Similar Efficacy and Lower Cost Associated with Ceftazidime Compared to Tobramycin Coupled with Vancomycin in Antibiotic Spacers in the Treatment of Periprosthetic Joint Infection
Vancomycin and tobramycin have traditionally been used in antibiotic spacers. In 2020, our institution replaced tobramycin with ceftazidime. We hypothesized that the use of ceftazidime/vancomycin (CV) in antibiotic spacers would not lead to an increase in treatment failure compared to tobramycin/vancomycin (TV). (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - April 15, 2024 Category: Orthopaedics Authors: Daniel Lewis, Brenna E. Blackburn, Jane Archibeck, Michael J. Archibeck, Lucas A. Anderson, Jeremy M. Gililland, Laura K. Certain, Christopher Pelt Tags: Proceedings of the Knee Society 2023 Source Type: research
Clinical Outcomes of Isolated Polyethylene Exchange versus Full Component Revision for the Management of Instability Following Total Knee Arthroplasty
Instability following total knee arthroplasty (TKA) is a common cause for revision. Isolated polyethylene exchange (IPE) can be performed to increase knee joint stability, but results have been mixed. The purpose of this study was to compare the survivorship and patient-reported outcomes of patients undergoing revision TKA for instability with IPE versus full component revision. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - April 15, 2024 Category: Orthopaedics Authors: Ryan Cheng, Eytan M. Debbi, Brian P. Chalmers, Yu-Fen Chiu, Jose A. Rodriguez, Gwo-Chin Lee Tags: Proceedings of the Knee Society 2023 Source Type: research
Innovative Hip Distraction Approaches for Total Hip Arthroplasty in Crowe IV Developmental Dysplasia or Similar High-Riding Patients
Total hip arthroplasty (THA) for dislocated hips (Crowe IV dysplasia) presents unique challenges. Conventional approaches involve subtrochanteric osteotomies, but are complex with additional fixation and potentially lead to limb-length discrepancies, nerve palsies, and other complications. An alternative strategy is a staged approach, where the femoral head (or remnant) is gradually lowered (distraction technique) to align with the true acetabulum over a period of time, followed by a second-stage anatomically acetabular-positioned THA. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - April 14, 2024 Category: Orthopaedics Authors: Daniel Hameed, Jeremy A. Dubin, Sandeep S. Bains, Mallory C. Moore, Shawn C. Standard, Michael A. Mont Tags: Proceedings of the Hip Society 2023 Source Type: research
Cementless Total Knee Arthroplasty: Does Age Affect Survivorship and Outcomes?
Despite the growing popularity of cementless total knee arthroplasty (TKA) in younger patients, the outcomes are unclear in the elderly population. We aimed to compare the clinical outcomes and survivorship of cementless TKA between different age groups. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - April 14, 2024 Category: Orthopaedics Authors: Adit R. Maniar, James L. Howard, Lyndsay Somerville, Brent A. Lanting, Edward M. Vasarhelyi Tags: Proceedings of the Knee Society 2023 Source Type: research
Appropriateness of Frequently Asked Patient Questions Following Total Hip Arthroplasty From ChatGPT Compared to Arthroplasty-Trained Nurses
The use of ChatGPT (Generative Pretrained Transformer), which is a natural language artificial intelligence model, has gained unparalleled attention with the accumulation of over 100 million users within months of launching. As such, we aimed to compare: 1) orthopaedic surgeons ’ evaluation of the appropriateness of the answers to the most frequently asked patient questions after total hip arthroplasty (THA); and 2) patients’ evaluation of ChatGPT and arthroplasty-trained nurses responses to answer their postoperative questions. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - April 13, 2024 Category: Orthopaedics Authors: Jeremy A. Dubin, Sandeep S. Bains, Michael J. DeRegoatis, Mallory C. Moore, Daniel Hameed, Michael A. Mont, James Nace, Ronald E. Delanois Tags: Proceedings of the Hip Society 2023 Source Type: research
Secondary Patellar Resurfacing Following Primary Unresurfaced Total Knee Arthroplasty: Beware of the Incidence of Late Patellar Erosion
The primary aim of this study was to evaluate secondary patellar resurfacing (SPR) indications and rates in a single surgeon series utilizing a modern TKA design and additionally, to review the functional outcomes of patients after undergoing SPR. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - April 13, 2024 Category: Orthopaedics Authors: Adit R. Maniar, Steven J. MacDonald Tags: Proceedings of the Knee Society 2023 Source Type: research
Socioeconomic status affects patient-reported outcome measures in total hip and knee arthroplasty: A retrospective Dutch registry study
To determine the association between socioeconomic status and patient-reported outcome measures in a Dutch cohort who have undergone total hip arthroplasty (THA) or total knee arthroplasty (TKA). (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - April 12, 2024 Category: Orthopaedics Authors: Thomay-Claire A. Hoelen, Luc J.M. Heijnens, Jetse Jelsma, Liza N. van Steenbergen, Martijn G.M. Schotanus, Bert Boonen, Jasper Most Source Type: research
A Nationwide Analysis of the Impact of Socioeconomic Status on Complications and Healthcare Utilizations After Total Knee Arthroplasty Using the Area Deprivation Index: Consideration of the Disadvantaged Patient
Socioeconomic status (SES) has been demonstrated to be an important prognostic risk factor among patients undergoing total joint arthroplasty. We evaluated patients living near neighborhoods with higher socioeconomic risk undergoing total knee arthroplasty (TKA) and if they were associated with differences in: 1) medical complications; 2) emergency department (ED) utilizations; 3) readmissions; and 4) costs of care. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - April 12, 2024 Category: Orthopaedics Authors: Adam M. Gordon, Mitchell K. Ng, Faisal Elali, Nicolas S. Piuzzi, Michael A. Mont Source Type: research
Cementless Total Hip Arthroplasty With Paavilainen Femoral Shortening Osteotomy Can Provide Good Results at 10 years in Patients Who Have Crowe IV Developmental Dysplasia of the Hip
The aim of this study was to present the clinical and radiologic results of primary total hip arthroplasty (THA) using the femoral shortening osteotomy technique described by Paavilainen in patients who have Crowe IV developmental dysplasia of the hip (DDH). (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - April 11, 2024 Category: Orthopaedics Authors: Rashid M. Tikhilov, Alisagib A. Dzhavadov, Dinis R. Ziganshin, Nikita S. Zakhmatov, Rauf R. Alekberov, Igor I. Shubnyakov Source Type: research
Effects of Dexamethasone on Postoperative Glycemic Control in Patients After Primary Total Joint Arthroplasty: A Randomized Double-Blind Controlled Trial
In patients undergoing total joint arthroplasty (TJA), the use of dexamethasone (DEX) may cause perioperative blood glucose (BG) disorders, leading to complications even in patients who do not have diabetes. We aimed to evaluate the effects of different DEX doses on perioperative BG levels. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - April 11, 2024 Category: Orthopaedics Authors: Xiao-yang Liu, Ping Mou, Jian Cao, Hao-Yang Wang, Wei-Nan Zeng, Zong-Ke Zhou Source Type: research
Demographic and Socioeconomic Trends of Patients Undergoing Total Knee Arthroplasty from 2013 to 2022 – An Analysis from an Urban Orthopaedic Hospital
This study aimed to assess the temporal trends in the socioeconomic and medical demographics of patients undergoing TKA. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - April 10, 2024 Category: Orthopaedics Authors: Itay Ashkenazi, Kyle W. Lawrence, Mitchell Kaplan, Armin Arshi, Joshua C. Rozell, Ran Schwarzkopf, Claudette M. Lajam Source Type: research
Efficacy of Intrawound Vancomycin in Prevention of Periprosthetic Joint Infection After Primary Total Knee Arthroplasty: A Prospective Double-Blinded Randomized Control Trial
Periprosthetic joint infection (PJI) after total knee arthroplasty (TKA) is a devastating complication. Intrawound vancomycin powder has been shown to reduce infection rates in spine surgery, but its role in arthroplasty remains controversial. This prospective randomized control trial aimed to evaluate the efficacy of intrawound vancomycin in preventing PJI after primary TKA. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - April 10, 2024 Category: Orthopaedics Authors: Praharsha Mulpur, Tarun Jayakumar, Ramakanth R. Yakkanti, Aditya Apte, Kushal Hippalgaonkar, Adarsh Annapareddy, A.B. Suhas Masilamani, A.V. Gurava Reddy Source Type: research
Aseptic Revision Total Hip Arthroplasty Through an Anterior Approach: Survivorship and Risk Factors for Re-Revision
This study reports the survivorship and risk factors for re-revision in patients undergoing aseptic rTHA through an anterior approach. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - April 10, 2024 Category: Orthopaedics Authors: Alirio J. deMeireles, Marcel M. Dupont, Alexander L. Neuwirth, Carl L. Herndon, Jeffrey A. Geller, Roshan P. Shah, H. John Cooper, Nana O. Sarpong Source Type: research
Worse Patient-Reported Outcomes and Spino-pelvic Parameters after Total Hip Arthroplasty for Rapidly Progressive Osteoarthritis of the Hip Compared to Osteoarthritis: A Propensity-matched Cohort Study
This study aimed to assess the association between the disease process of hip osteoarthritis and total hip arthroplasty (THA) outcomes; this is a critical issue, as rapid progression has been postulated to be responsible for patient dissatisfaction post-THA. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - April 10, 2024 Category: Orthopaedics Authors: Yoshinori Okamoto, Hitoshi Wakama, Kaito Nakamura, Takashi Ishitani, Shuhei Otsuki, Masashi Neo Source Type: research
Characterization of the Relative Change in Objective and Subjective Metrics by Baselining Patients Who have Wearable Technology Prior to Total Knee Arthroplasty
Wearable sensors and associated supporting technologies (i.e., patient applications) can provide both objective (joint position, step counts, etc.) and subjective data (i.e., pain scores and patient-reported outcome measures) to track a patient ’s episode of care. Establishing a subjective and objective baseline of a patient’s experience may arguably be beneficial for multiple reasons, including setting recovery expectations for the patient and demonstrating the effectiveness or success of the intervention. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - April 9, 2024 Category: Orthopaedics Authors: Richard P. Bolander, Andrew A. Pierce, Rohan Mangal, Victor H. Hernandez, S. David Stulberg Tags: Proceedings of the Knee Society 2023 Source Type: research
