Highly Porous Acetabular Cup and Augment Constructs in Complex Revision Total Hip Arthroplasty: What Predicts 10 Year Implant Survivorship?
This study aims to assess long-term clinical and radiographic outcomes 10 years post-surgery in patients undergoing revision THA with porous tantalum acetabular cup-augment constructs and determine factors associated with long-term survivorship. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - April 8, 2024 Category: Orthopaedics Authors: Thomas D. Alter, Matthew L. Hadley, Cory G. Couch, Kristin M. Fruth, Nicholas A. Bedard, Kevin I. Perry, Rafael J. Sierra, David G. Lewallen Tags: Proceedings of the Hip Society 2023 Source Type: research
The Utility of Pre-operative Screening for Depression in Total Hip Arthroplasty: A Commentary
Total hip arthroplasty is a common procedure with the potential to improve the quality of life of those inflicted with osteoarthritis of the hip. Despite the relatively high success rate, there are a number of patients who are dissatisfied with their outcome.1-3 This suggests that there are multiple physical and mental factors that may be influencing the outcome. Specifically, mental health disorders have been shown to have negative effects on the outcomes of total hip arthroplasty.4 Identifying these issues, such as depression and anxiety, pre-operatively not only reduces resource utilization post-operatively, but it can ...
Source: The Journal of Arthroplasty - April 5, 2024 Category: Orthopaedics Authors: Audrey K. Tsao, Giles R. Scuderi, Michael A. Mont Tags: Commentary Source Type: research
The Impact of the Orthopaedic Literature on Total Joint Arthroplasty: A Changing Paradigm
Open access journals provide wider and faster dissemination of information, creating the potential for readers to have more difficulty assessing the validity of the publications. This rapid expansion of published research brings with it the risk of prioritizing quantity over quality, and posing risks to patients if decisions are influenced by invalid research. With the expansion of orthopaedic literature in multiple formats, it is our responsibility to shape our evidence-based clinical decision-making in total joint arthroplasty based on the quality of the publications, relying on methodologically sound studies to guide ou...
Source: The Journal of Arthroplasty - April 4, 2024 Category: Orthopaedics Authors: Kevin C. Chang, Michael A. Mont, Giles R. Scuderi Tags: Editorial Source Type: research
Obesity and Concomitant Weight Change Remain Challenging Comorbidities for Arthroplasty Surgeons to Manage
As implant longevity and medical management continue to be enhanced, a greater proportion of obese patients are becoming candidates for total hip (THA) and knee arthroplasty (TKA). Obesity and concomitant weight loss (and even gain) represent a fascinating, yet enigmatic aspect of arthroplasty care. Despite the use of body mass index (BMI) thresholds and cut-offs, considerable controversy and debate in the arthroplasty community exists regarding the management of these challenging patients. In fact, the editors of The Journal of Arthroplasty recently published an editorial on this very topic, discussing the impact of obesi...
Source: The Journal of Arthroplasty - April 4, 2024 Category: Orthopaedics Authors: Sean B. Sequeira, Giles R. Scuderi, Michael A. Mont Tags: Editorial Source Type: research
Characteristics and Quality of Online Searches for Direct Anterior Versus Posterior Approach for Total Hip Arthroplasty
We described commonly asked questions regarding the direct anterior versus posterior approach (DAA, PA) to total hip arthroplasty (THA) and the quality of associated websites. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - April 4, 2024 Category: Orthopaedics Authors: Renee Ren, Rodnell Busig ó-Torres, Graham Sabo, Juan Sebastian Arroyave Villada, Brocha Z. Stern, Darwin D. Chen, Brett L. Hayden, Jashvant Poeran, Calin S. Moucha Source Type: research
The Impact of the Comprehensive Unit-Based Safety Program on the Perioperative Efficiency and Patient Safety of Adult Hip and Knee Arthroplasty Procedures
The complexity of healthcare delivery systems presents a unique challenge for the perioperative space. In the area of arthroplasty procedures, the shift of complex patients into ambulatory surgery centers and reimbursement that is no longer commensurate with the inflated costs of performing these procedures have created difficulties for hospitals and physicians alike. Thus, there is a critical need to optimize perioperative workflows while maintaining high-quality care provision. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - April 4, 2024 Category: Orthopaedics Authors: Chinenye E. Ezeh, H. John Cooper, Michael G. Vitale, Erin Butrico, Daniella Camera, Kevin Lu, Contributors Source Type: research
Erratum to “Impaction Bone Grafting Augmented With a Wire Coil by the Lightbulb Technique for Osteonecrosis of the Femoral Head” [The Journal of Arthroplasty 37 (2022) 2063-2070]
The publisher regrets that the institution details given for the affiliation were incorrect in the original publication. The full and correct affiliation details are (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 29, 2024 Category: Orthopaedics Authors: Cheng-Ta Wu, Feng-Chih Kuo, Shih-Hsiang Yen, Po-Chun Lin, Jun-Wen Wang, Mel S. Lee Tags: Erratum Source Type: research
In Vivo Kinematics and Cruciate Ligament Tension Are Not Restored to Normal After Bicruciate-Preserving Arthroplasty
Whether cruciate ligament forces in cruciate-preserving designs, such as unicompartmental knee arthroplasty (UKA) or bi-cruciate-retaining total knee arthroplasty (BCR-TKA), differ from those in normal knees remains unknown. The purpose of this study was to compare the in vivo kinematics and cruciate ligament force in knees before and after UKA or BCR-TKA to those in normal knees during high-flexion activity. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 27, 2024 Category: Orthopaedics Authors: Kenichi Kono, Tetsuya Tomita, Takaharu Yamazaki, Hiroshi Inui, Sakae Tanaka, Darryl D. D ’Lima Tags: Proceedings of the Knee Society 2023 Source Type: research
How-To Create an Orthopaedic Systematic Review: A Step-by-Step Guide Part I: Study Design
Systematic reviews are conducted through a consistent and reproducible method to search, appraise, and summarize information. Within the evidence-based pyramid, systematic reviews can be at the apex when incorporating high-quality studies, presenting the strongest form of evidence given their synthesis of results from multiple primary studies to level IV evidence, depending on the studies they incorporate. When combined and supplemented with a meta-analysis using statistical methods to pool the results of three or more studies, systematic reviews are powerful tools to help answer research questions. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 27, 2024 Category: Orthopaedics Authors: Mitchell K. Ng, Matthew Magruder, Nathanael Heckmann, Ronald E. Delanois, Nicolas S. Piuzzi, Viktor E. Krebs, Michael A. Mont Source Type: research
In Vivo Kinematics and Cruciate Ligament Tension Are Not Restored to Normal After Bicruciate-Preserving Arthroplasty
Whether cruciate ligament forces in cruciate-preserving designs, such as unicompartmental knee arthroplasty (UKA) or bi-cruciate-retaining total knee arthroplasty (BCR-TKA), differ from those in normal knees remains unknown. The purpose of this study was to compare the in vivo kinematics and cruciate ligament force in knees before and after UKA or BCR-TKA to those in normal knees during high-flexion activity. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 27, 2024 Category: Orthopaedics Authors: Kenichi Kono, Tetsuya Tomita, Takaharu Yamazaki, Hiroshi Inui, Sakae Tanaka, Darryl D. D ’Lima Tags: Proceedings of the Knee Society 2023 Source Type: research
Who Are the Anatomic Outliers Undergoing Total Knee Arthroplasty? A Computed Tomography –Based Analysis of the Hip-Knee-Ankle Axis Across 1,352 Preoperative Computed Tomographies Using a Deep Learning and Computer Vision–Based Pipeline
Dissatisfaction after total knee arthroplasty (TKA) ranges from 15 to 30%. While patient selection may be partially responsible, morphological and reconstructive challenges may be determinants. Preoperative computed tomography (CT) scans for TKA planning allow us to evaluate the hip-knee-ankle axis and establish a baseline phenotypic distribution across anatomic parameters. The purpose of this cross-sectional analysis was to establish the distributions of 27 parameters in a pre-TKA cohort and perform threshold analysis to identify anatomic outliers. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 26, 2024 Category: Orthopaedics Authors: Joshua J. Woo, Faizaan R. Vidhani, Yibin B. Zhang, Reena J. Olsen, Danyal H. Nawabi, Wolfgang Fitz, Antonia F. Chen, Richard Iorio, Prem N. Ramkumar Tags: Proceedings of the Knee Society 2023 Source Type: research
Who Are the Anatomic Outliers Undergoing Total Knee Arthroplasty? A Computed Tomography (CT)-Based Analysis of the Hip-Knee-Ankle Axis Across 1,352 Preoperative CTs Using a Deep Learning and Computer Vision-Based Pipeline
Dissatisfaction after total knee arthroplasty (TKA) ranges from 15 to 30%. While patient selection may be partially responsible, morphological and reconstructive challenges may be determinants. Preoperative computed tomography (CT) scans for TKA planning allow us to evaluate the hip-knee-ankle axis and establish a baseline phenotypic distribution across anatomic parameters. The purpose of this cross-sectional analysis was to establish the distributions of 27 parameters in a pre-TKA cohort and perform threshold analysis to identify anatomic outliers. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 26, 2024 Category: Orthopaedics Authors: Joshua J. Woo, Faizaan R. Vidhani, Yibin B. Zhang, Reena J. Olsen, Danyal H. Nawabi, Wolfgang Fitz, Antonia Chen, Richard Iorio, Prem N. Ramkumar Tags: Proceedings of the Knee Society 2023 Source Type: research
Surgical Approach and Body Mass Index Impact Risk of Wound Complications Following Total Hip Arthroplasty
Previous studies have suggested that wound complications may differ by surgical approach after total hip arthroplasty (THA), with particular attention towards the direct anterior approach (DAA). However, there is a paucity of data documenting wound complication rates by surgical approach and the impact of concomitant patient factors, namely body mass index (BMI). This investigation sought to determine the rates of wound complications by surgical approach and identify BMI thresholds that portend differential risk. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 26, 2024 Category: Orthopaedics Authors: Harold I. Salmons, Dirk R. Larson, Cory G. Couch, Joshua S. Bingham, Cameron K. Ledford, Robert T. Trousdale, Michael J. Taunton, Cody C. Wyles Tags: 2023 AAHKS Proceedings Source Type: research
No Difference in Limb Alignment Between Kinematic and Mechanical Alignment Robotic-Assisted Total Knee Arthroplasty
This study aimed to compare postoperative alignment between kinematic alignment (KA) and mechanical alignment (MA) and assess whether KA significantly deviates from the principle of aligning the limb as close to neutral alignment as possible. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 26, 2024 Category: Orthopaedics Authors: Theofilos Karasavvidis, Cale A. Pagan, Eytan Debbi, David J. Mayman, Seth A. Jerabek, Jonathan M. Vigdorchik Tags: Proceedings of the Knee Society 2023 Source Type: research
Highly Cross-linked Polyethylene in Patients 50 Years of Age and Younger: A 20-year Follow-up Analysis
Highly cross-linked polyethylene (HXLPE) has been an excellent bearing for total hip arthroplasty (THA) due to improved wear characteristics compared to conventional materials. Patients 50 years of age or younger are at high risk for wear-related complications of their THA, and few studies have followed these patients who have HXPLE into the third decade. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 26, 2024 Category: Orthopaedics Authors: Bradford P. Zitsch, Kevin M. Cahoy, Nathanael D. Urban, Brandt C. Buckner, Kevin L. Garvin Tags: Proceedings of the Hip Society 2023 Source Type: research
