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Changing of the Guard: Prepared for Succession
RichardIorioMDSamuel S.WellmanMD
doi : 10.1016/j.arth.2021.11.005
Volume 37, Issue 1, January 2022, Pages 1-2
Cost-Effectiveness of Preoperative Spinal Imaging Before Total Hip Arthroplasty
Lucas E.NikkelMDaLinhTranPhD-CbJason M.JenningsMD, DPTcdChristopher S.HollenbeakPhDb
doi : 10.1016/j.arth.2021.09.016
Volume 37, Issue 1, January 2022, Pages 3-9.e1
The risk of instability, dislocation, and revision following total hip arthroplasty (THA) is increased in patients with abnormal spinopelvic mobility. Seated and standing lateral lumbar spine imaging can identify patients with stiff/hypermobile spine (SHS) to guide interventions such as changes in acetabular cup placement or use of a dual-mobility hip construct aimed at reducing dislocation risk.
Frailty Transitions One Year After Total Joint Arthroplasty: A Cohort Study
Rebecca L.JohnsonMDaRyan D.FrankMSbcMatthew P.AbdelMDdElizabeth B.HabermannPhDeAlanna M.ChamberlainPhDeCarlos B.MantillaMD, PhDa
doi : 10.1016/j.arth.2021.08.022
Volume 37, Issue 1, January 2022, Pages 10-18.e2
Total joint arthroplasty (TJA) is prevalent and offered to patients regardless of frailty status experiencing pain, disability, and functional decline. This study aims to describe changes in levels of frailty 1 year after TJA.
Chronic Thrombocytopenia and In-Hospital Outcomes After Primary Total Hip and Knee Arthroplasty
YangWangMDaYuZhangMDaYicunWangPhDaHedongHanPhDbJianningZhaoPhDaJunWangPhDc
doi : 10.1016/j.arth.2021.08.032
Volume 37, Issue 1, January 2022, Pages 19-25.e4
There is a lack of data on the influence of chronic thrombocytopenia (cTCP) on clinical outcomes following primary total hip arthroplasty (THA) and total knee arthroplasty (TKA). Limited studies mainly focused on postoperative heparin-induced TCP from single centers with small sample sizes. This study aims to describe the characteristics, trend, and outcomes of cTCP in patients undergoing THA and TKA from a nationally reprehensive perspective.
Are Patient-Reported Drug Allergies Associated With Prosthetic Joint Infections and Functional Outcomes Following Total Hip and Knee Arthroplasty?
Nina D.FisherMDAndrew S.BiMDVivekSinghMD, MPHChelsea SueSicatMSRanSchwarzkopfMD, MScVinay K.AggarwalMDJoshua C.RozellMD
doi : 10.1016/j.arth.2021.09.008
Volume 37, Issue 1, January 2022, Pages 26-30
The purpose of this study is to determine if the number and types of patient-reported drug allergies are associated with prosthetic joint infection (PJI) and functional outcomes following total joint arthroplasty (TJA).
Pre-Operative Predictors for Discharge to Post-Acute Care Facilities After Total Knee Arthroplasty
ChanZengPhDaRyan C.KoonceMDbHeather M.TavelMPHaSuzanne E.ArgosinoMS-HSA, BSMT, BSN, RNcDenise A.KiepeBSN, RNcElla E.LyonsMSaMorgan A.FordMSaClaudia A.SteinerMD, MPHad
doi : 10.1016/j.arth.2021.09.019
Volume 37, Issue 1, January 2022, Pages 31-38.e2
Joint replacement surgery is in increasing demand and is the most common inpatient surgery for Medicare beneficiaries. The venue for post-operative rehabilitation, including early outpatient therapy after surgery, influences recovery and quality of life. As part of a comprehensive total joint program at Kaiser Permanente Colorado, we developed and validated a predictive model to anticipate and plan the disposition for rehabilitation of our patients after total knee arthroplasty (TKA).
Additional Peripheral Nerve Block to Periarticular Injection Has No Benefit for Patients Undergoing TKA: A Factorial Propensity Score–Matched Analysis Comparing Four Multimodal Analgesic Techniques
ArtitLaoruengthanaMDaAtthakornJarusriwannaMDaPitiRattanaprichavejMDaWatcharapongEiamjumrasMDaInthipornKositanuritMDbKritPongpirulMD, MPH, PhDcd
doi : 10.1016/j.arth.2021.09.011
Volume 37, Issue 1, January 2022, Pages 39-44
Controversy remains over what and how many analgesic techniques are required as the most effective multimodal pain regimen in total knee arthroplasty (TKA). This study aimed to evaluate the effect of additional analgesic methods combined with periarticular injection (PAI) analgesia for TKA.
Comparison of Cruciate-Sacrificing vs Posterior-Stabilized Total Knee Replacement Using a Contemporary Total Knee System
Thomas L.BernasekMDabcdT. KyleStoopsMDabcMeeraGillDOcCoreyEngelMDcPeterSimonPhDc
doi : 10.1016/j.arth.2021.08.029
Volume 37, Issue 1, January 2022, Pages 45-48
The use of highly conforming polyethylene tibial inserts in cruciate-retaining total knee arthroplasty (TKA) often requires posterior cruciate ligament (PCL) release/sacrifice for balancing (CS TKA). The CS TKA relies on the posterior capsule, collateral ligaments, and articular conformity without a cam or post to achieve stability. Using prospectively collected data we compared clinical outcomes of CS TKA to posterior-stabilized (PS) TKA utilizing a contemporary TKA system.
Risk of Periprosthetic Joint Infection in Patients With Total Knee Arthroplasty Undergoing Colonoscopy: A Nationwide Propensity Score Matched Study
Kyun-HoShinMDaSeung-BeomHanMD, PhDaJi-EunSongMSb
doi : 10.1016/j.arth.2021.09.015
Volume 37, Issue 1, January 2022, Pages 49-56
The post-colonoscopy periprosthetic joint infection (PJI) risk in patients with total prosthetic knee joints has limited research. The present study investigated the PJI risk and determined the risk factors for post-colonoscopy PJI in total knee arthroplasty (TKA) recipients. The hypothesis was that colonoscopy is associated with an increased PJI risk in patients with total prosthetic knee joints. This study can potentially help guide the decision making for prophylactic antibiotic use for colonoscopy.
Increased Medical Complications Following Primary Total Hip Arthroplasty in Patients With Solid Organ Transplant: A Matched Cohort Analysis
Amil R.AgarwalaAlexGuMDaJ. GregoryMawnMDcSafa C.FassihiMDaKevin Y.WangcGregory J.GolladayMDbSavyasachi C.ThakkarMDc
doi : 10.1016/j.arth.2021.08.027
Volume 37, Issue 1, January 2022, Pages 57-61.e1
As patient longevity increases following solid organ transplantation (SOT), more transplant patients are undergoing total hip arthroplasty (THA). The purpose of this study is to compare 90-day postoperative complications and 2-year surgical complications following primary THA in patients with and without a history of SOT.
Does Prior Lumbar Fusion Influence Dislocation Risk in Hip Arthroplasty Performed for Femoral Neck Fracture?
Tom G.PollardMDaKevin Y.WangBSbSafa C.FassihiMDaAlexGuMDaBenjaminFarleyMDaPradipRamamurtiMDcJames N.DeBritzMDaGregoryGolladayMDdSavyasachi C.ThakkarMDb
doi : 10.1016/j.arth.2021.09.014
Volume 37, Issue 1, January 2022, Pages 62-68
Immobility of the lumbar spine predicts instability following elective total hip arthroplasty (THA). The purpose of this study is to determine how prior lumbar fusion (LF) influenced dislocation rates and revision rates for patients undergoing THA or hemiarthroplasty (HA) for femoral neck fracture (FNF).
Preoperative Factors Associated With Low Back Pain Improvement After Total Hip Arthroplasty in a Japanese Population
YaichiroOkuzuMD, PhDKojiGotoMD, PhDYutakaKurodaMD, PhDToshiyukiKawaiMD, PhDShuichiMatsudaMD, PhD
doi : 10.1016/j.arth.2021.08.025
Volume 37, Issue 1, January 2022, Pages 69-74
Spinal disorders and low back pain (LBP) have been associated with worse clinical outcomes of total hip arthroplasty (THA). It is essential to identify spinal factors associated with post-THA LBP improvement. Therefore, we aimed to determine the proportion of patients with improved LBP after THA and to identify the preoperative spinal factors associated with LBP improvement.
Does a Monoblock Acetabular Component With a Ceramic Liner Cause More Pelvic Bone Loss Than a Conventional Modular Cementless Acetabular Component? A 2-Year Randomized Clinical Trial
DanielFischmanMDa1Mohit M.MahatmaMResb1PabloSlullitelMDacMohsenFarziPhDdGeorgeGrammatopoulosMBBS (Hons), MRCS (Eng), FRCS (Tr & Orth)aStéphanePoitrasPhDeJ MarkWilkinsonPhD, FRCS (Tr&Orth)b1Paul E.BeauléMD, FRCSCa1
doi : 10.1016/j.arth.2021.08.033
Volume 37, Issue 1, January 2022, Pages 75-82
Ceramic-on-ceramic bearings permit the use of large femoral head size while maintaining a favorable effect on wear rates. However, because of increased device rigidity, periprosthetic bone quality could be negatively affected due to stress shielding. The purpose of this study is to assess pelvic periprosthetic bone remodeling around a monoblock ceramic-on-ceramic acetabular component compared to that around a conventional modular metal-on-polyethylene device.
Monobloc Dual Mobility With a Minimum 5-Year Follow-Up: A Safe and Effective Solution in Primary Total Hip Arthroplasty
IoannisGkiatasMD, PhDT. DavidTarityMDAllina A.NoconPhDChloe P.VerwielBSWilliamXiangBSMichael-AlexanderMalahiasMD, PhDPeter K.SculcoMDThomas P.SculcoMD
doi : 10.1016/j.arth.2021.09.002
Volume 37, Issue 1, January 2022, Pages 83-88
Instability constitutes over 20% of revisions after total hip arthroplasty (THA). Dual mobility (DM) designs were introduced as a solution to this problem. However, the few publications that have reported promising results for monobloc DM constructs have been limited by sample size or length of follow-up. The purpose of this study is to evaluate mid-term outcomes (minimum 5-year follow-up) of a single-surgeon series utilizing a monobloc DM acetabular component in patients with high risk for dislocation.
Cause-Specific Stem Revision Risk in Primary Total Hip Arthroplasty Using Cemented vs Cementless Femoral Stem Fixation in a US Cohort
Matthew P.KellyMDaPriscilla H.ChanMSbHeather A.PrenticePhDbElizabeth W.PaxtonPhDbAdrian D.HinmanMDcMontiKhatodMDd
doi : 10.1016/j.arth.2021.09.020
Volume 37, Issue 1, January 2022, Pages 89-96.e1
We sought to evaluate the cause-specific revision risk following hybrid (cemented stem mated to a cementless acetabular implant) vs cementless total hip arthroplasty (THA) in a US cohort.
Mid-Term Results After 517 Primary Total Hip Arthroplasties With a Shortened and Shoulderless Double-Taper Press-Fit Stem: High Rates of Aseptic Loosening
MoritzWagnerMDaHannesSchönthaleraFranzEndstrasserMDaDietmarDammererMD, PhDbPaulNardelliMDbAlexanderBrunnerMDa
doi : 10.1016/j.arth.2021.09.004
Volume 37, Issue 1, January 2022, Pages 97-102
Shorter double-taper stems with reduced lateral shoulders facilitate implantation via the muscle-sparing direct anterior approach and are becoming increasingly popular. We observed an unusually high number of cases of aseptic loosening with the use of a modified stem. Therefore, the aim of this prospective single-center study was to assess safety and efficacy of this cementless stem.
Total Hip Arthroplasty With the Wagner Cone Femoral Stem in Patients With Crowe IV Developmental Dysplasia of the Hip: A Retrospective Study
CagriOrsMDaRemziCaylakMDbEmreTogrulMDb
doi : 10.1016/j.arth.2021.09.007
Volume 37, Issue 1, January 2022, Pages 103-109
The aim of this study is to assess treatment of Crowe type IV hip dysplasia with the Wagner cone femoral stem combined with transverse subtrochanteric shortening osteotomy and augmenting the osteotomy site using the intercalary segment as a strut autograft.
Cemented Polished Tapered Stems Have Lower Revision Rates Than Commonly Used Cementless Implant up to 17 Years of Follow-Up: An Analysis of 201,889 Total Hip Replacements From the Australian Orthopedic Association National Joint Replacement Registry
SinaBabazadehPhDabcRichard N.de SteigerPhDdeCarlHolderMBiostatfDirkvan BavelMBBSae
doi : 10.1016/j.arth.2021.09.013
Volume 37, Issue 1, January 2022, Pages 110-118
Data assessing femoral stems may be influenced by grouping together matt and polished stems, despite their differing reported survivorship. The aim of this study is to assess the difference in revision rates between commonly used cemented and cementless stems when polished tapered stems are assessed independently of matt stems.
Standard Versus Custom-Made Acetabular Implants in Revision Total Hip Arthroplasty
Rashid M.TikhilovMD, PhDAlisagib A.DzhavadovMDAnton N.KovalenkoMDStanislav S.BilykMDAlexey O.DenisovMDIgor I.ShubnyakovMD, PhD
doi : 10.1016/j.arth.2021.09.003
Volume 37, Issue 1, January 2022, Pages 119-125
Today, various options are used for the reconstruction of acetabular bone loss in revision total hip arthroplasty (RTHA). The aim of the study was to compare the outcomes of using standard acetabular implants (SAIs) and custom-made acetabular implants (CMAIs) in RTHA in cases with extensive acetabular bone loss.
Mismatch in Capture of Periprosthetic Joint Infections Between the Dutch Arthroplasty Register (LROI) and a Detailed Regional Periprosthetic Joint Infection Registry
Maud C.KampMDabWai-YanLiuPhDbcJon H.M.GoosenMD, PhDdWim H.C.RijnenMD, PhDeLiza N.van SteenbergenPhDfWaltervan der WeegenPhDaRegional Prosthetic Joint Infection Working Group
doi : 10.1016/j.arth.2021.09.001
Volume 37, Issue 1, January 2022, Pages 126-131
National arthroplasty registries are important sources for periprosthetic joint infection (PJI) data and report an average incidence ranging from 0.5% to 2.0%. However, studies have shown that PJI incidence in national arthroplasty registries may be underestimated. Therefore, the incidence of PJI in the Dutch Arthroplasty Register (LROI) was evaluated.
Periprosthetic Joint Infection Prediction via Machine Learning: Comprehensible Personalized Decision Support for Diagnosis
Feng-ChihKuoMDaWei-HuanHuMSbYuh-JyhHuPhDbc
doi : 10.1016/j.arth.2021.09.005
Volume 37, Issue 1, January 2022, Pages 132-141
The criteria outlined in the International Consensus Meeting (ICM) in 2018, which were prespecified and fixed, have been commonly practiced by clinicians to diagnose periprosthetic joint infection (PJI). We developed a machine learning (ML) system for PJI diagnosis and compared it with the ICM scoring system to verify the feasibility of ML.
The Fate of Periprosthetic Joint Infection With Corynebacterium striatum: A Rare but Catastrophic Causative Organism
Tejbir S.PannuMD, MSaJesus M.VillaMDaMatanOzeryBSaNicolas S.PiuzziMDbCarlos A.HigueraMDaAldo M.RiesgoMDa
doi : 10.1016/j.arth.2021.09.023
Volume 37, Issue 1, January 2022, Pages 142-149
The virulence and antibiotic resistance profile of an infecting organism have been shown to impact the outcomes of periprosthetic joint infection (PJI). However, there are no existing data on the outcomes of PJI caused by Corynebacterium striatum, a rare organism. Thus, our objective is to ascertain: (1) the treatment success of PJI caused by this rare organism and (2) patient characteristics in the setting of C striatum PJI.
Interim Spacer Exchange for Treatment of Periprosthetic Joint Infection: Almost Half the Patients Subsequently Fail
ElieKozailyMDaTimothy L.TanMDaStevenYacovelliMDaHibaAnisMDbCarlosHigueraMDbNicolas S.PiuzziMDbJavadParviziMD FRCSa
doi : 10.1016/j.arth.2021.08.028
Volume 37, Issue 1, January 2022, Pages 150-155
Interim spacer exchange may be performed in patients undergoing 2-stage exchange for periprosthetic joint infection. Several studies have demonstrated that interim spacer exchange is associated with poor outcomes. This study investigated the survivorship and risk factors for failure in patients with an interim spacer exchange.
Effective Treatment of Single-Stage Revision Using Intra-Articular Antibiotic Infusion for Polymicrobial Periprosthetic Joint Infection
YichengLiPhDXiaogangZhangMDXiaobinGuoMDWuhuziWulamuMDNuerailijiangYushanMDBaochaoJiMDLiCaoMD
doi : 10.1016/j.arth.2021.09.022
Volume 37, Issue 1, January 2022, Pages 156-161
The treatment of polymicrobial periprosthetic joint infection (PJI) confronted distinct challenges. No reports have assessed the efficacy of local antibiotic delivery combined with 1-stage exchange in polymicrobial PJI.
Varus Collapse in Total Knee Arthroplasty: Does Fixation or Bone Fail First?
Zach C.CoxBAaCody C.GreenMDaJesse E.OteroMD, PhDaJ. BohannonMasonMDaJ. RyanMartinMDb
doi : 10.1016/j.arth.2021.09.012
Volume 37, Issue 1, January 2022, Pages 162-167
Aseptic tibial loosening is now considered the most common reason that total knee arthroplasties (TKA) fail long term. There are unique subsets of patients that fail into varus alignment of the tibial tray with collapse of the medial proximal tibia. It is currently unknown if the implant fixation fails first or if the proximal medial tibia collapses first.
A Multivariate Analysis to Predict Total Hip Arthroplasty Dislocation With Preoperative Diagnosis, Surgical Approach, Spinal Pathology, Cup Orientation, and Head Size
Michael P.MurphyMDaAndrew M.SchneiderMDaRyan C.LeDucMDaCameron J.KillenMDaWilliam H.AdamsPhDbNicholas M.BrownMDa
doi : 10.1016/j.arth.2021.08.031
Volume 37, Issue 1, January 2022, Pages 168-175
There are several risk factors for dislocation after total hip arthroplasty (THA), but few studies include radiographic assessment of implants, with spine pathology and patient characteristics. This study estimates the rate of dislocation by patient gender, age, race/ethnicity, body mass index, Charlson Comorbidity Index, spine pathology, prior spine fusion, levels affected, radiographic Kellgren-Lawrence score of spine osteoarthritis, THA indication, surgical approach, and femoral head size.
National and State Level Opioid-Restricting Legislation in Total Joint Arthroplasty: A Systematic Review
Dustin J.RandallBSa1AimenVanoodMDab1YoungJeeMDcDrew D.MooreMDc
doi : 10.1016/j.arth.2021.07.013
Volume 37, Issue 1, January 2022, Pages 176-185
The opioid epidemic is a health crisis in the United States. Within orthopedic surgery, opioid misuse and incautious prescription remains a concern. In the last several years, there has been a growing interest and public effort toward reducing opioid use in total joint arthroplasty (TJA) in response to the opioid epidemic in the United States. We aim to review opioid-limiting practices, policies, and legislations that are implemented at the state level and nationally that are relevant to TJA, as well as evaluate studies that measure the efficacy of these policies in the management of patients undergoing TJA.
No Additional Benefits of Tissue Adhesives for Skin Closure in Total Joint Arthroplasty: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Balgovind S.RajaMBBS, MSArghya KunduChoudhuryMBBS, MSSouvikPaulMBBS, MSAditya K.S.GowdaMBBSRoop BhushanKaliaMBBS, MS
doi : 10.1016/j.arth.2021.07.012
Volume 37, Issue 1, January 2022, Pages 186-202
This systematic review is aimed to compare the performance of tissue adhesives (TA) as an adjunct or closure method with traditional wound closure methods for cutaneous closure in arthroplasty and evaluate whether they have any added benefits in terms of decreasing wound complications and increasing postoperative patient satisfaction.
Corrigendum to: 'Individualized Risk Model for Venous Thromboembolism After Total Joint Arthroplasty [The Journal of Arthroplasty (2016) S180-S186]'
doi : 10.1016/j.arth.2021.09.010
Volume 37, Issue 1, January 2022, Page 203
Conflict of Interest Statement
doi : 10.1016/S0883-5403(21)00854-8
Volume 37, Issue 1, January 2022, Page A9
