The Impact of Mental Health on Patient Outcomes After Total Knee and Hip Arthroplasty
Mental health plays a key role in how we perceive and interact with the world around us. It affects a person ’s outlook on life, how they address challenges, and how they respond to the good and bad that occur in daily life. Mental health and successful total joint arthroplasty are intimately connected. A patient who has normal mental health is more likely to use fewer narcotics, have greater improvement s in clinical outcomes early in the post-operative period, and maintain those outcomes as time goes on.[1,2] There is growing interest in patient mental health and their perceptions after total joint arthroplasty.[3–6]...
Source: The Journal of Arthroplasty - March 7, 2024 Category: Orthopaedics Authors: Giles R. Scuderi, Sean Bonanni, Michael A. Mont Tags: Editorial Source Type: research
Goals of Care: A Patient Centered Assessment
Providing timely, compassionate care for geriatric hip fracture patients is challenging. Continued efforts should be taken to encourage communication at key points of patient care to better discuss prognosis and recovery that focus on patients ’ goals and values. We should never take any fractures for granted as if “this is easy, I have treated this one before,” since no two fractures are exactly the same. The scenarios as well as the patients’ preferences vary, so a patient-centered assessment of their goals of care is essential. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 7, 2024 Category: Orthopaedics Authors: Giles R. Scuderi, Michael A. Mont Tags: Editorial Source Type: research
Cementless Total Knee Arthroplasty: A Resurgence —Who, When, Where, and How?
Total knee arthroplasty (TKA) is one of the most common procedures in orthopaedics, but there is still debate over the optimal fixation method for long-term durability: cement versus cementless bone ingrowth. Recent improvements in implant materials and technology have offered the possibility of cementless TKA to change clinical practice with durable, stable biological fixation of the implants, improved operative efficiency, and optimal long-term results, particularly in younger and more active patients. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 6, 2024 Category: Orthopaedics Authors: Zachary A. Mosher, Michael P. Bolognesi, Arthur L. Malkani, R. Michael Meneghini, Julius K. Oni, Kevin B. Fricka Tags: 2023 AAHKS Annual Meeting Symposium Source Type: research
Risk Factors for Return to the Emergency Department and Readmission After Same-Day Discharge Total Joint Arthroplasty
Same day discharge (SDD) after total joint arthroplasty (TJA) is safe and cost effective. However, benefits may be offset by the potential cost of emergency department (ED) visits and readmissions. We identified risk factors for return to the ED and readmission in patients who underwent SDD and inpatient (IP) stays after TJA. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 6, 2024 Category: Orthopaedics Authors: Emily A. Treu, Brenna E. Blackburn, Michael J. Archibeck, Christopher L. Peters, Christopher E. Pelt, Jeremy M. Gililland, Lucas A. Anderson Source Type: research
Cementless Total Knee Arthroplasty: A Resurgence — Who, When, Where, and How?
Total knee arthroplasty (TKA) is one of the most common procedures in orthopaedics, but there is still debate over the optimal fixation method for long-term durability: cement versus cementless bone ingrowth. Recent improvements in implant materials and technology have offered the possibility of cementless TKA to change clinical practice with durable, stable biological fixation of the implants, improved operative efficiency, and optimal long-term results, particularly in younger and more active patients. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 6, 2024 Category: Orthopaedics Authors: Zachary A. Mosher, Michael P. Bolognesi, Arthur L. Malkani, R. Michael Meneghini, Julius K. Oni, Kevin B. Fricka Tags: 2023 AAHKS Annual Meeting Symposium Source Type: research
Practice Management Strategies Among Current Members of the American Association of Hip and Knee Surgeons
A survey was conducted at the 2023 Annual Meeting of the American Association of Hip and Knee Surgeons (AAHKS) to assess practice management strategies among current AAHKS members. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 6, 2024 Category: Orthopaedics Authors: Jay R. Lieberman, Ran Schwarzkopf, Javad Parvizi Tags: 2023 AAHKS Annual Meeting Symposium Source Type: research
Implementing New Technology in Your Arthroplasty Practice
In the dynamic landscape of modern healthcare, the development of novel technologies has become increasingly common. Due to the increasing number of advancements being pushed to market, there is increasing pressure on arthroplasty surgeons from industry, peers, and patients to adopt new technology. Many contemporary advancements in the field of arthroplasty are in the form of digital technologies, such as artificial intelligence (AI), robotics, additive manufacturing, smart sensors, or augmented reality. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 6, 2024 Category: Orthopaedics Authors: Johnathan R. Lex, Jesse I. Wolfstadt, Anna R. Cohen-Rosenblum, David C. Landy, Jenna A. Bernstein Tags: Editorial Source Type: research
Finding the Optimal Screening Test for Periprosthetic Joint Infection: A Prospective Study
This study aimed to determine the utility of standard-of-care serological tests as a screening tool for PJI in patients undergoing revision arthroplasty. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 5, 2024 Category: Orthopaedics Authors: Saad Tarabichi, Juan D. Lizcano, Elizabeth A. Abe, Graham S. Goh, Colin M. Baker, Javad Parvizi Source Type: research
Finding the Optimal Serological Screening Test for Periprosthetic Joint Infection: A Prospective Study
This study aimed to determine the utility of standard-of-care serological tests as a screening tool for PJI in patients undergoing revision arthroplasty. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 5, 2024 Category: Orthopaedics Authors: Saad Tarabichi, Juan D. Lizcano, Elizabeth A. Abe, Graham S. Goh, Colin M. Baker, Javad Parvizi Source Type: research
Total Hip Arthroplasty in Human Immunodeficiency Virus Positive Patients: A Systematic Review of Outcomes
Total hip arthroplasty (THA) has become a common intervention for Human Immunodeficiency Virus (HIV)-positive patients who have osteonecrosis of the femoral head. This paper provides a systematic review to assess survivorships, patient-reported outcomes (PROMs), infection rates, other complications, and immune competence for patients who had THAs who did and did not have HIV. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 5, 2024 Category: Orthopaedics Authors: Alexandra Baker Lutz, Deepak V. Patel, Christopher Bibbo, Ian S. Hong, Daniel Hameed, Jeremy Dubin, Michael A. Mont Source Type: research
Surgery Within 24 Hours Reduces Mortality and General Complication Rates in Patients Who Have Periprosthetic Femoral Fractures at the Hip
In patients who have hip fractures, treatment within 24 hours reduces mortality and complication rates. A similar relationship can be assumed for patients who have hip periprosthetic fractures (PPF) owing to the similar baseline characteristics of the patient populations. This monocentric retrospective study aimed to compare the complication and mortality rates in patients who had hip PPF treated within and after 24 hours. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 2, 2024 Category: Orthopaedics Authors: Christian Wulbrand, Bernd F üchtmeier, Markus Weber, Christoph Eckstein, Alexander Hanke, Franz Müller Source Type: research
The Impact of Preoperative Weight Loss Timing on Surgical Outcomes in Total Hip Arthroplasty
This study evaluated patients who had initial BMIs between 40 and 50, and then achieved a BMI under 35 at various intervals before their THA. Comparisons were made with consistent obese and non-obese groups to understand potential complications. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 1, 2024 Category: Orthopaedics Authors: Craig Shul, Daniel Hameed, Brittany Oster, Jeremy A. Dubin, Sandeep S. Bains, Michael A. Mont, Aaron J. Johnson Source Type: research
Decreased Patellar Fractures and Subluxation with Patellar Component Replacement at Stage-One Spacer
Periprosthetic joint infection (PJI) is a devastating complication of total knee arthroplasty (TKA) and is often treated with two-stage revision. We retrospectively assessed whether replacing the patellar component with articulating stage-one spacers was associated with improved outcomes compared to spacers without patellar component replacement. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - March 1, 2024 Category: Orthopaedics Authors: Joshua P. Rainey, Brenna E. Blackburn, Zachary Moore, Michael J. Archibeck, Christopher E. Pelt, Lucas A. Anderson, Jeremy M. Gililland Tags: Proceedings of the Knee Society 2023 Source Type: research
The AAHKS Clinical Research Award: Extended Postoperative Oral Tranexamic Acid in Total Knee Arthroplasty: A Randomized Controlled Pilot Study
Perioperative tranexamic acid (TXA) use with total knee arthroplasty (TKA) is widely accepted today. Recently, a few international groups have published on the safety and outcomes of extending TXA use in the postoperative period. Through a double-blinded, randomized control trial (RCT), we aimed to investigate the safety and clinical efficacy of extended postoperative oral TXA use in TKA performed in an American, free-standing ambulatory surgery center (ASC). (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - February 29, 2024 Category: Orthopaedics Authors: Mateo J. Kirwan, Zachary R. Diltz, Derek T. Dixon, Carlos A. Rivera-Peraza, Christal J. Gammage, Willliam M. Mihalko, James W. Harkess, James L. Guyton, John R. Crockarell, Marcus C. Ford Tags: 2023 AAHKS Award Paper Source Type: research
AAHKS Clinical Research Award: Extended Postoperative Oral Tranexamic Acid in Total Knee Arthroplasty: A Randomized Controlled Pilot Study
Perioperative tranexamic acid (TXA) use with total knee arthroplasty (TKA) is widely accepted today. Recently, a few international groups have published on the safety and outcomes of extending TXA use in the postoperative period. Through a double-blinded, randomized control trial, we aimed to investigate the safety and clinical efficacy of extended postoperative oral TXA use in TKA performed in an American, free-standing ambulatory surgery center (ASC). (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - February 29, 2024 Category: Orthopaedics Authors: Mateo J. Kirwan, Zachary R. Diltz, Derek T. Dixon, Carlos A. Rivera-Peraza, Christal J. Gammage, Willliam M. Mihalko, James W. Harkess, James L. Guyton, John R. Crockarell, Marcus C. Ford Tags: 2023 AAHKS Award Paper Source Type: research
