Impact of Chronic Opioid Use on Post-Operative Mobility Recovery and Patient-Reported Outcomes: A Propensity-Matched Study
Opioid use prior to total joint arthroplasty may be associated with poorer post-operative outcomes. However, few studies have reported the impact on post-operative recovery of mobility. We hypothesized that chronic opioid users would demonstrate impaired objective and subjective mobility recovery compared to non-users. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - February 21, 2024 Category: Orthopaedics Authors: Charles L. Nelson, Neil P. Sheth, Carlos A. Higuera Rueda, Roberta E. Redfern, David C. Van Andel, Mike B. Anderson, Jason M. Cholewa, Craig L. Israelite Tags: Proceedings of the Knee Society 2023 Source Type: research
Reconstruction of Chronic Quadriceps Tendon Rupture: The Quadriceps Advancement and Imbrication Technique
In this report, we present a modified surgical technique for quadriceps tendon repair in chronic extensor mechanism disruption without the use of allografts or mesh augmentation. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - February 21, 2024 Category: Orthopaedics Authors: Sebastian Braun, Dimitrios A. Flevas, Carolena Rojas Marcos, Friedrich Boettner, Peter K. Sculco, Thomas P. Sculco Tags: Proceedings of the Knee Society 2023 Source Type: research
Outpatient Total Hip Arthroplasty Volume Up Nearly 8-Fold After Regulatory Changes With Expanding Demographics and Unchanging Outcomes: A 10-Year Analysis
With the removal of total hip arthroplasty (THA) from the inpatient-only (IPO) lists, the orthopaedic landscape across the United States has changed rapidly. Thus, this study aimed to: 1) characterize the change in THA volume for outpatient and inpatient surgeries; 2) elucidate demographical differences before and after removal from the IPO list; and 3) analyze 30-day complications, readmissions, and reoperations. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - February 21, 2024 Category: Orthopaedics Authors: Ignacio Pasqualini, Oguz Turan, Ahmed K. Emara, Alvaro Ibaseta, James Xu, Austin Chiu, Nicolas S. Piuzzi Source Type: research
Good Short-Term Survivorship of Constrained Condylar Revision Knee Implants With Medial Pivot Kinematics: A Level IV Retrospective Study
The need for revision total knee arthroplasty (TKA) surgery is increasing worldwide, and, in many cases, a constrained implant is required to provide joint stability. The purpose of this study was to examine the early loosening and functional outcome of a novel constrained condylar (CCK) revision total knee system designed to have medial pivot kinematics. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - February 21, 2024 Category: Orthopaedics Authors: Arieh Greenberg, Daniel Cohen, Ali Shahabinezhad, Bardia Barimani, Jesse Wolfstadt, David Backstein Tags: Proceedings of the Knee Society 2023 Source Type: research
Short-Term (6 Months or Less) Pain in Cemented Versus Cementless Total Knee Arthroplasty: A Systematic Review and Meta-Analysis
Cementless total knee arthroplasty (TKA) has increased in popularity to potentially improve survivorship. Radiostereometric studies demonstrate increased component migration during the first 3 to 6 months in cementless constructs, generating concern for increased post-operative pain during early osseointegration. The purpose of this study was to evaluate short-term ( ≤ 6 months) pain and function in cemented versus cementless TKA. We hypothesize that cementless TKA patients report increased pain during the short-term (≤ 6 months) post-operative period. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - February 20, 2024 Category: Orthopaedics Authors: Nikhil Ailaney, Matthew Barra, Derek Schloemann, Caroline P. Thirukumaran, Nathan B. Kaplan Source Type: research
Preoperative Depression Screening for Primary Total Knee Arthroplasty: An Evaluation of Its Modifiability on Outcomes in Patients Who Have Depression
Few studies have evaluated preoperative depression screenings in patients who have depression. We studied whether depression screenings before total knee arthroplasty (TKA) were associated with lower: 1) medical complications; 2) emergency department (ED) utilizations and readmissions; 3) implant complications; and 4) costs. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - February 19, 2024 Category: Orthopaedics Authors: Adam M. Gordon, Matthew L. Magruder, Jake Schwartz, Mitchell K. Ng, Orry Erez, Michael A. Mont Source Type: research
Can Patients Who Have Low-Grade Hip Osteoarthritis Expect the Same Outcome After Total Hip Arthroplasty Compared to Those Who have End-Stage Osteoarthritis? – A Matched Case-Control Study
Total hip arthroplasty (THA) is an effective procedure for patients with end-stage hip osteoarthritis (OA). In addition, when hip preservation surgery is no longer indicated due to the presence of early or mild arthritic changes, THA can also be considered. Whether these patients can expect the same outcome after THA as patients who have end-stage OA remains unclear. The goal of this study was to compare the clinical outcomes after THA of patients who have low-grade OA versus a matched cohort with end-stage OA. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - February 16, 2024 Category: Orthopaedics Authors: Wouter Peeters, Frans-Jozef Vandeputte, Annick Timmermans, Stijn Roose, Jeroen CF. Verhaegen, Kristoff Corten Tags: 2023 AAHKS Proceedings Source Type: research
Return to Sport after Unicompartmental Knee Arthroplasty and Patello-femoral Arthroplasty
Data on sports/physical activity participation following unicompartmental knee arthroplasty (UKA) and patello-femoral arthroplasty (PFA) is variable and limited. The purpose of this study was to assess participations, outcomes, and limitations in sports following UKA and PFA. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - February 15, 2024 Category: Orthopaedics Authors: Nicholas F. Cozzarelli, Irfan A. Khan, Armin Arshi, Matthew B. Sherman, Jess H. Lonner, Yale A. Fillingham Source Type: research
Development of a Machine-Learning Model for Anterior Knee Pain After Total Knee Arthroplasty With Patellar Preservation Using Radiological Variables
This study aimed to develop a machine-learning model to predict the likelihood of developing AKP after TKA using radiological variables. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - February 14, 2024 Category: Orthopaedics Authors: Maximiliano Barahona, Mauricio A. Guzm án, Sebastian Cartes, Andrés E. Arancibia, Javier E. Mora, Macarena A. Barahona, Daniel Palma, Jaime R. Hinzpeter, Carlos A. Infante, Cristian N. Barrientos Tags: 2023 AAHKS Proceedings Source Type: research
Development of a Machine Learning Model for Anterior Knee Pain After Total Knee Arthroplasty with Patellar Preservation Using Radiological Variables
This study aimed to develop a machine learning model to predict the likelihood of developing AKP after TKA using radiological variables. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - February 14, 2024 Category: Orthopaedics Authors: Maximiliano Barahona, Mauricio Guzm án, Sebastián Cartes, Andrés Arancibia, Javier Mora, Macarena Barahona, Daniel Palma, Jaime Hinzpeter, Carlos Infante, Cristian Barrientos Tags: 2023 AAHKS Proceedings Source Type: research
Advanced Concepts in Outpatient Joint Arthroplasty
As the adoption and utilization of outpatient total joint arthroplasty (TJA) continue to grow, key developments have enabled surgeons to safely and effectively perform these surgeries while increasing patient satisfaction and operating room efficiency. Here, the authors will discuss the evidence-based principles that have guided this paradigm shift in joint arthroplasty surgery, as well as practical methods for selecting appropriate candidates and optimizing perioperative care. There will be five core efficiency principles reviewed that can be used to improve organizational management, streamline workflow, and overcome bar...
Source: The Journal of Arthroplasty - February 14, 2024 Category: Orthopaedics Authors: Robert A. Sershon, Michael P. Ast, Charles A. DeCook, Craig J. Della Valle, William G. Hamilton Tags: 2023 AAHKS Annual Meeting Symposium Source Type: research
Assessing Ability for ChatGPT to Answer Total Knee Arthroplasty-Related Questions
In this study, we aimed to assess the quality of ChatGPT answers when asked questions related to total knee arthroplasty (TKA). (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - February 13, 2024 Category: Orthopaedics Authors: Matthew L. Magruder, Ariel Rodriguez, Che Hang Jason Wong, Orry Erez, Nicolas S. Piuzzi, Gil R. Scuderi, James Slover, Jason H. Oh, Ran Schwarzkopf, Antonia F. Chen, Richard Iorio, Stuart B. Goodman, Michael A. Mont Source Type: research
No Impact of Contact Between The Medial Collar of a Hydroxyapatite-Coated Triple-Tapered Stem and The Femoral Neck on Periprosthetic Bone Mineral Density
Hydroxyapatite-coated, triple-tapered, shorter-length stems with a medial collar have been reported with good results for a few years. We investigated whether contact between the medial collar and femoral neck affects clinical outcomes and changes in bone mineral density in patients who have this type of stem in their total hip arthroplasty (THA) construct. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - February 13, 2024 Category: Orthopaedics Authors: Kentaro Iwakiri, Yoichi Ohta, Yukihide Minoda, Shuhei Ueno, Akio Kobayashi, Hiroaki Nakamura Source Type: research
Total Knee Arthroplasty Kinematics Predict Patient-Reported Outcome Measures: Implications for Clinical Kinematic Examinations
A core tenet of total knee arthroplasty (TKA) is that achieving more natural kinematics will lead to superior patient outcomes. Yet this relationship has not been proven for large representative cohorts of TKA patients because accurately measuring three-dimensional TKA kinematics is time-consuming and expensive. But advanced imaging systems and machine-learning-enhanced analysis software will soon make it practical to measure knee kinematics pre- and post-operatively in the clinic using radiographic methods. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - February 13, 2024 Category: Orthopaedics Authors: Scott A. Banks, Fabio Catani, Evan R. Deckard, Ormonde M. Mahoney, Shuichi Matsuda, R. Michael Meneghini, Jan Victor Tags: Proceedings of the Knee Society 2023 Source Type: research
Social Determinants of Health in Total Joint Arthroplasty: Insurance
Social determinants of health (SDOH) represent an estimated 1.7 trillion dollars of avoidable healthcare costs [1]. The SDOH can be stratified into six categories: economic stability; the established environment; community/social context; access to food; access to healthcare; and education [2]. However, the literature has not demonstrated an integrated, evidence-based summary of how best to address social determinants in order to achieve positive health outcomes while minimizing healthcare spending [3]. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - February 13, 2024 Category: Orthopaedics Authors: Jeremy Dubin, Sandeep Bains, Ugonna N. Ihekweazu, Michael Mont, Ronald Delanois Tags: Commentary Source Type: research