Scholars@Duke
Thorsten Markus Seyler

Thorsten Markus Seyler

Associate Professor of Orthopaedic Surgery
Orthopaedic Surgery
thorsten.seyler@duke.edu
Box DUMC 104002, Durham, NC 27710
311 Trent Drive, Box 104002, Durham, NC 27710

Selected Publications

The Contemporary "In-Basket": An Explosion of Unchecked Administrative Expectations.

Journal Article J Arthroplasty · February 2026 BACKGROUND: Patients are frequently encouraged to send messages to providers 'in-baskets" electronically in the medical record. In recent years, medicine has seen a dramatic expansion in the quantity of messages, requiring major administrative time, which ... Full text Link to item Cite

Automatic Impactors in Total Hip Arthroplasty: A State-of-the-Art Review.

Journal Article J Arthroplasty · January 2026 BACKGROUND: Total hip arthroplasty places considerable physical strain on orthopaedic surgeons over time and requires precise impaction for optimal implant fixation. Automated impactors have emerged as innovative tools to address the limitations of mallets ... Full text Link to item Cite

Imageless robotic-assisted system is associated to effective restoration of the joint line and posterior condylar offset in revision total knee arthroplasty.

Journal Article Arch Orthop Trauma Surg · December 8, 2025 INTRODUCTION: Revision total knee arthroplasty (rTKA) rates are rising. Novel technologies such as imageless robotic-assisted systems have been created to increase accuracy and precision during these difficult cases, though there is a lack of evidence deta ... Full text Link to item Cite

Diagnostic accuracy of alpha-defensin ELISA and lateral flow assays for periprosthetic joint infection: A systematic review and meta-analysis

Journal Article Journal of Bone and Joint Infection · December 3, 2025 Background: Alpha-defensin (AD) is a synovial biomarker that can be used in the diagnosis of periprosthetic joint infection (PJI). Two testing modalities are available: the laboratory-based enzyme-linked immunosorbent assay (ELISA) and the point-of-care (P ... Full text Cite

Comparing Survivorship of Symmetric Versus Asymmetric Tibial Augments in Aseptic Revision Total Knee Arthroplasty.

Journal Article J Arthroplasty · November 2025 BACKGROUND: This study evaluated radiolucency in patients who underwent aseptic revision total knee arthroplasty using either symmetric or asymmetric modular tibial augments and compared 5-year all-cause and nonseptic revision-free survivorship between gro ... Full text Link to item Cite

Impact of Obesity on Daily Activity Following Total Knee Arthroplasty.

Journal Article J Arthroplasty · October 31, 2025 BACKGROUND: Obesity is a major risk factor for knee osteoarthritis, frequently requiring total knee arthroplasty (TKA). Although TKA improves mobility and reduces pain, obesity's influence on postoperative activity and gait metrics remains unclear. This st ... Full text Link to item Cite

Compatibility of Retrograde Intramedullary Nails With Knee Prostheses: A Comprehensive Analysis.

Journal Article J Arthroplasty · October 27, 2025 BACKGROUND: Periprosthetic distal femoral fractures pose major challenges in orthopaedic surgery, particularly among aging populations with total knee arthroplasties. Retrograde intramedullary nailing has emerged as a viable fixation option due to its biom ... Full text Link to item Cite

Assessment of periprosthetic joint infection in revision shoulder arthroplasty.

Journal Article J Shoulder Elbow Surg · October 2025 BACKGROUND: In those undergoing revision shoulder arthroplasty, the diagnosis of periprosthetic joint infection (PJI) remains challenging with many clinical and diagnostic variables being considered. The purpose of the study was to evaluate the predictive ... Full text Link to item Cite

Improved Walking Steadiness Following total Hip Arthroplasty Compared to Total Knee Arthroplasty.

Journal Article Arthroplast Today · October 2025 BACKGROUND: Total knee (TKA) and hip arthroplasty (THA) effectively treat end-stage osteoarthritis by restoring mobility and reducing pain; however, it is unclear how balance and steadiness compare between TKA and THA patients. This study utilized wearable ... Full text Link to item Cite

Wearable health technology finds improvements in daily physical activity levels following total knee arthroplasty: A prospective study.

Journal Article Knee Surg Sports Traumatol Arthrosc · September 2025 PURPOSE: Wearable technologies, like the Apple Watch, offer new possibilities for collecting objective data on physical activity post-operatively following total knee arthroplasty (TKA). This study aims to describe changes in daily physical activity levels ... Full text Link to item Cite

The Impact of Total Hip Arthroplasty on Daily Ambulatory Function: A Prospective Study.

Journal Article J Arthroplasty · September 2025 BACKGROUND: Total hip arthroplasty (THA) significantly improves pain and function in patients who have end-stage hip osteoarthritis. However, patient expectations regarding recovery and functional outcomes are often unclear. This study aimed to describe th ... Full text Link to item Cite

The future of robotic surgery in joint arthroplasty : Current platforms, emerging technologies and outlook for 2035.

Journal Article Orthopadie (Heidelb) · September 2025 Robotic-assisted total joint arthroplasty shows clear evidence of improved component positioning across all applications with modest functional improvements at early to mid-term follow-up. The strongest economic value proposition exists for partial knee ar ... Full text Link to item Cite

Surgeon Experience May Predict Failure After Revision Total Hip Arthroplasty for Periprosthetic Fracture.

Journal Article J Arthroplasty · August 2025 BACKGROUND: Periprosthetic fracture often requires revision hip arthroplasty. This study evaluated factors contributing to subsequent revisions and reoperations in patients who underwent revision hip arthroplasty for periprosthetic femur fracture. The auth ... Full text Link to item Cite

Periprosthetic Joint Infection: Are Patients Still Better off Than if Primary Arthroplasty Had Not Been Performed?

Journal Article J Arthroplasty · August 2025 BACKGROUND: This study sought to evaluate patient-reported outcome measures (PROMs) before primary total joint arthroplasty (TJA) and after successful treatment for periprosthetic joint infection (PJI), with the hypothesis that patients still demonstrate c ... Full text Link to item Cite

1.5-Stage Revision for the Treatment of Periprosthetic Joint Infection: A Systematic Review.

Journal Article J Arthroplasty · August 2025 BACKGROUND: Although the two-stage exchange is the gold standard for the treatment of periprosthetic joint infection (PJI) in the United States, there is recent data to suggest that the utilization of a well-functioning destination spacer, also known as a ... Full text Link to item Cite

State Health Care Regulations and Political Affiliation Associated With Total Hip Arthroplasty Prices Across the United States.

Journal Article J Arthroplasty · August 2025 BACKGROUND: Given that total hip arthroplasty (THA) is an elective procedure with rapidly increasing volumes (projected increase of 350% by 2050) and predictable costs, it is uniquely suited to serve as a proxy for assessing price transparency of hospital ... Full text Link to item Cite

Femoral Fixation for Primary Total Hip Arthroplasty-An International Registry Perspective.

Journal Article Arthroplast Today · August 2025 BACKGROUND: The preferred method for femoral fixation (FF) during total hip arthroplasty (THA) has varied internationally. While prior studies explored trends within single countries or small international cohorts, there's a paucity of studies comparing in ... Full text Link to item Cite

How Do Patient-Reported Outcomes Correlate With Real-Time Objective Measures of Function After Total Knee Arthroplasty? A Prospective Study Using Daily Gait Metrics.

Journal Article J Arthroplasty · July 2025 BACKGROUND: Patient-reported outcomes (PROs) are essential for evaluating patients undergoing total knee arthroplasty (TKA). While wearable technologies offer objective measures of physical function through Apple HealthKit, their relationship with PROs in ... Full text Link to item Cite

Fitting the Knee to the Patient, Not the Other Way Around: A Three-Dimensional Analysis of Total Knee Arthroplasty Implant Fit.

Journal Article J Arthroplasty · July 2025 BACKGROUND: Despite the growing interest in alternative alignment strategies, advancement in surgical technique, and implant design, several studies have demonstrated that a large number of patients continue to be dissatisfied following total knee arthropl ... Full text Link to item Cite

Comparing Functional Recovery Between Total and Unicompartmental Knee Arthroplasty: A Prospective Health Kit Study.

Journal Article J Arthroplasty · July 2025 BACKGROUND: Both total knee arthroplasty (TKA) and unicompartmental knee arthroplasty (UKA) have demonstrated excellent clinical outcomes for end-stage osteoarthritis. Although UKA has been shown to have lower survivorship, many patients are interested in ... Full text Link to item Cite

Periarticular Injection With or Without Adductor Canal Block for Pain Control Following Total Knee Arthroplasty.

Journal Article J Arthroplasty · June 2025 BACKGROUND: Periarticular injections (PAIs) have become a critical part of multimodal anesthetic regimens for total knee arthroplasty (TKA). This study assessed the effect of adductor canal blocks (ACBs) alone, PAIs alone, and the combination of both on po ... Full text Link to item Cite

State Healthcare Regulations and Total Knee Arthroplasty Prices Across the United States.

Journal Article Arthroplast Today · June 2025 BACKGROUND: The cost of healthcare services in the United States is subject to various regulatory influences, yet the impact of state-level healthcare policies and political affiliations on total knee arthroplasty (TKA) prices remains underexplored. METHOD ... Full text Link to item Cite

Racial Disparities in Total Joint Arthroplasty Bundled Payment Data.

Journal Article Arthroplast Today · June 2025 BACKGROUND: Bundled payment models gained traction in recent years in total joint arthroplasty (TJA) as an alternative to fee-for-service models, aiming to reduce health-care spending by holding providers accountable for quality and costs. While they can e ... Full text Link to item Cite

Does Stem Design for Conversion Total Hip Arthroplasty From Previous Short Intramedullary Nail Predispose to Fracture?

Journal Article J Am Acad Orthop Surg Glob Res Rev · June 1, 2025 INTRODUCTION: Conversion to total hip arthroplasty (THA) from prior short intramedullary nail (IMN) is an increasingly common procedure. Currently, there are no studies investigating if distal interlock screws serve as stress risers contributing to periope ... Full text Link to item Cite

Combined Orthopaedic and Infectious Disease Periprosthetic Joint Infection Clinic Enhances Arthroplasty Fellowship Training: A Survey From a Tertiary Center.

Journal Article Arthroplast Today · June 2025 BACKGROUND: The rising incidence of periprosthetic joint infections (PJIs) is linked to increasing utilization of total joint arthroplasty and higher rates of obesity, diabetes, and immunosuppression. Despite preoperative risk factor modification and perio ... Full text Link to item Cite

Native Knee Septic Arthritis With Mycobacterium Avium Complex Treated With Primary Total Knee Arthroplasty With Antibiotic-Eluting Cement.

Journal Article Arthroplast Today · June 2025 Native knee septic arthritis due to Mycobacterium avium complex (MAC) is extremely rare. Disseminated MAC infections are often associated with an immunosuppressed state; however, they can occur in immunocompetent patients. We describe a case of MAC infecti ... Full text Link to item Cite

The Impact of Health Policy on Total Ankle Arthroplasty Prices in the United States.

Journal Article J Am Acad Orthop Surg · May 2, 2025 BACKGROUND: Total ankle arthroplasty (TAA) is increasingly used due to advancements in surgical technology leading to promising results. Although TAA may have a higher upfront complication rate, its long-term benefits, including lower rates of adjacent joi ... Full text Link to item Cite

Unsuspected Positive Intra-Operative Cultures in Aseptic Revision Hip Arthroplasty: Prevalence, Management, and Infection-Free Survivorship.

Journal Article J Arthroplasty · May 2025 BACKGROUND: This study aimed to describe the management and outcomes of aseptic revision total hip arthroplasty (arTHA) with unsuspected intraoperative positive cultures (UPCs) compared to those with sterile cultures. METHODS: A single tertiary center's in ... Full text Link to item Cite

Fall Prevention after Hip and Knee Arthroplasty.

Journal Article Orthop Clin North Am · April 2025 Despite the success of total knee arthroplasty and total hip arthroplasty, patients face an increased risk of postoperative falls, often due to surgery-induced changes in muscle strength. Falls can lead to serious consequences, including fractures and redu ... Full text Link to item Cite

Does Femoral Stem Design Influence Periprosthetic Fracture Incidence and Morphology in Total Hip Arthroplasty?

Journal Article J Arthroplasty · April 2025 BACKGROUND: As the incidence of total hip arthroplasty (THA) increases, the number of periprosthetic femur fractures (PFFs) will also rise. The surgical approach and stem design have been shown to influence the rate of PFF. This study evaluated PFF in ceme ... Full text Link to item Cite

Outpatient Versus Inpatient Total Joint Arthroplasty: Do Medically and Socially Complex Patients Require More Resources but Achieve Similar Outcomes?

Journal Article Arthroplast Today · April 2025 BACKGROUND: This study compared outcomes between patients undergoing outpatient total joint arthroplasty (TJA) at an ambulatory surgery center (ASC) versus a cohort of medically and socially complex patients undergoing TJA at a tertiary healthcare system. ... Full text Link to item Cite

The Effect of Social Drivers of Health on 90-Day Readmission Rates and Costs After Primary Total Hip and Total Knee Arthroplasty.

Journal Article J Am Acad Orthop Surg · February 15, 2025 INTRODUCTION: The effect of social drivers of health (SDOH) on readmissions and costs after total hip arthroplasty (THA) and total knee arthroplasty (TKA) is poorly understood. Policies such as the Hospital Readmissions Reduction Program have targeted over ... Full text Link to item Cite

Same-Day Discharge Total Knee Arthroplasty: Hospital Demonstrates Similar Outcomes to Ambulatory Surgery Center in a More Complex Patient Population.

Journal Article J Arthroplasty · February 2025 BACKGROUND: The purpose of this study was to compare outcomes between patients undergoing same-day discharge (SDD) total knee arthroplasty (TKA) at an ambulatory surgery center (ASC) versus a tertiary care university hospital setting. METHODS: A single ter ... Full text Link to item Cite

Tranexamic Acid Led to Improved Safety of Total Knee Arthroplasty in Jehovah's Witness Patients: A Multicentered Matched Study.

Journal Article J Arthroplasty · February 2025 BACKGROUND: This study aimed to evaluate the safety of total knee arthroplasty (TKA) in Jehovah's Witness patients compared to non-Jehovah's Witness patients using standard perioperative TKA protocols and assess the role of tranexamic acid (TXA) in managin ... Full text Link to item Cite

How Often Is Rifampin Therapy Initiated and Completed in Patients With Periprosthetic Joint Infections?

Journal Article Clin Orthop Relat Res · January 23, 2025 BACKGROUND: Rifampin therapy is indicated for the treatment of staphylococcal periprosthetic joint infection (PJI) in patients who have undergone debridement, antibiotics, and implant retention (DAIR) or one-stage revision as per the Infectious Diseases So ... Full text Link to item Cite

The impact of political partisanship, certificate of need, Medicaid expansion, and area deprivation index on total shoulder arthroplasty prices in the United States.

Journal Article J Shoulder Elbow Surg · January 2025 BACKGROUND: Recent mandates from the Center for Medicare and Medicaid Services require United States hospitals to disclose health care service pricing. Yet, there's a gap in understanding how state-level factors affect hospital service pricing, like total ... Full text Link to item Cite

Health care policy and arthroscopic rotator cuff repair prices in the United States.

Journal Article J Shoulder Elbow Surg · January 2025 BACKGROUND: Arthroscopic rotator cuff repair (ARCR) is one of the most common orthopedic procedures in the general population. Despite its prevalence, the price of ARCR varies significantly across regions, hospital models, and settings. The purpose of this ... Full text Link to item Cite

The Role of Sleep Apnea in Postoperative Neurocognitive Disorders Among Older Noncardiac Surgery Patients: A Prospective Cohort Study.

Journal Article Anesth Analg · January 1, 2025 BACKGROUND: Obstructive sleep apnea is associated with increased dementia risk, yet its role in postoperative neurocognitive disorders is unclear. Here, we studied whether the severity of untreated obstructive sleep apnea is associated with the severity of ... Full text Link to item Cite

How is infection diagnostic criteria for shoulder periprosthetic joint infection reported in literature: systematic review.

Journal Article JSES Int · January 2025 BACKGROUND: The purpose of this study was to elucidate which criteria are being reported in the literature for the workup and diagnosis of shoulder periprosthetic joint infection (PJI). Studies published prior to or after 2019 were compared to elucidate an ... Full text Link to item Cite

Differential synovial fluid white blood cell count for the diagnosis of chronic peri-prosthetic joint infection - a systematic review and meta-analysis.

Journal Article J Bone Jt Infect · 2025 Introduction: Peri-prosthetic joint infection (PJI) is a significant complication of arthroplasty, lacking a single gold standard diagnostic test. Synovial fluid white blood cell (WBC) count and polymorphonuclear neutrophil (PMN) proportion are widely used ... Full text Link to item Cite

Outcomes of Staphylococcal Periprosthetic Joint Infections Treated With Rifampin and the Potential Role of Rifabutin as a Substitute When High-risk Drug-drug Interactions Exist.

Journal Article Orthopedics · 2025 BACKGROUND: This study evaluated outcomes of patients meeting Infectious Disease Society of America guidelines for rifampin therapy in treating staphylococcal periprosthetic joint infection (PJI) and explored the role of rifabutin as a substitute when rifa ... Full text Link to item Cite

What Is the Impact of Anti-Estrogen Therapy on Total Joint Arthroplasty Outcomes? A View into Women's Health After Breast Cancer.

Journal Article J Surg Orthop Adv · 2025 The purpose of this study is to determine if differences exist in patient-reported outcome measures (PROMs), revision rates, and postoperative health care utilization between individuals that have a history of taking anti-estrogen medication prior to total ... Link to item Cite

Coronal plane deformity in total knee arthroplasty is associated with increased operative time and disposition to skilled nursing facility.

Journal Article Arch Orthop Trauma Surg · December 31, 2024 PURPOSE: Studies demonstrate similar long-term Total Knee Arthroplasty (TKA) outcomes in patients with significant versus minimal preoperative coronal plane deformity. Limited short-term outcomes data, which determine costs of care, exist. METHODS: We retr ... Full text Link to item Cite

Total hip arthroplasty was found to be safe in Jehovah's Witness patients: a multi-centered matched study.

Journal Article Arch Orthop Trauma Surg · December 31, 2024 BACKGROUND: Jehovah's Witness patients refuse blood transfusion because of their religious beliefs making total hip arthroplasty (THA) challenging. This study aims to determine the safety of THA in Jehovah's Witness patients using standard perioperative pr ... Full text Link to item Cite

Risk Factors of Failure to Discharge Before "Two Midnights" in Outpatient-Designated Total Hip Arthroplasty.

Journal Article J Am Acad Orthop Surg · December 1, 2024 INTRODUCTION: The Centers for Medicare and Medicaid Services removed total hip arthroplasty (THA) from the inpatient-only list but continued to classify admissions as inpatient if they include two midnights, complicating care if an outpatient THA requires ... Full text Link to item Cite

Validation of a Discharge Risk Calculator for Rural Patients Following Total Joint Arthroplasty.

Journal Article J Arthroplasty · December 2024 BACKGROUND: As the volume of total joint arthroplasty in the US continues to grow, new challenges surrounding appropriate discharge surface. Arthroplasty literature has demonstrated discharge disposition to postacute care facilities carries major risks reg ... Full text Link to item Cite

Mechanical Failure of Modular Rotating Hinge Femoral Component.

Journal Article Arthroplast Today · December 2024 Hinge constructs can be used in revision total knee arthroplasty in cases of major collateral ligament deficiency, global knee instability, repeated failure of constrained implants, or large bone defects. Although the success of this construct in revision ... Full text Link to item Cite

Robotic Total Hip Arthroplasty for Traumatic Acetabular Fracture Using an Image-free Second-Generation System.

Journal Article Arthroplast Today · December 2024 Complex traumatic acetabular fractures with concomitant hip dislocations are an orthopaedic emergency often requiring open reduction and internal fixation; however, total hip arthroplasty (THA) for acute acetabular fractures may be indicated in certain sce ... Full text Link to item Cite

The Removal of Total Knee Arthroplasty From the Inpatient-Only List has Improved Patient Optimization.

Journal Article J Am Acad Orthop Surg · November 1, 2024 INTRODUCTION: On January 1, 2018, the Centers for Medicare and Medicaid Services removed total knee arthroplasty (TKA) from the inpatient-only (IPO) list, expanding outpatient TKA (oTKA) to include patients with insurance coverage through their programs. T ... Full text Link to item Cite

Comparing a robotic imageless second-generation system to traditional instrumentation in total knee arthroplasty: A matched cohort analysis.

Journal Article J Orthop · November 2024 INTRODUCTION: Robotic-assisted total knee arthroplasty (rTKA) has gained interest from patients and surgeons alike. Robotic systems assist with gap balancing and bone cut accuracy, which can theoretically minimize post-operative pain by decreasing soft tis ... Full text Link to item Cite

Generative AI in orthopedics: an explainable deep few-shot image augmentation pipeline for plain knee radiographs and Kellgren-Lawrence grading.

Journal Article J Am Med Inform Assoc · November 1, 2024 OBJECTIVES: Recently, deep learning medical image analysis in orthopedics has become highly active. However, progress has been restricted by the absence of large-scale and standardized ground-truth images. To the best of our knowledge, this study is the fi ... Full text Link to item Cite

Chondrocyte Invasion May Be a Mechanism for Persistent Staphylococcus Aureus Infection In Vitro.

Journal Article Clin Orthop Relat Res · October 1, 2024 BACKGROUND: Recurrent bone and joint infection with Staphylococcus aureus is common. S. aureus can invade and persist in osteoblasts and fibroblasts, but little is known about this mechanism in chondrocytes. If S. aureus were able to invade and persist wit ... Full text Link to item Cite

Unsuspected Positive Intraoperative Cultures in Aseptic Revision Knee Arthroplasty: Prevalence, Management, and Infection-Free Survivorship.

Journal Article J Arthroplasty · October 2024 BACKGROUND: The purpose of this study was to evaluate the management and outcomes of aseptic revision total knee arthroplasty (arTKA) with unsuspected positive cultures (UPCs) compared to those with sterile cultures. METHODS: The institutional database at ... Full text Link to item Cite

Defining Distinct Stress Curve Morphologies for Coronal Plane Alignment of the Knee Phenotypes Using an Imageless Navigation Robotic Platform in Total Knee Arthroplasty.

Journal Article J Arthroplasty · October 2024 BACKGROUND: The coronal plane alignment of the knee (CPAK) classification system divides coronal knee anatomy into 9 phenotypes, suggesting different soft tissue balancing is needed for optimal outcomes. We investigated the interplay between CPAK phenotype ... Full text Link to item Cite

Daily physical activity following unicompartmental knee arthroplasty: A pilot study.

Journal Article J Exp Orthop · October 2024 PURPOSE: The purpose of this study was to understand how objective measures of daily activity change following unicompartmental knee arthroplasty (UKA). Objective data on post-operative changes in daily physical activity following UKA are limited, highligh ... Full text Link to item Cite

Dual Mobility Articulation in Total Hip Arthroplasty: Mixed Femoral and Acetabular Components are a Feasible Option.

Journal Article J Arthroplasty · September 2024 BACKGROUND: The utilization of a different manufacturer for the prosthetic femoral head and the polyethylene insert in dual mobility (DM) for total hip arthroplasty (THA) may be necessary, especially in the revision setting. However, there is no data in th ... Full text Link to item Cite

Timing of Renal Transplant Prior to Total Knee Arthroplasty Impacts 90-Day Postoperative Outcomes.

Journal Article J Arthroplasty · September 2024 BACKGROUND: Renal transplant (RT) patients are at increased risk for complications after total knee arthroplasty (TKA); however, it is unknown if the time from RT to TKA influences such risks. This study evaluated RT patients undergoing primary TKA at vari ... Full text Link to item Cite

Clinic of Hope: bridging infectious disease and orthopaedic surgery in prosthetic joint infection management.

Journal Article BMJ Open Qual · August 21, 2024 Prosthetic joint infections (PJIs) following total joint arthroplasty are a significant and costly complication. To address fragmented care typically seen with separate management, we established a combined infectious disease and orthopaedic surgery clinic ... Full text Link to item Cite

Ultracongruent Polyethylene Liners Do Not Affect Survival of Total Knee Arthroplasty for Valgus Deformity.

Journal Article J Arthroplasty · August 2024 BACKGROUND: Valgus knee deformity is observed in nearly 10% of patients undergoing total knee arthroplasty (TKA). The degree of polyethylene constraint required to balance a valgus knee remains controversial, and historically, posterior-stabilized (PS) des ... Full text Link to item Cite

Continuation of Oral Antidiabetic Medications Was Associated With Better Early Postoperative Blood Glucose Control Compared to Sliding Scale Insulin After Total Knee Arthroplasty.

Journal Article J Arthroplasty · August 2024 BACKGROUND: This study evaluated blood glucose (BG), creatinine levels, metabolic issues, length of stay (LOS), and early postoperative complications in diabetic primary total knee arthroplasty (TKA) patients. It examined those who continued home oral anti ... Full text Link to item Cite

Revision Total Knee Arthroplasty With an Imageless, Second-Generation Robotic System.

Journal Article J Arthroplasty · August 2024 BACKGROUND: Robotic-assisted total knee arthroplasty is increasingly used in revision total knee arthroplasty (rTKA), with imageless systems recently receiving Food and Drug Administration (FDA) approval. However, there remains a paucity of literature on t ... Full text Link to item Cite

Smoking cessation prior to elective total joint arthroplasty results in sustained abstinence postoperatively.

Journal Article World J Orthop · July 18, 2024 BACKGROUND: Tobacco use is a well-documented modifiable risk factor for perioperative complications. AIM: To determine the tobacco abstinence rates of patients who made cessation efforts prior to a total joint arthroplasty (TJA) procedure. METHODS: A retro ... Full text Link to item Cite

Native Joint Septic Arthritis.

Journal Article Antibiotics (Basel) · June 27, 2024 Native joint septic arthritis (NJSA) is a severe and rapidly progressing joint infection, predominantly bacterial but also potentially fungal or viral, characterized by synovial membrane inflammation and joint damage, necessitating urgent and multidiscipli ... Full text Link to item Cite

Total Joint Arthroplasty Is a Viable Treatment Option for Patients With Osteonecrosis and Osteoarthritis After Bone Marrow Transplantation.

Journal Article Arthroplast Today · June 2024 BACKGROUND: Long-term survival in patients who receive bone marrow transplantation (BMT) is increasing. However, osteonecrosis and secondary osteoarthritis (OA) of the hip and knee are common complications in this population due to post-transplant steroid ... Full text Link to item Cite

The relationship between pseudotumours and infected complications in patients who have undergone metal-on-metal total hip arthroplasty.

Journal Article Bone Joint J · June 1, 2024 AIMS: This study aims to assess the relationship between history of pseudotumour formation secondary to metal-on-metal (MoM) implants and periprosthetic joint infection (PJI) rate, as well as establish ESR and CRP thresholds that are suggestive of infectio ... Full text Link to item Cite

Outcomes After Pseudomonas Prosthetic Joint Infections.

Journal Article J Am Acad Orthop Surg · May 15, 2024 BACKGROUND: Pseudomonas species are a less common but devastating pathogen family in prosthetic joint infections (PJIs). Despite advancements in management, Pseudomonas PJIs remain particularly difficult to treat because of limited antibiotic options and r ... Full text Link to item Cite

Gender Trends in Authorship in 6 Major Orthopaedic Journals.

Journal Article J Bone Joint Surg Am · April 3, 2024 BACKGROUND: Historically, orthopaedic surgery has had low female representation, with <6% of practicing surgeons identifying as female. Although prior literature has illustrated gender disparities in first and last authorship as well as changes in gender r ... Full text Link to item Cite

Outcome Disparities in Total Knee and Total Hip Arthroplasty among Native American Populations.

Journal Article J Racial Ethn Health Disparities · April 2024 BACKGROUND: No prior racial disparities studies in total knee arthroplasty (TKA) and total hip arthroplasty (THA) have specifically evaluated outcomes among American Indian or Alaska Native (AIAN) patients. We hypothesized that AIAN patients have worse out ... Full text Link to item Cite

Patient Perceptions and Interest in Robotic-Assisted Total Joint Arthroplasty.

Journal Article Arthroplast Today · April 2024 BACKGROUND: Robotic-assisted total joint arthroplasty (rTJA) has growing interest among patients and surgeons. However, patient interest in and perceptions of rTJA have not been well explored. We sought to investigate the influence of patient demographics ... Full text Link to item Cite

Subsequent total joint arthroplasty: Are we learning from the first stage?

Journal Article World J Orthop · March 18, 2024 BACKGROUND: With the increasing incidence of total joint arthroplasty (TJA), there is a desire to reduce peri-operative complications and resource utilization. As degenerative conditions progress in multiple joints, many patients undergo multiple procedure ... Full text Link to item Cite

Inferior Outcomes for Patients Transferred Between Surgical Stages for Knee Periprosthetic Joint Infection.

Journal Article J Arthroplasty · February 2024 BACKGROUND: Periprosthetic joint infection (PJI) in total knee arthroplasty may result in 2-stage revision surgery. There are limited data describing outcomes when the first stage is completed at an outside hospital and the patient is referred to a tertiar ... Full text Link to item Cite

Risk Factors for Early Readmission and Reoperation After Outpatient Total Hip Arthroplasty.

Journal Article Orthopedics · 2024 Outpatient total hip arthroplasty (THA) is a safe option for select patients. The purpose of this study was to analyze a national database and understand risk factors that lead to unplanned early readmission and reoperation after outpatient THA. The Nation ... Full text Link to item Cite

Management of Intraoperative Acetabular Fractures During Total Hip Arthroplasty.

Journal Article Orthop Clin North Am · January 2024 Intraoperative fractures of the acetabulum are a rare but serious complication during total hip arthroplasty. Acute fractures generally require attention with plating, whereas chronic acetabular fractures may be approached with distraction, a Burch-Schneid ... Full text Link to item Cite

Risk factors for failure after rotational muscle flap coverage for prosthetic knee infections.

Journal Article J Orthop Surg (Hong Kong) · 2024 INTRODUCTION: Soft tissue defects are a devastating complication of prosthetic joint infections (PJI) after total knee arthroplasty (TKA). Rotational flaps are commonly utilized to address these defects with variable reports of success. This study aimed to ... Full text Link to item Cite

Assessing the Diagnostic Accuracy of Next-Generation Sequencing in Patients With Antibiotic Spacers Before Reimplantation.

Journal Article Orthopedics · 2024 Use of molecular sequencing modalities in periprosthetic joint infection diagnosis and organism identification has gained popularity recently. To date, there is no diagnostic test that reliably predicts infection eradication in patients with antibiotic spa ... Full text Link to item Cite

Facebook Data Analytics: An Orthopedic Arthroplasty Case Study and Guide for Physicians.

Journal Article Orthopedics · 2024 Social media is increasingly used for health queries and subspecialist selection, but physicians receive little training in its use. This case study describes use of the free data tool Facebook Audience Insights to understand population demographics releva ... Full text Link to item Cite

Continuing Home Oral Hypoglycemic Medications Was Associated With Superior Postoperative Glycemic Control Versus Initiating Sliding Scale Insulin After Total Hip Arthroplasty.

Journal Article Orthopedics · 2024 BACKGROUND: This retrospective study investigated the impact of continuing vs discontinuing home oral hypoglycemic medications for patients with diabetes undergoing total hip arthroplasty. MATERIALS AND METHODS: Patients who were not exclusively receiving ... Full text Link to item Cite

OSTEONECROSIS OF THE HIP

Chapter · January 1, 2024 Osteonecrosis, also referred to as avascular necrosis, atraumatic necrosis, ischemic necrosis, or aseptic necrosis, is a musculoskeletal condition in which death of bone occurs. It most often affects weight-bearing joints with poor access to blood flow. Co ... Full text Cite

Patient sex and race are associated with differences in coronal plane alignment classification in native arthritic knees.

Journal Article J Orthop Surg (Hong Kong) · 2024 Purpose: The purpose of this study was to evaluate associations between demographics and Coronal Plane Alignment of the Knee (CPAK) classification in pre-surgical TKA patients. Methods: This is a retrospective study of 1167 patients with knee osteoarthriti ... Full text Link to item Cite

A Cost Analysis of Traditional Versus Robotic Total Knee Arthroplasty Performed With an Imageless, Second-generation Robotic System.

Journal Article Orthopedics · 2024 BACKGROUND: This study compared perioperative outcomes as well as encounter and 90-day costs between patients undergoing traditional vs robotic total knee arthroplasty (rTKA). MATERIALS AND METHODS: A total of 430 TKAs (215 rTKAs, 215 traditional) were ret ... Full text Link to item Cite

Public Knowledge and Perception of Outpatient Shoulder Arthroplasty.

Journal Article J Surg Orthop Adv · 2024 There is a growing trend in performing outpatient total shoulder arthroplasty (TSA). The purpose of this study was to analyze the public perception of outpatient TSA by querying a validated online market research platform regarding the public's knowledge, ... Link to item Cite

Robotic Revision Total Knee Arthroplasty

Chapter · January 1, 2024 Robotics and computer-assisted surgery navigation systems are becoming more common and have been shown to improve precision and accuracy of bone resection for optimal alignment in total knee arthroplasty (TKA). Only recently have robotics been used in revi ... Full text Cite

Does Preoperative Weight Loss Within 6 Months or 1 Year Change the Risk of Adverse Outcomes in Total Knee Arthroplasty by Initial Body Mass Index Classification?

Journal Article J Arthroplasty · December 2023 BACKGROUND: High body mass index (BMI) is associated with adverse outcomes after total knee arthroplasty (TKA). Thus, many patients are advised to lose weight before TKA. This study examined how weight loss before TKA is associated with adverse outcomes de ... Full text Link to item Cite

The Practice Patterns of American Association of Hip and Knee Surgeons for the Management of Chronic Periprosthetic Joint Infection After Total Knee Arthroplasty.

Journal Article J Arthroplasty · November 2023 BACKGROUND: The management of periprosthetic joint infection (PJI) following total knee arthroplasty (TKA) has considerable variation. In order to better capture current preferences for the management of PJI, this study sought to poll the current members o ... Full text Link to item Cite

Failed 2-Stage Revision Knee Arthroplasty for Periprosthetic Joint Infection-Patient Characteristics and Outcomes.

Journal Article J Arthroplasty · October 2023 BACKGROUND: Chronic prosthetic joint infection (PJI) is most frequently treated with 2-stage revision in conjunction with antibiotic treatment. The aims of this study were 1) to investigate the characteristics of patients who have recurrent infection follo ... Full text Link to item Cite

A Permanent Articulating Spacer Versus Two-Stage Exchange for Chronic Periprosthetic Joint Infection: A Propensity Score-Matched Study.

Journal Article J Arthroplasty · August 2023 BACKGROUND: Although 2-stage revision has been proposed as gold standard for periprosthetic joint infection treatment, limited evidence exists for the role of articulating spacers as definitive management. The purpose of this study was to compare clinical ... Full text Link to item Cite

Cutibacterium positive cultures in total joint arthroplasty: a comparison of the hip, knee, and shoulder.

Journal Article Int Orthop · August 2023 PURPOSE: Cutibacterium spp. (formerly Propionibacterium) is a slow growing, Gram-positive, anaerobic bacteria and is an emerging clinical entity in prosthetic joint infection (PJI). This study compares the presentation, surgical management, and post-operat ... Full text Link to item Cite

Trends in Total Knee Arthroplasty Cementing Technique Among Arthroplasty Surgeons-A Survey of the American Association of Hip and Knee Surgeons Members.

Journal Article J Arthroplasty · July 2023 BACKGROUND: Aseptic loosening persists as one of the leading causes of failure following cemented primary total knee arthroplasty (TKA). Cement technique may impact implant fixation. We hypothesized that there is variability in TKA cement technique among a ... Full text Link to item Cite

The Removal of Total Hip Arthroplasty From the Inpatient-Only List has Improved Patient Selection and Expanded Optimization Efforts.

Journal Article J Arthroplasty · July 2023 BACKGROUND: On January 1, 2020, the Centers for Medicare and Medicaid Services removed total hip arthroplasty (THA) from the Inpatient-Only (IPO) list. This study evaluated patient demographics and comorbidities, preoperative optimization efforts, and 30-d ... Full text Link to item Cite

An ACS-NSQIP Analysis of Unicompartmental Knee Arthroplasty Trends from 2013 to 2018.

Journal Article J Knee Surg · June 2023 Unicompartmental knee arthroplasty (UKA) volume has increased with advances in implant design, perioperative protocols, and patient selection. This study analyzed national trends of UKA from 2013 to 2018 and the relationship between patient demographics an ... Full text Link to item Cite

Evaluation of anterior translation in total knee arthroplasty utilizing stress radiographs.

Journal Article J Orthop Surg Res · June 1, 2023 BACKGROUND: Flexion instability is a common cause for revision after total knee arthroplasty (TKA); however, little objective criteria exist to determine excessive laxity in flexion. This study sought to determine the reliability of stress radiographs for ... Full text Link to item Cite

Projections and Epidemiology of Revision Hip and Knee Arthroplasty in the United States to 2040-2060.

Journal Article Arthroplast Today · June 2023 BACKGROUND: National projections of future joint arthroplasties are useful in understanding the changing burden of surgery and related outcomes on the health system. The aim of this study is to update the literature by producing Medicare projections for re ... Full text Link to item Cite

A Validated Pre-operative Risk Prediction Tool for Extended Inpatient Length of Stay Following Primary Total Hip or Knee Arthroplasty.

Journal Article J Arthroplasty · May 2023 BACKGROUND: As value-based reimbursement models mature, understanding the potential trade-off between inpatient lengths of stay and complications or need for costly postacute care becomes more pressing. Understanding and predicting a patient's expected bas ... Full text Link to item Cite

D-Dimer, Erythrocyte Sedimentation Rate, and C-Reactive Protein Sensitivities for Periprosthetic Joint Infection Diagnosis.

Journal Article J Arthroplasty · May 2023 BACKGROUND: There is contradicting evidence on the diagnostic value of inflammatory biomarkers for periprosthetic joint infection (PJI). We sought to quantify the sensitivity of D-dimer for acute and chronic PJI diagnosis and evaluate D-dimer lab values in ... Full text Link to item Cite

A Multicenter Prospective Investigation on Patient Physical and Mental Health After Girdlestone Resection Arthroplasty.

Journal Article J Arthroplasty · May 2023 BACKGROUND: Girdlestone resection arthroplasty is a salvage procedure for hip periprosthetic joint infection (PJI) that controls infection and reduces chronic pain, but may result in limited postoperative joint function. The aim of this study was to assess ... Full text Link to item Cite

Opioid Legislation Decreases Opioid Prescribing in Total Knee Arthroplasty.

Journal Article Orthopedics · May 2023 The purpose of this study was to evaluate the impact of opioid-limiting legislation on perioperative opioid prescriptions in total knee arthroplasty. The hypothesis was that opioid legislation has reduced opioid prescription filling above levels anticipate ... Full text Link to item Cite

Accelerated Discharge After Aseptic Revision Total Hip Arthroplasty Does Not Predict Inferior 30-Day Outcomes.

Journal Article J Arthroplasty · March 2023 BACKGROUND: Perioperative advancements have made outpatient primary total hip arthroplasty (THA) a viable option for patients. This study evaluated the feasibility of expedited discharge after revision THA and compared 30-day outcomes to patients who had p ... Full text Link to item Cite

Direct Costs Vary by Outcome in Two-Stage Revision Arthroplasty for the Treatment of Hip Periprosthetic Joint Infection.

Journal Article Arthroplast Today · February 2023 BACKGROUND: Two-stage revision arthroplasty is the gold standard for treating chronic prosthetic joint infection (PJI), but there has been limited analysis of the costs incurred beyond the index procedure and how additional complications and/or surgeries i ... Full text Link to item Cite

Routine Pathologic Examination of the Femoral Head in Total Hip Arthroplasty: A Survey Study of the American Association of Hip and Knee Surgeons.

Journal Article Arthroplast Today · February 2023 BACKGROUND: Current literature does not provide conclusive evidence on whether routine pathologic examination of femoral heads from total hip arthroplasty is indicated or cost-effective. As a result, there is substantial variation in opinion among surgeons ... Full text Link to item Cite

Do Patients with Paget's Disease Have Worse Outcomes following Primary Total Knee Arthroplasty?

Journal Article J Knee Surg · January 2023 Well-powered studies evaluating the effects of Paget's disease on patient outcomes following primary total knee arthroplasty (TKA) are limited. The objective of this study was to determine whether Paget's disease patients undergoing primary TKA have higher ... Full text Link to item Cite

Cost Drivers in Two-Stage Treatment of Hip Periprosthetic Joint Infection With an Antibiotic Coated Cement Hip Spacer.

Journal Article J Arthroplasty · January 2023 BACKGROUND: The current gold standard for treating chronic Periprosthetic Joint Infection (PJI) is a 2-stage revision arthroplasty. There has been little investigation into what specific patient and operative factors may be able to predict higher costs of ... Full text Link to item Cite

Midterm Results of Contemporary Uncemented Total Hip Arthroplasty in Patients 45 Years or Younger.

Journal Article Orthopedics · 2023 Total hip arthroplasty (THA) in young patients has varying results, and some reports show inferior results when compared with those of older patients. This study evaluated the outcomes of contemporary uncemented THA in patients 45 years or younger. This wa ... Full text Link to item Cite

Projections and Epidemiology of Primary Hip and Knee Arthroplasty in Medicare Patients to 2040-2060.

Journal Article JB JS Open Access · 2023 UNLABELLED: National projections of future joint arthroplasties are useful for understanding the changing burden of surgery and related outcomes on the health system. The aim of this study is to update the literature by producing Medicare projections for p ... Full text Link to item Cite

Body Mass Index and American Society of Anesthesiologists Score Predict Perioperative Delays in Different Phases for Total Hip Arthroplasty.

Journal Article J Surg Orthop Adv · 2023 Perioperative efficiency has become increasingly important with cost constraints and expanding indications for total hip arthroplasty (THA). We chose to analyze body mass index (BMI) and American Society of Anesthesiologists (ASA) score, in predicting peri ... Link to item Cite

Effect of commonly used lavage solutions on the polymerization of bone cement.

Journal Article Orthop Traumatol Surg Res · December 2022 INTRODUCTION: Little is known about the impact irrigation solutions have on the material properties of cement used in hip and knee arthroplasty. We sought to compare the effect of three commonly used lavage solutions on cement polymerization. METHODS: Ten ... Full text Link to item Cite

An analysis of 90-day emergency department visits after peripherally inserted central catheter (PICC) placement for prosthetic joint infection.

Journal Article Infect Control Hosp Epidemiol · December 2022 OBJECTIVE: Research on complications with peripherally inserted central catheter (PICC) lines that are placed for the treatment of prosthetic joint infection (PJI) after total hip arthroplasty (THA) and total knee arthroplasty (TKA) is scarce. We investiga ... Full text Link to item Cite

Total joint arthroplasty following solid organ transplants: complications and mid-term outcomes.

Journal Article Int Orthop · December 2022 PURPOSE: Survival after solid organ transplant (SOT) is improving, and demand for total joint arthroplasty (TJA) among SOT recipients is rising. Outcomes including revision, periprosthetic joint infection, and survivorship based on SOT type are variable. W ... Full text Link to item Cite

Effect of commonly used lavage solutions on the polymerization of bone cement

Journal Article Revue De Chirurgie Orthopedique Et Traumatologique · December 1, 2022 Introduction: Little is known about the impact irrigation solutions have on the material properties of cement used in hip and knee arthroplasty. We sought to compare the effect of three commonly used lavage solutions on cement polymerization. Methods: Ten ... Full text Cite

Primary Total Knee Arthroplasty in Patients Aged 45 Years or Younger: 162 Total Knee Arthroplasties With a Mean Follow-up Duration of 7 Years.

Journal Article Arthroplast Today · December 2022 BACKGROUND: There are few large studies evaluating total knee arthroplasty (TKA) in young patients. Therefore, we sought to evaluate patients aged 45 years or younger undergoing a primary TKA. METHODS: This was a retrospective, single-institution study, fr ... Full text Link to item Cite

Outcomes and Cost Analysis of a Surgical Care Unit for Outpatient Total Joint Arthroplasties Performed at a Tertiary Academic Center.

Journal Article Arthroplast Today · December 2022 BACKGROUND: Total joint arthroplasty (TJA) has shifted toward being an outpatient surgery with advances in perioperative protocols and patient selection. Most literature on outpatient arthroplasty focuses on the surgery performed in ambulatory centers. Thi ... Full text Link to item Cite

Accelerated discharge after aseptic revision knee arthroplasty is not associated with early readmission and reoperation.

Journal Article Bone Joint J · December 2022 AIMS: In the last decade, perioperative advancements have expanded the use of outpatient primary total knee arthroplasty (TKA). Despite this, there remains limited data on expedited discharge after revision TKA. This study compared 30-day readmissions and ... Full text Link to item Cite

Predicting Need for Skilled Nursing or Rehabilitation Facility after Outpatient Total Hip Arthroplasty.

Journal Article Hip Pelvis · December 2022 PURPOSE: Outpatient classified total hip arthroplasty (THA) is a safe option for a select group of patients. An analysis of a national database was conducted to understand the risk factors for unplanned discharge to a skilled nursing facility (SNF) or acut ... Full text Link to item Cite

Is primary total hip arthroplasty in patients with Down's syndrome associated with increased complications at 2 years follow-up?

Journal Article Arch Orthop Trauma Surg · October 2022 INTRODUCTION: Previous reports on primary total hip arthroplasty (THA) in patients with Down's syndrome (DS) are often small and/or lack a comparison cohort, and thus it is challenging to draw meaningful conclusions about this group. The purpose of this st ... Full text Link to item Cite

Validation of a Predictive Tool for Discharge to Rehabilitation or a Skilled Nursing Facility After TJA.

Journal Article J Bone Joint Surg Am · September 7, 2022 BACKGROUND: Cost excess in bundled payment models for total joint arthroplasty (TJA) is driven by discharge to rehabilitation or a skilled nursing facility (SNF). A recently published preoperative risk prediction tool showed very good internal accuracy in ... Full text Link to item Cite

Total Hip Arthroplasty in Morbidly Obese: Does a Strict Body Mass Index Cutoff Yield Meaningful Change?

Journal Article Hip Pelvis · September 2022 PURPOSE: The number of obese patients seeking total hip arthroplasty (THA) continues to expand despite body mass index (BMI) cutoffs. We sought to determine the outcomes of THA in the morbidly obese patient, and hypothesized they would have comparable outc ... Full text Link to item Cite

Short-Stay Arthroplasty is Not Associated With Increased Risk of 90-Day Hospital Returns.

Journal Article J Arthroplasty · August 2022 BACKGROUND: With the removal of total hip arthroplasty (THA) and total knee arthroplasty (TKA) from the inpatient-only list, medical centers are faced with challenging transitions to outpatient surgery. We investigated if short-stay arthroplasty, defined a ... Full text Link to item Cite

Racial and Ethnic Disparities in the Imaging Workup and Treatment of Knee and Hip Osteoarthritis.

Journal Article J Arthroplasty · August 2022 BACKGROUND: There is limited evidence on sociodemographic differences in osteoarthritis management, particularly in non-African American (AA) minorities. We sought to identify differences in imaging modalities, administration of intra-articular injections, ... Full text Link to item Cite

Clinical Outcomes After Stage-One Antibiotic Coated Molded Hip Spacer.

Journal Article J Arthroplasty · July 2022 BACKGROUND: Two-stage exchange remains the gold standard for managing periprosthetic joint infection (PJI). We evaluated the outcomes of patients treated with a specific molded articulating antibiotic hip spacer for PJI at a tertiary referral center. METHO ... Full text Link to item Cite

Risk Factors for Delayed Discharge and Adverse Outcomes Following Outpatient Billed Total Knee Arthroplasty.

Journal Article J Arthroplasty · June 2022 BACKGROUND: The volume of outpatient total knee arthroplasty (TKA) has increased with advances in perioperative protocols, patient selection, and recent policy changes regarding insurance authorization. This study analyzed 30-day outcomes from a national d ... Full text Link to item Cite

Prosthetic Knee Infection With Coagulase-Negative Staphylococcus: A Harbinger of Poor Outcomes.

Journal Article J Arthroplasty · June 2022 BACKGROUND: Coagulase-negative staphylococci (CoNS) are biofilm-producing pathogens whose role in periprosthetic joint infection (PJI) is increasing. There is little data on the prognosis and treatment considerations in the setting of PJI. We sought to eva ... Full text Link to item Cite

Routine Pathologic Examination of Femoral Head Specimens from Total Hip Arthroplasty May Not Be Indicated or Cost-effective: A Systematic Review.

Journal Article Arthroplast Today · June 2022 BACKGROUND: There is considerable disparity in institutional practices surrounding routine pathologic examination of femoral heads removed during total hip arthroplasty (THA). Multiple groups have studied the merits of routine femoral head pathology in THA ... Full text Link to item Cite

Heterotopic Ossification Prophylaxis Following Operative Fixation of Acetabular Fractures: A Systematic Review.

Journal Article Surg Technol Int · May 19, 2022 INTRODUCTION: Heterotopic ossification (HO) is a well-recognized complication following operative fixation of acetabular fractures with a range of severity and clinical consequences. The purpose of this review was to: (1) report the incidence of heterotopi ... Full text Link to item Cite

Patterns and Predictors of Weight Change Before and After Total Hip Arthroplasty in Class 2 and 3 Obese Patients.

Journal Article J Arthroplasty · May 2022 BACKGROUND: This study aimed to better understand body mass index (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 preoperative or postoperative BMI ch ... Full text Link to item Cite

Preoperative Weight Loss and Postoperative Weight Gain Independently Increase Risk for Revision After Primary Total Knee Arthroplasty.

Journal Article J Arthroplasty · April 2022 BACKGROUND: The current American Association of Hip and Knee Surgeons (AAHKS) guidelines recommend preoperative weight loss before total knee arthroplasty (TKA) in patients with body mass index (BMI) ≥40 kg/m2. However, there is a paucity of evidence on TK ... Full text Link to item Cite

Prosthetic infection: Colonization and diagnosis

Chapter · February 1, 2022 Joint replacement procedures improve quality of life, function, and mobility, for over a million individuals annually. With the aging population, along with increased rates of diagnosis and treatment of arthritis, the number of these procedures continues t ... Full text Cite

Total Knee Arthroplasty in Patients with Dementia.

Journal Article J Knee Surg · January 2022 There are few studies evaluating total knee arthroplasty (TKA) in patients with dementia. The purpose of this study was to evaluate the rate of revision, complication, emergency department (ED) visitation, and discharge disposition in patients with dementi ... Full text Link to item Cite

Efficacy of Common Antiseptic Solutions Against Clinically Relevant Planktonic Microorganisms.

Journal Article Orthopedics · 2022 Prosthetic joint infections (PJIs) are among the most devastating complications after joint replacement. There is limited evidence regarding the efficacy of different antiseptic solutions in reducing planktonic microorganism burden. The purpose of this stu ... Full text Link to item Cite

The Effect of Medical Education on Patient Satisfaction: An Asset or a Liability?

Journal Article Orthopedics · 2022 Few studies have investigated the influence of trainee involvement on inpatient satisfaction scores in the postoperative joint arthroplasty setting. This study compares Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey scores ... Full text Link to item Cite

Imageless Robotic Knee Arthroplasty

Journal Article Operative Techniques in Orthopaedics · December 1, 2021 Robotic-assisted total knee arthroplasty is increasing in prevalence and has been shown to enable improved accuracy in implant positioning in total knee arthroplasty (TKA). Robotic assisted TKA can be categorized into image-guided and imageless techniques. ... Full text Cite

Use of Adjunct Antiseptic Agents in Periprosthetic Joint Infections.

Journal Article J Am Acad Orthop Surg · December 1, 2021 Periprosthetic joint infection is a leading cause for failure of contemporary total hip arthroplasty and total knee arthroplasty projected to nearly double in the next decade and reach an economic burden of $1.85 billion in the United Sates by 2030. Althou ... Full text Link to item Cite

The Effects of Dexamethasone in Diabetic Patients Undergoing Primary Total Joint Arthroplasty.

Journal Article Orthop Nurs · September 2021 Dexamethasone reduces postoperative pain and nausea, with no evidence of increased rate of infection in total joint arthroplasty. However, the effects of dexamethasone on diabetic patients undergoing total joint arthroplasty remain relatively unexplored. T ... Full text Link to item Cite

Varus-Valgus Constrained Implants in Revision Total Knee Arthroplasty: Mean Clinical Follow-Up of Six Years.

Journal Article J Arthroplasty · July 2021 BACKGROUND: There is scant literature evaluating varus-valgus constrained (VVC) prostheses in contemporary revision total knee arthroplasty (TKA). Therefore, we aimed to evaluate the durability of VVC revision TKA with selective use of cones. METHODS: A re ... Full text Link to item Cite

Antipsychotic Use Is Associated With Longer In-hospital Lengths of Stay and Higher Rates of Venous Thromboembolism and Costs of Care After Primary Total Knee Arthroplasty.

Journal Article J Am Acad Orthop Surg · July 1, 2021 INTRODUCTION: Studies have shown that antipsychotic medication use may lead to venous thromboembolisms (VTEs); however, this association has not been demonstrated in patients undergoing primary total knee arthroplasty (TKA). Therefore, the purpose of this ... Full text Link to item Cite

Comorbidity Burden Contributing to Racial Disparities in Outpatient Versus Inpatient Total Knee Arthroplasty.

Journal Article J Am Acad Orthop Surg · June 15, 2021 INTRODUCTION: Outpatient total knee arthroplasty (TKA) is increasingly common in the setting of early-recovery protocols, value-based care, and removal from the inpatient-only list by the Centers for Medicare & Medicaid Services. Given the established raci ... Full text Link to item Cite

Cost of Aseptic Revision Total Knee Arthroplasty at a Tertiary Medical Center.

Journal Article J Arthroplasty · May 2021 BACKGROUND: Revision total knee arthroplasty (TKA) involves varying levels of case complexity and costs depending on the following: (1) number of components revised, (2) duration of operating room time, and (3) length of hospital stay. However, the cost as ... Full text Link to item Cite

Body Mass Index, American Society of Anesthesiologists Score, and Elixhauser Comorbidity Index Predict Cost and Delay of Care During Total Knee Arthroplasty.

Journal Article J Arthroplasty · May 2021 BACKGROUND: Body mass index (BMI), American Society of Anesthesiologists (ASA) score, and Elixhauser Comorbidity Index are measures that are utilized to predict perioperative outcomes, though little is known about their comparative predictive effects. We a ... Full text Link to item Cite

Are Patients Taking Benzodiazepines at Increased Risk for Complications Following Primary Total Knee Arthroplasty?

Journal Article J Arthroplasty · May 2021 BACKGROUND: Benzodiazepines are commonly taken by patients who are undergoing total knee arthroplasty (TKA), but there is a paucity of studies evaluating any associations. Therefore, we hoped to study if patients taking preoperative benzodiazepines would h ... Full text Link to item Cite

Efficacy of common antiseptic solutions against clinically relevant microorganisms in biofilm.

Journal Article Bone Joint J · May 2021 AIMS: Periprosthetic joint infections (PJIs) are among the most devastating complications after joint arthroplasty. There is limited evidence on the efficacy of different antiseptic solutions on reducing biofilm burden. The purpose of the present study was ... Full text Link to item Cite

A Preoperative Risk Prediction Tool for Discharge to a Skilled Nursing or Rehabilitation Facility After Total Joint Arthroplasty.

Journal Article J Arthroplasty · April 2021 BACKGROUND: Discharge to rehabilitation or a skilled nursing facility (SNF) after total joint arthroplasty remains a primary driver of cost excess for bundled payments. An accurate preoperative risk prediction tool would help providers and health systems i ... Full text Link to item Cite

1.5-Stage Exchange Arthroplasty for Total Knee Arthroplasty Periprosthetic Joint Infections.

Journal Article J Arthroplasty · March 2021 BACKGROUND: Periprosthetic joint infection (PJI) in total knee arthroplasty (TKA) is a challenging problem. The purpose of this study was to outline a novel technique to treat TKA PJI. We define 1.5-stage exchange arthroplasty as placing an articulating sp ... Full text Link to item Cite

Paget's Disease in Primary Total Hip Arthroplasty Is Associated With Greater In-Hospital Lengths of Stay, Costs, and Complications.

Journal Article J Arthroplasty · February 2021 BACKGROUND: There are few well-powered studies investigating the association of Paget's disease of bone on patients undergoing primary total hip arthroplasty (THA). This study utilized a nationwide database to determine whether Paget's patients undergoing ... Full text Link to item Cite

A New Promising Anti-Infective Agent Inhibits Biofilm Growth by Targeting Simultaneously a Conserved RNA Function That Controls Multiple Genes.

Journal Article Antibiotics (Basel) · January 4, 2021 Combating single and multi-drug-resistant infections in the form of biofilms is an immediate challenge. The challenge is to discover innovative targets and develop novel chemistries that combat biofilms and drug-resistant organisms, and thwart emergence of ... Full text Link to item Cite

The Calpain Gene is Correlated With Metal-on-Metal Hip Replacement Failures.

Journal Article J Arthroplasty · January 2021 BACKGROUND: Metal-on-metal (MOM) total hip arthroplasty is associated with unacceptable failure rates secondary to metal ion reactions. Efforts to identify which patients will go on to failure have been limited; recently, there has been a suggestion for a ... Full text Link to item Cite

A Case Complexity Modifier Is Warranted for Primary Total Knee Arthroplasty.

Journal Article J Arthroplasty · January 2021 BACKGROUND: The Center for Medicare and Medicaid Services is faced with a challenge of decreasing the cost of care for total knee arthroplasty (TKA) but must make efforts to prevent patient selection bias in the process. Currently, no appropriate modifier ... Full text Link to item Cite

All-Polyethylene Tibia: An Opportunity for Value-Based Care in Bundled Reimbursement Initiatives.

Journal Article Orthopedics · January 1, 2021 Surgeons play a critical role in making cost-effective decisions that maintain high-quality patient outcomes, which is the current focus of the Centers for Medicare & Medicaid Services. All-polyethylene tibial (APT) components often cost less during total ... Full text Link to item Cite

Angiotensin Receptor Blockers Were Not Associated With Decreased Arthrofibrosis After Total Knee Arthroplasty.

Journal Article Orthopedics · 2021 Stiffness after total knee arthroplasty (TKA) remains a challenging problem. Angiotensin receptor blockers (ARBs) have been associated with decreased muscle fibrosis. The aim of this study was to evaluate whether perioperative use of ARBs was associated wi ... Full text Link to item Cite

Next-generation sequencing not superior to culture in periprosthetic joint infection diagnosis.

Journal Article Bone Joint J · January 2021 AIMS: Use of molecular sequencing methods in periprosthetic joint infection (PJI) diagnosis and organism identification have gained popularity. Next-generation sequencing (NGS) is a potentially powerful tool that is now commercially available. The purpose ... Full text Link to item Cite

Revision Total Joint Arthroplasty: Final Stop Tertiary Referral Center.

Journal Article Orthopedics · 2021 High complication rates associated with revision total knee arthroplasty (TKA) and total hip arthroplasty (THA) may unequally burden tertiary referral centers, which manage medically complex patients. The authors aimed to quantify TKA and THA referral patt ... Full text Link to item Cite

Advances in Surgical Techniques for Robotic Computer-Navigated Total and Unicompartmental Knee Arthroplasty

Chapter · January 1, 2021 Robotic-assisted knee arthroplasty has become increasingly commercially available as both technology developers and surgeons attempt to address specific limitations of conventional jig-based alignment techniques in order to improve resection accuracy and p ... Full text Cite

Commercially Available Polymerase Chain Reaction Has Minimal Utility in the Diagnosis of Periprosthetic Joint Infection.

Journal Article Orthopedics · November 1, 2020 The use of genetic sequencing modalities in the diagnosis of periprosthetic joint infection (PJI) and the identification of organisms has gained popularity recently. Polymerase chain reaction (PCR) offers timely results for common organisms. The purpose of ... Full text Link to item Cite

Modulating antibiotic release from reservoirs in 3D-printed orthopedic devices to treat periprosthetic joint infection.

Journal Article J Orthop Res · October 2020 Periprosthetic joint infection is a costly debilitating affliction following total joint arthroplasty. Despite a relatively low incidence rate, periprosthetic joint infection is an increasing problem due to a substantial increase in arthroplasty surgeries ... Full text Link to item Cite

Arthroplasty Surgeons Do Not Improve Acute Outcomes for Patients With Hip Fracture Relative to Other Subspecialists.

Journal Article Orthopedics · September 1, 2020 As bundled reimbursement models continue to evolve, there is a continued effort to increase the value of care for patients undergoing arthroplasty. The authors sought to evaluate the effect of surgeon specialization (arthroplasty vs non-arthroplasty) on ac ... Full text Link to item Cite

Patient Risk Profile for Unplanned 90-Day Emergency Department Visits Differs Between Total Hip and Total Knee Arthroplasty.

Journal Article Orthopedics · September 1, 2020 Numerous studies have explored 90-day readmissions following total joint arthroplasty; however, there is a paucity of literature concerning 90-day emergency department (ED) visits. The authors aimed to characterize the risk factors for ED presentations and ... Full text Link to item Cite

Resuming Elective Orthopaedic Surgery During the COVID-19 Pandemic: Guidelines Developed by the International Consensus Group (ICM).

Journal Article J Bone Joint Surg Am · July 15, 2020 ». As we resume elective surgical procedures, it is important to understand what practices and protocols should be altered or implemented in order to minimize the risk of pathogen transfer during the severe acute respiratory syndrome (SARS)-CoV-2 pandemic. ... Full text Link to item Cite

Total Hip Arthroplasty for Femoral Neck Fracture: The Economic Implications of Orthopedic Subspecialty Training.

Journal Article J Arthroplasty · June 2020 BACKGROUND: Hip fractures have significant economic implications as a result of their associated direct and indirect medical costs. Under alternative payment models, it has become increasingly important for institutions to find avenues by which costs could ... Full text Link to item Cite

Total Hip Arthroplasty in Patients With Dementia.

Journal Article J Arthroplasty · June 2020 BACKGROUND: There are few studies evaluating total hip arthroplasty (THA) in patients with dementia. The purpose of this study is to evaluate the rate of revision, complication, emergency department (ED) visitation, and discharge disposition in patients wi ... Full text Link to item Cite

Impact of Patent Foramen Ovale on Total Knee Arthroplasty Cerebrovascular Accident Perioperative Management.

Journal Article Orthopedics · May 1, 2020 Venous thromboembolism and ischemic stroke are major complications following total knee arthroplasty (TKA) and potentially are associated with a patent foramen ovale (PFO). Although this association has been shown in other surgical disciplines, it has not ... Full text Link to item Cite

Use and Cost of Reverse Shoulder Arthroplasty Versus Hemiarthroplasty for Acute Proximal Humerus Fractures.

Journal Article Orthopedics · March 1, 2020 Although reverse total shoulder arthroplasty (RTSA) may outperform hemiarthroplasty (HSA) for acute proximal humerus fractures (PHF), both the RTSA implant and the procedure are more expensive. The goal of this study was to compare the use and longitudinal ... Full text Link to item Cite

Extended Oral Antibiotics and Infection Prophylaxis after a Primary or Revision Total Knee Arthroplasty.

Journal Article J Knee Surg · February 2020 One of the most common reasons for failure of primary total knee arthroplasty and need for revision surgery is periprosthetic infection. Antibiotics are one of the mainstays of treatment to address prosthetic joint infections, but the route of administrati ... Full text Link to item Cite

Effects of Virtual Exercise Rehabilitation In-Home Therapy Compared with Traditional Care After Total Knee Arthroplasty: VERITAS, a Randomized Controlled Trial.

Journal Article J Bone Joint Surg Am · January 15, 2020 BACKGROUND: Financial burden for patients, providers, and payers can reduce access to physical therapy (PT) after total knee arthroplasty (TKA). The purpose of the present study was to examine the effect of a virtual PT program on health-care costs and cli ... Full text Link to item Cite

Overview: Value-based Care for Orthopedic Surgery

Conference Techniques in Orthopaedics · January 1, 2020 An overview of health care value definitions, the current health care paradigm and brief history of the origins of value-based care in orthopedics are presented. The 4 pillar strategic approach for achieving high-value musculoskeletal services includes (1) ... Full text Cite

Same-day Bilateral Total Knee Arthroplasty Did Not Increase 90-day Hospital Returns.

Journal Article J Orthop Surg (Hong Kong) · 2020 PURPOSE: Bilateral total knee arthroplasty (TKA) can be performed in patients with bilateral knee arthritis. Outside of nationwide database studies, which have limitations, few studies have compared outcomes for same-day versus staged TKA. We sought to com ... Full text Link to item Cite

Undetectable Hepatitis C Viral Load Is Associated With Improved Outcomes Following Total Joint Arthroplasty.

Journal Article J Arthroplasty · December 2019 BACKGROUND: Previous reports establish that infection with hepatitis C virus (HCV) predisposes total joint arthroplasty (TJA) recipients to poor postoperative outcomes. The purpose of the present study is to assess whether variation in HCV VL influences pe ... Full text Link to item Cite

Undersedation During Total Hip Arthroplasty Reduction Results in Worse Patient Outcomes.

Journal Article J Arthroplasty · December 2019 BACKGROUND: Total hip arthroplasty (THA) dislocation is a common reason for presentation to the emergency department (ED) postoperatively. Prior literature has shown that propofol conscious sedation provides the fewest complications and the shortest time t ... Full text Link to item Cite

Perioperative Selective Serotonin Reuptake Inhibitor Use Is Associated With an Increased Risk of Transfusion in Total Hip and Knee Arthroplasty.

Journal Article J Arthroplasty · December 2019 BACKGROUND: Selective serotonin reuptake inhibitors (SSRIs) have been shown in both orthopedic and general surgery literature to be associated with an increased risk of blood loss, and this is thought to occur via diminished platelet serotonin reuptake and ... Full text Link to item Cite

The Role of Malnutrition in Ninety-Day Outcomes After Total Joint Arthroplasty.

Journal Article J Arthroplasty · November 2019 BACKGROUND: Research has linked malnutrition to more complications in total joint arthroplasty (TJA) patients. The role of preoperative albumin in predicting length of stay (LOS) and 90-day outcomes remains understudied. Often, an albumin cut-off ≤3.5 g/dL ... Full text Link to item Cite

Fibromyalgia Increases the Risk of Surgical Complications Following Total Knee Arthroplasty: A Nationwide Database Study.

Journal Article J Arthroplasty · September 2019 BACKGROUND: Although fibromyalgia is a common comorbidity with knee osteoarthritis, the orthopedic literature on this population is limited. Therefore, the purpose of this study is to assess if fibromyalgia patients have a higher likelihood of developing s ... Full text Link to item Cite

Value-Based Care Has Not Resulted in Biased Patient Selection: Analysis of a Single Center's Experience in the Care for Joint Replacement Bundle.

Journal Article J Arthroplasty · September 2019 BACKGROUND: Bundled reimbursement models for total knee arthroplasty (TKA) by the Center for Medicare and Medicaid Services have resulted in an effort to decrease the cost of care. However, these models may incentivize bias in patient selection to avoid ex ... Full text Link to item Cite

Patients at Risk for Exceeding CJR Cost Targets After Total Ankle Arthroplasty.

Journal Article Foot Ankle Int · September 2019 BACKGROUND: The Comprehensive Care for Joint Replacement (CJR) model includes total ankle arthroplasty (TAA), under which a target reimbursement is established. Whether this reimbursement is sufficient to cover average cost remains unknown. We hypothesized ... Full text Link to item Cite

A porcine xenograft-derived bone scaffold is a biocompatible bone graft substitute: An assessment of cytocompatibility and the alpha-Gal epitope.

Journal Article Xenotransplantation · September 2019 BACKGROUND: Xenografts are an attractive alternative to traditional bone grafts because of the large supply from donors with predictable morphology and biology as well as minimal risk of human disease transmission. Clinical series involving xenograft bone ... Full text Link to item Cite

Prior Hip Arthroscopy Increases Risk for Perioperative Total Hip Arthroplasty Complications: A Matched-Controlled Study.

Journal Article J Arthroplasty · August 2019 BACKGROUND: Arthroscopic hip surgery is becoming increasingly popular for the treatment of femoroacetabular impingement and labral tears. Reports of outcomes of hip arthroscopy converted to total hip arthroplasty (THA) have been limited by small sample siz ... Full text Link to item Cite

No Changes in Patient Selection and Value-Based Metrics for Total Hip Arthroplasty After Comprehensive Care for Joint Replacement Bundle Implementation at a Single Center.

Journal Article J Arthroplasty · August 2019 BACKGROUND: Alternative payment models for total hip arthroplasty (THA) were initiated by the Center for Medicare and Medicaid Services to decrease overall healthcare cost. The associated shift of financial risk to participating institutions may negatively ... Full text Link to item Cite

Preoperative Optimization Checklists Within the Comprehensive Care for Joint Replacement Bundle Have Not Decreased Hospital Returns for Total Knee Arthroplasty.

Journal Article J Arthroplasty · July 2019 BACKGROUND: The Comprehensive Care for Joint Replacement (CJR) model has resulted in the evolution of preoperative optimization programs to decrease costs and hospital returns. At the investigating institution, one center was not within the CJR bundle and ... Full text Link to item Cite

Is There a Difference in Infection Risk Between Single and Multiple Doses of Prophylactic Antibiotics? A Meta-analysis.

Journal Article Clin Orthop Relat Res · July 2019 BACKGROUND: The prevention of surgical site infection guidelines issued by the Centers for Disease Control and Prevention (CDC) recently recommended that only a single dose of preoperative antibiotics be administered to patients undergoing clean-contaminat ... Full text Link to item Cite

Conversion Total Knee Arthroplasty: A Distinct Surgical Procedure With Increased Resource Utilization.

Journal Article J Arthroplasty · July 2019 BACKGROUND: Current Procedural Terminology coding currently makes no distinction between primary total knee arthroplasty (TKA) and conversion TKA, in which periarticular hardware components must be removed prior to or during TKA. We hypothesize that conver ... Full text Link to item Cite

Should Medical Severity-Diagnosis Related Group Classification Be Utilized for Reimbursement? An Analysis of Elixhauser Comorbidities and Cost of Care.

Journal Article J Arthroplasty · July 2019 BACKGROUND: The Center for Medicare and Medicaid Services (CMS) classifies reimbursement for total hip arthroplasty (THA) and total knee arthroplasty (TKA) based on Medical Severity-Diagnosis Related Groups (MS-DRGs) 469 (with major complication/comorbidit ... Full text Link to item Cite

Clinical Impact of Routine Complete Blood Counts Following Total Knee Arthroplasty.

Journal Article J Arthroplasty · July 2019 BACKGROUND: Routine laboratory studies are generally obtained following total knee arthroplasty (TKA), and often continued daily until discharge. This study aims to investigate the utility and cost-effectiveness of complete blood count (CBC) tests followin ... Full text Link to item Cite

Traditional Laboratory Markers Hold Low Diagnostic Utility for Immunosuppressed Patients With Periprosthetic Joint Infections.

Journal Article J Arthroplasty · July 2019 BACKGROUND: Although predictive laboratory markers and cutoffs for immunocompetent patients are well-studied, similar reference ranges and decision thresholds for immunosuppressed patients are less understood. We investigated the utility of typical laborat ... Full text Link to item Cite

Continuous adductor canal blockade facilitates increased home discharge and decreased opioid consumption after total knee arthroplasty.

Journal Article Knee · June 2019 BACKGROUND: There is a growing interest in avoiding discharging patients to rehab to maximize outcome and minimize complications after total knee arthroplasty (TKA). In addition, use of postoperative pain pathways that minimize opioid use is critical amids ... Full text Link to item Cite

Predicting Inpatient Dissatisfaction Following Total Joint Arthroplasty: An Analysis of 3,593 Hospital Consumer Assessment of Healthcare Providers and Systems Survey Responses.

Journal Article J Arthroplasty · May 2019 BACKGROUND: The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, created by the Centers for Medicare and Medicaid, is directly tied to hospital reimbursement. The purpose of this study is to identify factors that are predic ... Full text Link to item Cite

A Weighted Index of Elixhauser Comorbidities for Predicting 90-day Readmission After Total Joint Arthroplasty.

Journal Article J Arthroplasty · May 2019 BACKGROUND: Evolving reimbursement models increasingly compel hospitals to assume costs for 90-day readmission after total joint arthroplasty. Although risk assessment tools exist, none currently reach the predictive performance required to accurately iden ... Full text Link to item Cite

Polymicrobial Infections in Hip Arthroplasty: Lower Treatment Success Rate, Increased Surgery, and Longer Hospitalization.

Journal Article J Arthroplasty · April 2019 BACKGROUND: Polymicrobial hip arthroplasty infections are a subset of periprosthetic joint infection (PJI) with distinct challenges representing 10%-47% of PJI. METHODS: Records were reviewed from all PJIs involving partial or total hip arthroplasty with p ... Full text Link to item Cite

A Novel Risk Calculator Predicts 90-Day Readmission Following Total Joint Arthroplasty.

Journal Article J Bone Joint Surg Am · March 20, 2019 BACKGROUND: A reliable prediction tool for 90-day adverse events not only would provide patients with valuable estimates of their individual risk perioperatively, but would also give health-care systems a method to enable them to anticipate and potentially ... Full text Link to item Cite

Perioperative Antibiotic Prophylaxis in Total Joint Arthroplasty: A Single Dose Is as Effective as Multiple Doses.

Journal Article J Bone Joint Surg Am · March 6, 2019 BACKGROUND: Recent surgical site infection prevention guidelines recommend that no additional prophylactic antibiotics be administered after the surgical incision is closed in clean-contaminated procedures. Although there is ample evidence to support this ... Full text Link to item Cite

Predicting Costs Exceeding Bundled Payment Targets for Total Joint Arthroplasty.

Journal Article J Arthroplasty · March 2019 BACKGROUND: The Center for Medicare and Medicaid Services has instituted bundled reimbursement models for total joint arthroplasty (TJA), which includes target prices for each procedure. Some patients exceed these targets; however, currently there are no t ... Full text Link to item Cite

Preoperative Hemoglobin Predicts Postoperative Transfusion Despite Antifibrinolytics During Total Knee Arthroplasty.

Journal Article Orthopedics · March 1, 2019 Current antifibrinolytics have decreased perioperative blood loss; however, some patients still require transfusions postoperatively. The authors sought to determine the risk factors associated with postoperative transfusions and to establish a "cutoff" pr ... Full text Link to item Cite

Medicaid Insurance Correlates With Increased Resource Utilization Following Total Hip Arthroplasty.

Journal Article J Arthroplasty · February 2019 BACKGROUND: With increased restraints and efforts to contain costs in total hip arthroplasty (THA), an emphasis has been placed on risk stratification. The purpose of this study was to determine whether Medicaid patients have increased resource utilization ... Full text Link to item Cite

Treatment of Prosthetic Joint Infection: Established Patient Relationships May Impact Medical Decision-Making.

Journal Article J Arthroplasty · February 2019 BACKGROUND: Choosing the intervention for prosthetic joint infections, whether debridement, antibiotics, and implant retention (DAIR), or explant and antibiotic spacer placement, is multifactorial. One characteristic that may influence this decision is a p ... Full text Link to item Cite

Utilization of an Electronic Patient Portal Following Total Joint Arthroplasty Does Not Decrease Readmissions.

Journal Article J Arthroplasty · February 2019 BACKGROUND: At the investigating institution, an electronic messaging portal (MyChart) allows patients to directly communicate with their healthcare provider. As reimbursement models evolve, there is an increasing effort to decrease 90-day hospital resourc ... Full text Link to item Cite

Transfemoral amputation following total knee arthroplasty: mortality and functional outcomes.

Journal Article Bone Joint J · February 2019 AIMS: The aim of this study was to characterize the factors leading to transfemoral amputation after total knee arthroplasty (TKA), as well as the rates of mortality and functional independence after this procedure in these patients. PATIENTS AND METHODS: ... Full text Link to item Cite

Outcomes of Conversion Total Hip Arthroplasty From Free Vascularized Fibular Grafting.

Journal Article J Arthroplasty · January 2019 BACKGROUND: Conversion total hip arthroplasties (THAs) from prior free vascularized fibular grafting (FVFG) are infrequently reported in the literature. We characterized the perioperative outcomes of patients undergoing conversion THA and compared them wit ... Full text Link to item Cite

Immediate Physical Therapy following Total Joint Arthroplasty: Barriers and Impact on Short-Term Outcomes.

Journal Article Adv Orthop · 2019 BACKGROUND: Recent evidence suggests benefit to receiving physical therapy (PT) the same day as total joint arthroplasty (TJA), but relatively little is known about barriers to providing PT in this constrained time period. We address the following question ... Full text Open Access Link to item Cite

A Geometric Model to Determine Patient-Specific Cup Anteversion Based on Pelvic Motion in Total Hip Arthroplasty.

Journal Article Adv Orthop · 2019 INTRODUCTION: Cup position is critical to stability in total hip arthroplasty and is affected by pelvis motion during positions of daily life. The purpose of this study was to explicitly define the relationship between sagittal pelvic motion and resultant ... Full text Link to item Cite

Predicting Success of Two-Stage Exchange for Prosthetic Joint Infection Using C-Reactive Protein/Albumin Ratio.

Journal Article Adv Orthop · 2019 Two-stage exchange is most commonly used for treatment of prosthetic joint infections (PJI) but, this may fail to eradicate infections. C-reactive protein/albumin ratio (CAR) has been used to predict survival and operative success in other surgical subspec ... Full text Link to item Cite

Investigating the Osteoinductive Potential of a Decellularized Xenograft Bone Substitute.

Journal Article Cells Tissues Organs · 2019 Bone grafting is the second most common tissue transplantation procedure worldwide. One of the alternative methods for bone repair under investigation is a tissue-engineered bone substitute. An ideal property of tissue-engineered bone substitutes is osteoi ... Full text Link to item Cite

Diabetes and Total Joint Arthroplasty: Infection Risk May Not Be Predictable by Markers of Glycemic Control.

Journal Article J Surg Orthop Adv · 2019 With an increasing prevalence of diabetes, there is a need to risk stratify arthroplasty patients preoperatively and characterize postoperative infections. This study sought to determine if perioperative markers of diabetic control were associated with inf ... Link to item Cite

Skilled Nursing Facilities After Total Knee Arthroplasty: The Time for Selective Partnerships Is Now!

Journal Article J Arthroplasty · December 2018 BACKGROUND: Bundled payment initiatives for total knee arthroplasty (TKA) patients are dramatically impacted by discharges to skilled nursing facilities (SNFs), making target prices set by the Center for Medicare and Medicaid Services difficult to achieve. ... Full text Link to item Cite

Impact of lumbar arthrodesis on outcomes after elective total hip arthroplasty

Journal Article Seminars in Arthroplasty Jses · December 1, 2018 Background: Acetabular component malpositioning has been associated with major complications including dislocation, edge-loading, stripe wear and squeaking. Anteversion is determined by pelvic orientation; flexion of the pelvis increases and extension decr ... Full text Cite

Albumin Versus American Society of Anesthesiologists Score: Which Is More Predictive of Complications Following Total Joint Arthroplasty?

Journal Article Orthopedics · November 1, 2018 Malnutrition is not uncommon in arthroplasty patients, and hypoalbuminemia has been shown to be predictive of postoperative complications. The authors sought to compare albumin concentration with a global assessment of physical health, the American Society ... Full text Link to item Cite

Preoperative Hypoalbuminemia Predicts Poor Short-term Outcomes for Hip Fracture Surgery.

Journal Article Orthopedics · November 1, 2018 Hip fractures are common in elderly patients, and which surgical modality to pursue is often debated. Malnutrition, which cannot be corrected preoperatively in this population, is often not considered. Therefore, the authors sought to investigate the assoc ... Full text Link to item Cite

When Should Complete Blood Count Tests Be Performed in Primary Total Hip Arthroplasty Patients?

Journal Article J Arthroplasty · October 2018 BACKGROUND: Routine laboratory studies are often obtained following total hip arthroplasty (THA). Moreover, laboratory studies are often continued daily until the patient is discharged regardless of medical management. The purpose of this study was to inve ... Full text Link to item Cite

Dislocation rate increases with bariatric surgery before total hip arthroplasty.

Journal Article Hip Int · September 2018 INTRODUCTION: Annually in the USA, 113,000 patients with refractory obesity undergo bariatric surgery (BS), and a subset does so in order to lower body mass index to become a more desirable total hip arthroplasty (THA) candidate. This study aims to evaluat ... Full text Link to item Cite

Preoperative Patient Profile in Total Hip and Knee Arthroplasty: Predictive of Increased Medicare Payments in a Bundled Payment Model.

Journal Article J Arthroplasty · September 2018 BACKGROUND: The shift toward value-based bundled payment models in total joint arthroplasty highlights the need for identification of modifiable risk factors for increased spending as well as opportunities to mitigate perioperative treatment of chronic dis ... Full text Link to item Cite

The Utility of Basic Metabolic Panel Tests After Total Joint Arthroplasty.

Journal Article J Arthroplasty · September 2018 INTRODUCTION: Routine laboratory studies are often obtained daily after total joint arthroplasty (TJA) regardless of medical management. The purpose of this study was to investigate the utility of routine basic metabolic panel (BMP) tests after TJA. Furthe ... Full text Link to item Cite

Conversion vs Primary Total Hip Arthroplasty: Increased Cost of Care and Perioperative Complications.

Journal Article J Arthroplasty · August 2018 BACKGROUND: With the increasing incidence of hip fractures and hip preservation surgeries, there has been a concomitant rise in the number of conversion total hip arthroplasties (THAs) performed. Prior studies have shown higher complication rates in conver ... Full text Link to item Cite

A Decellularized Porcine Xenograft-Derived Bone Scaffold for Clinical Use as a Bone Graft Substitute: A Critical Evaluation of Processing and Structure.

Journal Article J Funct Biomater · July 12, 2018 BACKGROUND: Bone grafts are used in approximately one half of all musculoskeletal surgeries. Autograft bone is the historic gold standard but is limited in supply and its harvest imparts significant morbidity to the patient. Alternative sources of bone gra ... Full text Link to item Cite

Trends in Opioid Utilization Before and After Total Knee Arthroplasty.

Journal Article J Arthroplasty · July 2018 BACKGROUND: Opioids are a mainstay in perioperative pain management among patients undergoing total knee arthroplasty (TKA). However, patterns in opioid use before and after TKA have not been well-studied. The objectives of this study are to characterize p ... Full text Link to item Cite

Short and Long-Term Postoperative Complications Following Total Joint Arthroplasty in Patients With Human Immunodeficiency Virus, Hepatitis B, or Hepatitis C.

Journal Article J Arthroplasty · July 2018 INTRODUCTION: Due to advancement in treatment against human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV), the prevalence of this patient population electing to undergo total joint arthroplasty (TJA) is increasing. Curr ... Full text Link to item Cite

The James A. Rand Young Investigator's Award: Battling the Opioid Epidemic with Prospective Pain Threshold Measurement.

Journal Article J Arthroplasty · July 2018 BACKGROUND: Responsible analgesic prescribing is paramount in the opioid epidemic era, yet no standardized protocol exists. We aim to (1) quantify and correlate outpatient opioid need after total knee and hip arthroplasties (TKA and THA) with preoperative ... Full text Link to item Cite

Association Between Pseudotumor Formation and Patient Factors in Metal-on-Metal Total Hip Arthroplasty Population.

Journal Article J Arthroplasty · July 2018 BACKGROUND: Pseudotumor formation from metal-on-metal (MoM) hip implants is associated with implant revision. The relationship between pseudotumor type and patient outcomes is unknown. METHODS: We retrospectively reviewed patients with a MoM total hip arth ... Full text Link to item Cite

Comparison of Postoperative Complications Following Metal-on-Metal Total Hip Arthroplasty With Other Hip Bearings in Medicare Population.

Journal Article J Arthroplasty · June 2018 BACKGROUND: The use of metal-on-metal (MoM) hip bearings has declined in the recent years due to strong evidence of their high complication rates and early failure. Hip implants with highly cross-linked polyethylene liners and ceramic bearings have become ... Full text Link to item Cite

Are All Periprosthetic Joint Infections the Same? Evaluating Major vs Minor Criteria.

Journal Article J Arthroplasty · May 2018 BACKGROUND: The diagnosis of periprosthetic joint infection (PJI) can be made when 1 major criterion or 3 of 5 minor criteria are present. However, the outcomes of patients with a major vs minor criteria for diagnosis have not been studied. The objective o ... Full text Link to item Cite

Dual Diagnosis and Total Hip Arthroplasty.

Journal Article Orthopedics · May 1, 2018 The co-occurrence of a mental illness and a substance abuse disorder (SUD) is common and has been referred to as a "dual diagnosis" (DD). Although studies have independently investigated mental illness alone and SUD alone, few have examined the effects of ... Full text Link to item Cite

Inpatient Consults and Complications During Primary Total Joint Arthroplasty in a Bundled Care Model.

Journal Article J Arthroplasty · April 2018 BACKGROUND: The Centers for Medicare and Medicaid Services (CMS) are implementing changes in hospital reimbursement models for total joint arthroplasty (TJA), moving to value-based bundled payments from the fee-for-service model. The purpose of this study ... Full text Link to item Cite

Detection of aromatic amines in human urine: An automated Hamilton STAR/GC/MS/MS method

Conference ABSTRACTS OF PAPERS OF THE AMERICAN CHEMICAL SOCIETY · March 18, 2018 Link to item Cite

A Perioperative Medicine Model for Population Health: An Integrated Approach for an Evolving Clinical Science.

Journal Article Anesth Analg · February 2018 Health care delivery in the United States continues to balance on the tight rope that connects its transition from volume to value. Value in economic terms can be defined as the amount something exceeds its commodity price and is determined by extraordinar ... Full text Link to item Cite

Bearing Surfaces for Total Hip Arthroplasty.

Journal Article J Am Acad Orthop Surg · January 15, 2018 Metal-on-highly cross-linked polyethylene is considered the preferred bearing surface for conventional total hip arthroplasty because of its safety profile and excellent results in the first 10 to 15 years of use. However, with younger patient age, activit ... Full text Link to item Cite

The American College of Surgeons National Surgical Quality Improvement Program Surgical Risk Calculator Has a Role in Predicting Discharge to Post-Acute Care in Total Joint Arthroplasty.

Journal Article J Arthroplasty · January 2018 BACKGROUND: Patient demand and increasing cost awareness have led to the creation of surgical risk calculators that attempt to predict the likelihood of adverse events and to facilitate risk mitigation. The American College of Surgeons National Surgical Qu ... Full text Link to item Cite

Positive Blood Cultures in Periprosthetic Joint Infection Decrease Rate of Treatment Success.

Journal Article J Arthroplasty · January 2018 BACKGROUND: Blood cultures are often obtained at the time of periprosthetic joint infection (PJI) diagnosis yet they are not considered part of the diagnostic criteria and the effects of a positive result on surgical outcome are unknown. The purposes of th ... Full text Link to item Cite

Impact of Fluoroscopically Guided Bone Biopsy on Antibiotic Management of Osteomyelitis in the Lower Extremity.

Journal Article J Surg Orthop Adv · 2018 This study evaluated the impact of fluoroscopically guided percutaneous bone biopsy on altering antibiotic regimens in lower extremity osteomyelitis. Eighty-eight patients who received fluoroscopically guided bone biopsies were identified. There was bacter ... Link to item Cite

Comparison of postoperative complications after total hip arthroplasty among patients receiving aspirin, enoxaparin, warfarin, and factor Xa inhibitors.

Journal Article J Orthop · December 2017 Optimal prophylaxis for prevention of venous thromboembolism (VTE) after total joint arthroplasty (TJA) remains debated. The purpose of this study was to compare postoperative complications in patients receiving different VTE chemoprophylactic regimens. Us ... Full text Link to item Cite

Utility of Radiographs, Computed Tomography, and Three Dimensional Computed Tomography Pelvis Reconstruction for Identification of Acetabular Defects in Residency Training.

Journal Article Hip Pelvis · December 2017 PURPOSE: The Paprosky classification system of acetabular defects is complex and its reliability has been questioned. The purpose of this study was to evaluate the effectiveness of different radiologic imaging modalities in classifying acetabular defects i ... Full text Link to item Cite

What Should Define Preoperative Anemia in Primary THA?

Journal Article Clin Orthop Relat Res · November 2017 BACKGROUND: The use of tranexamic acid (TXA) in THA decreases the risk of transfusion after surgery. However, nearly 10% of patients still undergo a transfusion, which has been independently associated with an increased risk of complications. Preoperative ... Full text Link to item Cite

Postoperative Impact of Diabetes, Chronic Kidney Disease, Hemodialysis, and Renal Transplant After Total Hip Arthroplasty.

Journal Article J Arthroplasty · September 2017 BACKGROUND: The prevalence of diabetes mellitus (DM), chronic kidney disease (CKD), hemodialysis (HD), and renal transplantation (RT) is increasing. This study assessed postoperative complications among diabetic patients with CKD, HD, or post-RT after tota ... Full text Link to item Cite

Common Medical Comorbidities Correlated With Poor Outcomes in Hip Periprosthetic Infection.

Journal Article J Arthroplasty · September 2017 BACKGROUND: Periprosthetic infection has been linked to risk factors such as diabetes, obesity, and smoking among others. This study examined the relationship between common patient comorbidities and hip periprosthetic infection outcomes. METHODS: We retro ... Full text Link to item Cite

Ankylosing Spondylitis Increases Perioperative and Postoperative Complications After Total Hip Arthroplasty.

Journal Article J Arthroplasty · August 2017 BACKGROUND: Ankylosing spondylitis (AS) is a chronic autoimmune spondyloarthropathy that primarily affects the axial spine and hips. Progressive disease leads to pronounced spinal kyphosis, positive sagittal balance, and altered biomechanics. The purpose o ... Full text Link to item Cite

Analysis of complication rates following perioperative transfusion in shoulder arthroplasty.

Journal Article J Shoulder Elbow Surg · July 2017 BACKGROUND: Postoperative anemia requiring a blood transfusion is not uncommon following anatomic total shoulder arthroplasty (TSA) or reverse total shoulder arthroplasty (RTSA). However, the potential complications in patients undergoing transfusion after ... Full text Link to item Cite

Specific Infectious Organisms Associated With Poor Outcomes in Treatment for Hip Periprosthetic Infection.

Journal Article J Arthroplasty · June 2017 BACKGROUND: Periprosthetic hip infection treatment remains a significant challenge for orthopedics. Some studies have suggested that methicillin resistance and gram-negative organism type are associated with increased treatment failure. The aim of this res ... Full text Link to item Cite

What Factors Drive Inpatient Satisfaction After Knee Arthroplasty?

Journal Article J Arthroplasty · June 2017 BACKGROUND: The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, developed by the Centers for Medicare & Medicaid Services, is directly tied to hospital reimbursement. The purpose of this study is to analyze survey response ... Full text Link to item Cite

The Impact of Lumbar Spine Disease and Deformity on Total Hip Arthroplasty Outcomes.

Journal Article Orthopedics · May 1, 2017 Concomitant spine and hip disease in patients undergoing total hip arthroplasty (THA) presents a management challenge. Degenerative lumbar spine conditions are known to decrease lumbar lordosis and limit lumbar flexion and extension, leading to altered pel ... Full text Link to item Cite

Obesity has no effect on outcomes following unicompartmental knee arthroplasty.

Journal Article Knee Surg Sports Traumatol Arthrosc · March 2017 PURPOSE: Although obesity has historically been described as a contraindication to UKA, improved outcomes with modern UKA implant designs have challenged this perception. The purpose of this study was to assess the influence of obesity on the outcomes of U ... Full text Link to item Cite

Complications of total hip arthroplasty following solid organ transplantation.

Journal Article J Orthop Sci · March 2017 PURPOSE: Solid organ transplants (SOT) continue to increase with recipients living longer than ever before. The lifelong immunosuppression in these patients also may place them at increased risk for postoperative complications. The efficacy of total hip ar ... Full text Link to item Cite

The Development of a Xenograft-Derived Scaffold for Tendon and Ligament Reconstruction Using a Decellularization and Oxidation Protocol.

Journal Article Arthroscopy · February 2017 PURPOSE: To evaluate the biological, immunological, and biomechanical properties of a scaffold derived by architectural modification of a fresh-frozen porcine patella tendon using a decellularization protocol that combines physical, chemical, and enzymatic ... Full text Link to item Cite

Total shoulder arthroplasty in patients with HIV infection: complications, comorbidities, and trends.

Journal Article J Shoulder Elbow Surg · December 2016 BACKGROUND: Patients with human immunodeficiency virus (HIV) infection were previously at substantial risk for immunosuppression-related complications. As a result of highly active antiretroviral therapy, HIV-infected patients are living longer and are pre ... Full text Link to item Cite

Multiple Small Diameter Drillings Increase Femoral Neck Stability Compared with Single Large Diameter Femoral Head Core Decompression Technique for Avascular Necrosis of the Femoral Head.

Journal Article Surg Technol Int · October 26, 2016 Femoral head core decompression is an efficacious joint-preserving procedure for treatment of early stage avascular necrosis. However, postoperative fractures have been described which may be related to the decompression technique used. Femoral head decomp ... Link to item Cite

Complications Are Not Increased With Acetabular Revision of Metal-on-metal Total Hip Arthroplasty.

Journal Article Clin Orthop Relat Res · October 2016 BACKGROUND: Isolated revision of the acetabular component in the setting of total hip arthroplasty has an increased risk of dislocation. With local soft tissue destruction frequently associated with failed metal-on-metal (MoM) bearings, it is presumed that ... Full text Link to item Cite

Psychiatric disorders increase complication rate after primary total knee arthroplasty.

Journal Article Knee · October 2016 BACKGROUND: Psychiatric disease is difficult to screen preoperatively and the incidence of mental health disorders in patients undergoing total knee arthroplasty (TKA) may be underappreciated. The purpose of this study is to evaluate the perioperative comp ... Full text Link to item Cite

Should We Think Twice About Psychiatric Disease in Total Hip Arthroplasty?

Journal Article J Arthroplasty · September 2016 BACKGROUND: Psychiatric disease (PD) is common, and the effect on complications in total hip arthroplasty (THA) is poorly understood. The purpose of this study was to evaluate the medical and surgical postoperative complication profile in patients with PD, ... Full text Link to item Cite

Is Metal-On-Metal Total Hip Arthroplasty Associated With Neurotoxicity?

Journal Article J Arthroplasty · September 2016 BACKGROUND: Isolated case reports in the literature describe systemic neurologic side effects associated with metal-on-metal (MOM) bearing surfaces, yet the incidence of these effects have not been evaluated beyond individual cases. The purpose of this stu ... Full text Link to item Cite

Lingering Risk: Bariatric Surgery Before Total Knee Arthroplasty.

Journal Article J Arthroplasty · September 2016 BACKGROUND: Obesity continues to increase in the United States with an estimated 35% obesity and 8% bariatric (body mass index >40) rate in adults. Bariatric patients seek advice from arthroplasty surgeons regarding the temporality of bariatric surgery (BS ... Full text Link to item Cite

Cervical Myelopathy Doubles the Rate of Dislocation and Fracture After Total Hip Arthroplasty.

Journal Article J Arthroplasty · September 2016 BACKGROUND: Cervical spondylotic myelopathy (CSM) is a common and underdiagnosed cause of gait dysfunction, rigidity, and falls in the elderly. Given the frequent concurrency of CSM and hip osteoarthritis, this study is designed to evaluate the relative ri ... Full text Link to item Cite

Computer-Navigated Total Knee Arthroplasty Utilization.

Journal Article J Knee Surg · July 2016 Computer-navigated total knee arthroplasty (CN-TKA) has been used to improve component alignment, though the evidence is currently mixed on whether there are clinically significant differences in long-term outcomes. Given the established increased costs an ... Full text Link to item Cite

Decreased Range of Motion After Total Knee Arthroplasty Is Predicted by the Tampa Scale of Kinesiophobia.

Journal Article J Arthroplasty · April 2016 BACKGROUND: Range of motion (ROM) is important for functional outcome after total knee arthroplasty (TKA); however, some patients hesitate to maximize their ROM postoperatively. The Tampa Scale of Kinesiophobia (TSK) measures patients' fear of movement. Th ... Full text Link to item Cite

How Do Previous Solid Organ Transplant Recipients Fare After Primary Total Knee Arthroplasty?

Journal Article J Arthroplasty · March 2016 INTRODUCTION: Total knee arthroplasty (TKA) has been proven to increase knee outcome scores after solid organ transplantation (SOT), but many authors are concerned about a higher complication rate. The purpose of this study is to evaluate the complication ... Full text Link to item Cite

Patient Factors and Cost Associated with 90-Day Readmission Following Total Hip Arthroplasty.

Journal Article J Arthroplasty · January 2016 This study sought to identify specific costs for 90-day readmissions following total hip arthroplasty in a bundled payment system. Hospital billing records revealed 139 readmissions (8.93%) in 1781 patients. Mean costs for surgical readmissions were greate ... Full text Link to item Cite

The Impact of Lumbar Spine Disease and Deformity on Total Hip Arthroplasty Outcomes.

Journal Article Orthop Clin North Am · January 2016 Concurrent spine and hip disease is common. Spinal deformities can restrict lumbar range of motion and lumbar lordosis, leading to pelvic obliquity and increased pelvic tilt. A comprehensive preoperative workup and component templating ensure appropriate c ... Full text Link to item Cite

Outcomes after Total Knee Arthroplasty for post-traumatic arthritis.

Journal Article Knee · December 2015 INTRODUCTION: Total Knee Arthroplasty (TKA) is an important treatment for posttraumatic arthritis (PTA), but evidence on outcomes is sparse. The purpose of this study was to evaluate the impact of PTA versus primary osteoarthritis (OA) on postoperative out ... Full text Link to item Cite

Effects of patellofemoral overstuffing on knee flexion and patellar kinematics following total knee arthroplasty: a cadaveric study.

Journal Article Int Orthop · September 2015 PURPOSE: The purpose of this study was to test the hypothesis that overstuffing the patellofemoral joint during total knee arthroplasty (TKA) would decrease passive knee flexion and alter patellar kinematics during knee flexion. METHODS: Ten cadaveric knee ... Full text Link to item Cite

The Effect of Adductor-Canal-Blockade on Outcome after Medial Unicondylar Knee Arthroplasty: A Preliminary Study.

Journal Article Bull Hosp Jt Dis (2013) · March 2015 INTRODUCTION: Unicondylar knee arthroplasty (UKA) offers decreased morbidity, faster recovery, better functional outcomes, and equivalent survivorship compared to TKA for certain patients. To fully capture these benefits, regional anesthesia techniques mus ... Link to item Cite

Tissue-engineered approach to tendon and ligament reconstruction: Current trends

Chapter · January 1, 2015 Current graft choices for tendon and ligament reconstruction include autograft and allografts, with more than 900,000 allografts used for reconstructions annually in the United states. Given the limitations of autografts and allografts, both synthetic and ... Full text Cite

Non-anatomical capsular closure of a standard parapatellar knee arthrotomy leads to patellar maltracking and decreased range of motion: a cadaver study.

Journal Article Knee Surg Sports Traumatol Arthrosc · March 2014 PURPOSE: A parapatellar approach disrupts the medial soft tissue stabilizers of the patella. We hypothesized that soft tissue realignment during arthrotomy closure of native cadaveric knees influences patellar kinematics leading to decreased range of motio ... Full text Link to item Cite

Mitigation and education.

Journal Article J Arthroplasty · February 2014 Full text Link to item Cite

A comparison of acetate and digital templating for hip resurfacing.

Journal Article Am J Orthop (Belle Mead NJ) · January 2014 This study sought to determine whether templating for metal-on-metal hip resurfacing is more accurate with digital or acetate methodology. The medical records of 102 consecutive patients who underwent hip resurfacing at our institution were retrospectively ... Link to item Cite

Age-related changes affect rat rotator cuff muscle function.

Journal Article J Shoulder Elbow Surg · January 2014 BACKGROUND: The influence of age on rotator cuff function and muscle structure remains poorly understood. We hypothesize that normal aging influences rotator cuff function, muscle structure, and regulatory protein expression in an established rat model of ... Full text Link to item Cite

Mitigation and education.

Journal Article J Orthop Res · January 2014 Full text Link to item Cite

Does surgical approach in total hip arthroplasty affect rehabilitation, discharge disposition, and readmission rate?

Journal Article Surg Technol Int · September 2013 There is a substantial preoccupation with different surgical approaches and minimally invasive techniques that may improve clinical outcomes for patients who undergo total hip arthroplasty. This study assessed the impact on hospital-related outcomes of the ... Link to item Cite

The science of rotator cuff tears: translating animal models to clinical recommendations using simulation analysis.

Journal Article Knee Surg Sports Traumatol Arthrosc · July 2013 PURPOSE: The purpose of this article is to review basic science studies using various animal models for rotator cuff research and to describe structural, biomechanical, and functional changes to muscle following rotator cuff tears. The use of computational ... Full text Link to item Cite

Effect of cyclic strain on tensile properties of a naturally derived, decellularized tendon scaffold seeded with allogeneic tenocytes and associated messenger RNA expression.

Journal Article J Surg Orthop Adv · 2013 Naturally derived tendon scaffolds have the potential to improve the treatment of flexor tendon injuries. Seeded and unseeded tendon scaffolds were maintained in the presence or absence of physiologic strain for 7 days. After 7 days, the tensile properties ... Full text Link to item Cite

Osteonecrosis and Bone Marrow Syndrome

Chapter · December 7, 2012 Surgery of the Hip is your definitive, comprehensive reference for hip surgery, offering coverage of state-of-the-art procedures for both adults and children. ... Cite

Risk of dislocation using large- vs. small-diameter femoral heads in total hip arthroplasty.

Journal Article BMC Res Notes · October 5, 2012 BACKGROUND: Dislocation remains a difficult problem in total hip arthroplasty. Large-diameter femoral heads may lower the incidence of dislocation by enhancing the jump distance and decreasing impingement, but their performance against small-diameter heads ... Full text Open Access Link to item Cite

Risk of dislocation using large- vs. small-diameter femoral heads in total hip arthroplasty

Journal Article BMC Research Notes · October 5, 2012 Background: Dislocation remains a difficult problem in total hip arthroplasty. Large-diameter femoral heads may lower the incidence of dislocation by enhancing the jump distance and decreasing impingement, but their performance against small-diameter heads ... Full text Cite

A novel process for optimizing musculoskeletal allograft tissue to improve safety, ultrastructural properties, and cell infiltration.

Journal Article J Bone Joint Surg Am · August 15, 2012 BACKGROUND: This study evaluated the properties of scaffold derived from freeze-dried human Achilles tendon allograft for use in anterior cruciate ligament (ACL) reconstruction. Our hypothesis was that such an allograft could be processed using a method to ... Full text Link to item Cite

Assessment of static progressive stretch for the treatment of shoulder stiffness: a prospective case series.

Journal Article J Long Term Eff Med Implants · 2012 INTRODUCTION: The purpose of this study was to evaluate the use of a patient-directed static progressive stretch orthosis for the treatment of shoulder stiffness. METHODS: Twenty-three patients who had limitations in range of motion of the shoulder and who ... Full text Link to item Cite

A tissue-engineered approach to tendon and ligament reconstruction

Chapter · January 1, 2012 A tissue-engineered scaffold for use in tendon and ligament reconstruction has the potential to reduce or prevent disease transmission from allografts and diminish any potential immunologic foreign-body response associated with allograft reconstruction. In ... Full text Cite

Robotic systems in orthopaedic surgery.

Journal Article J Bone Joint Surg Br · October 2011 Robots have been used in surgery since the late 1980s. Orthopaedic surgery began to incorporate robotic technology in 1992, with the introduction of ROBODOC, for the planning and performance of total hip replacement. The use of robotic systems has subseque ... Full text Link to item Cite

Evaluation of in vivo rotator cuff muscle function after acute and chronic detachment of the supraspinatus tendon: an experimental study in an animal model.

Journal Article J Bone Joint Surg Am · September 21, 2011 BACKGROUND: Surgical repair of large chronic rotator cuff tears can be technically demanding because it requires manipulation of a muscle-tendon unit that is scarred, retracted, and stiffer than normal, all of which contribute to increased tension at the r ... Full text Link to item Cite

Hip resurfacing with retention of existing hardware

Journal Article Bulletin of the Nyu Hospital for Joint Diseases · July 22, 2011 Despite operative reduction and internal fixation (ORIF), many patients who sustain proximal femur fractures develop posttraumatic arthritis. Conventional total hip arthroplasty (THA)in the setting of altered femoral morphology and retained hardware can be ... Cite

Arthroscopic-assisted minimally invasive total knee arthroplasty.

Journal Article Arthroscopy · February 2011 This technical note describes an arthroscopic technique to enhance visualization during minimally invasive total knee arthroplasty. The arthroscope is used, with the aid of balloon catheter retractors, to allow intraoperative identification of potentially ... Full text Link to item Cite

Hip resurfacing with retention of existing hardware - case report.

Journal Article Bull NYU Hosp Jt Dis · 2011 Despite operative reduction and internal fixation (ORIF), many patients who sustain proximal femur fractures develop posttraumatic arthritis. Conventional total hip arthroplasty (THA)in the setting of altered femoral morphology and retained hardware can be ... Link to item Cite

Function and fixation of total hip arthroplasty in patients 25 years of age or younger.

Conference Clin Orthop Relat Res · December 2010 BACKGROUND: The treatment of end-stage hip disease in very young patients is controversial, with advocates for nonoperative treatment, hip arthrodesis and replacement procedures. The functional improvements in this group of patients are not well documented ... Full text Link to item Cite

Are component positioning and prosthesis size associated with hip resurfacing failure?

Journal Article BMC Musculoskelet Disord · October 2, 2010 BACKGROUND: Recent studies suggest that there is a learning curve for metal-on-metal hip resurfacing. The purpose of this study was to assess whether implant positioning changed with surgeon experience and whether positioning and component sizing were asso ... Full text Open Access Link to item Cite

Fractures in myelomeningocele.

Journal Article J Orthop Traumatol · September 2010 BACKGROUND: In patients with myelomeningocele (MMC), a high number of fractures occur in the paralyzed extremities, affecting mobility and independence. The aims of this retrospective cross-sectional study are to determine the frequency of fractures in our ... Full text Open Access Link to item Cite

[Kyphectomy in myelomeningocele patients. Longterm results, complications and risk analysis].

Journal Article Orthopade · August 2010 BACKGROUND: The conservative and surgical management of lumbar kyphosis is difficult and is a challenge for the orthopaedic surgeon. A kyphotic deformity of the lumbar spine is present in 8% to 20% of these patients. Most curves have very rigid components, ... Full text Link to item Cite

Minimally invasive total knee arthroplasty using the contralateral knee as a control group: a case-control study.

Journal Article Int Orthop · April 2010 The primary purpose of this study was to compare clinical and functional results of bilateral total knee arthroplasties in which a conventional total knee replacement was initially performed on one knee and a minimally invasive total knee replacement was l ... Full text Link to item Cite

Does commitment to rehabilitation influence clinical outcome of total hip resurfacing arthroplasty?

Journal Article J Orthop Surg Res · March 22, 2010 BACKGROUND: The purpose of this study was to evaluate whether compliance and rehabilitative efforts were predictors of early clinical outcome of total hip resurfacing arthroplasty. METHODS: A cross-sectional survey was utilized to collect information from ... Full text Open Access Link to item Cite

Restoring range of motion via stress relaxation and static progressive stretch in posttraumatic elbow contractures.

Journal Article J Shoulder Elbow Surg · March 2010 HYPOTHESIS: Loss of range of motion after injury or surgery of the elbow is a common complication. We hypothesized that an orthosis that used progressive stretch and stress relaxation principles would improve elbow range of motion. METHODS: This study eval ... Full text Link to item Cite

A comparison of subvastus and midvastus approaches in minimally invasive total knee arthroplasty.

Journal Article J Bone Joint Surg Am · March 2010 BACKGROUND: The mini-subvastus and the mini-midvastus approaches are among the most common alternatives to the medial parapatellar approach for total knee arthroplasty. The purpose of this study was to compare the early clinical outcomes of these two appro ... Full text Link to item Cite

Prevalence of rotator cuff tear in paraplegic patients compared with controls.

Journal Article J Bone Joint Surg Am · January 2010 BACKGROUND: Musculoskeletal injuries of the shoulder in paraplegic patients with long-term survival can result from overuse and/or inappropriate use of wheelchairs. The purpose of the present study was to evaluate the prevalence and risk of pathological ch ... Full text Link to item Cite

Educational resources for the Orthopedic In-Training Examination.

Journal Article J Surg Educ · 2010 OBJECTIVE: Various educational tools are available for the Orthopedic In-Training Examination (OITE). However, many residents are unsure of which resources are the most useful. This study assessed what educational resources residents consider to be most us ... Full text Link to item Cite

Early failure of a unicompartmental knee arthroplasty design with an all-polyethylene tibial component.

Journal Article Knee · January 2010 Refined prosthetic designs and surgical techniques for unicompartmental knee arthroplasty have recently been associated with improved outcomes. The purpose of the present study was to evaluate the clinical and radiographic outcomes of the EIUS unicompartme ... Full text Link to item Cite

Percutaneous drilling for the treatment of atraumatic osteonecrosis of the ankle.

Journal Article J Foot Ankle Surg · 2010 Atraumatic osteonecrosis of the ankle can be severely debilitating and can lead to joint collapse. A relatively new technique of percutaneous drilling has previously been used to relieve the symptoms of osteonecrotic hips and knees. The purpose of the pres ... Full text Link to item Cite

Hemostasis using a bipolar sealer in primary unilateral total knee arthroplasty.

Journal Article Am J Orthop (Belle Mead NJ) · December 2009 Previous studies have shown that, compared with standard electrocautery, a bipolar sealer reduces tissue damage and smoke production during surgery. We conducted a multicenter, prospective, randomized study to compare a bipolar sealer with standard electro ... Link to item Cite

Perioperative management for orthopaedic patients with sickle cell anaemia.

Journal Article J Orthop Surg (Hong Kong) · December 2009 PURPOSE: To compare outcomes of 2 types of perioperative optimisation for patients with sickle cell anaemia (SCA) undergoing various orthopaedic surgeries. METHODS: 12 female and 11 male patients aged 13 to 40 (mean, 18) years with SCA underwent 31 separat ... Full text Link to item Cite

Mid-term results and factors affecting outcome of a metal-backed unicompartmental knee design: a case series.

Journal Article J Orthop Surg Res · October 26, 2009 BACKGROUND: Controversies exist regarding the indications for unicompartmental knee arthroplasty. The objective of this study is to report the mid-term results and examine predictors of failure in a metal-backed unicompartmental knee arthroplasty design. M ... Full text Open Access Link to item Cite

Botulinum toxin type A injections for the management of muscle tightness following total hip arthroplasty: a case series.

Journal Article J Orthop Surg Res · August 26, 2009 BACKGROUND: Development of hip adductor, tensor fascia lata, and rectus femoris muscle contractures following total hip arthroplasties are quite common, with some patients failing to improve despite treatment with a variety of non-operative modalities. The ... Full text Open Access Link to item Cite

The Second Annual United States Comprehensive Course on Total Hip Resurfacing Arthroplasty

Journal Article Bulletin of the Nyu Hospital for Joint Diseases · July 6, 2009 Cite

Small-diameter percutaneous decompression for osteonecrosis of the shoulder.

Journal Article Am J Orthop (Belle Mead NJ) · July 2009 Core decompression of the humeral head has previously been used as a joint-preserving procedure for treatment of symptomatic osteonecrosis of the shoulder. In this article, we describe a new decompression technique, which involves multiple small-diameter ( ... Link to item Cite

Current literature: an educational tool to study osteonecrosis for the Orthopaedic In-Training Examination?

Conference Orthop Clin North Am · April 2009 The Orthopaedic In-Training Examination (OITE) is used to evaluate the knowledge of residents and focuses on relevant information supported by current scientific literature. The purpose of this study was to assess the relevance of current literature as a s ... Full text Link to item Cite

Osteonecrosis of the knee: a review of three disorders.

Conference Orthop Clin North Am · April 2009 Osteonecrosis of the knee is a debilitating disease that is poorly understood. Originally described as a single disorder, it encompasses three distinct conditions: spontaneous osteonecrosis of the knee (SPONK), secondary osteonecrosis of the knee, and post ... Full text Link to item Cite

The use of a Type-I lyophilisate collagen as an osteoinductive factor in pseudarthroses of the forearm.

Journal Article Surg Technol Int · April 2009 The purpose of this study was to assess the use of a novel bone void filler consisting of Type I collagen and various growth factors (VEGF, TGFβ-1, TGFβ-2, IGF-1, BMP-2, BMP-3, and BMP-7) and surgical fixation to treat diaphyseal forearm pseudarthroses. El ... Link to item Cite

Anatomic and physiologic rationale for various technologies for primary total hip arthroplasty.

Journal Article Expert Rev Med Devices · March 2009 A number of patients have anatomic or physiologic variations that may adversely affect the performance of a primary total hip arthroplasty. Various technologies have been utilized in an attempt to improve the outcomes for these patients; however, some of t ... Full text Link to item Cite

Total knee arthroplasty using cementless keels and cemented tibial trays: 10-year results.

Journal Article Int Orthop · February 2009 The problem of early mechanical stability of cemented and cementless keels of the tibial component in total knee arthroplasty (TKA) is controversial. The purpose of this study was to assess clinical and radiographic outcomes of a cohort of 51 TKAs using a ... Full text Link to item Cite

Computer-assisted navigation in hip resurfacing arthroplasty - a single-surgeon experience.

Journal Article Bull NYU Hosp Jt Dis · 2009 Hip resurfacing arthroplasty is a technically challenging procedure, and orientation of the femoral component is critical to avoid implant failure. The use of computer-assisted navigation has been shown to decrease the learning curve for beginners in hip r ... Link to item Cite

Hip resurfacing-keys to success.

Journal Article Bull NYU Hosp Jt Dis · 2009 In recent years, metal-on-metal hip resurfacing has become an increasingly popular treatment for patients needing hip arthroplasty. Important factors to consider for a successful outcome include proper patient selection and surgical technique, including ap ... Link to item Cite

Techniques for managing anatomic variations in primary total knee arthroplasty.

Journal Article Expert Rev Med Devices · January 2009 Primary total knee arthroplasties have high success rates, but certain patient anatomic or other variations may adversely affect the performance or the clinical outcomes of these procedures. Various technologies and techniques have been developed in attemp ... Full text Link to item Cite

Does functional improvement following TKA correlate to increased sports activity?

Journal Article Iowa Orthop J · 2009 Improved TKA designs and surgical techniques have allowed surgeons to not only treat the pain associated with osteoarthritis but also to restore function. The present study analyzed whether the increase in physical activity of patients following surgery is ... Link to item Cite

Perceptions concerning hip resurfacing from attendees at the Second Annual U.S. Comprehensive Course on Total Hip Resurfacing Arthroplasty.

Journal Article Bull NYU Hosp Jt Dis · 2009 Resurfacing hip arthroplasty represents a new, alternative technology to standard total hip arthroplasty. We examined the perceptions about resurfacing after the Second Annual United States Comprehensive Course on Total Hip Resurfacing Arthroplasty, which ... Link to item Cite

Surface replacement is comparable to primary total hip arthroplasty.

Journal Article Clin Orthop Relat Res · January 2009 UNLABELLED: Conversion of a failed surface hip replacement to a conventional total hip arthroplasty is reportedly a straightforward procedure with excellent results. We compared perioperative parameters, complications, and clinical as well as radiographic ... Full text Link to item Cite

Posterior-stabilized versus posterior cruciate ligament-retaining total knee arthroplasty.

Journal Article Iowa Orthop J · 2009 Posterior-stabilized and posterior cruciate retaining total knee arthroplasty prostheses have had high success rates, but it is unclear whether one design has superior outcomes. The purpose of the present study was to directly compare the outcomes of these ... Link to item Cite

Osteonecrosis

Chapter · December 1, 2008 Osteonecrosis (ON), also often termed avascular necrosis, is a disease that leads pathologically to dead bone. There are many direct and indirect causes of ON, which may be multifactorial and lead to joint destruction. ON of the femoral head, the most comm ... Full text Cite

Treatment of early stage osteonecrosis of the femoral head.

Journal Article J Bone Joint Surg Am · November 2008 Full text Link to item Cite

Evaluation of static progressive stretch for the treatment of wrist stiffness.

Journal Article J Hand Surg Am · November 2008 PURPOSE: Decreased wrist flexion and/or extension after trauma or surgery can be a challenging problem. Physical therapy, orthoses, and additional surgical interventions may not restore the desired range of motion or functionality. The purpose of this stud ... Full text Link to item Cite

Computer navigation-assisted versus minimally invasive TKA: benefits and drawbacks.

Conference Clin Orthop Relat Res · November 2008 UNLABELLED: Computer-navigated and minimally invasive TKAs are emerging technologies that have distinct strengths and weaknesses. We compared duration of surgery, length of hospitalization, Knee Society scores, radiographic alignments, and complications in ... Full text Link to item Cite

Instability after total hip arthroplasty: treatment with large femoral heads vs constrained liners.

Journal Article J Arthroplasty · October 2008 One of the most common complications after total hip arthroplasty is instability. This study reviewed the recent literature concerning the indications, contraindications, and results of recent studies using both constrained liners and large femoral heads t ... Full text Link to item Cite

Total hip arthroplasties: what are the reasons for revision?

Journal Article Int Orthop · October 2008 Primary total hip arthroplasties have reported success rates of greater than 95% in many series with a longer than 10-year follow-up. Revision total hip arthroplasty due to such factors as increased high-activity levels, younger patients undergoing the pro ... Full text Link to item Cite

High-impact sports after total knee arthroplasty.

Journal Article J Arthroplasty · September 2008 Many patients will attempt high-impact loading activities after total knee arthroplasty. This study analyzed the clinical and radiographic results of these high-demand sports patients. A total of 31 patients (33 knees) were identified who participated in h ... Full text Link to item Cite

Total hip resurfacing in patients who are sixty years of age or older.

Conference J Bone Joint Surg Am · August 2008 BACKGROUND: Metal-on-metal total hip resurfacing arthroplasty has been associated with excellent early results in patients who are younger than sixty years of age, but it remains controversial whether this procedure is appropriate in older patients. The pu ... Full text Link to item Cite

Metal-on-metal total hip resurfacing arthroplasty in the presence of extra-articular deformities or implants.

Conference J Bone Joint Surg Am · August 2008 BACKGROUND: Hip resurfacing has been proposed as an alternative to total hip replacement in patients who have proximal femoral deformities or retained hardware in the proximal aspect of the femur. In these situations, placement of a conventional stemmed hi ... Full text Link to item Cite

Introduction

Journal Article Journal of Bone and Joint Surgery · August 1, 2008 Full text Cite

Does computer-assisted surgery improve accuracy and decrease the learning curve in hip resurfacing? A radiographic analysis.

Journal Article J Bone Joint Surg Am · August 2008 BACKGROUND: Hip resurfacing is a technically demanding procedure in which accurate positioning of the femoral component is critical to the avoidance of early implant failures. The purpose of this study was to assess the accuracy of computer-assisted placem ... Full text Link to item Cite

Bone scanning of limited value for diagnosis of symptomatic oligofocal and multifocal osteonecrosis.

Journal Article J Rheumatol · August 2008 OBJECTIVE: Bone scintigraphy has been advocated as a useful diagnostic tool for patients with suspected osteonecrosis or in screening for multifocal disease. We evaluated the sensitivity of bone scanning relative to magnetic resonance imaging (MRI) in the ... Link to item Cite

Static progressive stretch for the treatment of knee stiffness.

Journal Article Knee · August 2008 Persistent knee stiffness is common after knee arthroplasties, cruciate ligament repairs, and trauma. Static progressive stretch protocols have shown success in treating contractures of the elbow, ankle, and knee in case reports and small case series. This ... Full text Link to item Cite

[Resurfacing for osteonecrosis of the femoral head].

Journal Article Orthopade · July 2008 Osteonecrosis of the femoral head is a disease of the young patient which eventually destroys the hip joint. In the early stage of the disease, treatment options are aimed at preserving the femoral head. Unfortunately, many patients present with late-stage ... Full text Link to item Cite

Results of total knee replacement for isolated patellofemoral arthritis: when not to perform a patellofemoral arthroplasty.

Journal Article Orthop Clin North Am · July 2008 Many procedures have been used to treat advanced isolated patellofemoral arthritis, with varying results. Patellofemoral arthroplasty (PFA) is a bone-conserving procedure that has shown short-term success but has relatively high revision rates. Total knee ... Full text Link to item Cite

Nonvascularized bone grafting defers joint arthroplasty in hip osteonecrosis.

Journal Article Clin Orthop Relat Res · May 2008 A variety of nonvascularized bone grafting techniques have been proposed with varying degrees of success as treatment alternatives for osteonecrosis of the femoral head. The success of these procedures may be enhanced using ancillary growth and differentia ... Full text Link to item Cite

Do modern techniques improve core decompression outcomes for hip osteonecrosis?

Journal Article Clin Orthop Relat Res · May 2008 Core decompression procedures have been used in osteonecrosis of the femoral head to attempt to delay the joint destruction that may necessitate hip arthroplasty. The efficacy of core decompressions has been variable with many variations of technique descr ... Full text Link to item Cite

Reductions in blood loss with a bipolar sealer in total hip arthroplasty.

Journal Article Expert Rev Med Devices · March 2008 Altogether, 50 primary total hip arthroplasties were performed in a prospective, blinded, randomized study comparing a bipolar sealer device to standard electrocautery for hemostasis. Cohorts were evaluated for intra- and postoperative blood loss, transfus ... Full text Link to item Cite

Bone morphogenetic proteins in total hip arthroplasty, osteonecrosis and trauma surgery.

Journal Article Expert Rev Med Devices · March 2008 This review provides an overview of the use of bone morphogenetic proteins to enhance bone healing and bone graft incorporation in difficult defects created from failed total hip arthroplasties, osteonecrosis of the femoral head and trauma. Multiple public ... Full text Link to item Cite

Botulinum toxin type A injections for the management of flexion contractures following total knee arthroplasty.

Journal Article J Surg Orthop Adv · 2008 The development of knee flexion contractures following total knee arthroplasty is detrimental to a patient's functional capabilities. Despite using aggressive rehabilitative modalities postoperatively, some knee arthroplasty patients do not respond and con ... Link to item Cite

Evidence supporting the use of bone morphogenetic proteins for spinal fusion surgery.

Journal Article Expert Rev Med Devices · January 2008 Bone morphogenetic proteins (BMPs) are capable of promoting bone healing and even induce de novo osteogenesis. Their clinical application in spinal fusion surgery has recently increased in popularity. This is especially true for the use of BMPs in combinat ... Full text Link to item Cite

A comparison of the minimally invasive dual-incision versus posterolateral approach in total hip arthroplasty.

Journal Article Surg Technol Int · 2008 This study directly compared a minimally invasive dual-incision muscle-sparing surgical technique with a standard posterolateral approach in total hip arthroplasty to assess for early complications, clinical success, and alignment. Total hip arthroplasties ... Link to item Cite

Effect of changing indications and techniques on total hip resurfacing.

Conference Clin Orthop Relat Res · December 2007 Recently, improved metal-on-metal bearing technology has led to the reemergence of resurfacing as a reasonable option for total hip arthroplasty. During the course of a prospective multicenter FDA-IDE evaluation of metal-on-metal total hip resurfacings, we ... Full text Link to item Cite

Resurfacing for Perthes disease: an alternative to standard hip arthroplasty.

Conference Clin Orthop Relat Res · December 2007 Metal-on-metal total hip resurfacing is an alternative to conventional total hip arthroplasty with several reports describing the benefits of this procedure in young patients. We retrospectively compared the clinical (including range-of-motion and leg leng ... Full text Link to item Cite

Valgus approach to total knee arthroplasty

Journal Article · December 1, 2007 Since the first total condylar knee replacement in 1974 [1], standard total knee arthroplasty has been in development. With recent advances in surgical techniques, prosthetic designs, and evolution of instrumentation, standard total knee arthroplasties hav ... Full text Cite

Focused rehabilitation treatment of poorly functioning total knee arthroplasties.

Journal Article Clin Orthop Relat Res · November 2007 UNLABELLED: Patient dissatisfaction after total knee arthroplasty (TKA) is often linked to complications resulting from comorbidities, radiographic loosening, and poor prosthetic alignment. However, some patients report functional problems without obvious ... Link to item Cite

Outcomes-based evaluations supporting computer-assisted surgery and minimally invasive surgery for total hip arthroplasty.

Journal Article Expert Rev Med Devices · November 2007 Minimally invasive surgeries, as well as computer-assisted surgery for total hip replacement have gained popularity over recent years. This article provides an overview of state-of-the-art minimally invasive surgery (MIS) and computer-assisted surgery for ... Full text Link to item Cite

Imaging of musculoskeletal bacterial infections by [124I]FIAU-PET/CT.

Journal Article PLoS One · October 10, 2007 BACKGROUND: Traditional imaging techniques for the localization and monitoring of bacterial infections, although reasonably sensitive, suffer from a lack of specificity. This is particularly true for musculoskeletal infections. Bacteria possess a thymidine ... Full text Open Access Link to item Cite

Femoral neck fractures after metal-on-metal total hip resurfacing: a prospective cohort study.

Conference J Arthroplasty · October 2007 There has been a renewed interest in metal-on-metal resurfacing total hip arthroplasty. Recent studies have reported high success rates at short to midterm follow-up. Despite these excellent early outcomes, femoral neck fractures have been reported as a ma ... Full text Link to item Cite

Minimally invasive lateral approach to total knee arthroplasty.

Journal Article J Arthroplasty · October 2007 Minimally invasive knee surgery can be accomplished through several exposures used in standard total knee arthroplasty. These exposures include the medial parapatellar, subvastus, and midvastus approaches. The authors describe a new minimally invasive dire ... Full text Link to item Cite

Repeated botulinum-A toxin injections in the treatment of myelodysplastic children and patients with spinal cord injuries with neurogenic bladder dysfunction.

Journal Article BJU Int · September 2007 OBJECTIVES: To examine the effects of repeated detrusor injections of botulinum-A toxin (BTX) for possible changes in bladder function, muscular structure of the detrusor, increase in BTX tolerance (tachyphylaxis) and side-effects, as BTX is a new treatmen ... Full text Link to item Cite

Functional problems and treatment solutions after total hip arthroplasty.

Journal Article J Arthroplasty · September 2007 Dissatisfaction after total hip arthroplasty (THA) is linked to complications due to comorbitities, radiographic loosening, and poor prosthetic alignment. However, some patients have functional problems without obvious causes. This study elucidated soft ti ... Full text Link to item Cite

Cementation of a polyethylene liner into a metal shell.

Journal Article J Arthroplasty · August 2007 As the number of revision hip arthroplasties continues to increase, alternative reconstructive options may be necessary. Cementation of a polyethylene liner into a well-fixed metal acetabular shell has previously been reported to save bone stock and enhanc ... Full text Link to item Cite

Knee arthroplasties have similar results in high- and low-activity patients.

Journal Article Clin Orthop Relat Res · July 2007 With increased patient demand to return to active lifestyles, total knee arthroplasties have evolved from primarily providing pain relief to allowing for increased function and mobility. We evaluated the influence of activity on the outcome of total knee a ... Full text Link to item Cite

Scientific evidence supporting computer-assisted surgery and minimally invasive surgery for total knee arthroplasty.

Journal Article Expert Rev Med Devices · July 2007 This review provides an overview of the field of minimally invasive surgery and computer-assisted surgery for total knee arthroplasty. The authors have examined the complete body of literature for scientific evidence supporting the use of these new technol ... Full text Link to item Cite

Heterotopic ossification in spinal cord injury and traumatic brain injury

Journal Article Physikalische Medizin Rehabilitationsmedizin Kurortmedizin · June 1, 2007 There are two existing forms of heterotopic ossification: the hereditary and the acquired forms. The acquired heterotopic ossification is the most common form. It is classified in two groups, the traumatic heterotopic ossification (THO) and the neurogenic ... Full text Cite

Advances in hip arthroplasty in the treatment of osteonecrosis.

Journal Article Instr Course Lect · 2007 Osteonecrosis of the femoral head is a devastating disease for which many patients will eventually require total hip arthroplasty. Standard total hip arthroplasties have historically had poor results in patients with osteonecrosis. More recently, reports h ... Link to item Cite

New treatment approaches for osteonecrosis of the femoral head: an overview.

Journal Article Instr Course Lect · 2007 Osteonecrosis of the femoral head is a debilitating disease that ultimately leads to hip joint destruction. Various efforts have been made in an attempt to enhance the healing of osseous defects in the femoral head before collapse occurs. Examples of nonin ... Link to item Cite

Core decompression and nonvascularized bone grafting for the treatment of early stage osteonecrosis of the femoral head.

Journal Article Instr Course Lect · 2007 Osteonecrosis of the femoral head is a devastating disease with many patients ultimately requiring a total hip arthroplasty. When the disease is diagnosed in its early stages (before collapse of the femoral head), various procedures such as core decompress ... Link to item Cite

Gait analysis of patients with resurfacing hip arthroplasty compared with hip osteoarthritis and standard total hip arthroplasty.

Journal Article J Arthroplasty · January 2007 Patients with standard total hip arthroplasties may have reduced hip abduction and extension moments when compared with normal nonosteoarthritic hips. In comparison, patients after resurfacing total hip arthroplasty appear to have a near-normal gait. The a ... Full text Link to item Cite

Role of Metal-on-Metal Resurfacing in the Treatment of Late Stage Osteonecrosis

Journal Article Seminars in Arthroplasty Jses · January 1, 2007 Many patients with osteonecrosis of the femoral head present or end up with late-stage disease. There are few options beyond standard total hip arthroplasty available for these patients. Metal-on-metal resurfacing arthroplasty offers a viable alternative f ... Full text Cite

Use of an alumina-on-alumina bearing system in total hip arthroplasty for osteonecrosis of the hip.

Journal Article J Bone Joint Surg Am · November 2006 BACKGROUND: The results of total hip arthroplasty in patients with osteonecrosis of the femoral head are not always optimal. The use of alumina-on-alumina interfaces in young and active patients may decrease wear and lower the rate of aseptic loosening of ... Full text Link to item Cite

Use of metal-on-metal total hip resurfacing for the treatment of osteonecrosis of the femoral head.

Journal Article J Bone Joint Surg Am · November 2006 BACKGROUND: Recently, with the advent of improved metal-on-metal prostheses, total hip resurfacing has emerged as a viable arthroplasty option. However, it remains controversial whether this procedure should be used in patients with osteonecrosis when the ... Full text Link to item Cite

Uncemented total hip arthroplasty in young adults with osteonecrosis of the femoral head: a comparative study.

Journal Article J Bone Joint Surg Am · November 2006 BACKGROUND: The outcome of uncemented total hip arthroplasty in patients with osteonecrosis of the femoral head in general, and in young adults in particular, remains largely unknown. This study evaluated the clinical and radiographic results of uncemented ... Full text Link to item Cite

Osteonecrosis of the knee after laser or radiofrequency-assisted arthroscopy: treatment with minimally invasive knee arthroplasty.

Conference J Bone Joint Surg Am · November 2006 BACKGROUND: Osteonecrosis of the knee after various arthroscopic procedures associated with the use of laser or radiofrequency devices has been described in a few case reports. The purpose of this study was to report on a series of nineteen patients with o ... Full text Link to item Cite

Hip resurfacing arthroplasty.

Journal Article J Am Acad Orthop Surg · August 2006 Hip resurfacing arthroplasty is a type of hip replacement that involves capping the femoral head and preserving bone of the proximal femur. Metal-on-metal surface replacements have been manufactured since the early 1990s. Recent studies indicate excellent ... Full text Link to item Cite

Bisphosphonate-associated arthritis.

Journal Article J Clin Rheumatol · June 2006 We present a case of arthritis apparently induced by the administration of intravenous bisphosphonates in a 51-year-old white woman with metastatic breast carcinoma. She presented with bilateral knee pain and effusions on 2 separate occasions after receivi ... Full text Link to item Cite

Percutaneous drilling for the treatment of secondary osteonecrosis of the knee.

Journal Article J Bone Joint Surg Br · June 2006 Osteonecrosis of the knee comprises two separate disorders, primary spontaneous osteonecrosis which is often a self-limiting condition and secondary osteonecrosis which is associated with risk factors and a poor prognosis. In a series of 61 knees (38 patie ... Full text Link to item Cite

Percutaneous drilling for the treatment of secondary osteonecrosis of the knee

Journal Article JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME · June 1, 2006 Full text Link to item Cite

Surgical treatment and customized rehabilitation for stiff knee arthroplasties.

Journal Article Clin Orthop Relat Res · May 2006 UNLABELLED: Treating patients who have arthrofibrotic or stiff knees after total knee arthroplasty can be difficult. Treatment with arthroscopic débridement, arthrolysis of adhesions with polyethylene spacer exchange, or complete revision arthroplasty ofte ... Full text Link to item Cite

Minimally invasive revision total knee arthroplasty.

Journal Article Clin Orthop Relat Res · May 2006 UNLABELLED: Exposure in revision total knee arthroplasty can be difficult. For example, eversion of the patella may require a number of procedures including vastus snips, V-Y turndowns, and tibial tubercle osteotomies. A minimally invasive approach further ... Full text Link to item Cite

Limited Approach Surface Replacement Total Hip Arthroplasty

Journal Article Operative Techniques in Orthopaedics · April 1, 2006 With the advent of new metallurgical manufacturing techniques, metal-on-metal total hip resurfacing has gained popularity as a bone-preserving procedure for young and active patients. The use of minimally invasive techniques for total hip arthroplasty has ... Full text Cite

Use of modular large femoral heads without liners in hip arthroplasty.

Journal Article Surg Technol Int · 2006 The use of large-diameter femoral heads in total hip arthroplasty appears to reduce the risk for dislocation, and potentially improve articular wear. Moreover, large-diameter total hip femoral heads have been determined to increase range of motion. The pur ... Link to item Cite

Sports activity after total hip and knee arthroplasty : specific recommendations concerning tennis.

Journal Article Sports Med · 2006 Lower extremity total joint arthroplasties are among the most successful operations in orthopaedics. Presently, it appears that some patients wish to not only have general functions restored, but also desire the opportunity to return or continue on a high ... Full text Link to item Cite

The Future of High Performance Total Hip Arthroplasty

Journal Article Seminars in Arthroplasty Jses · January 1, 2006 Balancing longevity with high performance depends on numerous intraoperative and postoperative factors. Intraoperatively, longevity can be affected by surgical approach, pain management, and instrumentation. Utilizing anesthetic pain management with muscle ... Full text Cite

The Future of High Performance Total Knee Arthroplasty

Journal Article Seminars in Arthroplasty Jses · January 1, 2006 Successful high performance knee arthroplasty is dependent on durability, efficient return to high activity, and patient satisfaction from a "normal" feeling joint. Critical elements of arthroplasty procedures include patient factors, surgical approach, in ... Full text Cite

BLyS and APRIL in rheumatoid arthritis.

Journal Article J Clin Invest · November 2005 The cytokines B lymphocyte stimulator (BLyS) and a proliferation-inducing ligand (APRIL) enhance autoimmune disease by sustaining B cell activation. In RA, B cells contribute to the formation of 3 functionally distinct types of lymphoid microarchitectures ... Full text Link to item Cite

B cells as a therapeutic target in autoimmune diseases.

Journal Article Expert Opin Ther Targets · June 2005 Historically, the pathogenic role of B cells in autoimmune disease has been attributed to the formation of autoantibodies which, as soluble immunoglobulins or immunocomplexes, can trigger cellular damage and initiate the inflammatory cascade. Recent result ... Full text Link to item Cite

Reductions in blood loss with use of a bipolar sealer for hemostasis in primary total knee arthroplasty.

Journal Article Surg Technol Int · 2005 Fifty primary total knee arthroplasties were performed in a prospective, randomized study comparing the use of a bipolar sealer device versus conventional electrocautery as the method of hemostasis. Both cohorts were evaluated for intraoperative blood loss ... Link to item Cite

B cells in rheumatoid synovitis.

Journal Article Arthritis Res Ther · 2005 In rheumatoid arthritis, T cells, B cells, macrophages, and dendritic cells invade the synovial membranes, establishing complex microstructures that promote inflammatory/tissue destructive lesions. B cell involvement has been considered to be limited to au ... Full text Open Access Link to item Cite

Minimally invasive lateral approach to total knee arthroplasty

Journal Article Seminars in Arthroplasty Jses · January 1, 2005 The minimally invasive lateral approach may have advantages over a standard total knee arthroplasty incision. The following pilot study compares this lateral approach to a standard medial parapatellar approach to total knee replacement. Twenty-six knees ut ... Full text Cite

Biological functions of BLyS and APRIL in rheumatoid synovitis.

Conference ARTHRITIS AND RHEUMATISM · September 1, 2003 Link to item Cite

The Hip

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