively. The hypothesis was that continuing home medications would lead to lower BG levels without metabolic abnormalities. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - February 28, 2024 Category: Orthopaedics Authors: Justin Leal, Samuel S. Wellman, William A. Jiranek, Thorsten M. Seyler, Michael P. Bolognesi, Sean P. Ryan Source Type: research
Obesity Severity Does Not Associate with Rate, Timing, or Invasiveness of Early Reinterventions After Total Knee Arthroplasty
This study evaluated whether increased World Health Organization (WHO) Obesity Class was associated with risk, severity, and timing of reintervention within one year after TKA. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - February 28, 2024 Category: Orthopaedics Authors: Daniel A. Driscoll, Jacqueline Grubel, Justin Ong, Yu-Fen Chiu, Lisa A. Mandl, Fred Cushner, Michael L. Parks, Alejandro Gonzalez Della Valle Tags: Proceedings of the Knee Society 2023 Source Type: research
Synovial Calprotectin is Superior to Synovial Leukocyte Count in Excluding Chronic Periprosthetic Joint Infections, a Retrospective Cohort Study.
This study aimed to: 1) evaluate and compare the diagnostic accuracy between these markers in patients undergoing revision arthroplasty for chronic PJI or aseptic reasons; and 2) determine the best rule-out and rule-in test for PJI. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - February 28, 2024 Category: Orthopaedics Authors: Mohammed F. Alkadhem, Harmen Ettema, Lucie M.F. Wagenmakers-Huizenga, Joris J.W. Ploegmakers, Anneke C. Muller Kobold, Marjan Wouthuyzen-Bakker, Northern Infection Network of Joint Arthroplasty (NINJA) Source Type: research
Continuation of Oral Anti-Diabetic Medications Was Associated With Better Early Post-Operative Blood Glucose Control Compared to Sliding Scale Insulin After Total Knee Arthroplasty
This study evaluated blood glucose (BG), creatinine levels, metabolic issues, length of stay (LOS), and early post-operative complications in diabetic primary total knee arthroplasty (TKA) patients. It examined those who continued home oral anti-diabetic medications and those who switched to insulin post-operatively. The hypothesis was that continuing home medications would lead to lower BG levels without metabolic abnormalities. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - February 28, 2024 Category: Orthopaedics Authors: Justin Leal, Samuel S. Wellman, William A. Jiranek, Thorsten M. Seyler, Michael P. Bolognesi, Sean P. Ryan Source Type: research
How Active Are Our Patients in the First 6 Weeks Following Total Knee Arthroplasty?
Concurrent market changes impact the need for increased patient activity shortly after surgery. A relatively recent market change is the shift to outpatient TKA after the Centers for Medicare and Medicaid Services removed primary TKA from the inpatient-only list in 2018. This site-of-care shift was accelerated by the COVID-19 pandemic and limited access to inpatient care for elective procedures. Prior to 2018, pilot programs for bundled care, such as the Comprehensive Care for Joint Replacement (CJR) program from Medicare and similar Medicare Advantage programs, yielded cost savings from reduced usage of skilled nursing or...
Source: The Journal of Arthroplasty - February 28, 2024 Category: Orthopaedics Authors: Fred D. Cushner, Olivia F. Hunter, David Lee Tags: Proceedings of the Knee Society 2023 Source Type: research
Association of Total Hip Arthroplasty Flexural Rigidity with Magnetic Resonance Imaging and Histological Findings
Modular connections in total hip arthroplasty (THA) offer surgical advantages, but can contribute to implant fretting and corrosion due to micromotion at the head-stem interface. Previous studies implicated lower flexural rigidity as a key contributing factor to THA corrosion and fretting, but none associated flexural rigidity with direct histological evaluation or magnetic resonance imaging (MRI) outcomes. The purpose of this study was to determine how implant flexural rigidity is associated with MRI imaging metrics and histopathological outcomes in patients who have a failed THA. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - February 28, 2024 Category: Orthopaedics Authors: Sara E. Sacher, Elexis C. Baral, Timothy Wright, Thomas W. Bauer, Qian Li, Douglas Padgett, Hollis G. Potter, Matthew F. Koff Source Type: research
