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How to Create an Orthopaedic Arthroplasty Administrative Database Project: A Step-by-Step Guide Part I: Study Design
Mitchell K. Ng, MD a , Nicolas S. Piuzzi, MD b , Che Hang Jason Wong, MD a , Ronald E. Delanois, MD c , Kevin J. Bozic, MDMBA d , James A. Browne, MD e , Michael A. Mont, MD
doi : 10.1016/j.arth.2022.10.001
Volume 38, Issue 3, March 2023, Pages 407-413
How to Create an Orthopaedic Arthroplasty Database Project: AÂ Step-by-Step Guide Part II: Study Execution
Mitchell K. Ng, MD a , Nicolas S. Piuzzi, MD b , Che Hang Jason Wong, MD a , Ronald E. Delanois, MD c , Kevin J. Bozic, MD, MBA d , James A. Browne, MD e , Michael A. Mont, MD
doi : 10.1016/j.arth.2022.10.004
Volume 38, Issue 3, March 2023, Pages 414-418
In recent years, the use of national databases in orthopaedic surgery research has grown substantially with database studies comprising an estimated ∼10% of all published lower extremity arthroplasty research.
Medicare Payments to Hospitals and Physicians for Total Hip and Knee Arthroplasty Declined From 2009 to 2019
Collin W. Blackburn, MD, MBA *, Jerry Y. Du, MD, Randall E. Marcus, MD
doi : 10.1016/j.arth.2022.10.002
Volume 38, Issue 3, March 2023, Pages 419-423
Recent research has reported hospital payments for total hip arthroplasty (THA) and knee arthroplasty (TKA) from commercial payers to be increasing, despite increasing price pressure from the increasing scale and scope of alternative reimbursement schemes.
Total Joint Arthroplasty Utilization After Orthopaedic Surgery Referral: Identifying Disparities Along the Care Pathway
Troy B. Amen, MD, MBA a, *, Adriana P. Liimakka, BS b, c , Bhav Jain, BS c, d , Samuel S. Rudisill, BS e , Hany S. Bedair, MD e , Antonia F. Chen, MD, MBA
doi : 10.1016/j.arth.2022.09.020
Volume 38, Issue 3, March 2023, Pages 424-430
Although racial and ethnic disparities in total joint arthroplasty (TJA) have been thoroughly described, only a few studies have sought to determine exactly where along the care pathway these disparities are perpetuated.
Hospital Readmissions After Total Joint Arthroplasty: An Updated Analysis and Implications for Value-Based Care
Alexander J. Metoxen, MD a , Andre C. Ferreira b , Theodore S. Zhang, MD b , Melvyn A. Harrington, MD a , Mohamad J. Halawi, MD
doi : 10.1016/j.arth.2022.09.015
Volume 38, Issue 3, March 2023, Pages 431-436
While risk factors have been published for readmissions following primary total joint arthroplasty, little is known about the etiology of those costly adverse events. In this study, we sought to identify the reasons for 30-day readmission following primary total joint arthroplasty in a contemporary national patient sample.
Are Patients Being Appropriately Selected for Same-Day Discharge Total Knee Arthroplasty?
William G. Cumbie, DO a, *, Jared A. Warren, DO, ATC, CSCS a , Bryan L. Demyan, DO a , Robert M. Molloy, MD a , Michael R. Bloomfield, MD a , Carlos A. Higuera, MD b , John P. McLaughlin, DO
doi : 10.1016/j.arth.2022.09.024
Volume 38, Issue 3, March 2023, Pages 437-442
Decreased cost associated with same-day discharge (SDD) total knee arthroplasty (TKA) has led to an increased interest in this topic. The purpose of this study is to investigate whether there is a population of TKA patients in which SDD has similar rates of 30-day complications compared to patients discharged on postoperative day 1 or 2.
Universal Screening for Malnutrition Prior to Total Knee Arthroplasty Is Cost-Effective: A Markov Analysis
Michael T. Torchia, MD, MS a , Irfan A. Khan, ATC b, *, David D. Christensen, MD a , Wayne E. Moschetti, MD, MS a , Yale A. Fillingham, MD
doi : 10.1016/j.arth.2022.10.014
Volume 38, Issue 3, March 2023, Pages 443-449
Patients undergoing total knee arthroplasty (TKA) who have malnutrition possess an increased risk of periprosthetic joint infection (PJI). Although malnutrition screening and intervention may decrease the risk of PJI, it utilizes healthcare resources.
Skilled Nursing Facility Following Hip Fracture Arthroplasty Diminishes Care “Value�
Ariana T. Meltzer-Bruhn, BA a , Garrett W. Esper, BA a , Christopher G. Herbosa, BS a , Sanjit R. Konda, MD a, b , Kenneth A. Egol, MD
doi : 10.1016/j.arth.2022.09.022
Volume 38, Issue 3, March 2023, Pages 450-455
Value is defined as outcome/cost. The purpose of this study was to analyze differences in the lengths of care, outcomes, and costs between skilled nursing facilities (SNFs) and home with health services (HHS) for patients treated with arthroplasty for femoral neck fracture (FNF).
Preoperative Bone Marrow Edema Negatively Impacts 10-Year Outcomes After Unicompartmental Knee Arthroplasty
Hong-Yeol Yang, MD, PhD, Woo-Kyoung Kwak, MD, Eun-Kyoo Song, MD, PhD, Jong-Keun Seon, MD, PhD
doi : 10.1016/j.arth.2022.10.010
Volume 38, Issue 3, March 2023, Pages 456-463
The purpose of this study was to investigate the association between the extent of subchondral bone marrow edema (BME), as classified by magnetic resonance imaging, and intermediate to long-term outcomes after unicompartmental knee arthroplasty (UKA) for medial compartment osteoarthritis.
Racial Disparities in Rates of Revision and use of Modern Features in Total Knee Arthroplasty, a National Registry Study
Noah D. Paisner, BS a, b , Alexander M. Upfill-Brown, MD, MSc a , Patrick C. Donnelly, MS c , Ayushmita De, PhD c , Adam A. Sassoon, MD, MS
doi : 10.1016/j.arth.2022.09.023
Volume 38, Issue 3, March 2023, Pages 464-469.e3
The purpose of our study was to investigate the association of race and ethnicity with rates of modern implant use and postoperative outcomes in total knee arthroplasty (TKA) using the American Academy of Orthopaedic Surgeons American Joint Replacement Registry.
Preoperative Pain Catastrophizing Prior to Total Knee Arthroplasty is Associated With Worse Preoperative Symptoms and More Clinical Improvement: A Prospective Comparative Study
Jelle P. van der List, MD, PhD a, b, c, *, Joyce L. Benner, MSc, PhD a, d, e , Olivier P.P. Temmerman, MD, PhD a, d , Lucien C.M. Keijser, MD, PhD
doi : 10.1016/j.arth.2022.09.016
Volume 38, Issue 3, March 2023, Pages 470-475
Total knee arthroplasty (TKA) is a reliable procedure for end-stage osteoarthritis with excellent long-term survivorship, but approximately 15% of patients are not satisfied. Pain catastrophizing (PC) has been proposed as a potential cause but current evidence is limited to smaller studies with short-term follow-up. Our goal was to assess outcomes following TKA in a large cohort with and without PC.
The Importance of Oral History: Does Dental Implant Placement or Caries One Year Before or After Primary Total Knee Arthroplasty Increase Medical Complications and Periprosthetic Joint Infections?
Adam M. Gordon, MD a , Mitchell K. Ng, MD a , Orry Erez, MD a , Che H. Wong, MD a , Michael A. Mont, MD
doi : 10.1016/j.arth.2022.10.013
Volume 38, Issue 3, March 2023, Pages 476-483
Consensus regarding prior dental problems on the outcomes of total knee arthroplasty (TKA) patients is lacking. Therefore, our objectives were to determine the association of dental caries or dental implant placement in TKA patients on the following: (1) medical complications; (2) health care utilization (lengths of stay and readmissions); (3) implant-related complications; and (4) expenditures.
Neutral Mechanical Alignment Alters the Native Distal Femoral Joint Line: A Virtual Three-Dimensional Planning Total Knee Arthroplasty Study
Jarod A. Richards, MD a , Mark D. Williams, DO a , Neil A. Gupta, MS b , Langan S. Smith, BS b , Arthur L. Malkani, MD
doi : 10.1016/j.arth.2022.09.013
Volume 38, Issue 3, March 2023, Pages 484-490
Alternative alignment concepts have garnered great interest in an effort to improve patient satisfaction following primary total knee arthroplasty (TKA). The purpose of this study is to determine variation or deviation from an individual’s native joint line in primary TKA using neutral mechanical versus a restricted kinematic technique.
Selective Patella Resurfacing in Contemporary Cruciate Retaining and Substituting Total Knee Arthroplasty: A Matched Cohort Analysis
Gregory J. Schmidt, MD a , Hassan Farooq, MD a , Evan R. Deckard, BSE b , R. Michael Meneghini, MD
doi : 10.1016/j.arth.2022.10.012
Volume 38, Issue 3, March 2023, Pages 491-496
Leaving the patella unresurfaced in total knee arthroplasty (TKA) is increasing due to modern patella-friendly implants, awareness that complications are not uncommon with resurfacing, and knowledge that historical studies were scientifically confounded.
A Home-Based, Remote-Clinician-Controlled, Physical Therapy Device Leads to Superior Outcomes When Compared to Standard Physical Therapy for Rehabilitation After Total Knee Arthroplasty
Spencer H. Summers, MD a, *, Ryan M. Nunley, MD b , Eric M. Slotkin, DO
doi : 10.1016/j.arth.2022.10.009
Volume 38, Issue 3, March 2023, Pages 497-501
The optimal postoperative rehabilitation regimen following total knee arthroplasty (TKA) is not clearly defined. The advent of telerehabilitation offers potential for increased patient convenience and decreased cost, while maintaining similar outcomes to traditional physical therapy (PT).
A New Classification System for Cementless Femoral Stems in Total Hip Arthroplasty
Marco Radaelli, MD, MRes a, *, Daniel B. Buchalter, MD a , Michael A. Mont, MD b , Ran Schwarzkopf, MD, MSc a , Matthew S. Hepinstall, MD
doi : 10.1016/j.arth.2022.09.014
Volume 38, Issue 3, March 2023, Pages 502-510
The growing variety of total hip arthroplasty implants necessitates a standardized, simple, and brand-neutral language to precisely classify femoral components.
Risk Factors for Iliopsoas Tendinopathy After Anterior Approach Total Hip Arthroplasty
Jeroen C.F. Verhaegen, MD a, b, c, *, Frans-Jozef Vandeputte, MD a , Robin Van den Broecke, MD a , Stijn Roose, MSc e , Ronald Driesen, MD a , Annick Timmermans, PhD d , Kristoff Corten, MD, PhD
doi : 10.1016/j.arth.2022.10.015
Volume 38, Issue 3, March 2023, Pages 511-518
Iliopsoas tendinopathy is a cause of groin pain following total hip arthroplasty (THA). With the anterior approach becoming increasingly popular, our aim was to determine the prevalence of iliopsoas tendinopathy following anterior approach THA, to identify risk factors and to determine an influence on patient-reported outcomes.
Significant Analgesic Benefits of Perioperative Duloxetine in Patients Who Have Depressive Symptoms Undergoing Total Hip Arthroplasty: A Randomized Controlled Trial
Zi-chuan Ding, MD a , Hao Li, MD a, b , Chao Huang, MD a , Ming-cheng Yuan, MD a , Jian Cao, MM a , Hao-yang Wang, MD a, *, Zong-ke Zhou, MD
doi : 10.1016/j.arth.2022.10.007
Volume 38, Issue 3, March 2023, Pages 519-524
Major symptoms of depression are commonly observed in patients requiring total hip arthroplasty (THA), and this is associated with increased pain scores and opioid consumption. We aimed to investigate the analgesic effect of duloxetine in these high-risk patients.
Adverse Events After Total Hip Arthroplasty are not Sufficiently Characterized by 30-Day Follow-Up: A Database Study
Gwyneth C. Maloy, Alexander J. Kammien, Lee E. Rubin, MD, Jonathan N. Grauer, MD
doi : 10.1016/j.arth.2022.10.020
Volume 38, Issue 3, March 2023, Pages 525-529
Many previous studies of total hip arthroplasty (THA) have focused on adverse events occurring within 30 days of surgery. Studies examining 90-day postoperative adverse events have typically not focused on the timing of adverse events within that period. The current study evaluated the rate and timing of adverse events within 90 days of THA.
Routine Use of Closed Suction Drains Following Revision Arthroplasty May Not be Necessary
Farideh Najafi, MD a , Jonah M. Stein, BS a , Nicholas V. Peterson, MD b , Michael Meghpara, MD, MBA a , Matthew B. Sherman, BS a , Camilo Restrepo, MD a , Javad Parvizi, MD a,
doi : 10.1016/j.arth.2022.09.021
Volume 38, Issue 3, March 2023, Pages 530-534.e3
There are numerous studies demonstrating that closed suction drainage (CSD) usage after primary total joint arthroplasty (TJA) has little to no benefit. There are little data on the role of CSDs after revision TJA. The purpose of our study was to evaluate whether there is any clinical advantage to CSD usage after revision TJA.
Patient-Reported Outcomes and Satisfaction 1 to 3 Years After Revisions of Total Knee Arthroplasties for Unexplained Pain Versus Aseptic Loosening
Kristine Bollerup Arndt, MD a, b, *, Henrik Morville Schrøder, MD, PhD c, d , Anders Troelsen, MD, PhD, DMSci e , Martin Lindberg-Larsen, MD, PhD
doi : 10.1016/j.arth.2022.10.019
Volume 38, Issue 3, March 2023, Pages 535-540.e3
It is unknown if patients are relieved of pain after knee arthroplasty revision for unexplained pain. The aim of this cross-sectional case-control study was to compare patient-reported outcome measures (PROMs) and satisfaction 1 to 3 years after revision of total knee arthroplasties (TKAs) for the indications of unexplained pain versus aseptic loosening.
Accelerated Discharge After Aseptic Revision Total Hip Arthroplasty Does Not Predict Inferior 30-Day Outcomes
Niall H. Cochrane, MD *, Billy I. Kim, BA, Thorsten M. Seyler, MD, PhD, Michael P. Bolognesi, MD, Samuel S. Wellman, MD, Sean P. Ryan, MD
doi : 10.1016/j.arth.2022.09.010
Volume 38, Issue 3, March 2023, Pages 541-547
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 prolonged inpatient hospitalizations. The authors hypothesized that expedited discharge would not result in inferior 30-day outcomes.
Hepatitis C Is Associated With Higher Short-Term Complication Rates After Initial Aseptic and Septic Revision Total Hip Arthroplasty: A Matched Cohort Study
Bailey J. Ross, MD a , Matthew W. Cole, MD b , Austin J. Ross, MD b , George N. Guild III, MD a , Olivia C. Lee, MD b, c , William F. Sherman, MD, MBA
doi : 10.1016/j.arth.2022.09.018
Volume 38, Issue 3, March 2023, Pages 548-554
It is unclear if hepatitis C virus (HCV) negatively impacts outcomes of revision total hip arthroplasty (rTHA). The purpose of this study is to trend recent rTHA utilization in patients who have HCV and compare postoperative complication rates versus a matched cohort.
Evaluation of Serum Albumin and Globulin in Combination With C-Reactive Protein Improves Serum Diagnostic Accuracy for Low-Grade Periprosthetic Joint Infection
Hyonmin Choe, MD, PhD a, *, Naomi Kobayashi, MD, PhD b , Koki Abe, MD a , Yuta Hieda, MD a , Taro Tezuka, MD, PhD a , Yutaka Inaba, MD, PhD
doi : 10.1016/j.arth.2022.09.011
Volume 38, Issue 3, March 2023, Pages 555-561
Serum immune markers can be useful in the diagnosis of periprosthetic joint infection (PJI) by detecting long-lasting abnormal immunological conditions. The purpose of this study was to examine whether serum immune markers can improve the diagnostic accuracy of PJI.
Sterile Setup Table in the Operating Room Is Not So Sterile
Farideh Najafi, MD, Diana Fernandez-RodrÃguez, MD, Javad Parvizi, MD
doi : 10.1016/j.arth.2022.09.019
Volume 38, Issue 3, March 2023, Pages 562-566.e3
One of the important factors for surgical site infection prevention is the implementation of an ultraclean operating room. This study was designed to evaluate back-table sterility during total joint arthroplasty.
Manipulation Following Primary Total Knee Arthroplasty is Associated With Increased Rates of Infection and Revision
Travis D. Parkulo, MD a , Elive F. Likine, MD a , Kevin L. Ong, PhD, PE b , Heather N. Watson, PhD c , Langan S. Smith, BS d , Arthur L. Malkani, MD
doi : 10.1016/j.arth.2022.09.027
Volume 38, Issue 3, March 2023, Pages 567-572.e1
Stiffness following total knee arthroplasty (TKA) is a disabling complication and manipulation under anesthesia (MUA) is often performed as an early intervention. Few studies have focused on the revision risk, infection risk, demographics, and clinical outcomes in Medicare patients undergoing MUA following primary TKA.
Lack of Demographic Information in Total Hip Arthroplasty/Total Knee Arthroplasty Randomized Controlled Trial Publications
Katelynn M. Donnelly, MS a, *, Hannah G. Theriot a , John P. Bourgeois, MPH b , Andrew G. Chapple, PhD c, d , Peter C. Krause, MD d , Vinod Dasa, MD
doi : 10.1016/j.arth.2022.10.008
Volume 38, Issue 3, March 2023, Pages 573-577
The impact of social determinants of health (SDOH) has been documented in orthopaedic literature. However, there is a lack of data on the inclusion of these variables in orthopaedic studies.
Chronic Obstructive Pulmonary Disease is Associated With Serious Infection and Venous Thromboembolism in Patients Undergoing Hip or Knee Arthroplasties: A Meta-Analysis of Observational Studies
Tao Cheng, MD, PhD *, Chao Yang, MD, PhD, Cheng Ding, MD, PhD, Xianlong Zhang, MD, PhD
doi : 10.1016/j.arth.2022.09.005
Volume 38, Issue 3, March 2023, Pages 578-585
Although previous studies evaluated postoperative outcomes of arthroplasty patients with chronic obstructive pulmonary disease (COPD), no meta-analysis has been conducted.
No Difference Unicompartmental Knee Arthroplasty for Medial Knee Osteoarthritis With or Without Anterior Cruciate Ligament Deficiency: A Systematic Review and Meta-analysis
Genfa Du, MD a , Hongtao Qiu, MD b , Jianzong Zhu, MD a , Hongbo Wang, BS a , Qinghua Xiao, MD a , Zhen Zhang, MD a , Xiaosheng Lin, MD a, *, Guangming Zheng, MM
doi : 10.1016/j.arth.2022.10.018
Volume 38, Issue 3, March 2023, Pages 586-593.e1
A functional intact anterior cruciate ligament (ACLI) is considered to be a prerequisite for unicompartmental knee arthroplasty (UKA).
Are 20% of Patients Actually Dissatisfied Following Total Knee Arthroplasty? A Systematic Review of the Literature
Michael J. DeFrance, DO *, Giles R. Scuderi, MD
doi : 10.1016/j.arth.2022.10.011
Volume 38, Issue 3, March 2023, Pages 594-599
Total knee arthroplasty (TKA) is among the most performed orthopaedic surgeries in the United States with at least 1,000,000 cases performed per year. Dissatisfaction following TKA has often been reported as 20% or more, with a multitude of causes including sociodemographic, preoperative, and postoperative factors.
Comparisons of Different Bearing Surfaces in Cementless Total Hip Arthroplasty: A Systematic Review and Bayesian Network Analysis
Che Zheng, MD, Jiawen Xu, MD, Liming Wu, MD, Yuangang Wu, MD, Yuan Liu, MD, Bin Shen, MD
doi : 10.1016/j.arth.2022.10.016
Volume 38, Issue 3, March 2023, Pages 600-609
We aimed to make comparisons of different bearing surfaces in patients after cementless total hip arthroplasty.
Letter to the Editor—Does Preoperative Activity Level Affect Postoperative Outcomes Following Total Hip Arthroplasty?
Uttam Chand Saini, MD Lav Mehta, MD* Karthick Rangasamy, MD Aditya K. Aggarwal, MD
doi : 10.1016/j.arth.2022.09.028
Volume 38, Issue 3, March 2023, Page e5
Conflict of Interest Statement
doi : 10.1016/S0883-5403(23)00027-X
Volume 38, Issue 3, March 2023, Page A11
