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
What Is the True Impact of Periprosthetic Joint Infection Diagnosis on Mortality?
Mortality is a quality indicator that may affect expenditures. Revisions for periprosthetic joint infection (PJI) are, on average, more expensive and exhibit higher morbidity than aseptic-revisions, though reimbursement is similar. Therefore, we sought to determine: (1) impact on mortality rates of revision total hip (THA) and/or knee (TKA) arthroplasty performed for PJI diagnosis (septic) versus aseptic-revisions, at any point in time, and (2) mortality predictors among PJI patients. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 26, 2024 Category: Orthopaedics Authors: Jesus M. Villa, Katherine Rajschmir, Shu Lin, Carlos A. Higuera-Rueda Tags: 2023 AAHKS Proceedings Source Type: research
Is Tibial Bone Mineral Density Related to Sex, Age, Preoperative Alignment, or Fixation Method in Primary Total Knee Arthroplasty?
Cementless total knee arthroplasty (TKA) has regained interest for its potential for long-term biologic fixation. The density of the bone is related to its ability to resist static and cyclic loading and can affect long-term implant fixation; however, little is known about the density distribution of periarticular bone in TKA patients. Thus, we sought to characterize the bone mineral density (BMD) of the proximal tibia in TKA patients. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 26, 2024 Category: Orthopaedics Authors: Tracy M. Borsinger, Fernando J. Quevedo Gonzalez, Cale A. Pagan, Theofilos Karasavvidis, Peter K. Sculco, Timothy M. Wright, Cynthia A. Kahlenberg, Joseph D. Lipman, Eytan M. Debbi, Jonathan M. Vigdorchik, David J. Mayman Tags: Proceedings of the Knee Society 2023 Source Type: research
Debridement, Antibiotics, and Implant Retention in Unicompartmental Knee Arthroplasty Infection
This multi-center study sought to further investigate the method and outcome of debridement, antibiotics, and implant retention (DAIR) for the management of unicompartmental knee periprosthetic joint infection (PJI). (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 26, 2024 Category: Orthopaedics Authors: Kyle L. McCormick, Winnie Xu, Nicholas F. Cozzarelli, David Crawford, Eric J. Wilson, Keith Berend, Kevin B. Fricka, Jess H. Lonner, Jeffrey A. Geller Tags: Proceedings of the Knee Society 2023 Source Type: research
Clostridium difficile Infection Prior to Total Hip Arthroplasty Independently Increases the Risk of Periprosthetic Joint Infection
Periprosthetic joint infection (PJI) following total hip arthroplasty (THA) is associated with major morbidity. There may be a link between the gut microbiome and an individual ’s overall immune system. A Clostridium difficile infection portends poor gut microbiome health and has been previously associated with increased 90-day complication rates in total joint arthroplasty (TJA). The purpose of this study was to determine the effect of a previous history of C. difficile infection within two years of undergoing THA on PJI within two years postoperatively. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 26, 2024 Category: Orthopaedics Authors: David G. Deckey, Sayi P. Boddu, Jens T. Verhey, Stephen A. Doxey, Mark J. Spangehl, Henry D. Clarke, Joshua S. Bingham Tags: 2023 AAHKS Proceedings Source Type: research
Contribution of the Medial Iliofemoral Ligament to Hip Stability After Total Hip Arthroplasty Through the Direct Anterior Approach
Dislocation after total hip arthroplasty (THA) is a primary reason for THA revision. During THA through the direct anterior approach (DAA), the iliofemoral ligament, which provides the main resistance to external rotation (ER) of the hip, is commonly partially transected. We asked: (1) what is the contribution of the medial iliofemoral ligament to resisting ER after DAA THA? and (2) how much resistance to ER can be restored by repairing the ligament? (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 25, 2024 Category: Orthopaedics Authors: Jennifer Bido, Kathleen N. Meyers, Fernando Quevedo Gonzalez, Clarisse Zigan, Timothy M. Wright, Jose A. Rodriguez Tags: Proceedings of the Hip Society 2023 Source Type: research
Three Differing Methods of Treating Intraoperative Nondisplaced Calcar Fractures Demonstrate Similar Radiographic Stem Subsidence
Several management strategies have been described to treat intraoperative calcar fractures during total hip arthroplasty (THA), including retaining the primary implant and utilizing cerclage cables (CCs) or switching the implant to one that bypasses the fracture and achieves diaphyseal fixation. However, the radiographic and clinical outcomes of these differing strategies have never been described and compared. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 25, 2024 Category: Orthopaedics Authors: Enrico M. Forlenza, John D.D. Higgins, Timothy C. Keating, Richard A. Berger, Craig J. Della Valle, Scott M. Sporer Tags: Proceedings of the Hip Society 2023 Source Type: research
Contribution of the Medial Ilio-femoral Ligament to Hip Stability After Total Hip Arthroplasty Through the Direct Anterior Approach
Dislocation after total hip arthroplasty (THA) is a primary reason for THA revision. During THA through the direct anterior approach (DAA), the ilio-femoral ligament, which provides the main resistance to external rotation of the hip, is commonly partially transected. We asked: (1) what is the contribution of the medial ilio-femoral ligament to resisting external rotation after DAA THA? and (2) how much resistance to external rotation can be restored by repairing the ligament? (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 25, 2024 Category: Orthopaedics Authors: Jennifer Bido, Kathleen N. Meyers, Fernando Quevedo Gonzalez, Clarisse Zigan, Timothy Wright, Jose A. Rodriguez Tags: Proceedings of the Hip Society 2023 Source Type: research
Three Differing Methods of Treating Intraoperative Non-Displaced Calcar Fractures Demonstrate Similar Radiographic Stem Subsidence
Several management strategies have been described to treat intraoperative calcar fractures during total hip arthroplasty (THA), including retaining the primary implant and utilizing cerclage cables or switching the implant to one that bypasses the fracture and achieves diaphyseal fixation. However, the radiographic and clinical outcomes of these differing strategies have never been described and compared. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 25, 2024 Category: Orthopaedics Authors: Enrico M. Forlenza, John D.D. Higgins, Timothy C. Keating, Richard A. Berger, Craig J. Della Valle, Scott Sporer Tags: Proceedings of the Hip Society 2023 Source Type: research
Kinematic Alignment Technique Outperforms Mechanical Alignment in Simultaneous Bilateral Total Knee Arthroplasty: A Randomized Controlled Trial
The aim of this study was to compare the clinical results of kinematic alignment (KA) with those of mechanical alignment (MA) in single-stage bilateral total knee arthroplasty (TKA). (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 25, 2024 Category: Orthopaedics Authors: Mohammad Mahdi Sarzaeem, Mohammad Movahedinia, Alireza Mirahmadi, Mansour Abolghasemian, Mahdi Tavakoli, Farzad Amouzadeh Omrani Source Type: research
A Consecutive Series of Vancouver B2 Periprosthetic Femur Fractures Treated With Contemporary Monoblock Versus Modular Revision Stems: Clinical and Radiographic Outcomes
Tapered fluted titanium (TFT) stems are the implant design of choice for managing Vancouver B2 periprosthetic femur fractures (PFFs), producing reliable results over the past few decades. The aim of this study was to compare the radiographic and clinical outcomes of Vancouver B2 PFFs treated with contemporary monoblock versus modular TFTs. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 25, 2024 Category: Orthopaedics Authors: Breana R. Siljander, Sonia Chandi, Francesca Coxe, Joseph T. Nguyen, Peter K. Sculco, Brian P. Chalmers, Mathias P. Bostrom, Elizabeth B. Gausden Tags: Proceedings of the Hip Society 2023 Source Type: research
Lower Rates of Re-Operation Following Partial or Complete Revision Arthroplasty Compared to Debridement, Antibiotics, and Implant Retention for Early Postoperative and Acute Hematogenous Periprosthetic Hip Infection.
This study aimed to: 1) compare treatment outcomes between debridement, antibiotics, and implant retention (DAIR) and partial or complete revision arthroplasty (RA) for early postoperative and acute hematogenous total hip arthroplasty (THA) periprosthetic joint injection (PJI) and 2) identify factors associated with treatment outcome. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 24, 2024 Category: Orthopaedics Authors: Nicholas Tubin, Jonathan Bourget-Murray, Antoine Bureau, Jared Morris, Marisa Ann Azad, Hesham Abdelbary, George Grammatopoulos, Simon Garceau Source Type: research
Unseen Threefold Mortality After The First Ten Days in Hemodialysis Patients Following Joint Arthroplasty: A Nationwide Retrospective Cohort Study of 1,287 Arthroplasty Patients on Hemodialysis
This study aimed to examine early outcomes in a large nationwide cohort of patients who underwent arthroplasty for elective and fracture-related reasons. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 22, 2024 Category: Orthopaedics Authors: Murat Birinci, Ömer Serdar Hakyemez, Oğuzhan Korkmaz, İzzet Bingöl, Naim Ata, M. Mahir Ülgü, Şuayip Birinci, Mustafa Okan Ayvalı, Kerem Başarır, İbrahim Azboy Source Type: research
