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Table of Contents
doi : 10.1016/S0883-5403(21)00919-0
Volume 37, Issue 2, February 2022, Pages A5-A7
Hospital Costs for Unsuccessful Two-Stage Revisions for Periprosthetic Joint Infection
Steven M.KurtzPhDaGenymphas B.HiggsPhDbEdmundLauMSbRichard R.IorioMDcP. MaxwellCourtneyMDdJavadParviziMDd
doi : 10.1016/j.arth.2021.10.018
Volume 37, Issue 2, February 2022, Pages 205-212
Although 2-stage exchange arthroplasty is the preferred surgical treatment for periprosthetic joint infection (PJI) in the United States, little is known about the risk of complications between stages, mortality, and the economic burden of unsuccessful 2-stage procedures.
Socioeconomic Disparities in the Utilization of Total Hip Arthroplasty
Davis A.HartnettBSaPeter G.BrodeurMAaLindsay R.KosinskiMDbAristides I.CruzJr.MD, MBAbJoseph A.GilMDbEric M.CohenMDb
doi : 10.1016/j.arth.2021.10.021
Volume 37, Issue 2, February 2022, Pages 213-218.e1
There is increasing focus on highlighting disparities in both access to and equity of care in orthopedics and understanding the impact disparities have on patient health. The purpose of the present study is to evaluate socioeconomic-related factors affecting whether a patient undergoes total hip arthroplasty (THA) after a diagnosis of osteoarthritis.
Combination of Anterior Acetabular Coverage and Femoral Head Shape Predicts Femoroacetabular Impingement After Periacetabular Osteotomy
ShinyaHayashiMD, PhDShingoHashimotoMD, PhDYuichiKurodaMD, PhDTomoyukiMatsumotoMD, PhDTomoyukiKamenagaMD, PhDRyosukeKurodaMD, PhD
doi : 10.1016/j.arth.2021.10.012
Volume 37, Issue 2, February 2022, Pages 219-225
Femoroacetabular impingement (FAI) after periacetabular osteotomy (PAO) may be affected by both anterior acetabular coverage and femoral head shape. This study aimed to radiographically evaluate the relationship of the combination of acetabular coverage and femoral head shape with the occurrence of FAI after curved PAO.
Dilute Povidone-Iodine Irrigation Reduces the Rate of Periprosthetic Joint Infection Following Hip and Knee Arthroplasty: An Analysis of 31,331 Cases
NoamShohatMDaGraham S.GohMDbSamantha L.HarrerMDbScotBrownMDb
doi : 10.1016/j.arth.2021.10.026
Volume 37, Issue 2, February 2022, Pages 226-231.e1
Total joint arthroplasty (TJA) surgeons employ various strategies to reduce the risk of periprosthetic joint infection (PJI). Few studies have examined the efficacy of preclosure dilute povidone-iodine irrigation in a large cohort accounting for recent practice changes in TJA. This study compared the risk of PJI in TJA patients with and without dilute povidone-iodine irrigation.
Why Do Patients Undergoing Extremity Prosthetic Reconstruction for Metastatic Disease Get Readmitted?
Alexander L.LazaridesMDEtienne M.FlamantBScMark C.CullenMDHarrison R.FerlautoMDDaniel E.GoltzMDNiall H.CochraneMDJulia D.VisgaussMDBrian E.BrigmanMD, PhDWilliam C.EwardDVM, MD
doi : 10.1016/j.arth.2021.10.019
Volume 37, Issue 2, February 2022, Pages 232-237
Orthopedic oncology patients are particularly susceptible to increased readmission rates and poor surgical outcomes, yet little is known about readmission rates. The goal of this study is to identify factors independently associated with 90-day readmission for patients undergoing oncologic resection and subsequent prosthetic reconstruction for metastatic disease of the hip and knee.
Prior Anterior Cruciate Ligament Reconstruction Does Not Compromise the Functional Outcomes of Medial Unicompartmental Knee Arthroplasty Although Revision for Progressive Arthritis May Occur Earlier
AmerHaffarBSaRaheelAliMDbNabilMehtaMDcArpanPatelMScKevin B.FrickaMDbCraig J.Della ValleMDcTad L.GerlingerMDcChad A.KruegerMDaJess H.LonnerMDa
doi : 10.1016/j.arth.2021.10.008
Volume 37, Issue 2, February 2022, Pages 238-242
Anterior cruciate ligament (ACL) deficiency is commonly considered a contraindication for unicompartmental knee arthroplasty (UKA). The purpose of this study is to compare the outcomes of UKA after prior ACL reconstruction (rACL cohort) to UKA with an intact native ACL (nACL cohort).
A Matched Comparison of Long-Term Outcomes of Total and Unicompartmental Knee Replacements in Different Ages Based on National Databases: Analysis of Data From the National Joint Registry for England, Wales, Northern Ireland, and the Isle of Man
Hasan R.MohammadMRCS, MRes (Dist), DPhil (Oxon)abAlexander D.LiddleDPhil, FRCS(Orth)cAndrewJudgeBSc, MSc, PhDabDavid W.MurrayMD, FRCSa
doi : 10.1016/j.arth.2021.09.018
Volume 37, Issue 2, February 2022, Pages 243-251
The 2 main treatment options for end-stage single compartment knee arthritis are unicompartmental (UKR) or total knee replacement (TKR). We compared the long-term outcomes in different age groups.
Migration and Inducible Displacement of the Bicruciate-Stabilized Total Knee Arthroplasty: A Randomized Controlled Trial of Gap Balancing and Measured Resection Techniques
Jordan S.BrobergBMScabcEdward M.VasarhelyiMD, MSc, FRCSCdBrent A.LantingMD, MSc, FRCSCdJames L.HowardMD, MSc, FRCSCdMatthew G.TeeterPhDabcdDouglas D.R.NaudieMD, FRCSCabd
doi : 10.1016/j.arth.2021.10.010
Volume 37, Issue 2, February 2022, Pages 252-258
The goal of this study is to investigate the migration and inducible displacement of a bicruciate-stabilized (BCS) total knee arthroplasty implanted using gap balancing (GB) or measured resection (MR) surgical techniques. We hypothesized equal migration and displacement between the techniques.
Adductor Canal Block Combined With IPACK Block for Postoperative Analgesia and Function Recovery Following Total Knee Arthroplasty: A Prospective, Double-Blind, Randomized Controlled Study
PingMouMDaDuanWangMDaXiu-MeiTangMDbWei-NanZengMDacYanZengMDdJingYangMDdZong-KeZhouMD, PhDa
doi : 10.1016/j.arth.2021.10.004
Volume 37, Issue 2, February 2022, Pages 259-266
This study aimed to explore the analgesic effect among adductor canal block (ACB) combined with infiltration between the popliteal artery and the capsule of the posterior knee (IPACK) block, ACB, and IPACK block following total knee arthroplasty (TKA).
Logistic Regression and Machine Learning Models Cannot Discriminate Between Satisfied and Dissatisfied Total Knee Arthroplasty Patients
Joseph S.MunnMScaBrent A.LantingMDbSteven J.MacDonaldMDbLyndsay E.SomervillePhDbJacquelyn D.MarshPhDcDianne M.BryantPhDcBert M.ChesworthPhDc
doi : 10.1016/j.arth.2021.10.017
Volume 37, Issue 2, February 2022, Pages 267-273
Approximately 20% of total knee arthroplasty (TKA) patients are found to be dissatisfied or unsure of their satisfaction at 1-year post-surgery. This study attempted to predict 1-year post-surgery dissatisfied/unsure TKA patients with pre-surgery and surgical variables using logistic regression and machine learning methods.
High-Dose Vitamin D Supplementation Can Correct Hypovitaminosis D Prior to Total Knee Arthroplasty
Vibav H.MouliMSaNatalieSchudrowitzBAaChristopher X.CarreraBAaAkachimere C.UzosikeMD, MPHaWolfgangFitzMDabSean S.RajaeeMD, MSc
doi : 10.1016/j.arth.2021.10.016
Volume 37, Issue 2, February 2022, Pages 274-278
Vitamin D deficiency in the perioperative surgical period is associated with inferior surgical outcomes. There are no established preoperative supplementation regimens in the orthopedic literature. The purpose of this study is to compare the efficacy between 2 different supplementation regimens of vitamin D prior to total knee arthroplasty.
No Difference in Postoperative Knee Flexion and Patient Joint Awareness Between Cruciate-Substituting and Cruciate-Retaining Medial Pivot Total Knee Prostheses: A 10-Year Follow-Up Study
HidekiUeyamaMD, PhDabcNarihiroKanemotoMDbYukihideMinodaMD, PhDcNobuoYamamotoMDcYoshikiTaniguchiMDbHiroakiNakamuraMD, PhDc
doi : 10.1016/j.arth.2021.11.016
Volume 37, Issue 2, February 2022, Pages 279-285
This study aimed to clarify differences in clinical results, including in patients’ joint awareness, between cruciate-substituting (CS) and cruciate-retaining (CR) medial pivot total knee arthroplasty (TKA) over a 10-year follow-up.
Primary Total Knee Arthroplasty Revised for Instability: A Detailed Registry Analysis
Peter L.LewisMBBS, FRACS (Orth), FAOrthAaDavid G.CampbellBMBS, PhD, FRACS (Ortho), FAOrthAbMichelle F.LorimerBSc (Maths&CompSc) (Hons)cFranciscoRequichaMDbAnnetteW-DahlRN, PhDdOttoRobertssonMD, PhDd
doi : 10.1016/j.arth.2021.11.002
Volume 37, Issue 2, February 2022, Pages 286-297
Instability after total knee arthroplasty is a common but poorly understood complication.
Are Functional Outcomes of a Total Hip Arthroplasty Predictive of a Contralateral Total Hip Arthroplasty: A Retrospective Cohort Study
Aaron M.GazendamMDaMansiPatelBScbSeperEkhtiariMD, MScaKamalBaliMBBS, MS, FRCSCaHamilton Arthroplasty GroupaThomas J.WoodMD, FRCSCa
doi : 10.1016/j.arth.2021.09.024
Volume 37, Issue 2, February 2022, Pages 298-302
Current literature suggests that 8%-35% of patients undergoing total hip arthroplasty (THA) undergo a subsequent contralateral THA. This study aims to determine if functional outcomes after primary THA predict outcomes in the subsequent primary THA of the contralateral side.
Revision Risk in a Cohort of US Patients Younger Than 55 Undergoing Primary Elective Total Hip Arthroplasty
Heather A.PrenticePhDaPriscilla H.ChanMSaKathryn E.RoysePhDaAdrian D.HinmanMDbNithin C.ReddyMDcElizabeth W.PaxtonPhDa
doi : 10.1016/j.arth.2021.10.014
Volume 37, Issue 2, February 2022, Pages 303-311
As indications for elective total hip arthroplasty (THA) expand to younger patients, we sought to (1) compare revision risk following primary elective THA in patients <55 years at the time of their THA to patients aged ?65 years and (2) identify specific risk factors for revision in patients <55 years.
Revision for Aseptic Loosening of Highly Porous Acetabular Components in Primary Total Hip Arthroplasty: An Analysis of 20,993 Total Hip Replacements
WayneHoskinsMBBS (Hons), FRACS, PhDabSophiaRainbirdPhDcCarlHolderMBiostatdStephen E.GravesMBBS, DPhil(Oxon), FRACS(Orth), FAOrthAcRogerBinghamMBBS, FRACSb
doi : 10.1016/j.arth.2021.10.011
Volume 37, Issue 2, February 2022, Pages 312-315
Highly porous-coated titanium acetabular components have a high coefficient of friction and ultraporous surfaces to enhance bone ingrowth and osseointegration in total hip arthroplasty (THA). There have been concerns with the development of early radiolucent lines and aseptic loosening of highly porous acetabular components. It is unclear whether these concerns relate to a specific implant or the entire class. The aim of this study is to compare the revision rates for aseptic loosening of highly porous acetabular combinations in primary THA using data from a large joint replacement registry.
Total Hip Replacement Influences Spinopelvic Mobility: A Prospective Observational Study
HenrykHafferMDZhenWangMDZhouyangHuMDChristianHipflMDCarstenPerkaMDMatthiasPumbergerMD
doi : 10.1016/j.arth.2021.10.029
Volume 37, Issue 2, February 2022, Pages 316-324.e2
Abnormal spinopelvic mobility is identified as a contributing element of total hip arthroplasty (THA) instability. Preoperative identification of THA patients at risk is still a remaining challenge. We therefore conducted this study to (1) evaluate if preoperative and postoperative spinopelvic mobility differs, (2) determine the interactions between the elements of the spinopelvic complex, and (3) identify preoperative parameters for predicting spinopelvic mobility.
Recent Increases in Outpatient Total Hip Arthroplasty Have Not Increased Early Complications
David E.DeMikMD, PharmDChristopher N.CarenderMDJames G.KohlerMDQiangAnMBBS, MPHTimothy S.BrownMDNicholas A.BedardMD
doi : 10.1016/j.arth.2021.11.003
Volume 37, Issue 2, February 2022, Pages 325-329.e1
Outpatient total hip arthroplasty (THA) has increased in recent years. Recent regulatory changes may allow and incentivize outpatient THA in more patients; however, there are concerns regarding safety. The purpose of this study is to assess early complications in outpatient THA compared to longer hospitalization.
Survivorship and Radiographic Evaluation of Metaphyseal Cones With Short Cemented Stems in Revision Total Knee Arthroplasty
Omar A.BeheryMD, MPHaElaine Z.ShingMDbZiqingYuMSbBryan D.SpringerMDabThomas K.FehringMDabJesse E.OteroMD, PhDab
doi : 10.1016/j.arth.2021.10.027
Volume 37, Issue 2, February 2022, Pages 330-335
The purpose of this study is to evaluate the survivorship and radiographic outcomes of a single design of metaphyseal cone used in conjunction with short cemented stems.
Does Approach Influence the Dislocation Rate Following Head and Liner Exchange in Revision Hip Arthroplasty?
Ryan N.RobertsonMDaNancy L.ParksMSbHenryHoMSbRobert H.HopperJr.PhDbWilliam G.HamiltonMDbc
doi : 10.1016/j.arth.2021.10.005
Volume 37, Issue 2, February 2022, Pages 336-341
Revision total hip arthroplasty with modular component exchange can limit morbidity by retaining well-fixed components but dislocation has been a relatively frequent postoperative complication. This study evaluated the effect of surgical approach on dislocation rate in a modern revision cohort.
Serum and Synovial Biomarkers for Distinguishing Between Chronic Periprosthetic Joint Infections and Rheumatoid Arthritis: A Prospective Cohort Study
LeileiQinPhDaHaiWangPhDbChenZhaoPhDaChengChenPhDaHongChenPhDaXinyuLiPhDcJiaweiWangPhDaNingHuPhDaWeiHuangPhDa
doi : 10.1016/j.arth.2021.09.009
Volume 37, Issue 2, February 2022, Pages 342-346
Inflammatory responses in patients with active rheumatoid arthritis (RA) may lead to the current serum and synovial fluid biomarkers that misidentify chronic periprosthetic joint infection (PJI). We sought to investigate the expression of serum and synovial biomarkers in patients with active RA and to calculate thresholds for valuable biomarkers that distinguish between chronic PJI and active RA.
Do Pre-Reimplantation Erythrocyte Sedimentation Rate/C-Reactive Protein Cutoffs Guide Decision-Making in Prosthetic Joint Infection? Are We Flying Blind?
Nick R.JohnsonMDabTaylor M.RoweBAcMichael M.ValenzeulaBScGregory T.ScarolaMScThomas K.FehringMDbcd
doi : 10.1016/j.arth.2021.10.028
Volume 37, Issue 2, February 2022, Pages 347-352
Two-stage exchange is a commonly used approach for treating chronic periprosthetic joint infections (PJI). A pre-reimplantation threshold value of erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) to determine infection eradication and the proper timing of reimplantation remains ill-defined.
Obesity, Comorbidities, and Prior Operations Additively Increase Failure in 2-Stage Revision Total Knee Arthroplasty for Prosthetic Joint Infection
ThomasChristinerMBBSaMathewSulcsBScbPiersYatesMBBS (Hons), MRCS (Eng), FRCS (Tr & Orth), FRACS (Orth)acdGarethProsserMBChB, MRCS, FRCS(Orth), FRACS (Orth)ac
doi : 10.1016/j.arth.2021.09.021
Volume 37, Issue 2, February 2022, Pages 353-358
Prosthetic joint infection (PJI) of the knee carries significant morbidity, mortality, and economic cost. We hypothesize that obese and poor medical hosts will have a significant and additive increase in failure rate undergoing 2-stage revision total knee arthroplasty for PJI.
The Clinical Outcome of Different Total Knee Arthroplasty Designs in One-Stage Revision for Periprosthetic Infection
MalteOhlmeierMDaFadiAlrustomMDaMustafaCitakMD, PhDaTimRolvienMD, PhDbThorstenGehrkeMDaJannikFringsMDab
doi : 10.1016/j.arth.2021.10.002
Volume 37, Issue 2, February 2022, Pages 359-366
Despite the growing number of studies reporting on the best surgical treatment in the management of periprosthetic joint infection, there are no robust data regarding the type of infected prosthesis before any kind of exchange arthroplasty. To overcome these shortcomings, we asked the following questions: (1) What is the survivorship of nonhinged and hinged knee implants after one-stage exchange arthroplasty and (2) what is the functional outcome after one-stage exchange procedure focusing on knee prostheses and the type of prior infected knee implant. In a secondary radiographic analysis, we also investigated if (3) the type of femoral bone morphology measured by the inner femoral diameter influences the rate of aseptic failures also in patients with periprosthetic joint infection.
Incidence and Predictors of Prosthetic Joint Infection Following Primary Total Knee Arthroplasty: A 15-Year Population-Based Cohort Study
McMaster Arthroplasty Collaborative (MAC)
doi : 10.1016/j.arth.2021.10.006
Volume 37, Issue 2, February 2022, Pages 367-372.e1
One of the most devastating complications of total knee arthroplasty (TKA) is periprosthetic joint infection (PJI). Although many complications associated with TKA have decreased over time, the trends associated with PJI are less clear. Thus, the purpose of this study is to determine the incidence and risk factors for PJI after primary TKA.
Septic Failure After One-Stage Exchange for Prosthetic Joint Infection of the Hip: Microbiological Implications
Iman GodarziBakhtiariMDaGeorgesVlesMD, PhDbSophia-MarleneBuschaLarsFrommeltMDaThorstenGehrkeMDaJochenSalberMD, PhDc1MustafaCitakMD, PhDa1
doi : 10.1016/j.arth.2021.10.020
Volume 37, Issue 2, February 2022, Pages 373-378
The microbiological implications of septic failure after 1-stage exchange for prosthetic joint infection (PJI) of the hip remain unclear.
Aspirin Thromboprophylaxis Is Associated With Less Major Bleeding Events Following Total Joint Arthroplasty
NoamShohatMDabLeanneLudwickMDaGraham S.GohMDaSydneyStreicherMDaEmanueleChisariMDaJavadParviziMD, FRCSa
doi : 10.1016/j.arth.2021.10.001
Volume 37, Issue 2, February 2022, Pages 379-384.e2
There is ongoing debate on what is optimal prophylactic agent to reduce venous thromboembolism (VTE) following total joint arthroplasty (TJA). Although many studies assess the efficacy of these agents in VTE prevention, no attention is given to their adverse effect on major bleeding events (MBEs). This study compared the incidence of MBE in patients receiving aspirin as VTE prophylaxis vs other chemoprophylaxis.
What Is the Duration of Irrigation? An In Vitro Study of the Minimum Exposure Time to Eradicate Bacteria With Irrigation Solutions
Zachary K.ChristopherMDaChristine PhuongTranMSbBrent L.VernonPHDbMark J.SpangehlMDa
doi : 10.1016/j.arth.2021.10.013
Volume 37, Issue 2, February 2022, Pages 385-389.e2
Antiseptic irrigation solutions are commonly used by arthroplasty surgeons to reduce intraoperative bacterial colonization with the goal of reducing postoperative infections in the setting of primary total joint arthroplasty. Currently, the minimum irrigation time to eliminate common microbes implicated in periprosthetic joint infection is unknown. We sought to determine the minimum effective exposure time required to prevent growth of Staphylococcus aureus, Staphylococcus epidermidis, and Cutibacterium acnes with common antiseptic solutions.
Patient Functional Status as an Indication for Primary Total Hip Arthroplasty: A Systematic Review and Meta-Analysis
PeterDustMD, MScabJasonCorbanMDaJohnSampalisMSc, PhDbJohnAntoniouMD, PhDabStephane G.BergeronMD, MPHab
doi : 10.1016/j.arth.2021.08.016
Volume 37, Issue 2, February 2022, Pages 390-397
The number of total hip arthroplasties performed per year is increasing for reasons not fully explained by a growing and aging population. The purpose of this study was to determine the role of patient functional status as an indication for surgery and determine if patients are undergoing surgery at a better functional status than in the past.
Mortality After Postoperative Periprosthetic Fracture of the Femur After Hip Arthroplasty in the Last Decade: Meta-Analysis of 35 Cohort Studies Including 4841 Patients
Jonathan N.LambPhDaOliverNixb1AhmedAl-Wiznib1RobertWestDPhilcHemantPanditDPhila
doi : 10.1016/j.arth.2021.09.006
Volume 37, Issue 2, February 2022, Pages 398-405.e1
Postoperative periprosthetic fracture of the femur (POPFF) is associated with increased mortality. There is a lack of general estimates of mortality after POPFF and a need for higher-level evidence in this area. The aim of this study was to estimate mortality after POPFF using data reported in cohort studies from the last decade.
Corrigendum to: The Impact of the Largest National Joint Registry on Current Knee Replacement Longevity Estimates: An Analysis and Review of Knee Prosthesis Brand and Fixation Technique
SamiRashedBSc, MBBSaSaadLakhaniMBChB, MScbAdamManncLawrence M.J.BestBSc, MBBS, PhDdSarahShehzadBSc, MBBSdMuhammad ZahidSaeedMBBS, FRCS (Tr & Orth), FEBOT (Tr & Ortho)e
doi : 10.1016/j.arth.2021.10.003
Volume 37, Issue 2, February 2022, Pages 406-407
Conflict of Interest Statement
doi : 10.1016/S0883-5403(21)00920-7
Volume 37, Issue 2, February 2022, Page A9
