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Revision arthroplasty

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https://www.readbyqxmd.com/read/29218688/is-dual-mobility-associated-with-an-increased-risk-of-revision-for-infection-matched-cohort-of-231-cases-of-dual-mobility-cups-and-231-fixed-cups
#1
Jean Louis Prudhon, Romain Desmarchelier, Moussa Hamadouche, Christian Delaunay, Regis Verdier
INTRODUCTION: We used a matched cohort of 231 cases of revision of primary dual-mobility cups (DMC) total hip arthroplasty (THA) and 231 cases of fixed cups (FC) THA, to determine whether (i) revision for infection was more frequent when using DMC-THA than FC-THA; (ii) Causes for revision were significantly different. METHODS: The French Society of Orthopaedics and Traumatology carried out a prospective multicentre study from 2010 to 2011. The inclusion criterion was an exhaustive collection of 1st revision THA (at least 1 component revised, re-revision excluded)...
December 4, 2017: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29218686/early-death-following-revision-total-hip-arthroplasty
#2
Mark D Jones, Michael Parry, Michael R Whitehouse, Ashley W Blom
INTRODUCTION: The frequency of primary total hip arthroplasty procedures is increasing, with a subsequent rise in revision procedures. This study aims to describe timing and surgical mortality associated with revision total hip arthroplasty (THA) compared to those on the waiting list. METHODS: All patients from a single institution who underwent revision total hip arthroplasty or were added to the waiting list for the same procedure between 2003 and 2013 were recorded...
December 4, 2017: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29216676/effect-of-obesity-on-total-knee-arthroplasty-costs-and-revision-rate
#3
Martin Roche, Tsun Yee Law, Jennifer Kurowicki, Samuel Rosas, Augustus J Rush
No abstract text is available yet for this article.
December 7, 2017: Journal of Knee Surgery
https://www.readbyqxmd.com/read/29213219/a-review-on-bone-mineral-density-loss-in-total-knee-replacements-leading-to-increased-fracture-risk
#4
REVIEW
M Gundry, S Hopkins, K Knapp
The link between low bone mineral density (BMD) scores leading to greater fracture risk is well established in the literature; what is not fully understood is the impact of total knee replacements/revisions or arthroplasties on BMD levels. This literature review attempts to answer this question. Several different databases using specific key terms were searched, with additional papers retrieved via bibliographic review. Based on the available evidence, total knee replacements/revisions and arthroplasties lower BMD and thus increase fracture risk...
2017: Clinical Reviews in Bone and Mineral Metabolism
https://www.readbyqxmd.com/read/29212695/corrigendum
#5
(no author information available yet)
Mohaddes M, Shareghi B, Kärrholm J. Promising early results for trabecular metal acetabular components used at revision total hip arthroplasty. Bone Joint J 2017;99-B:880-886.
December 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/29212684/do-higher-volume-hospitals-provide-better-value-in-revision-hip-and-knee-arthroplasty
#6
N B Frisch, P M Courtney, B Darrith, C J Della Valle
AIMS: The purpose of this study is to determine if higher volume hospitals have lower costs in revision hip and knee arthroplasty. MATERIALS AND METHODS: We questioned the Centres for Medicare and Medicaid Services (CMS) Inpatient Charge Data and identified 789 hospitals performing a total of 29 580 revision arthroplasties in 2014. Centres were dichotomised into high-volume (performing over 50 revision cases per year) and low-volume. Mean total hospital-specific charges and inpatient payments were obtained from the database and stratified based on Diagnosis Related Group (DRG) codes...
December 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/29212681/ten-year-follow-up-study-of-three-alternative-bearing-surfaces-used-in-total-hip-arthroplasty-in-young-patients-a-prospective-randomised-controlled-trial
#7
A Atrey, S E Ward, A Khoshbin, N Hussain, E Bogoch, E H Schemitsch, J P Waddell
AIMS: We present the ten-year data of a cohort of patients, aged between 18 and 65 years (mean age 52.7 years; 19 to 64), who underwent total hip arthroplasty. Patients were randomised to be treated with a cobalt-chrome (CoCr) femoral head with an ultra-high molecular weight polyethylene (UHMWPE), highly cross-linked polyethylene (XLPE) or ceramic-on-ceramic (CoC) bearing surface. PATIENTS AND METHODS: A total of 102 hips (91 patients) were randomised into the three groups...
December 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/29208013/patients-and-surgeons-provide-endorsement-of-core-domains-for-total-joint-replacement-clinical-trials
#8
Anh Hoang, Susan M Goodman, Iris Y Navarro-Millán, Lisa A Mandl, Mark P Figgie, Mathias P Bostrom, Douglas E Padgett, Peter K Sculco, Alexander S McLawhorn, Jasvinder A Singh
BACKGROUND: Our objective in this study was to examine whether stakeholders further endorse the core domain set proposed by the Outcome Measures in Rheumatology Trials (OMERACT) total joint replacement (TJR) working group. METHODS: We emailed a survey to 3810 hip/knee arthroplasty patients and 49 arthroplasty surgeons at a high-volume arthroplasty center to rate the importance of each core domain (i.e., pain, function, patient satisfaction, revision surgery, adverse events, and death) and two additional domains (i...
December 6, 2017: Arthritis Research & Therapy
https://www.readbyqxmd.com/read/29206787/outpatient-total-knee-arthroplasty-is-associated-with-higher-risk-of-perioperative-complications
#9
Armin Arshi, Natalie L Leong, Anthony D'Oro, Christopher Wang, Zorica Buser, Jeffrey C Wang, Kristofer J Jones, Frank A Petrigliano, Nelson F SooHoo
BACKGROUND: As concerns regarding health-care expenditure in the U.S. remain at the national forefront, outpatient arthroplasty is an appealing option for carefully selected patient populations. The purpose of this study was to determine the nationwide trends and complication rates associated with outpatient total knee arthroplasty (TKA) in comparison with standard inpatient TKA. METHODS: We performed a retrospective review of the Humana subset of the PearlDiver Patient Record Database to identify patients who had undergone TKA (Current Procedural Terminology [CPT] code 27447) as either outpatients or inpatients from 2007 to 2015...
December 6, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29204822/the-experience-of-the-ripo-a-shoulder-prosthesis-registry-with-6-year-follow-up
#10
G Porcellini, A Combi, G Merolla, B Bordini, S Stea, G Zanoli, P Paladini
BACKGROUND: Implant registries have proved valuable in assessing the outcomes of arthroplasty procedures. Moreover, by identifying lesser quality implants they have indirectly improved the quality of care. The registry of prosthetic shoulder implants was established in 2008. METHODS: It records information on all types of primary and revision arthroplasty procedures involving the glenohumeral joint, including reverse and total arthroplasty, hemiarthroplasty, resurfacing, removal, and any other surgical procedures that are required to manage these patients...
December 4, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/29204597/association-of-overlapping-surgery-with-increased-risk-for-complications-following-hip-surgery-a-population-based-matched-cohort-study
#11
Bheeshma Ravi, Daniel Pincus, David Wasserstein, Anand Govindarajan, Anjie Huang, Peter C Austin, Richard Jenkinson, Patrick D G Henry, J Michael Paterson, Hans J Kreder
Importance: Overlapping surgery, also known as double-booking, refers to a controversial practice in which a single attending surgeon supervises 2 or more operations, in different operating rooms, at the same time. Objective: To determine if overlapping surgery is associated with greater risk for complications following surgical treatment for hip fracture and arthritis. Design, Setting, and Participants: This was a retrospective population-based cohort study in Ontario, Canada (population, 13...
December 4, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/29204503/bicompartmental-knee-arthroplasty-vs-total-knee-arthroplasty-for-the-treatment-of-medial-compartment-and-patellofemoral-osteoarthritis
#12
Sahil Kooner, Herman Johal, Marcia Clark
Background: Interest in bicompartmental knee arthroplasty (BKA) for the treatment of medial patellofemoral osteoarthritis (MPFOA) has grown in recent years because BKA offers a bone and ligament-preserving alternative to total knee arthroplasty (TKA). BKA only resurfaces the diseased compartments, while preserving proprioception and native knee kinematics. Therefore, the objective of this study is to assess knee function, perioperative morbidity, and implant survivability in patients undergoing BKA vs TKA for MPFOA...
December 2017: Arthroplasty Today
https://www.readbyqxmd.com/read/29204498/strategies-for-reducing-implant-costs-in-the-revision-total-knee-arthroplasty-episode-of-care
#13
Ameer M Elbuluk, Andrew B Old, Joseph A Bosco, Ran Schwarzkopf, Richard Iorio
Background: Implant price has been identified as a significant contributing factor to high costs associated with revision total knee arthroplasty (rTKA). The goal of this study is to analyze the cost of implants used in rTKAs and to compare this pricing with 2 alternative pricing models. Methods: Using our institutional database, we identified 52 patients from January 1, 2014 to December 31, 2014. Average cost of components for each case was calculated and compared to the total hospital cost for that admission...
December 2017: Arthroplasty Today
https://www.readbyqxmd.com/read/29204494/a-classification-based-approach-to-the-patella-in-revision-total-knee-arthroplasty
#14
Matthew W Tetreault, Christopher E Gross, Paul H Yi, Daniel D Bohl, Scott M Sporer, Craig J Della Valle
Background: There is a paucity of data to guide management of the patella in revision total knee arthroplasty (RTKA). The purpose of this study was to review our experience with patellar management in RTKA. Methods: We retrospectively reviewed 422 consecutive RTKAs at a minimum of 2 years (mean, 42 months). Patellar management was guided by a classification that considered stability, size, and position of the implanted patellar component, thickness/quality of remaining bone stock, and extensor mechanism competence...
December 2017: Arthroplasty Today
https://www.readbyqxmd.com/read/29204491/a-simple-technique-to-remove-well-fixed-acetabular-components-in-revision-of-total-hip-arthroplasty
#15
Xiaoqi Zhang, Fei Hu, Rui He, Xu Li, Xiaofeng Ji, Xifu Shang
Removing well-fixed acetabular components can be a challenge for orthopaedic surgeons in revision of total hip arthroplasty. Acetabular bone loss, fracture, and other complications occurred in extracting implants may result in instability and fail of revision. Thus, instruments are developed to avoid such complications. We report a simple technique by drilling a tunnel on the superolateral quadrant of acetabulum and using an offset staff to remove acetabular components without many matching units. The procedure of removing well-fixed acetabular components is a simple, efficient, inexpensive, bone stock preserving technique...
December 2017: Arthroplasty Today
https://www.readbyqxmd.com/read/29204486/fracture-of-the-femoral-adapter-bolt-and-taper-adapter-in-a-modern-rotating-platform-knee-arthroplasty
#16
Elexis C Baral, Alexander S McLawhorn, Timothy M Wright, Edwin P Su
A 58-year-old woman presented with onset of pain associated with a popping sound after a twisting motion 4 years after left total knee revision arthroplasty. She had a complex medical history, including a reported bone cement allergy, and presented to the hospital unable to bear weight. Plain radiographs revealed a broken femoral component, with the femoral metaphyseal sleeve separated from the distal articular component. During surgery, it was observed that the femoral adapter bolt and taper adapter had both fractured...
December 2017: Arthroplasty Today
https://www.readbyqxmd.com/read/29204485/arthroprosthetic-cobaltism-associated-with-cardiomyopathy
#17
Ryan S Charette, Alexander L Neuwirth, Charles L Nelson
Systemic cobaltism related to metal-on-metal total hip arthroplasty has been published in case reports and series with effects on the cardiac, neurologic, endocrine, and immunologic systems. This case report presents a 46-year-old male who underwent bilateral metal-on-metal total hip arthroplasty and subsequently developed cardiomyopathy requiring left ventricular assist device implantation. Intervention with bilateral revision to non-cobalt-containing implants resulted in improved cardiac function. This case report will alert clinicians to the presentation of this rare but devastating complication while also displaying improvement following revision total hip arthroplasty...
December 2017: Arthroplasty Today
https://www.readbyqxmd.com/read/29204484/pseudotumor-in-ceramic-on-metal-total-hip-arthroplasty
#18
Yoni M Blau, Andrew J Meyers, Mauro Giordani, John P Meehan
The increasing demand for total hip arthroplasty (THA) in relatively young, high-demand patients has led to the use of hard-on-hard bearing surfaces. Adverse local tissue reaction/pseudotumor and elevated serum metal ion levels are commonly reported complications encountered in metal-on-metal THA, while audible articulation and rim fracture are reported in ceramic-on-ceramic THA. For this reason, ceramic-on-metal THA was implemented as an ideal hard-on-hard bearing combination. In this report, we describe a case of bilateral simultaneous ceramic-on-metal THA in a 69-year-old woman who presented 7 years postoperatively with unilateral hip pain associated with underlying pseudotumor and elevated serum cobalt and chromium ion levels...
December 2017: Arthroplasty Today
https://www.readbyqxmd.com/read/29203354/unicompartmental-knee-arthroplasty-vs-high-tibial-osteotomy-for-knee-osteoarthritis-a-systematic-review-and-meta-analysis
#19
ZhenWu Cao, XiuJun Mai, Jun Wang, EnHui Feng, YongMing Huang
BACKGROUND: Prior studies have compared unicompartmental knee arthroplasty (UKA) with high tibial osteotomy (HTO) suggesting that both procedures had good clinical outcomes. However, which treatment is more beneficial for unicompartmental knee osteoarthritis is still a controversy. The purpose of our study is to obtain postoperative outcomes of revision rate, complications, function results, range of motion (ROM), and pain between the 2 procedures. METHODS: Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines were followed and study protocol was published online at PROSPERO under registration number CRD42016049316...
December 1, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29202632/lower-age-increases-the-risk-of-revision-for-stemmed-and-resurfacing-shoulder-hemi-arthroplasty
#20
Magnus Ödquist, Kristofer Hallberg, Hans Rahme, Björn Salomonsson, Aldana Rosso
Background and purpose - The number of patients where shoulder hemiarthroplasty (SHA) is an option is still substantial. Descriptive analyses performed by the Swedish Shoulder Arthroplasty Registry (SSAR) showed that while patients receiving SHA designs, i.e. resurfacing hemi (RH) and stemmed hemi (SH), reported similar shoulder functionality and quality of life, the revision rate for RH (12%) was larger than for SH (6.7%); this difference was studied. Patients and methods - All primary SHA (n = 1,140) for OA reported to SSAR between 1999 and 2009 were analyzed regarding risk factors for revision and PROM outcome, 950 shoulders with primary OA (POA), and 190 secondary OA (SOA)...
December 5, 2017: Acta Orthopaedica
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