Article
Orthopedics
Joshua C. Rozell, Michael P. Ast, William A. Jiranek, Raymond H. Kim, Craig J. Della Valle
Summary: As perioperative protocols improve, the rates of complications after hip and knee arthroplasty decrease and patients are more comfortable postoperatively, leading to a shorter hospital stay. Outpatient arthroplasty is becoming more common, but successful implementation requires tightly knit and highly organized teamwork.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Orthopedics
Tony S. Shen, Daniel A. Driscoll, Wasif Islam, Patawut Bovonratwet, Steven B. Haas, Edwin P. Su
Summary: The study analyzed common questions and associated websites related to total joint arthroplasty searched on Google, finding that topics like pain, specific activities, and indications/management were most common. Website types were primarily academic, commercial, and social media, with government websites rated highest in quality.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Orthopedics
Allen C. Norris, Simon C. Mears, Eric R. Siegel, C. Lowry Barnes, Jeffrey B. Stambough
Summary: This study examined the types of social needs and methods used to address them in arthroplasty patients. The findings showed that a certain percentage of patients had social needs related to utility payments, employment, prescription costs, education, and transportation. The frequency of social needs was higher in non-White patients, non-English speakers, younger patients, nonmarried patients, unemployed patients, and patients with lower health literacy. The study also found a higher readmission rate in patients with social needs.
JOURNAL OF ARTHROPLASTY
(2022)
Article
Orthopedics
Samuel Rosas, David C. Pollock, Martin W. Roche, Farideh Najafi, Neusha Hollingsworth, Leonard T. Buller, Chad A. Krueger
Summary: This study found that a history of COVID-19 infection does not appear to increase the risk of venous thromboembolism (VTE) following primary total joint arthroplasty (TJA), but may increase the risk of pneumonia during the postoperative period and longer lengths of stay. It is recommended that individual risk factors be discussed with patients before surgery to set reasonable expectations for perioperative outcomes.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Orthopedics
Alexander Buckenham Boyle, Mark Zhu, Chris Frampton, Vaughan Poutawera, Andrew Vane
Summary: The study compared the outcomes of different implant combinations used in total hip arthroplasty for patients aged over 75 years. The results showed that the cemented and hybrid implant combinations had similar survival rates and functional outcomes, while the uncemented implant combination had a higher revision rate and femoral-sided revision risk.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2023)
Article
Orthopedics
Yu-Tung Lan, Nicholas R. Pagani, Ya-Wen Chen, Ruijia Niu, David C. Chang, Carl T. Talmo, Brian L. Hollenbeck, David A. Mattingly, Eric L. Smith
Summary: This study examined the relationship between perioperative opioid exposure and new persistent usage among opioid-naive patients after total knee and hip arthroplasty. The findings revealed a dose-dependent association between perioperative opioid dosage and the risk of developing new persistent usage. The study recommended prescribing less than 600 MME of opioids during the perioperative period to reduce the risk.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Orthopedics
Christopher N. Carender, David E. DeMik, Natalie A. Glass, Nicolas O. Noiseux, Timothy S. Brown, Nicholas A. Bedard
Summary: In patients with BMI >= 40 kg/m(2), extended oral antibiotic prophylaxis after primary THA and TICS did not reduce rates of wound complications or early PJI.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Orthopedics
Zhaorui Wang, Justin E. Levin, Troy B. Amen, Artine Arzani, Joseph E. Manzi, Joseph M. Lane
Summary: This study highlights significant gaps in metabolic bone care for geriatric TJA patients both in terms of screening and treatment. Female gender and past fracture history may influence whether patients receive screening and treatment. FRAX scores play an important role in metabolic bone care and risk identification for TJA patients.
JOURNAL OF ARTHROPLASTY
(2022)
Article
Orthopedics
Chad A. Krueger, Elie Kozaily, Zane Gouda, Emanuele Chisari, P. Maxwell Courtney, Matthew S. Austin
Summary: The majority of canceled surgeries are due to medical reasons, with most patients eventually undergoing the procedure, but only a minority receiving intervention for their condition. Patients canceled for medical reasons tend to have higher Charlson Comorbidity Index, closer cancellation to the scheduled date, and are more likely to eventually undergo surgery.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Rheumatology
Vivienne Y. Zhou, Diane Lacaille, Na Lu, Jacek Kopec, Don Garbuz, Yi Qian, J. Antonio Avina-Zubieta, John Esdaile, Hui Xie
Summary: The study found that the introduction of biological DMARDs was associated with a significant reduction in total hip and knee arthroplasty incidences among patients with rheumatoid arthritis, but not among patients with osteoarthritis.
Article
Orthopedics
Anderson Lee, Caleb R. Durst, Kevin T. Rezzadeh, Sean S. Rajaee, Brad L. Penenberg, Justin P. Than
Summary: This study evaluated the complications of total joint arthroplasty (TJA) in patients who had recovered from COVID-19. The results showed that patients diagnosed with COVID-19 within three months prior to surgery had a significantly increased risk of complications within 90 days after surgery. Even when the surgery was performed as far as 3 to 6 months after COVID-19 diagnosis, the risk of pneumonia and deep vein thrombosis remained elevated compared to COVID-19 negative patients.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Orthopedics
Adrian Hinman, Richard Chang, Kathryn E. Royse, Ronald Navarro, Elizabeth Paxton, Kanu Okike
Summary: In a universal coverage system, patients with hip and knee osteoarthritis living in urban areas have lower utilization of total joint arthroplasty compared to patients in rural areas.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Health Care Sciences & Services
Michele Ulivi, Luca Orlandini, Valentina Meroni, Mario D'Errico, Arianna Fontana, Marco Vigano, Laura Mangiavini, Roberto D'Anchise, Franco Parente, Roberto Pozzoni, Valerio Sansone, Luigi Zagra, Giuseppe M. Peretti
Summary: This study aimed to evaluate patients' progress in 2020 who were unable to receive proper postoperative care due to the COVID-19 pandemic. The research found that despite some reductions in postoperative improvements due to the pandemic, joint replacement surgeries remained beneficial, suggesting a broader use of web-based tools for patient monitoring.
Article
Orthopedics
Moritz Muehlenfeld, Andre Strahl, Ulrich Bechler, Nico Maximilian Jandl, Jan Hubert, Tim Rolvien
Summary: This study evaluated 50 adults with secondary OA due to rheumatic diseases, finding distinct frequencies and risk factors of low BMD in THA and TKA patients. The findings suggest a potential value of DXA in the preoperative evaluation of bone status.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Orthopedics
Nathanael D. Heckmann, Jennifer C. Wang, Amit S. Piple, Glenda A. Marshall, Emily S. Mills, Kevin C. Liu, Jay R. Lieberman, Alexander B. Christ
Summary: This study analyzed the risk of infection in patients undergoing total knee arthroplasty (TKA) and total hip arthroplasty (THA) who received intraoperative dexamethasone. The results showed that intraoperative dexamethasone was associated with a reduced risk of periprosthetic joint infection (PJI) and other complications. Therefore, this study supports the utilization of intraoperative dexamethasone in TKA or THA.
JOURNAL OF ARTHROPLASTY
(2023)