Review
Polymer Science
Liliana Savin, Tudor Pinteala, Dana Nicoleta Mihai, Dan Mihailescu, Smaranda Stefana Miu, Mihnea Theodor Sirbu, Bogdan Veliceasa, Dragos Cristian Popescu, Paul Dan Sirbu, Norin Forna
Summary: Total hip arthroplasty is a popular and effective surgical intervention for treating hip diseases. The success of the surgery depends on factors such as patient characteristics, surgical technique, and the quality of biomaterials used. Recent studies have assessed the benefits and drawbacks of different biomaterial and friction couples in total hip arthroplasty.
Article
Orthopedics
Scott A. Muffly, Qiang An, Nicholas A. Bedard, Timothy S. Brown, Jesse E. Otero
Summary: The study analyzed ED visits within 30 days of TJA and found that 5.4% of cases resulted in ED visits, with the majority related to surgical limb pain, wound concerns, and swelling. These common complaints accounted for a minority of readmissions and reoperations.
JOURNAL OF ARTHROPLASTY
(2021)
Review
Medicine, General & Internal
Cesar Fernandez-de-las-Penas, Lidiane L. Florencio, Ana I. de-la-Llave-Rincon, Ricardo Ortega-Santiago, Margarita Cigaran-Mendez, Stella Fuensalida-Novo, Gustavo Plaza-Manzano, Lars Arendt-Nielsen, Juan A. Valera-Calero, Marcos J. Navarro-Santana
Summary: This study synthesized current evidence on prognostic factors for predicting postoperative pain after knee or hip replacement. The findings suggest that various preoperative factors, including race, opioid use, preoperative function, neuropathic pain symptoms, and anxiety, are associated with postoperative chronic pain. Additionally, certain comorbidities, such as heart disease and lung disease, are not associated with postoperative chronic pain.
JOURNAL OF CLINICAL MEDICINE
(2023)
Review
Orthopedics
L. Pacheco-Brousseau, D. Stacey, F. Desmeules, S. Ben Amor, D. Lambert, E. Tanguay, A. Hillaby, C. Bechiau, M. Charette, S. Poitras
Summary: This study aimed to assess the criteria and psychometric properties of instruments for evaluating the appropriateness of elective joint arthroplasty for adults with primary hip and knee osteoarthritis. The results showed that most instruments included traditional criteria but lacked elements of conservative treatments or shared decision-making. There was limited evidence regarding the psychometric properties.
OSTEOARTHRITIS AND CARTILAGE
(2023)
Article
Geriatrics & Gerontology
Michael J. Cook, Mark Lunt, Darren M. Ashcroft, Timothy Board, Terence W. O'Neill
Summary: Frailty has a negative impact on patient-reported outcomes following hip and knee arthroplasty. However, the majority of individuals, even those with severe frailty, still achieved the minimally important change in hip/knee scores and reported a successful outcome.
Article
Hematology
Banne Nemeth, Rob Nelissen, Roopen Arya, Suzanne Cannegieter
Summary: VTE is a common complication following THA and TKA, despite available guidelines for prophylaxis, approximately 1.5% of patients still develop symptomatic VTE. This paper discusses an individualized approach to optimize the balance between VTE and bleeding risks by stratifying patients according to their risk levels.
JOURNAL OF THROMBOSIS AND HAEMOSTASIS
(2021)
Review
Orthopedics
Larissa Sattler, Luke Kisaloff, Taiyler Cragnolini, Radd Peters, Wayne Hing
Summary: This systematic review examines the impact of inpatient and outpatient models on functional outcomes for patients undergoing hip or knee arthroplasty. The results suggest that functional outcomes alone should not be the sole basis for choosing between inpatient and outpatient pathways. However, there is growing evidence supporting the cost savings and absence of complications associated with an outpatient pathway in select patients.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2022)
Article
Orthopedics
Jesus M. Villa, Tejbir S. Pannu, Ibrahim Theeb, Martin A. Buttaro, Jose Onativia, Lisandro Carbo, Daniel H. Rienzi, Jose Fregeiro, Nikolai N. Kornilov, Svetlana A. Bozhkova, Nemandra A. Sandiford, Nicolas S. Piuzzi, Carlos A. Higuera, Daniel O. Kendoff
Summary: The most common pathogens for periprosthetic joint infections were Staphylococcus aureus and Staphylococcus epidermidis. The US and the UK had the lowest rates of resistant organisms, while Germany and Russia had the highest. The UK and Uruguay had the lowest rates of polymicrobial infections.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Orthopedics
Elise Naufal, Cade Shadbolt, Yassin Elsiwy, Sharmala Thuraisingam, Yves S. Poy Lorenzo, Jonathan Darby, Sina Babazadeh, Peter F. M. Choong, Michelle M. Dowsey, Jarrad M. Stevens
Summary: This study evaluated the prevalence of antibiotic dispensation before and after total knee arthroplasty (TKA) and total hip arthroplasty (THA) and identified factors associated with antibiotic dispensation in the month following the surgical procedure. A high rate of antibiotic dispensation in the first month after THA and TKA was observed. Poor preoperative health status, older age, undergoing TKA rather than THA, obesity, inflammatory arthritis, and experiencing in-hospital wound-related or other infectious complications were associated with increased antibiotic dispensation in the first 30 days after discharge.
JOURNAL OF ARTHROPLASTY
(2022)
Article
Orthopedics
Jan P. Van Meirhaeghe, Lucy J. Salmon, Michael D. O'Sullivan, Benjamin R. Gooden, Matthew C. Lyons, Leo A. Pinczewski, Justin P. Roe
Summary: This study found that sleep quality and duration improved after total hip arthroplasty and total knee arthroplasty, which was associated with better outcome scores and satisfaction. 35% of the sample reported poor sleep quality before surgery, but 74% of them showed improvement after the arthroplasty.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Orthopedics
Zunhan Liu, Wei-Nan Zeng, Zhenyu Luo, Enze Zhao, Hao Li, Zongke Zhou
Summary: The study aimed to compare the outcomes of patients who underwent different sequences of ipsilateral total hip arthroplasty (THA) and total knee arthroplasty (TKA). Results showed that patients achieved similar favorable outcomes in clinical scores and survivorship regardless of the sequence of surgeries. Total joint arthroplasty can be performed safely with excellent outcomes in patients with a history of prior ipsilateral THA or TKA.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Orthopedics
Emanuele Chisari, Michael Yayac, Matthew Sherman, Elie Kozaily, P. Maxwell Courtney
Summary: Patients undergoing THA and TKA from areas with high unemployment and lower educational levels may have more medical comorbidities, but none of the 4 socioeconomic variables studied are independently associated with higher rates of readmission, discharge to rehabilitation, or worse functional outcomes.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Orthopedics
Yang Wang, Yu Zhang, Yicun Wang, Hedong Han, Jianning Zhao, Jun Wang
Summary: This study provides a nationally representative perspective on the characteristics, trends, and outcomes of chronic thrombocytopenia (cTCP) in patients undergoing total hip arthroplasty (THA) and total knee arthroplasty (TKA). Patients with cTCP had a higher risk of mortality and complications postoperatively, as well as increased cost and length of stay. Further research is needed to improve preoperative management and prevent worse outcomes associated with cTCP.
JOURNAL OF ARTHROPLASTY
(2022)
Article
Orthopedics
Viktor C. Tollemar, Hsou-Mei Hu, Andrew G. Urquhart, Elizabeth A. Dailey, Brian R. Hallstrom, Mark C. Bicket, Jennifer F. Waljee, Chad M. Brummett
Summary: This study aimed to investigate the association between the size of initial opioid prescription and the likelihood of refill after elective primary total knee and hip arthroplasty. National datasets of insurance claims were retrospectively analyzed, and a cohort of opioid-naive patients who underwent surgery between January 2015 and November 2019 was identified. The refill rate within 30 days after discharge was the primary outcome, and the total amount of opioid filled in the initial prescription was the predictor variable. The results showed that larger initial opioid prescription size was associated with small decreases in 30-day refill rate after total joint arthroplasty, suggesting that concerns about decreasing postsurgical opioid prescribing may not be warranted.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Orthopedics
Nancy M. Giunta, Phani S. Paladugu, David N. Bernstein, Melvin C. Makhni, Antonia F. Chen
Summary: This study evaluated the perception of orthopedic patients regarding the care delivered during telemedicine visits. The results indicated that younger patients, patients with longer commute distances, and patients who had established relationships with their provider expressed higher satisfaction with telemedicine visits. Establishing a stable patient-provider relationship may be crucial for the success of telemedicine practices in total joint arthroplasty.
JOURNAL OF ARTHROPLASTY
(2022)
Article
Orthopedics
William M. Mihalko, Erik L. Woodard, Casey T. Hebert, John R. Crockarell, John L. Williams
JOURNAL OF ARTHROPLASTY
(2015)
Editorial Material
Orthopedics
Yelizaveta Torosyan, Steven M. Kurtz, William M. Mihalko, Danica Marinac-Dabic, Clare M. Rimnac
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH
(2015)
Article
Orthopedics
Byron F. Stephens, Sam Hakki, Khaled J. Saleh, William M. Mihalko
Article
Orthopedics
Kirsten C. Miller, Brian R. Morrow, Jameson H. Sorrels, Christina M. Arnholt, William M. Mihalko
Summary: The study found that electrocautery can cause significant damage to the bearing surfaces of implants, especially with the Oxinium surface being most affected. Survey results indicate that a considerable percentage of adult reconstructive surgeons use electrocautery after implantation without being aware of this potential damage.
JOURNAL OF ARTHROPLASTY
(2021)
Review
Orthopedics
William M. Mihalko, Kenneth Urish, Hani Haider
Summary: Over the past three decades, there have been significant advancements in knee and hip replacement technology, improving functional outcomes and survivorship. Despite these advancements, issues with patient satisfaction, functional limitations, and early revisions persist. These issues may be addressed through improvements in implant design and surgical technique.
JOURNAL OF ORTHOPAEDIC RESEARCH
(2021)
Article
Orthopedics
Matt Mathew, Tyler D. Ragsdale, Zachary K. Pharr, Carson M. Rider, William M. Mihalko, Patrick C. Toy
Summary: Postoperative urinary retention (POUR) following outpatient total hip arthroplasty (THA) in an ambulatory surgery center (ASC) is infrequent, occurring in only 2 out of 377 patients, but complaints of the inability to void were reported in 38 patients, with an incidence of 9.8%. Factors associated with POUR and the inability to urinate included older age, time spent in the ASC, and intraoperatively albumin volume administered.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Orthopedics
Kirsten C. Miller, Matthew B. Holloway, Brian R. Morrow, Richard A. Smith, William M. Mihalko
Summary: This study aimed to recreate inflammatory cell-induced corrosion (ICIC) of cobalt-chromium-molybdenum (CoCrMo) implants in vitro and investigate the effect of electrocautery damage on this process. The results showed that macrophages could replicate ICIC pits on the surface of CoCrMo alloy, and the addition of electrocautery damage did not accelerate the process.
JOURNAL OF ARTHROPLASTY
(2022)
Article
Chemistry, Physical
Adrian Sauer, Maeruan Kebbach, Allan Maas, William M. Mihalko, Thomas M. Grupp
Summary: This study explores the connections between patellar kinematics and anterior knee pain, highlighting the importance of using consistent conventions for defining kinematics in clinical studies. The choice of convention significantly impacts the absolute values and clinical characteristics of patello-femoral angles, emphasizing the need for standardized methodology in research to ensure reproducibility and accuracy when analyzing kinematic data.
Article
Orthopedics
Tyler E. Calkins, Clayton C. Wing, Zachary R. Diltz, William M. Mihalko, Patrick C. Toy
Summary: This study compared the effects of bupivacaine and mepivacaine spinal anesthesia on same-day discharge total knee arthroplasty (TKA). The results showed that mepivacaine spinal anesthesia led to shorter recovery room stay, quicker time to void and ambulation, and shorter total facility time compared to bupivacaine. However, it slightly increased the morphine milligram equivalents (MME) requirements.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2023)
Proceedings Paper
Engineering, Biomedical
Yelizaveta Torosyan, John G. Bowsher, Steven M. Kurtz, William M. Mihalko, Danica Marinac-Dabic
BEYOND THE IMPLANT: RETRIEVAL ANALYSIS METHODS FOR IMPLANT SURVEILLANCE
(2018)
Proceedings Paper
Engineering, Biomedical
Meredith Perkins, Reed Butler, Lucas Tidwell, Weikuan Gu, William M. Mihalko
BEYOND THE IMPLANT: RETRIEVAL ANALYSIS METHODS FOR IMPLANT SURVEILLANCE
(2018)
Proceedings Paper
Engineering, Biomedical
Meredith Perkins, Julie Lowell, Dema Assaf, John Weinlein, William M. Mihalko
BEYOND THE IMPLANT: RETRIEVAL ANALYSIS METHODS FOR IMPLANT SURVEILLANCE
(2018)
Proceedings Paper
Engineering, Biomedical
Mersdith Perkins, Julie Lowell, Anita Kerkhof, William M. Mihalko
BEYOND THE IMPLANT: RETRIEVAL ANALYSIS METHODS FOR IMPLANT SURVEILLANCE
(2018)
Article
Orthopedics
John W. Harkess, Robert F. Murphy, William M. Mihalko
CURRENT ORTHOPAEDIC PRACTICE
(2014)