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Journal J Arthroplasty

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Nuisance Symptoms in Total Joint Arthroplasty: Prevalence and Impact on Patient Satisfaction.

Thomas J Wood, Danielle T Petruccelli, Daniel M Tushinski, Mitchell J Winemaker, Justin de Beer,

BACKGROUND:While hip and knee total joint arthroplasty (TJA) patients experience marked improvement in pain relief and function, many patients experience nuisance symptoms, which may cause discomfort and dissatisfaction. METHODS:A prospective survey study to determine type and prevalence of hip/knee TJA nuisance symptoms and impact on patient satisfaction at 1 year ... Read more >>

J Arthroplasty (The Journal of arthroplasty)
[2019, :]

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Monoflanged Custom-Made Acetabular Components Promote Biomechanical Restoration of Severe Acetabular Bone Defects by Metallic Defect Reconstruction.

Sebastian G Walter, Thomas M Randau, Nadine Gravius, Sascha Gravius, Frank S Fröschen,

BACKGROUND:Custom-made acetabular components (CMAC) are one established method to address severe acetabular bone defects. Monoflanged CMAC may represent an advantageous alternative to establish triflanged CMAC as they promote better primary stability through metallic defect reconstruction and thus anatomic restoration of the center of rotation (COR). METHODS:Fifty-eight consecutive (21 triflanged and ... Read more >>

J Arthroplasty (The Journal of arthroplasty)
[2019, :]

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Tranexamic Acid Is Associated With Reduced Periprosthetic Joint Infection After Primary Total Joint Arthroplasty.

Hamidreza Yazdi, Mitchell R Klement, Mohammed Hammad, Daisuke Inoue, Chi Xu, Karan Goswami, Javad Parvizi,

BACKGROUND:Previous studies have demonstrated preoperative anemia to be a strong risk factor for periprosthetic joint infection (PJI) in total joint arthroplasty (TJA). Allogeneic blood transfusion can be associated with increased risk of PJI after primary and revision TJA. Tranexamic acid (TXA) is known to reduce blood loss and the need ... Read more >>

J Arthroplasty (The Journal of arthroplasty)
[2019, :]

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Effect of Posthospital Syndrome on Discharge Disposition and Healthcare Utilization After Primary Total Joint Arthroplasty.

Shepard P Johnson, Peter R Swiatek, Kevin C Chung,

BACKGROUND:The aim of this study is to evaluate the impact of posthospital syndrome (PHS), a physiologically deconditioned state experienced by patients after hospitalizations, on postoperative healthcare utilization and discharge disposition following total hip (THA) and knee (TKA) arthroplasty. METHODS:Insurance claims from the Truven MarketScan Databases were used to perform this ... Read more >>

J Arthroplasty (The Journal of arthroplasty)
[2019, :]

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The Effect of Bone Quality on Tibial Component Migration in Medial Cemented Unicompartmental Knee Arthroplasty. A Prospective Cohort Study Using Dual X-Ray Absorptiometry and Radiostereometric Analysis.

Daan Koppens, Søren Rytter, Jesper Dalsgaard, Ole G Sørensen, Torben B Hansen, Maiken Stilling,

BACKGROUND:Periprosthetic bone mineral density (BMD) may influence implant fixation and subsequent loosening. Unicompartmental knee arthroplasty (UKA) restores normal knee kinematics and load distribution to the surrounding bone. We studied the influence of systemic and periprosthetic BMD of the proximal tibia on migration of the tibial component of cemented medial UKA. ... Read more >>

J Arthroplasty (The Journal of arthroplasty)
[2019, :]

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Rheumatoid Arthritis Increases Venous Thromboemboli, Readmissions, and Costs of Care After Primary Total Knee Arthroplasty: A Matched-Control Analysis.

Rushabh M Vakharia, Ajit M Vakharia, Joseph O Ehiorobo, Samuel J Swiggett, Michael A Mont, Martin W Roche,

BACKGROUND:Recent studies have demonstrated patients with rheumatoid arthritis (RA) have deranged coagulation parameters predisposing them to venous thromboembolisms (VTEs). Therefore, the purpose of this study was to investigate whether patients who have RA undergoing primary TKA have higher rates of (1) VTEs; (2) readmission rates; and (3) costs of care. ... Read more >>

J Arthroplasty (The Journal of arthroplasty)
[2019, :]

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The Association Between Anxiety, Depression, and Locus of Control With Patient Outcomes Following Total Knee Arthroplasty.

Joshua Xu, Joshua Twiggs, David Parker, Jonathan Negus,

BACKGROUND:We aimed to determine how preoperative anxiety, depression, and locus of control (LoC) might predict patient outcomes following total knee arthroplasty (TKA). METHODS:Patients undergoing TKA were prospectively recruited over an 18-month period. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was used to assess TKA outcomes. The Short Form-12, ... Read more >>

J Arthroplasty (The Journal of arthroplasty)
[2019, :]

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Analysis of Readability, Quality, and Content of Online Information Available for "Stem Cell" Injections for Knee Osteoarthritis.

Mitchell K Ng, Michael A Mont, Nicolas S Piuzzi,

BACKGROUND:An increasing number of patients use the Internet to obtain health information, although online information is unregulated and highly variable. We aimed to assess the readability, quality, and content of online information available for "stem cell" injections for knee osteoarthritis. METHODS:A cross-sectional analysis was performed on March 2019, inputting the ... Read more >>

J Arthroplasty (The Journal of arthroplasty)
[2019, :]

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Definitive Resection Arthroplasty of the Knee: A Surprisingly Viable Treatment to Manage Intractable Infection in Selected Patients.

Ashton H Goldman, Nicholas J Clark, Michael J Taunton, David G Lewallen, Daniel J Berry, Matthew P Abdel,

BACKGROUND:Resection arthroplasty of the hip is considered a viable option after multiple failed attempts to eradicate a prosthetic joint infection (PJI). However, much less information about resection arthroplasty of the knee is available. The goals of this study were to determine the success of infection eradication with a resection arthroplasty ... Read more >>

J Arthroplasty (The Journal of arthroplasty)
[2019, :]

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Development of Preoperative Prediction Models for Pain and Functional Outcome After Total Knee Arthroplasty Using The Dutch Arthroplasty Register Data.

Jaap J Tolk, J Erwin H Waarsing, Rob P A Janssen, Lisa N van Steenbergen, Sita M A Bierma-Zeinstra, Max Reijman,

BACKGROUND:One of the main determinants of treatment satisfaction after total knee arthroplasty (TKA) is the fulfillment of preoperative expectations. For optimal expectation management, it is useful to accurately predict the treatment result. Multiple patient factors registered in the Dutch Arthroplasty Register (LROI) can potentially be utilized to estimate the most ... Read more >>

J Arthroplasty (The Journal of arthroplasty)
[2019, :]

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Improvements in Objectively Measured Activity Behaviors Do Not Correlate With Improvements in Patient-Reported Outcome Measures Following Total Knee Arthroplasty.

Emmanuel Frimpong, Dick R van der Jagt, Lipalo Mokete, Jurek Pietrzak, Yusuf S Kaoje, Anne Smith, Joanne A McVeigh, Rebecca M Meiring,

BACKGROUND:Activity monitors have added a new dimension to our ability to objectively measure physical activity in patients undergoing total knee arthroplasty (TKA). The aim of the study is to assess whether changes in the time spent sitting, standing, and stepping were associated with changes in patient-reported outcome measures (PROMs) before ... Read more >>

J Arthroplasty (The Journal of arthroplasty)
[2019, :]

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Perioperative Outcomes and Complications After Primary Total Hip Arthroplasty in Patients With Disproportionately Short Stature: A Matched Cohort Analysis.

Hiba K Anis, Kara M McConaghy, Ryan J Charles, Jared A Warren, Daniel C Santana, Alison K Klika, Wael K Barsoum, Viktor E Krebs, Carlos A Higuera, Nicolas S Piuzzi,

BACKGROUND:This study compared (1) perioperative outcomes, (2) postoperative complications, and (3) reoperation rates after primary total hip arthroplasty (THA) between short stature patients and matched control patients. METHODS:A review of primary THA patients from 2012 to 2017 using an institutional database was conducted. This yielded 12,850 patients of which 108 ... Read more >>

J Arthroplasty (The Journal of arthroplasty)
[2019, :]

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Sagittal Stability and Implant Design Affect Patient Reported Outcomes After Total Knee Arthroplasty.

Christopher W Jones, Hans Jacobs, Sarah Shumborski, Simon Talbot, Andrew Redgment, Roger Brighton, William L Walter,

BACKGROUND:Joint stability is one of the goals of any joint replacement. The contribution of prosthesis design to sagittal stability in total knee arthroplasty (TKA) has emerged as an area of interest. The purpose of this study was to evaluate the sagittal stability of four prosthesis types and determine the effect ... Read more >>

J Arthroplasty (The Journal of arthroplasty)
[2019, :]

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Does the Effectiveness and Mechanical Strength of Kanamycin-Loaded Bone Cement in Musculoskeletal Tuberculosis Compare to Vancomycin-Loaded Bone Cement.

Jae Hoo Lee, Sung Jae Shin, Sang-Nae Cho, Seung-Hun Baek, Do Hyun Kim, Kwan Kyu Park,

BACKGROUND:Antibiotic-loaded bone cement (ALBC) is used to deliver antimycobacterial agents into the focal lesion of musculoskeletal tuberculosis. Although kanamycin is currently used as an antimycobacterial agent for the treatment of multidrug-resistant tuberculosis, there is no information about its suitability in ALBC. METHODS:An in vitro experiment was conducted with cylindrical shape of ... Read more >>

J Arthroplasty (The Journal of arthroplasty)
[2019, :]

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Risk Factors for Periprosthetic Femur Fracture and Influence of Femoral Fixation Using the Mini-Anterolateral Approach in Primary Total Hip Arthroplasty.

Carl L Herndon, Jared A Nowell, Nana O Sarpong, H John Cooper, Roshan P Shah, Jeffrey A Geller,

BACKGROUND:The mini-anterolateral (AL) approach for total hip arthroplasty (THA) has gained popularity. In contrast to other approaches, risk factors for periprosthetic femur fractures have not been well established for the AL approach. METHODS:Six hundred eighty-four primary THAs performed using the AL approach were retrospectively reviewed for risk factors associated with ... Read more >>

J Arthroplasty (The Journal of arthroplasty)
[2019, :]

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Surgeon Reimbursement Unchanged as Hospital Charges and Reimbursements Increase for Total Joint Arthroplasty.

Nicole Durig Quinlan, Dennis Q Chen, James A Browne, Brian C Werner,

BACKGROUND:Despite increasing demands on physicians and hospitals to increase value and reduce unnecessary costs, reimbursement for healthcare services has been under downward pressure for several years. This study aimed to analyze the trend in hospital charges and payments relative to corresponding surgeon charges and payments in a Medicare population for ... Read more >>

J Arthroplasty (The Journal of arthroplasty)
[2019, :]

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Comparison of Posterior Cruciate-Retaining and High-Flexion Cruciate-Retaining Total Knee Arthroplasty Design.

Won-Gyun Lee, Eun-Kyoo Song, Seung-Won Choi, Quan He Jin, Jong-Keun Seon,

BACKGROUND:High-flexion prostheses have been developed to achieve deep flexion after total knee arthroplasty. The purpose of this study is to compare standard NexGen (CR, cruciate-retaining) and high-flexion NexGen (CR-flex) total knee prostheses in terms of range of motion, clinical and radiologic outcomes, rates of complications, and survivorship in long-term follow-up. ... Read more >>

J Arthroplasty (The Journal of arthroplasty)
[2019, :]

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Midterm Outcomes and Frequency of Osteolysis of Total Hip Arthroplasty Using Cementless Modular Stem for Asian Patients.

Atsuko Sato, Naoki Okuda, Sachiyuki Tsukada, Akimasa Kimura, Masanori Kase, Masaaki Matsubara,

BACKGROUND:Modular stems are useful for total hip arthroplasty (THA) in anatomically difficult dysplasia. Here, we present mean 6.8-year outcomes of cementless primary THA using S-ROM-A (modified modular stem for Asian patients) femoral prosthesis in anatomically difficult cases. METHODS:Charts of 373 patients (461 hips) undergoing THA (mean age, 58 years) were ... Read more >>

J Arthroplasty (The Journal of arthroplasty)
[2019, :]

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Current Preclinical Testing of New Hip Arthroplasty Technologies Does Not Reflect Real-World Loadings: Capturing Patient-Specific and Activity-Related Variation in Hip Contact Forces.

David E Lunn, Enrico De Pieri, Graham J Chapman, Morten E Lund, Anthony C Redmond, Stephen J Ferguson,

BACKGROUND:Total hip arthroplasty (THA) implants are routinely tested for their tribological performance through regulatory preclinical wear testing (eg, ISO-14242). The standardized loading conditions defined in these tests consist of simplified waveforms, which do not specifically represent in vivo loads in different groups of patients. The aim of this study is to ... Read more >>

J Arthroplasty (The Journal of arthroplasty)
[2019, :]

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Enhanced Selection of Candidates for Same-Day and Outpatient Total Knee Arthroplasty.

Meredith G Moore, David P Brigati, Tom J Crijns, Thomas R Vetter, William R Schultz, Kevin J Bozic,

BACKGROUND:Medicare removed total knee arthroplasty (TKA) from its inpatient-only list and private insurers created ambulatory surgical codes; these changes bring about logistical challenges for TKA episode planning. We identified preoperatively determined factors associated with hospital length of stay for (1) same-day discharge (SDD) and (2) inpatient TKA defined by Medicare's ... Read more >>

J Arthroplasty (The Journal of arthroplasty)
[2019, :]

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Comparison of Gap Balancing vs Measured Resection Technique in Patients Undergoing Simultaneous Bilateral Total Knee Arthroplasty: One Technique per Knee.

Sachin R Tapasvi, Anshu Shekhar, Shantanu S Patil, Matthew V Dipane, Madhav Chowdhry, Edward J McPherson,

BACKGROUND:Total knee arthroplasty requires careful surgical technique to attain the goal of a well-aligned and symmetrically balanced knee. Soft tissue balance and correct femoral component rotation are paramount in achieving these goals. The two competing techniques to select femoral component rotation and soft tissue balance are the gap balance technique ... Read more >>

J Arthroplasty (The Journal of arthroplasty)
[2019, :]

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Eighteen-Year Follow-Up Study of 2 Alternative Bearing Surfaces Used in Total Hip Arthroplasty in the Same Young Patients.

Young-Hoo Kim, Jang-Won Park,

BACKGROUND:This study compares the long-term functional, radiographic, and computed tomography scan outcomes and implant survivorship of ceramic-on-ceramic total hip arthroplasty (C-O-C THA) and ceramic-on-highly cross-linked polyethylene total hip arthroplasty (C-O-HXLPE THA) in the same patients. METHODS:In this randomized, prospective trial conducted between January 1999 and April 2003, 133 patients (266 ... Read more >>

J Arthroplasty (The Journal of arthroplasty)
[2019, :]

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Perioperative Chlorhexidine Gluconate Wash During Joint Arthroplasty Has Equivalent Periprosthetic Joint Infection Rates in Comparison to Betadine Wash.

Adam Driesman, Michelle Shen, James E Feng, Daniel Waren, James Slover, Joseph Bosco, Ran Schwarzkopf,

BACKGROUND:Dilute betadine wash has been used for the prevention of prosthetic joint infection (PJI). Appropriateness for this purpose has recently come into question as the Food and Drug Administration determined that several commercial products did not pass the standards of proper sterility. The goal of this study is to determine ... Read more >>

J Arthroplasty (The Journal of arthroplasty)
[2019, :]

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Low-Dose Aspirin Is Adequate for Venous Thromboembolism Prevention Following Total Joint Arthroplasty: A Systematic Review.

Ibrahim Azboy, Hannah Groff, Karan Goswami, Mohammed Vahedian, Javad Parvizi,

BACKGROUND:Patients undergoing total joint arthroplasty (TJA) are at risk of developing venous thromboembolism (VTE) without adequate prophylaxis. Since the American Academy of Orthopedic Surgeons issued guidelines in 2007 recommending aspirin 325 mg bis in die for 6 weeks, aspirin has been favored as the main VTE prophylaxis. However, the appropriate ... Read more >>

J Arthroplasty (The Journal of arthroplasty)
[2019, :]

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New Implant Introduction in Total Hip Arthroplasty Using Radiostereometric Analysis: A Cautionary Note.

Abigail R Frazer, Michael Tanzer,

BACKGROUND:It has been proposed that the introduction of new hip implant technology in orthopedic surgery be conducted in a more controlled manner in order to properly ensure patient safety and the likelihood of favorable outcomes. This stepwise introduction would first require a prospective randomized study in a small cohort of ... Read more >>

J Arthroplasty (The Journal of arthroplasty)
[2019, :]

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