Morbidity and Mortality Following Total Hip and Knee Arthroplasty with Spinal versus General Anesthesia: A Retrospective Analysis
Despite the longstanding debate surrounding anesthesia in total joint arthroplasty, an optimal anesthetic mode has yet to be clearly identified. Patients undergoing total joint arthroplasty may be offered spinal anesthesia (SA) or general anesthesia (GA). While the arthroplasty literature has reported differences in postoperative morbidity, the hip fracture literature does not demonstrate the superiority of SA or GA. The purpose of this study was to further investigate this relationship and determine if there is a significant difference in morbidity and mortality between patients undergoing SA compared with those undergoin...
Source: The Journal of Arthroplasty - May 2, 2024 Category: Orthopaedics Authors: Samantha Diulus, Carlos Mucharraz, Daniel Schmitt, Nicholas Brown Source Type: research
Antibiotic Laden Bone Cement Does Not Reduce Acute Periprosthetic Joint Infection Risk in Primary TKA
Periprosthetic joint infection (PJI) can be a serious complication of total knee arthroplasty (TKA). A method believed to decrease the incidence of PJI is antibiotic laden bone cement (ALBC). Current clinical practice guidelines do not recommend ALBC in primary TKA. The purpose of this study was to compare ALBC to plain cement (PC) in preventing PJI in primary TKA. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - May 1, 2024 Category: Orthopaedics Authors: Blake O. Nourie, Nicholas F. Cozzarelli, Chad A. Krueger, Patrick C. Donnelly, Yale A. Fillingham Tags: 2023 AAHKS Proceedings Source Type: research
Patient-Reported Anxiety or Depression Increased the Risk of Dissatisfaction Despite Improvement in Pain or Function Following Total Knee Arthroplasty: A Swedish Register-Based Observational Study of 8,745 Patients
Remaining pain and functional limitations may cause dissatisfaction in patients after total knee arthroplasty (TKA). Furthermore, anxiety and depression are associated with remaining postoperative symptoms and dissatisfaction. We investigated if patient-reported anxiety or depression increased the risk of dissatisfaction 1 year after TKA in patients who improved in pain or function. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - April 30, 2024 Category: Orthopaedics Authors: Siri Heijbel, Annette W-Dahl, Josefine E-Naili, Margareta Hedstr öm Source Type: research
Comparison of Early Post-operative Step and Stair Counts with the Direct Anterior Approach versus the Posterior Approach for Total Hip Arthroplasty
The purpose of this study was to evaluate the impact of direct anterior (DAA) or posterior (PA) approaches on step and stair counts after total hip arthroplasty (THA) using a remotely monitored mobile application with a smartwatch while controlling for baseline characteristics. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - April 30, 2024 Category: Orthopaedics Authors: Omar A. Sarhan, Nareena Imam, Harlan B. Levine, Roberta E. Redfern, Ari D. Seidenstein, Gregg R. Klein Source Type: research
Total Hip Arthroplasty Versus Education and Exercise: A Propensity-Matched Analysis of 266 Patients Who Have Hip Osteoarthritis
This study aimed to estimate the treatment effect of THA versus Edu+Ex on pain, function, and quality of life outcomes 3- and 12-months after treatment initiation for hip OA. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - April 30, 2024 Category: Orthopaedics Authors: James J. Young, Michael G. Zywiel, S øren T. Skou, Vinod Chandran, J. Rod Davey, Rajiv Gandhi, Nizar N. Mahomed, Khalid Syed, Christian J.H. Veillette, Y. Raja Rampersaud, Anthony V. Perruccio Tags: 2023 AAHKS Proceedings Source Type: research
Document Header: Historical Perspective Series Unicompartmental Knee Arthroplasty: Lessons Learned after 50 Years of Experience
I performed my first unicompartmental knee arthroplasty in 1973 using the Marmor prosthesis.1 What follows are the lessons I learned over the next 50 years. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - April 30, 2024 Category: Orthopaedics Authors: Richard D. Scott Tags: Historical Perspective Series Source Type: research
How-To Create an Orthopaedic Systematic Review: A Step-by-Step Guide Part II: Study Execution
Systematic reviews are the apex of the evidence-based pyramid, representing the strongest form of evidence synthesizing results from multiple primary studies. In particular, a quantitative systematic review, or meta-analysis, pools results from multiple studies to help answer a respective research question. The aim of this review is to serve as a guide on how to: 1) design; 2) execute, and 3) publish an orthopaedic arthroplasty systematic review. In Part II, we focus on methods to assess data quality through the Cochrane Risk of Bias, Methodological Index for Non-Randomized Studies (MINORS) criteria, or Newcastle-Ottawa sc...
Source: The Journal of Arthroplasty - April 29, 2024 Category: Orthopaedics Authors: Mitchell K. Ng, Matthew Magruder, Nicolas S. Piuzzi, Nathanael Heckmann, Ronald E. Delanois, Viktor E. Krebs, Michael A. Mont Source Type: research
Not So Fast: Extended Oral Antibiotic Prophylaxis Does Not Reduce 90-Day Infection Rate Following Joint Arthroplasty
Periprosthetic joint infection (PJI) is a devastating complication following both total hip (THA) and knee (TKA) arthroplasty. Extended oral antibiotic prophylaxis (EOA) has been reported to reduce PJI following TJA in high-risk patients. The purpose of this study was to determine if EOA reduces PJI in all-comers and high-risk THA and TKA populations. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - April 26, 2024 Category: Orthopaedics Authors: Jade B. Flynn, Sanar S. Yokhana, Jacob M. Wilson, Jacob D. Schultz, Alicia Hymel, J. Ryan Martin Tags: 2023 AAHKS Proceedings Source Type: research
Developing a Computer Vision Model to Automate Quantitative Measurement of Hip-Knee-Ankle Angle in Total Hip and Knee Arthroplasty Patients
Increasing deformity of the lower extremities, as measured by the Hip-Knee-Ankle Angle (HKAA), is associated with poor patient outcomes after total hip and knee arthroplasty (THA, TKA). Automated calculation of HKAA is imperative to reduce the burden on orthopaedic surgeons. We proposed a detection-based deep learning (DL) model to calculate HKAA in THA and TKA patients and assessed the agreement between DL-derived HKAAs and manual measurement. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - April 26, 2024 Category: Orthopaedics Authors: Irene L. Tanner, Ken Ye, Miles S. Moore, Albert Rechenmacher, Michelle M. Ramirez, Steven Z. George, Michael P. Bolognesi, Maggie E. Horn Source Type: research
Wearing a Surgical Vest with a Sterile Surgical Helmet System Decreases Contamination of the Surgical Field
Sterile surgical helmet systems (SSHS) are frequently utilized in total knee arthroplasty procedures to protect the surgeon while maintaining a comfortable working environment. However, common helmet systems pressurize the space between the surgical gown and the surgeon ’s skin. In gowns with a back seam, this may allow contaminated skin particles to escape into the surgical field. By measuring bacterial colony-forming units (CFU), this study sought to determine if occlusion of the open back seam reduced the risk of potential contamination. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - April 26, 2024 Category: Orthopaedics Authors: Andrew P. Konopitski, Hugh Jones, Kenneth B. Mathis, Philip C. Noble, David Rodriguez-Quintana Source Type: research
Alignment in Total Knee Arthroplasty: Avoid Crossing Over from Varus to Valgus
Ideal target limb alignment remains a debated topic in total knee arthroplasty (TKA). We aimed to determine the effect of limb alignment correction on patient-reported outcomes and knee range-of-motion (ROM) following TKA. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - April 26, 2024 Category: Orthopaedics Authors: Pradyumna Gurusamy, Jennifer W. Liu, Thomas C. Sullivan, Terry A. Clyburn, Bradley S. Lambert, Stephen J. Incavo Tags: Proceedings of the Knee Society 2023 Source Type: research
Corrigendum to ‘Are Kinematics an Indicator of Outcome After Total Knee Arthroplasty?’[The Journal of Arthroplasty 39 (2024) 343-349]
The authors regret that they have noted some discrepancies throughout the original published article. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - April 25, 2024 Category: Orthopaedics Authors: Phillipa E. Hodge, Owen J. Rabak, Diana M. Perriman, Jennie M. Scarvell, Paul N. Smith, Joseph T. Lynch Tags: Corrigendum Source Type: research
Tibial Slope is Not Associated with Implant Migration Following Cemented Total Knee Arthroplasty With a Single Implant Design
The influence of tibial slope on tibial component migration following total knee arthroplasty (TKA) has not been widely studied, although excessive posterior slope has been implicated in some failures. As implant micromotion measured with radiostereometric analysis can indicate successful fixation, the purpose of this study was to determine the associations between tibial slope, tibial component migration, and inducible displacement. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - April 25, 2024 Category: Orthopaedics Authors: C. Glen Richardson, Matthew J. Kivell, Michael J. Dunbar, Elise K. Laende Source Type: research
Patient-Related Predictors of Treatment Failure after Two-Stage Total Hip Arthroplasty Revision for Periprosthetic Joint Infection: A Systematic Review and Meta-Analysis
Periprosthetic joint infection (PJI) treatment has high failure rates even after two-stage revision. Risk factors for treatment failure after staged revision for PJI are not well defined, nor is it well established how they correlate with the risks of developing an index PJI. Identifying modifiable risk factors may allow preoperative optimization, while identifying non-modifiable risk factors can influence surgical options or advise against further surgery. We performed a systematic review and meta-analysis to better define predictors of treatment failure in two-stage revision for PJI. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - April 25, 2024 Category: Orthopaedics Authors: Ameya Bhanushali, Liem Tran, Jaiden Nairne-Nagy, Samuel Bereza, Stuart A. Callary, Gerald Atkins, Boopalan Ramasamy, Lucian B. Solomon Source Type: research
Simultaneous versus Staged Bilateral Total Hip Arthroplasty – A Matched Cohort Analysis of Revenue and Contribution Margin
In this study, we compared revenue, CM, and surgical outcomes between simBTHA and staBTHA. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - April 25, 2024 Category: Orthopaedics Authors: Vinaya Rajahraman, Itay Ashkenazi, Jeremiah Thomas, Joseph Bosco, Roy Davidovitch, Ran Schwarzkopf Source Type: research
