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Journal of Arthroplasty

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https://www.readbyqxmd.com/read/27889309/response-to-letter-to-the-editor-on-bilateral-total-hip-arthroplasty-one-stage-or-two-stage-a-meta-analysis
#1
LETTER
Hongyi Shao, Chi-Lung Chen, Mitchell G Maltenfort, Camilo Restrepo, Richard H Rothman, Antonia F Chen
No abstract text is available yet for this article.
November 4, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27894671/letter-to-the-editor-on-factors-associated-with-trunnionosis-in-the-metal-on-metal-pinnacle-hip
#2
LETTER
David J Langton
No abstract text is available yet for this article.
November 3, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27884417/nerve-decompression-surgery-after-total-hip-arthroplasty-what-are-the-outcomes
#3
Morad Chughtai, Anton Khlopas, Chukwuwieke U Gwam, Randa K Elmallah, Melbin Thomas, James Nace, Michael A Mont
BACKGROUND: The purpose of our study was to compare (1) muscle strength; (2) pain; (3) sensation; (4) various outcome measurement scales between post-total hip arthroplasty (THA) patients who had a sciatic nerve injury and did or did not receive decompression surgery for this condition; and (5) to compare these findings with current literature. METHODS: Nineteen patients who had nerve injury after THA were reviewed. Patients were stratified into those who had a nerve decompression (n = 12), and those who had not (n = 7)...
November 2, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27890309/patterns-of-ninety-day-readmissions-following-total-joint-replacement-in-a-bundled-payment-initiative
#4
Omar A Behery, Benjamin S Kester, Jarrett Williams, Joseph A Bosco, James D Slover, Richard Iorio, Ran Schwarzkopf
BACKGROUND: Alternative payment models aim to improve quality and decrease costs associated with total joint replacement. Postoperative readmissions within 90 days are of interest to clinicians and administrators as there is no additional reimbursement beyond the episode bundled payment target price. The aim of this study is to improve the understanding of the patterns of readmission which would better guide perioperative patient management affecting readmissions. We hypothesize that readmissions have different timing, location, and patient health profile patterns based on whether the readmission is related to a medical or surgical diagnosis...
November 1, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27884418/heterotopic-ossification-prophylaxis-after-total-hip-arthroplasty-randomized-trial-of-400-vs-700-cgy
#5
Jane Z Liu, Nicholas B Frisch, Regina M Barden, Aaron G Rosenberg, Craig D Silverton, Jorge O Galante
BACKGROUND: Heterotopic ossification (HO) is a known complication following total hip arthroplasty. Radiation is an effective prophylaxis, but an optimal protocol has yet to be determined. We performed a randomized, double-blinded clinical trial in high-risk patients to determine the efficacy of 400 vs 700 cGy doses of radiation. METHODS: One hundred forty-seven patients undergoing total hip arthroplasty and at high risk for HO at an urban medical center were randomized to receive either a single 400 or 700 cGy dose of radiation postoperatively...
November 1, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27876465/is-there-still-a-role-for-irrigation-and-debridement-with-liner-exchange-in-acute-periprosthetic-total-knee-infection
#6
Andrés F Duque, Zachary D Post, Rex W Lutz, Fabio R Orozco, Sergio H Pulido, Alvin C Ong
BACKGROUND: Periprosthetic joint infection (PJI) is an important cause of failure in total knee arthroplasty. Irrigation and debridement including liner exchange (I&D/L) success rates have varied for acute PJI. The purpose of this study is to present results of a specific protocol for I&D/L with retention of total knee arthroplasty components. METHODS: Sixty-seven consecutive I&D/L patients were retrospectively evaluated. Inclusion criteria for I&D/L were as follows: fewer than 3 weeks of symptoms, no immunologic compromise, intact soft tissue sleeve, and well-fixed components...
November 1, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27876253/the-impact-of-surgical-technique-on-patient-reported-outcome-measures-and-early-complications-after-total-hip-arthroplasty
#7
Udai S Sibia, Timothy R Turner, James H MacDonald, Paul J King
BACKGROUND: This study examines patient and surgeon reported outcome measures, complications during index admission, length of stay (LOS), and discharge disposition in a series of total hip replacements (THR) performed via the direct anterior (DA) or posterolateral (PL) approach. METHODS: Five surgeons performed 2698 total hip replacements (1457 DA vs 1241 PL) between January 2010 and June 2015. Complications during index admission were recorded using billing and claims data...
November 1, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27856067/posterior-cruciate-ligament-retention-or-substitution-during-total-knee-arthroplasty-does-not-affect-long-term-bone-mineral-density-or-quality
#8
Yoshinori Ishii, Hideo Noguchi, Junko Sato, Koji Todoroki, Shin-Ichi Toyabe
BACKGROUND: Physical activity is recognized as one of the factors that influence bone mineral density (BMD) and bone quality after total knee arthroplasty (TKA). According to biomechanical analyses after posterior cruciate ligament (PCL) retaining (PCLR) and substituting (PCLS) TKA, each implant design has different kinematics and kinetics. The purposes of this study were: (1) to perform within-patient comparisons of the midterm and long-term effects of PCL retention in mobile-bearing TKA on proximal femur and tibia BMD and calcaneus bone quality measured using ultrasound and (2) to identify correlations between them...
October 26, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27889308/letter-to-the-editor-on-bilateral-total-hip-arthroplasty-1-stage-or-2-stage-a-meta-analysis
#9
LETTER
Guillermo A Bonilla, Meilyn A Muskus, Camilo Gutierrez, Adolfo M Llinas
No abstract text is available yet for this article.
October 24, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27865570/letter-to-the-editor-on-tibiofemoral-dislocation-following-total-knee-arthroplasty
#10
LETTER
Raju Vaishya, Vipul Vijay, Amit K Agarwal
No abstract text is available yet for this article.
October 22, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27865569/response-to-letter-to-the-editor-on-tibiofemoral-dislocation-following-total-knee-arthroplasty
#11
LETTER
Rishabh G Jethanandani, William J Maloney, James I Huddleston, Stuart B Goodman, Derek F Amanatullah
No abstract text is available yet for this article.
October 22, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27876255/patient-and-perioperative-variables-affecting-30-day-readmission-for-surgical-complications-after-hip-and-knee-arthroplasties-a-matched-cohort-study
#12
Benjamin F Ricciardi, Kathryn K Oi, Steven B Daines, Yuo-Yu Lee, Amethia D Joseph, Geoffrey H Westrich
BACKGROUND: Changes in reimbursement for total hip and knee arthroplasties (THA and TKA) have placed increased financial burden of early readmission on hospitals and surgeons. Our purpose was to characterize factors of 30-day readmission for surgical complications after THA and TKA at a single, high-volume orthopedic specialty hospital. METHODS: Patients with a diagnosis of osteoarthritis and who were readmitted within 30 days of their unilateral primary THA or TKA procedure between 2010 and 2014...
October 21, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27866951/the-incidence-and-economic-burden-of-in-hospital-venous-thromboembolism-in-the-united-states
#13
Alisina Shahi, Antonia F Chen, Timothy L Tan, Mitchell G Maltenfort, Fatih Kucukdurmaz, Javad Parvizi
BACKGROUND: Venous thromboembolism (VTE) is a potentially preventable and costly complication after total hip arthroplasty (THA) and total knee arthroplasty (TKA). The in-hospital incidence and economic burden of VTE following total joint arthroplasty (TJA) in the United States is unknown. The aim of this study was to examine this issue. METHODS: The Nationwide Inpatient Sample was used to estimate the total number of THA, TKA, and VTE events using International Classification of Diseases, Ninth Revision procedure codes from years 2002 to 2011...
October 21, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27839957/randomized-prospective-trial-comparing-the-use-of-intravenous-versus-oral-acetaminophen-in-total-joint-arthroplasty
#14
Joel R Politi, Richard L Davis, Alexis K Matrka
BACKGROUND: Multimodal pain management has had a significant effect on improving total joint arthroplasty recovery and patient satisfaction. There is literature supporting that intravenous (IV) acetaminophen reduces postoperative pain and narcotic use in the total joint population. However, there are no studies comparing the effectiveness of IV vs oral (PO) acetaminophen as part of a standard multimodal perioperative pain regimen. METHODS: One hundred twenty patients undergoing hip and knee arthroplasty surgeries performed by one joint arthroplasty surgeon were prospectively randomized into 2 groups...
October 21, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27890310/same-day-total-hip-arthroplasty-performed-at-an-ambulatory-surgical-center-90-day-complication-rate-on-549-patients
#15
Gregg R Klein, Jason M Posner, Harlan B Levine, Mark A Hartzband
BACKGROUND: There is an increasing interest in outpatient total hip arthroplasty (THA), as there are perceived benefits to the patient, insurer, and overall healthcare system. However, the safety of outpatient total joint arthroplasty has not been studied. METHODS: Five hundred forty-nine patients who underwent mini-posterior THA at a freestanding independent ambulatory surgical center (ASC) were reviewed. All patients were discharged to home on the day of surgery...
October 20, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27876256/do-changes-in-the-production-process-affect-the-outcome-of-ceramic-liners-a-3-year-follow-up-study
#16
Tom Schmidt-Braekling, Lisa Renner, Douglas N Mintz, Wenzel Waldstein, Yoshimi Endo, Friedrich Boettner
BACKGROUND: In 2011, the current liner was withdrawn from the market because of the potential risk for liner fracture secondary to increased pressures used to assemble the metal locking ring. The present study provides a short-term follow-up of patients with this implant. METHODS: We retrospectively evaluated 63 consecutive hips in 53 patients operated by a single surgeon using a recalled ceramic-on-ceramic bearing. There were 30 women and 23 men with an average age of 50...
October 20, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27876254/is-selectively-not-resurfacing-the-patella-an-acceptable-practice-in-primary-total-knee-arthroplasty
#17
Hilal Maradit-Kremers, Omar J Haque, Walter K Kremers, Daniel J Berry, David G Lewallen, Robert T Trousdale, Rafael J Sierra
BACKGROUND: To resurface or not to resurface the patella remains a controversy in total knee arthroplasty (TKA). The purpose of this study was to assess the long-term outcomes associated with selectively not resurfacing the patella. METHODS: This was a historical cohort study of 15,497 patients with 21,371 primary TKA procedures performed at a single institution between 1985 and 2010. The cohort included 402 (2%) knees with unresurfaced patellae and 20,969 knees with all-polyethylene patellae designs...
October 20, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27866950/cause-specific-mortality-trends-following-total-hip-and-knee-arthroplasty
#18
Clement J Michet, Cathy D Schleck, Dirk R Larson, Hilal Maradit Kremers, Daniel J Berry, David G Lewallen
BACKGROUND: While studies have demonstrated that mortality after total hip (THA) and total knee (TKA) arthroplasty is better than the general population, the causes of death are not well established. We evaluated cause-specific mortality after THA and TKA. METHODS: The study included population-based cohorts of patients who underwent THA (N = 2019) and TKA (N = 2259) between 1969 and 2008. Causes of death were classified using the International Classification of Diseases 9th and 10th editions...
October 20, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27843042/low-risk-of-thromboembolic-events-after-routine-administration-of-tranexamic-acid-in-hip-and-knee-arthroplasty
#19
Rune V Madsen, Christian S Nielsen, Thomas Kallemose, Henrik Husted, Anders Troelsen
BACKGROUND: The blood-conserving effect of intravenous (IV) tranexamic acid (TXA) is well-documented for total hip arthroplasty (THA) and total knee arthroplasty (TKA). However, the risk of thromboembolic (TE) events after routine use of TXA is unclear and the safety profile is debated. This retrospective study investigates patient characteristics, occurrences, and predictors of TE events after routine administration of IV TXA in THA and TKA. METHODS: Three thousand one hundred fifty-nine THA or TKA procedures performed from 2007-2013 at our institution were included...
October 20, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27839958/a-standardized-regimen-for-the-treatment-of-acute-postoperative-infections-and-acute-hematogenous-infections-associated-with-hip-and-knee-arthroplasties
#20
Bernd Fink, Philipp Schuster, Christoph Schwenninger, Lars Frommelt, Damian Oremek
BACKGROUND: Papers concerning the treatment of periprosthetic infections and acute hematogenous infections often concern inhomogeneous treatment concepts or low numbers of patients; this results in inconsistent rates of treatment success. METHODS: Thirty-nine patients with early periprosthetic infections and 28 patients with acute hematogenous infections were treated with a homogeneous concept and followed with a mean period of 41.8 (24-132) months in order to investigate the success rate and influencing factors...
October 20, 2016: Journal of Arthroplasty
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