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Journal J Arthroplasty

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Occupational Hazards to the Joint Replacement Surgeon: How Can Technology Help Prevent Injury?

Haley G Canoles, Jonathan M Vigdorchik,

Occupational hazards pose varying threats to the joint replacement surgeon. Musculoskeletal pain due to the repetitive nature of performing joint arthroplasty is felt daily by most surgeons. The purpose of this paper is to offer a basic introduction and demonstrate the many ways technology utilized during total joint arthroplasty can ... Read more >>

J Arthroplasty (The Journal of arthroplasty)
[2022, :]

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Minimum 5 year outcomes of a Multi Centre, Prospective, Randomised Control Trial Assessing Clinical and Radiological Outcomes of Patient Specific Instrumentation In Total Knee Arthroplasty.

M Hampton, C Blakey, A Anderson, W Tomouk, S Buckley, A Hamer, P Sutton,

<h4>Introduction</h4>Patient specific instrumentation (PSI) was developed to produce more accurate alignment of components and consequently improve clinical outcomes when used in total knee arthroplasty (TKA). We compare radiological accuracy and clinical outcomes at a minimum of five-years follow-up between patients randomised to undergo TKA performed using PSI, or traditional cutting ... Read more >>

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[2022, :]

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Midterm Survivorship of Robotic-Assisted Lateral Unicompartmental Knee Arthroplasty.

Nathanael D Heckmann, Joseph K Antonios, Xiao T Chen, Hyunwoo Paco Kang, Brian C Chung, Amit S Piple, Alexander B Christ, Paul K Gilbert,

<h4>Background</h4>Lateral unicompartmental knee arthroplasty (UKA) is a popular alternative to total knee arthroplasty (TKA) for patients with isolated lateral compartment osteoarthritis. Few studies have investigated outcomes following robotic-assisted lateral UKA. The purpose of this study was to evaluate mid-term survivorship and patient-reported outcomes of robotic-assisted lateral UKA.<h4>Methods</h4>A retrospective case series ... Read more >>

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[2022, :]

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Extended Oral Antibiotics Increase Bacterial Resistance in Patients who Fail Two-Stage Exchange for Periprosthetic Joint Infection.

Mick P Kelly, Jeremy M Gililland, Brenna E Blackburn, Lucas A Anderson, Christopher E Pelt, Laura Certain,

<h4>Background</h4>While studies have demonstrated reductions in recurrent periprosthetic joint infection (PJI) with administration of prolonged oral antibiotics at second-stage reimplantation, the potential for increasing bacterial resistance has not been studied. The purpose of this study was to determine if oral antibiotics at second stage reimplantation increased the rate of antibiotic ... Read more >>

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[2022, :]

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Reduced Infection Rate after Aseptic Revision Total Knee Arthroplasty with Extended Oral Antibiotic Protocol.

Matthieu Zingg, Michael M Kheir, Mary Ziemba-Davis, R Michael Meneghini,

<h4>Background</h4>The optimal postoperative antibiotic duration has not been determined for aseptic revision total knee arthroplasty (R-TKA) where the risk of periprosthetic joint infection (PJI) is 3 to 7.5%. This study compared PJI rates in aseptic R-TKA performed with extended oral antibiotic prophylaxis (EOAP) to published rates.<h4>Methods</h4>Aseptic R-TKAs consecutively performed between ... Read more >>

J Arthroplasty (The Journal of arthroplasty)
[2022, :]

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Long Term Results of Two-Stage Revision for Chronic Periprosthetic Knee Infection: A Multicenter Study.

Beau J Kildow, Bryan D Springer, Timothy S Brown, Elizabeth Lyden, Thomas K Fehring, Kevin L Garvin,

<h4>Background</h4>Long-term reinfection and mortality rates and clinical outcomes with sufficient subject numbers remain limited for patients undergoing two-stage exchange arthroplasty for chronic periprosthetic knee infections. The purpose of this study was to determine the long-term reinfection, complication, and mortality following reimplantation for two-stage exchange following knee arthroplasty.<h4>Methods</h4>Retrospective review of 178 ... Read more >>

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[2022, :]

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Bearing separation from the lateral wall of the tibial component is a risk of anterior dislocation of the mobile-bearing in Oxford unicompartmental knee arthroplasty.

Takafumi Hiranaka, Yoshihito Suda, Tomoyuki Kamenaga, Takaaki Fujishiro, Motoki Koide, Akira Saitoh, Atsuki Tanaka, Akihiko Arimoto, Koji Okamoto,

<h4>Background</h4>Bearing dislocation is a serious complication after Oxford unicompartmental knee arthroplasty (UKA). Bearing separation from the lateral wall can cause it to spin (90° horizontal rotation) and eventually dislocate because there is just a 2 mm difference in height in both the lateral and medial sides from the bottom of ... Read more >>

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[2022, :]

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Reducing Narcotic Usage with 0.5% Bupivacaine Periarticular Injections in Total Knee Arthroplasty.

Andrew Hagar, Christopher J Fang, Joseph Dannenbaum, Eric L Smith, James V Bono, Carl T Talmo,

<h4>Background</h4>Periarticular injections (PAI) and adductor canal blocks (ACB) are widely accepted pain management strategies for total knee arthroplasty (TKA); however, the optimal anesthetic concentration to provide adequate pain relief while avoiding toxicity remains controversial. The purpose of this study was to evaluate the efficacy of different anesthetic concentrations for PAI ... Read more >>

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[2022, :]

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Preoperative prophylactic antibiotics in total hip and knee arthroplasty: What, When and How.

Mark Spangehl,

While there are numerous non-patient related factors that may help reduce infection risk, the proper use of prophylactic antibiotic is most responsible for reducing infection. The role of prophylactic antibiotics is to reduce early PJI which is accomplished by having adequate antibiotic tissue levels at the time of skin incision. ... Read more >>

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[2022, :]

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Do Modular Dual Mobility Cups offer a reliable benefit? Minimum Five-year Follow-up of the first 102 Modular Tritanium-MDM Cups.

Jean-Alain Epinette, Remy Coulomb, Sarah Pradel, Pascal Kouyoumdjian,

<h4>Background</h4>Among various options suggested to prevent hip instability after total hip replacement (THR), the MDM-Tritanium (Modular Dual Mobility) cup features a cobalt-chrome liner (CoCr) positioned in a; titanium acetabular shell and matched with a mobile insert in highly cross-linked annealed X3; polyethylene. The purpose of this study aimed to confirm ... Read more >>

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[2022, :]

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Global publication trends and research hotspots of revision hip and knee arthroplasty: A 21-year bibliometric approach.

Cheng Li, Haiyang Wu, Zhiming Sun, Zihao Chen, Andrej Trampuz,

<h4>Background</h4>As the number of primary hip and knee arthroplasties increases, revision cases correspondingly demonstrate high relative growth, gaining increasing attention. The present research aimed to investigate subject characteristics in revision hip and knee arthroplasty (RHKA) research using a bibliometric approach.<h4>Methods</h4>Publications related to RHKA from 2000 to 2020 were searched in ... Read more >>

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[2022, :]

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What are Drivers of Readmission for Readmission-Requiring Venous Thromboembolic Events after Primary Total Hip Arthroplasty?; An Analysis of 544,443 cases.

William Zuke, Morad Chughtai, Ahmed K Emara, Guangjin Zhou, Siran Kourkian, Robert M Molloy, Nicolas S Piuzzi,

<h4>Background</h4>Venous Thromboembolism(VTE) is a potential post-operative complication after total hip arthroplasty(THA). These events present with a range of severity, some require readmission. The present study aimed to identify unexplored risk factors for severe VTE that lead to hospital readmission.<h4>Methods</h4>The Agency of Healthcare Research and Quality's(AHRQ's) National Readmissions Database(NRD) was retrospectively ... Read more >>

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[2022, :]

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Time-Driven Activity-Based Costing in Preoperative Tasks for Total Hip and Knee Arthroplasty.

David S Constantinescu, Sagie Haziza, Dennis J Vanden Berge, Colin A McNamara, Victor H Hernandez, Michele R D'Apuzzo,

<h4>Background</h4>Substantial work in the preoperative phase of total hip arthroplasty (THA) and total knee arthroplasty (TKA) is unaccounted for in current Relative Value Scale Update Committee (RUC) methodology. A Time-Driven Activity-Based Costing (TDABC) analysis allows for an accurate assessment of the preoperative costs associated with total joint replacement surgery.<h4>Methods</h4>The mean ... Read more >>

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Hospital Charges are Not Associated with Episode of Care Costs or Complications Following Total Joint Arthroplasty.

Taylor D'Amore, Graham S Goh, P Maxwell Courtney, Gregg R Klein,

<h4>Background</h4>The Centers for Medicare and Medicaid Services (CMS) now requires hospitals to publish charges for commonly performed procedures. This study aimed to evaluate compliance with the price transparency mandate and to determine if there is a correlation between hospital charges and episode-of-care claims costs and outcomes following total hip (THA) ... Read more >>

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[2022, :]

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The incidence and temporal trends of dislocation following the use of constrained acetabular components and dual mobility implants in primary total hip replacements: a systematic review and meta-analysis of longitudinal observational studies.

Richard L Donovan, Harvey Johnson, Sherwin Fernando, Michael Foxall-Smith, Michael R Whitehouse, Ashley W Blom, Setor K Kunutsor,

<h4>Background</h4>Dislocation after a primary total hip replacement (pTHR) remains a common cause of treatment failure. Constrained acetabular components (CACs) and dual mobility implants (DMIs) may mitigate this in patients at high risk of dislocation or with significant intra-operative instability. This meta-analysis evaluated the incidence and temporal trends of dislocation following ... Read more >>

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[2022, :]

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Aspirin Administered for Venous Thromboembolism Prophylaxis May Protect Against Stiffness Following Total Knee Arthroplasty.

Noam Shohat, Leanne Ludwick, Ryan Sutton, Emanuele Chisari, Javad Parvizi,

<h4>Background</h4>Aspirin has become the main agent for venous thromboembolism (VTE) prophylaxis following total knee arthroplasty (TKA). This study assesed whether aspirin is associated with less knee stiffness compared to warfarin and other chemoprophylaxis agents.<h4>Methods</h4>This was a retrospective review of all primary and revision TKA performed between January 2009 and October ... Read more >>

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[2022, :]

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Time Required for Planned and Unplanned Episodes of Care in Septic Two-Stage Revision Hip and Knee Arthroplasty.

Luci Hulsman, Mary Ziemba-Davis, Shelly A Hicks, R Michael Meneghini, Leonard T Buller,

<h4>Background</h4>Septic revision total hip (rTHA) and knee (rTKA) arthroplasty requires more effort but is reimbursed less than primary procedures per minute of intraoperative time. This study quantified planned and unplanned work performed by the surgical team for septic two-stage revision surgeries during the entire episode of care "reimbursement window" and ... Read more >>

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[2022, :]

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Dexamethasone Attenuate the Perioperative Acute Phase Response for Simultaneous Bilateral Total Hip Arthroplasty.

Xing Wang, Wenyu Jiang, Qiang Huang, Fuxing Pei,

<h4>Background</h4>This study aimed to evaluate the effect of perioperative dexamethasone on acute phase response (APR) after simultaneous bilateral total hip arthroplasty (SimBTHA).<h4>Methods</h4>A retrospective case-control study was performed on 177 SimBTHA procedures. The patients were divided into 2 cohorts: patients receiving perioperative dexamethasone and patients in whom no dexamethasone was administered. ... Read more >>

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Indication for Proximal Femoral Replacement is Associated with Risk of Failure.

Athan G Zavras, Michael P Fice, Navya Dandu, David M Rossi, Steven Gitelis, Alan T Blank, Brett R Levine, Matthew W Colman,

<h4>Background</h4>Proximal femoral replacement (PFR) is reserved as a salvage procedure following failed total hip arthroplasty (THA) or after wide margin resection of tumors involving the proximal femur. Although failure of the PFR construct remains a significant problem, indication has not previously been investigated as a risk factor for failure.<h4>Methods</h4>This study ... Read more >>

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Patterns and predictors of weight change before and after total hip arthroplasty in Class 2 and 3 obese patients.

Mark Wu, Niall Cochrane, Billy Kim, Elshaday Belay, Jeffrey O'Donnell, Sean P Ryan, William A Jiranek, Thorsten M Seyler,

<h4>Introduction</h4>This study aimed to better understand BMI change patterns and factors associated with BMI change before and after total hip arthroplasty (THA) in Class 2 and 3 obese patients, and assess if pre- or post-operative BMI change affects post-operative clinical outcomes.<h4>Methods</h4>We retrospectively reviewed World Health Organization Class 2 and 3 ... Read more >>

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Outpatient Simultaneous Bilateral Total Knee Arthroplasty: Is it Safe?

Andrew B Harris, Kevin Y Wang, Kevin Mo, Alex Gu, Sandesh S Rao, Savyasachi C Thakkar,

<h4>Introduction</h4>It is currently unknown if simultaneous bilateral total knee arthroplasty (si-BTKA) can also be safely performed in the outpatient setting. The primary aim of this study was to compare 30-day postoperative complication rates between outpatient and inpatient si-BTKA.<h4>Methods</h4>Adults undergoing simultaneous bilateral total knee arthroplasty (si-BTKA) from 2015-2019 were queried using ... Read more >>

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[2022, :]

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Tourniquet Use is Associated with Reduced Blood Loss and Fewer Reoperations in Aseptic Revision Total Knee Arthroplasty.

Vivek Singh, Joseph X Robin, Benjamin Fiedler, Joshua C Rozell, Ran Schwarzkopf, Vinay K Aggarwal,

<h4>Introduction</h4>Although tourniquet use in primary total knee arthroplasty (TKA) has been widely studied, the outcomes associated with tourniquet use in revision TKA (rTKA) remains relatively unexplored. This study investigates surgical outcomes and patient satisfaction in association with tourniquet use during aseptic rTKA.<h4>Methods</h4>We retrospectively reviewed all patients who underwent rTKA for ... Read more >>

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[2022, :]

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Repetitive Musculoskeletal Injuries: A Survey of Female Adult Reconstruction Surgeons.

Anna R Cohen-Rosenblum, Nathan H Varady, Olivia Leonovicz, Antonia F Chen,

<h4>Background</h4>Occupational injuries are a prevalent and costly problem for orthopaedic surgeons, especially arthroplasty surgeons performing physically demanding and repetitive tasks. The purpose of this study was to characterize musculoskeletal occupational injuries in female adult reconstruction surgeons.<h4>Methods</h4>A prospective survey about workplace musculoskeletal injuries was distributed to female attending adult reconstruction surgeons ... Read more >>

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[2022, :]

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Tempering Expectations for Outpatient Total Knee Arthroplasty for Patients Over 70.

Riley N Adachi, Krystin K Wong, Brian R Buchner, Samantha Andrews, Cass Nakasone,

<h4>Background</h4>Total knee arthroplasty (TKA) is now considered an outpatient procedure, yet advanced age impacts patients' ability to achieve outpatient discharge. Therefore, the purpose of this study was to determine the rate of successful outpatient discharge for TKA patients above 70 years of age and identify potential barriers to success.<h4>Methods</h4>This retrospective ... Read more >>

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Practice Management Strategies Among Current Members of the American Association of Hip and Knee Surgeons.

Jay R Lieberman, Antonia F Chen, Richard Iorio,

<h4>Background</h4>A survey was conducted at the 2021 Annual Meeting of the American Association of Hip and Knee Surgeons (AAHKS) to evaluate current practice management strategies among AAHKS members.<h4>Methods</h4>An app was used by AAHKS members to answer both multiple choice and yes or no questions. Specific questions were asked regarding the ... Read more >>

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