keyword
https://read.qxmd.com/read/38518960/periprosthetic-hip-and-knee-infection-is-an-ipsilateral-uninfected-total-joint-arthroplasty-at-risk
#21
JOURNAL ARTICLE
Daniel Karczewski, Harold I Salmons, Prabin Thapa, Aaron J Tande, Nicholas A Bedard, Daniel J Berry, Matthew P Abdel
INTRODUCTION: Periprosthetic joint infections (PJI) of total hip arthroplasty (THA) or total knee arthroplasty (TKA) may occur in the setting of an uninfected ipsilateral prosthetic joint. However, the risk to that uninfected ipsilateral joint is unknown. We analyzed the survivorship free from PJI in at risk THAs and TKAs following treatment of an ipsilateral knee or hip PJI, respectively. METHODS: Using our institutional total joint registry, we identified 205 patients who underwent treatment for PJI (123 THAs, 83 TKAs) with an at risk ipsilateral in situ knee or hip, respectively between 2000 and 2019...
March 20, 2024: Journal of Arthroplasty
https://read.qxmd.com/read/38518261/robotic-assisted-total-knee-arthroplasty-results-in-decreased-incidence-of-anterior-femoral-notching-compared-to-posterior-referenced-instrumented-total-knee-arthroplasty
#22
JOURNAL ARTICLE
MingYang Li, YongTao Zhang, ZhenShuai Shao, HaoXiang Zhu
OBJECTIVE: Periprosthetic fracture (PPF) is an uncommon but devastating complication after total knee arthroplasty (TKA). Anterior femoral notching (AFN) is one of a perioperative risk factor for PPF. The main purpose of this study was to compare between the rates of anterior femoral notching (AFN) and supracondylar periprosthetic femoral fracture (sPPF) of manual TKA and robotic arm-assisted TKA (RATKA). Meanwhile, blood loss, transfusion rates, inflammatory responses, complications, early clinical and radiological outcomes were also assessed...
2024: Journal of Orthopaedic Surgery
https://read.qxmd.com/read/38516418/unrelenting-infection-of-implanted-prosthetic-hip-joint-by-corynebacterium-striatum
#23
Supriya Sachan, Aayushi Dhawan, Vivek Jangira, Rakesh K Mahajan
Non-diphtherial Corynebacterial (NDC) species, while previously considered as culture contaminants, are increasingly being implicated in clinical disease and identified as causes of opportunistic infections. In cases where they grow in pure cultures, isolated from a sterile site or repeated isolations from the same patient, NDC may be labeled as clinically significant. We report here a case of non-healing infection of one of the implanted devices in a case of bilateral total hip replacement, caused by multidrug-resistant Corynebacterium striatum...
February 2024: Curēus
https://read.qxmd.com/read/38514473/when-to-lavage-in-the-absence-of-a-sonographically-visible-joint-effusion-in-painful-total-knee-arthroplasty-a-retrospective-longitudinal-study
#24
JOURNAL ARTICLE
Bashiar Thejeel, Zachary Coles, Qian Li, Joesph T Nguyen, Alberto V Carli, Theodore T Miller
OBJECTIVE: To determine if knee arthroplasty without sonographically visible effusion needs to undergo lavage to rule out infection. METHODS: Patients were accrued by a retrospective search of a longitudinally maintained radiology database looking for patients referred for ultrasound guided aspiration of suspected TKA infection. Clinical presentations, laboratory tests, intraoperative findings, and follow-up were reviewed. RESULTS: Four hundred sixty-nine patients were included (mean age of 67 years (range, 36-91)) including 251 females...
March 22, 2024: Skeletal Radiology
https://read.qxmd.com/read/38513152/intercalary-resection-of-the-tibia-for-primary-bone-tumors-are-vascularized-fibula-autografts-with-or-without-allografts-a-durable-reconstruction
#25
JOURNAL ARTICLE
Domenico Andrea Campanacci, Roberto Scanferla, Mariagrazia Marsico, Federico Scolari, Guido Scoccianti, Giovanni Beltrami, Luca Delcroix, Marco Innocenti, Rodolfo Capanna
BACKGROUND: Reconstruction with vascularized fibula grafts (VFG) after intercalary resection of sarcoma may offer longevity by providing early graft-host union and fracture healing. The ability of the fibula to hypertrophy under mechanical stress, as well as vascularized bone in the area, may also be advantageous, given that soft tissues may be compromised because of resection, chemotherapy, or radiation therapy. VFG with a massive allograft combines the primary mechanical stability of the graft with the biological potential of the vascularized fibula; however, complications and the durability of this combined reconstruction are not well described...
March 21, 2024: Clinical Orthopaedics and related Research
https://read.qxmd.com/read/38512988/racial-and-ethnic-minority-patients-have-increased-complication-risks-when-undergoing-surgery-while-not-meeting-clinical-guidelines
#26
JOURNAL ARTICLE
Adriana P Liimakka, Troy B Amen, Michael J Weaver, Vivek M Shah, Jeffrey K Lange, Antonia F Chen
BACKGROUND: Clinical guidelines for performing total joint arthroplasty (TJA) have not been uniformly adopted in practice because research has suggested that they may foster inequities in surgical access, potentially disadvantaging minority sociodemographic groups. The aim of this study was to assess whether undergoing TJA without meeting clinical guidelines affects complication risk and leads to disparities in postoperative outcomes. METHODS: This retrospective cohort study evaluated the records of 11,611 adult patients who underwent primary TJA from January 1, 2010, to December 31, 2020, at an academic hospital network...
March 21, 2024: Journal of Bone and Joint Surgery. American Volume
https://read.qxmd.com/read/38508377/vancomycin-powder-in-the-prevention-of-infection-in-primary-knee-and-hip-arthroplasty-case-control-study-with-1151-arthroplasties
#27
JOURNAL ARTICLE
X Paredes Carnero, J Vidal Campos, F Gómez Suárez, H Meijide
BACKGROUND AND OBJECTIVE: Vancomycin powder (VP) has been positively used in spinal surgery to reduce the rate of infections. Hardly any data have been published on hip and knee joint replacement surgery, and its usefulness is questioned. Our objective was to investigate the effectiveness of VP in reducing prosthetic infection and its possible complications. METHODS: Primary hip (THA) and knee (TKA) arthroplasties were reviewed, performed by five surgeons in one hospital centre, between 2017 and 2018...
March 18, 2024: Revista Española de Cirugía Ortopédica y Traumatología
https://read.qxmd.com/read/38508344/porous-tantalum-metaphyseal-cones-for-severe-femoral-and-tibial-bone-defects-in-revision-total-knee-arthroplasty-are-reliable-for-fixation-at-mean-5-year-follow-up
#28
JOURNAL ARTICLE
Babar Kayani, Lisa C Howard, Michael E Neufeld, Nelson V Greidanus, Bassam A Masri, Donald S Garbuz
BACKGROUND: Porous tantalum metaphyseal cones may facilitate reconstructions of severe bone defects during revision total knee arthroplasty (TKA), but there remains a paucity of data on their outcomes at mean five years follow-up. This study reports the component survivorship, patient satisfaction, functional outcomes, radiographic osseointegration, and complications of revision TKA with porous tantalum metaphyseal cones at mid-term (mean 5 year) follow-up. METHODS: This study included 152 patients who had a mean age of 66 years (range, 33...
March 18, 2024: Journal of Arthroplasty
https://read.qxmd.com/read/38507516/shoulder-arthroplasty-after-previous-nonarthroplasty-surgery-a-systematic-review-and-meta-analysis-of-clinical-outcomes-and-complications
#29
JOURNAL ARTICLE
Peyman Mirghaderi, Alireza Azarboo, Amirhossein Ghaseminejad-Raeini, Nasim Eshraghi, Hamed Vahedi, Surena Namdari
BACKGROUND: Many patients who undergo shoulder arthroplasty (SA) have had at least 1 nonarthroplasty shoulder surgery before the surgery. There is conflicting evidence regarding the effects of previous shoulder surgery on the outcome of SA. A systematic review was conducted to compare functional outcomes and complications between SA patients with and without prior non-SA surgery on the ipsilateral shoulder. METHODS: We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and searched MEDLINE/PubMed, Embase, Scopus, and Web of Science comprehensively from inception to January 2023...
March 1, 2024: JBJS Reviews
https://read.qxmd.com/read/38502248/periprosthetic-joint-infections-in-patients-with-rheumatoid-arthritis-are-associated-with-higher-complication-and-mortality-rates
#30
JOURNAL ARTICLE
Lucio Cappelli Toledo de Araujo, Anette Westerholt, Amir N Sandiford, Angelika Gursche, Daniel Kendoff
INTRODUCTION: Periprosthetic joint infection (PJI) remains the most devasting complication after total joint arthroplasty (TJA). There has been a significant focus on this topic in recently-published medical literature. However, relatively little has been published about PJI in patients with rheumatoid arthritis (RA), which are often physiologically frail and immunocompromised. A better understanding of PJI in this patient population is therefore crucial. The main aims of this paper are to (1) report complication and mortality rates in a cohort of PJI-RA patients; and (2) clinically characterize them...
March 19, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38501710/do-patients-with-insulin-dependent-and-non-insulin-dependent-diabetes-have-different-risks-for-complications-after-total-ankle-arthroplasty
#31
JOURNAL ARTICLE
Ibraheem Qureshi, Charles C Lin, Utkarsh Anil, James J Butler, Raymond J Walls
BACKGROUND: Patients with diabetes undergoing total ankle arthroplasty tend to be at greater risk for complications than those without diabetes. However, the effect of diabetes severity and how it impacts the risk for perioperative complications is less clear. The purpose of this study was to compare (1) complications, (2) length of hospital stay, and (3) readmissions within 30 days for total ankle arthroplasty (TAA) patients without diabetes, patients with non-insulin-dependent diabetes, and patients with insulin-dependent diabetes...
March 19, 2024: Foot & Ankle International
https://read.qxmd.com/read/38501276/preliminary-experience-with-commercially-available-trabecular-metal-tibial-cones-combined-with-a-retrograde-locked-intramedullary-nail-for-bony-defects-in-tibiotalocalcaneal-arthrodesis
#32
JOURNAL ARTICLE
Michael S Pinzur, Adam P Schiff, Kamran Hamid, Ryan LeDuc
Critical sized bone defects in the ankle are becoming increasingly more common in patients undergoing limb reconstruction with tibiotalocalcaneal arthrodesis. Bulk allografts have not fared well over time. There have been scattered preliminary reports using custom spinal cages or 3D-printed Titanium Implants to address the critical bony defect; however, the cost of these devices is prohibitive in many clinical practice settings. The purpose of this investigation is to report the preliminary experience using a commercially available Trabecular Metal (Zimmer-Biomet) tibial metaphyseal cone combined with a retrograde locked intramedullary nail to address this challenging problem...
March 19, 2024: Foot & Ankle Specialist
https://read.qxmd.com/read/38495578/antibiotic-prophylaxis-prior-to-colonoscopy-with-biopsy-does-not-decrease-risk-of-prosthetic-joint-infection-in-total-knee-arthroplasty-recipients
#33
JOURNAL ARTICLE
Mohamed F Albana, Daniel Hameed, Sandeep S Bains, Jeremy Dubin, Michael A Mont, James Nace, Giles R Scuderi, Ronald E Delanois
INTRODUCTION: Prosthetic joint infection (PJI) risk continues to receive much attention given its associated morbidity and costs to patients and healthcare systems. It has been hypothesized that invasive colonoscopies may increase the risk of PJI. However, the decision to administer antibiotic prophylaxis lacks clinical guidance. In this study we aimed to compare PJI rates in patients undergoing colonoscopies with and without antibiotic prophylaxis against a control group, analyzing PJI occurrences at 90 days, 6 months, 9 months, and 1-year post-procedure and (2) assess the impact of antibiotic prophylaxis on PJI rates to inform clinical guidelines...
July 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38492035/postoperative-bisphosphonates-use-is-associated-with-reduced-adverse-outcomes-after-primary-total-joint-arthroplasty-of-hip-and-knee-a-nationwide-population-based-cohort-study
#34
JOURNAL ARTICLE
Jen-Ta Shih, Timothy L Tan, Pei-Hung Shen, Tsu-Te Yeh, Chia-Chun Wu, Ru-Yu Pan, Wu-Chien Chien, Chi-Hsiang Chung, Sheng-Hao Wang
Bisphosphonates have been associated with a decreased risk of revision surgery after total joint arthroplasty of the hip or knee (TJA) because of their effects on decreased periprosthetic bone loss and prosthetic migration. However, the results in the early literature are inconsistent, and the influence of bisphosphonates on associated complications and subsequent TJA remains unknown. This study investigated the association between the use of bisphosphonates and the risk of adverse outcomes after primary TJA...
March 16, 2024: Calcified Tissue International
https://read.qxmd.com/read/38479573/a-systematic-review-and-meta-analysis-of-antibiotic-loaded-bone-cement-for-prevention-of-deep-surgical-site-infections-following-primary-total-joint-replacement
#35
JOURNAL ARTICLE
Hideo Kato, Yukihiro Hamada, Shotaro Takano, Shinsuke Ikeda, Yoshinori Seto, Kazuhiko Matsushita, Koji Yamada, Katsufumi Uchiyama
BACKGROUND: The use of antibiotic-loaded bone cement (ALBC) as a mean for preventing deep surgical site infections (SSI) after total joint replacement is controversial. Therefore, we have conducted a meta-analysis to evaluate the prophylactic effect of ALBC for SSI prevention in patients undergoing arthroplasty. This study was conducted to revise treatment guidelines for MRSA infections in Japan. METHODS: PubMed (Medline), Scopus, Embase, Web of Science and Cochrane library were searched for relevant articles comparing preventive effect of ALBC for patients undergoing primary total joint arthroplasty by August 2022...
March 12, 2024: Journal of Infection and Chemotherapy: Official Journal of the Japan Society of Chemotherapy
https://read.qxmd.com/read/38478627/ideal-timing-of-reimplantation-in-patients-with-periprosthetic-knee-infection-undergoing-2-stage-exchange-a-diagnostic-scoring-system
#36
JOURNAL ARTICLE
Tiziana Ascione, Giovanni Balato, Enrico Festa, Giuseppe Pandolfo, Roberta Siciliano, Pasquale Pagliano
BACKGROUND: This study evaluated appropriate thresholds for serum biomarkers, synovial fluid white blood cell (SF-WBC) count, and synovial fluid neutrophil (polymorphonuclear leukocyte [PMN]) percentage to predict infection in a patient group who underwent definitive reimplantation after receiving a continuous course of antibiotic therapy for chronic knee periprosthetic joint infection (PJI). These thresholds were then used to generate a scoring system to predict recurrence (or persistence) of infection...
March 13, 2024: Journal of Bone and Joint Surgery. American Volume
https://read.qxmd.com/read/38472434/the-impact-of-asymptomatic-human-immunodeficiency-virus-hiv-positive-disease-status-on-inpatient-complications-following-total-joint-arthroplasty-a-propensity-score-matched-analysis
#37
JOURNAL ARTICLE
Neil V Shah, Matthew J Lettieri, David Kim, Jack J Zhou, Nathaniel Pineda, Bassel G Diebo, Colin Y L Woon, Qais Naziri
PURPOSE: The number of patients with asymptomatic human immunodeficiency virus (AHIV) is increasing as the efficacy of antiretroviral therapy improves. While there is research on operative risks associated with having HIV, there is a lack of literature describing the impact of well-controlled HIV on postoperative complications. This study seeks to elucidate the impact of AHIV on postoperative outcomes after total hip (THA) and knee (TKA) arthroplasty. METHODS: The Nationwide Inpatient Sample was retrospectively reviewed for patients undergoing TKA and THA from 2005 to 2013...
March 12, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38468996/efficacy-safety-and-cost-effectiveness-of-healthium-theruptor-versus-3m-tegaderm-versus-plain-gauze-dressing-for-wound-dressings-used-in-abdominal-and-joint-surgeries-a-prospective-multicentric-randomized-study
#38
JOURNAL ARTICLE
Michael Rodrigues, Shoban Varthya, Vinoth Sunderasan, Tharun Ganapathy, Sakthi Balan, Gayathri Sivakumar, Mayank Badkur, Meenakshi Gothwal, Sneha Ambwani, Jaykaran Charan, Uthpala Vadakaluru, Ashok Kumar Moharana, Deepak Siddabasavaiah
Background In the realm of surgical and postoperative care, the application of wound dressings is a standard practice to facilitate healing, minimize infection risks, and offer a protective barrier against pathogens for optimal recovery. For instance, Theruptor is an active advanced wound care product with patented microbicidal technology. In the present study, we conducted a randomized clinical trial to compare the clinical efficacy and safety of Healthium Theruptor, 3M Tegaderm, and plain gauze dressings in patients undergoing abdominal and joint surgeries...
February 2024: Curēus
https://read.qxmd.com/read/38466825/evaluation-of-the-safety-of-uninterrupted-warfarin-anticoagulation-with-tranexamic-acid-in-total-joint-arthroplasty
#39
JOURNAL ARTICLE
Michael G Johnston, Matthew A Porter, Kade E Eppich, Celeste G Gray, David F Scott
BACKGROUND: The continuation of long-term warfarin therapy is gaining acceptance in minor surgeries but maintaining therapeutic international normalized ratio (INR) values among patients during major orthopedic procedures raises concern. While bridging therapy with low-molecular-weight heparin is currently recommended for patients receiving anticoagulation, few studies have evaluated the safety of continuing warfarin during total joint arthroplasty. This study evaluated the safety and efficacy of continuous warfarin anticoagulation through total joint arthroplasty with and without prophylactic tranexamic acid (TXA)...
March 12, 2024: Orthopedics
https://read.qxmd.com/read/38464356/mid-term-outcomes-of-a-kinematically-designed-cruciate-retaining-total-knee-arthroplasty
#40
JOURNAL ARTICLE
Jonathan L Katzman, Akram A Habibi, Muhammad A Haider, Casey Cardillo, Ivan Fernandez-Madrid, Morteza Meftah, Ran Schwarzkopf
BACKGROUND: Advances in implant material and design have allowed for improvements in total knee arthroplasty (TKA) outcomes. A cruciate retaining (CR) TKA provides the least constraint of TKA designs by preserving the native posterior cruciate ligament. Limited research exists that has examined clinical outcomes or patient reported outcome measures (PROMs) of a large cohort of patients undergoing a CR TKA utilizing a kinematically designed implant. It was hypothesized that the studied CR Knee System would demonstrate favorable outcomes and a clinically significant improvement in pain and functional scores...
February 18, 2024: World Journal of Orthopedics
keyword
keyword
74115
2
3
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.