Pub Date : 2025-12-01Epub Date: 2025-11-11DOI: 10.1016/j.artd.2025.101896
Samuel W. King BM, BCh, MRCSEd, Nicolas Silvestrini PhD, Anne Lübbeke MD, DSc, Hemant Pandit DPhil, FRCS, Hermes H. Miozzari MD, PD
{"title":"Response to: “Reconsidering Patellofemoral Outcomes in Medially Stabilized Total Knee Arthroplasty: The Role of Implant Design and Rotational Strategy in Kinematic Alignment”","authors":"Samuel W. King BM, BCh, MRCSEd, Nicolas Silvestrini PhD, Anne Lübbeke MD, DSc, Hemant Pandit DPhil, FRCS, Hermes H. Miozzari MD, PD","doi":"10.1016/j.artd.2025.101896","DOIUrl":"10.1016/j.artd.2025.101896","url":null,"abstract":"","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"36 ","pages":"Article 101896"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145526308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-10-22DOI: 10.1016/j.artd.2025.101878
Troy B. Puga DO , Vincent Dieu MS , Kyle P. O’Connor MD , Logan Tackett BS , McKenna W. Box MD , John T. Riehl MD
Background
Prosthetic joint infections (PJIs) are a major concern in total knee arthroplasty (TKA). One recent measure of interest has been the use of intraosseous vancomycin (IOV). This systematic review aims to evaluate the efficacy of IOV to prevent infection in TKA.
Methods
A search was conducted across MEDLINE/Pubmed, Wiley Central, Google Scholar, Web of Science, and Embase databases. Demographics and results of the studies were extracted from the articles that met inclusion criteria. Meta-analysis was conducted on primary TKA studies.
Results
Eight studies were included in this systematic review. IOV correlated with decreased odds of infection in primary TKA (odds ratio: 0.31, P = .02) when compared with controls of intravenous antibiotic and no regional IOV. IOV showed no increase in AKI or creatinine concentration in primary TKA when compared with controls. IOV and increased concentration of vancomycin in fat and subcutaneous tissues had a strong correlation (Cohen’s d = 0.9, P = .01). IOV and increased concentration of vancomycin in bone had a moderate correlation (Cohen’s d = 0.59, P = .01). No patients where IOV was used across all studies developed Red Man Syndrome.
Conclusions
IOV is an effective adjunctive treatment for preventing infection in primary TKA, with this study showing a 69% decreased odds of infection when compared with controls of intravenous antibiotic and no regional IOV. IOV also appears to be a safe treatment, and with limited data there seems to not be an increase in AKI or creatinine concentration.
Level of Evidence
Level IV; Therapeutic.
假体关节感染（PJIs）是全膝关节置换术（TKA）中的主要问题。最近的一项措施是使用骨内万古霉素（IOV）。本系统综述旨在评价IOV预防TKA感染的疗效。方法检索MEDLINE/Pubmed、Wiley Central、谷歌Scholar、Web of Science和Embase数据库。从符合纳入标准的文章中提取研究的人口统计学和结果。对主要TKA研究进行meta分析。结果本系统综述纳入8项研究。与静脉注射抗生素和无局部静脉注射的对照组相比，静脉注射与原发性TKA感染几率降低相关（优势比：0.31,P = 0.02）。与对照组相比，IOV未显示原发性TKA患者AKI或肌酐浓度增加。IOV与万古霉素在脂肪和皮下组织中的浓度升高有很强的相关性（Cohen’s d = 0.9, P = 0.01）。骨内万古霉素浓度升高与IOV有中等相关性（Cohen’s d = 0.59, P = 0.01）。在所有研究中使用IOV的患者均未出现红人综合征。结论siv是预防原发性TKA感染的有效辅助治疗方法，本研究显示，与静脉注射抗生素和不注射局部IOV的对照组相比，siv可使TKA感染的几率降低69%。IOV似乎也是一种安全的治疗方法，根据有限的数据，似乎没有AKI或肌酐浓度的增加。证据等级：IV级；治疗。
{"title":"Intraosseous Vancomycin in Total Knee Arthroplasty: A Systematic Review and Meta-Analysis","authors":"Troy B. Puga DO , Vincent Dieu MS , Kyle P. O’Connor MD , Logan Tackett BS , McKenna W. Box MD , John T. Riehl MD","doi":"10.1016/j.artd.2025.101878","DOIUrl":"10.1016/j.artd.2025.101878","url":null,"abstract":"<div><h3>Background</h3><div>Prosthetic joint infections (PJIs) are a major concern in total knee arthroplasty (TKA). One recent measure of interest has been the use of intraosseous vancomycin (IOV). This systematic review aims to evaluate the efficacy of IOV to prevent infection in TKA.</div></div><div><h3>Methods</h3><div>A search was conducted across MEDLINE/Pubmed, Wiley Central, Google Scholar, Web of Science, and Embase databases. Demographics and results of the studies were extracted from the articles that met inclusion criteria. Meta-analysis was conducted on primary TKA studies.</div></div><div><h3>Results</h3><div>Eight studies were included in this systematic review. IOV correlated with decreased odds of infection in primary TKA (odds ratio: 0.31, <em>P</em> = .02) when compared with controls of intravenous antibiotic and no regional IOV. IOV showed no increase in AKI or creatinine concentration in primary TKA when compared with controls. IOV and increased concentration of vancomycin in fat and subcutaneous tissues had a strong correlation (Cohen’s d = 0.9, <em>P</em> = .01). IOV and increased concentration of vancomycin in bone had a moderate correlation (Cohen’s d = 0.59, <em>P</em> = .01). No patients where IOV was used across all studies developed Red Man Syndrome.</div></div><div><h3>Conclusions</h3><div>IOV is an effective adjunctive treatment for preventing infection in primary TKA, with this study showing a 69% decreased odds of infection when compared with controls of intravenous antibiotic and no regional IOV. IOV also appears to be a safe treatment, and with limited data there seems to not be an increase in AKI or creatinine concentration.</div></div><div><h3>Level of Evidence</h3><div>Level IV; Therapeutic.</div></div>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"36 ","pages":"Article 101878"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145364734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-11-19DOI: 10.1016/j.artd.2025.101894
Christoper Reynolds MD, Tariq Z. Issa MD, Jennings Dooley MD, Isaac Sontag-Milobsky BS, W. Christian Thomas MD, Kevin D. Hardt MD, David W. Manning MD
{"title":"Response to letter to the Editor Regarding “Utility of Frailty Index in Predicting Discharge Disposition and Prolonged Length of Stay Following Enhanced Recovery After Surgery Protocol Total Hip and Knee Arthroplasty”","authors":"Christoper Reynolds MD, Tariq Z. Issa MD, Jennings Dooley MD, Isaac Sontag-Milobsky BS, W. Christian Thomas MD, Kevin D. Hardt MD, David W. Manning MD","doi":"10.1016/j.artd.2025.101894","DOIUrl":"10.1016/j.artd.2025.101894","url":null,"abstract":"","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"36 ","pages":"Article 101894"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145579122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-11-26DOI: 10.1016/j.artd.2025.101913
Nimit Vediya , Varun Jain MSc , Praveen Sritharan MD , Aava Param MD , Ajay Shah MD , Darius Luke Lameire MD , Amir Khoshbin MD, MSc, FRCSC
Background
Systematic reviews (SRs) are vital for evidence consolidation in clinical research, utilized for their robust, reproducible methodology. SRs are prone to misrepresentation as they are based on primary studies and the interpretation of their authors. This issue can be particularly significant in arthroplasty, where procedures significantly impact patient quality of life. We aim to determine the prevalence of spin and its associated study characteristics in the top 3 highest impact English arthroplasty specific journals.
Methods
We searched PubMed, MEDLINE, and Embase for SRs and meta-analyses published from March 26, 2015, to March 26, 2025. Two assessors classified spin types based on Yavchitz et al. (2016). Descriptive statistics were computed to determine spin prevalence, and chi-square (χ2) analysis evaluated associations with bibliometric factors.
Results
Spin was present in 48 of 52 SRs (92.3%), with severe spin in 33 of 52 (63.5%). The most common types included type 5 (claims of benefit despite high risk of bias) in 45 of 52 (86.5%) and type 9 (claims of benefit despite reporting bias) in 32 of 52 (61.5%). Type 9 spin was significantly more common in SRs involving randomized controlled trials (88.2%) compared to nonrandomized studies (48.6%, P = .014).
Conclusions
Over the past decade, more than 90% of SRs published in high-impact arthroplasty journals exhibited spin in their abstracts. The most common form involved overstating treatment benefits despite high risk of bias in primary studies, while spin related to reporting bias was significantly more frequent in SRs of randomized evidence.
{"title":"Assessment of “Spin” in the Abstracts of Systematic Reviews in Leading Arthroplasty Journals Over the Past 10 Years: A Cross-Sectional Methodological Study","authors":"Nimit Vediya , Varun Jain MSc , Praveen Sritharan MD , Aava Param MD , Ajay Shah MD , Darius Luke Lameire MD , Amir Khoshbin MD, MSc, FRCSC","doi":"10.1016/j.artd.2025.101913","DOIUrl":"10.1016/j.artd.2025.101913","url":null,"abstract":"<div><h3>Background</h3><div>Systematic reviews (SRs) are vital for evidence consolidation in clinical research, utilized for their robust, reproducible methodology. SRs are prone to misrepresentation as they are based on primary studies and the interpretation of their authors. This issue can be particularly significant in arthroplasty, where procedures significantly impact patient quality of life. We aim to determine the prevalence of spin and its associated study characteristics in the top 3 highest impact English arthroplasty specific journals.</div></div><div><h3>Methods</h3><div>We searched PubMed, MEDLINE, and Embase for SRs and meta-analyses published from March 26, 2015, to March 26, 2025. Two assessors classified spin types based on Yavchitz et al. (2016). Descriptive statistics were computed to determine spin prevalence, and chi-square (χ2) analysis evaluated associations with bibliometric factors.</div></div><div><h3>Results</h3><div>Spin was present in 48 of 52 SRs (92.3%), with severe spin in 33 of 52 (63.5%). The most common types included type 5 (claims of benefit despite high risk of bias) in 45 of 52 (86.5%) and type 9 (claims of benefit despite reporting bias) in 32 of 52 (61.5%). Type 9 spin was significantly more common in SRs involving randomized controlled trials (88.2%) compared to nonrandomized studies (48.6%, <em>P</em> = .014).</div></div><div><h3>Conclusions</h3><div>Over the past decade, more than 90% of SRs published in high-impact arthroplasty journals exhibited spin in their abstracts. The most common form involved overstating treatment benefits despite high risk of bias in primary studies, while spin related to reporting bias was significantly more frequent in SRs of randomized evidence.</div></div>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"36 ","pages":"Article 101913"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145623596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-10-23DOI: 10.1016/j.artd.2025.101879
Ramesh B. Ghanta MD, Jeffrey Barry MD, Jeffrey Kwong MD, Hunter Warwick MD, Erik Hansen MD, Claudio Diaz-Ledezma MD
Background
Dual-mobility (DM) articulations are increasingly used in revision total hip arthroplasty (THA) to reduce instability, but their effectiveness in conjunction with jumbo cups is unclear. This study evaluated the risk of all-cause and instability-related re-revision when DM articulations were used with jumbo vs standard cups in revision THA.
Methods
A retrospective review included 199 revision THA patients with DM articulations: 156 with regular cups and 43 with jumbo cups (≥62 mm for females, ≥66 mm for males). Exclusion criteria were cup-cage constructs, cemented DM liners in pre-existing cups, and tumor cases. The primary outcome was re-revision, with focus on instability. Student's t-test compared revision rates, and multivariable logistic regression with backward selection was used to assess the relationship between cup size and re-revision risk.
Results
At a mean 4.6-year follow-up, re-revision rates were similar between groups (10.3% regular vs 11.6% jumbo, P = .79). Instability-related re-revisions were also comparable (5.1% regular vs 7% jumbo; P = .64). Logistic regression demonstrated that jumbo cup utilization was not associated with risk of all-cause revision (P = .99) or instability-related re-revision (P = .77). However, the number of prior surgeries increased risk for both all-cause (OR: 1.32 [1.07, 1.63], P = .009) and instability-related (OR: 1.46 [1.13, 1.87], P = .003) re-revisions.
Conclusions
Our results demonstrate satisfactory midterm outcomes in both jumbo and regular cup patients implanted with DM systems. These findings demonstrate that the use of DM liners in jumbo cups does not portend increased risk of re-revision compared to use of DM in regular sized cups.
{"title":"Utilization of Jumbo-Sized Cups in Conjunction With Dual-Mobility Constructs Does Not Increase Risk of Re-Revision in Revision Hip Arthroplasty","authors":"Ramesh B. Ghanta MD, Jeffrey Barry MD, Jeffrey Kwong MD, Hunter Warwick MD, Erik Hansen MD, Claudio Diaz-Ledezma MD","doi":"10.1016/j.artd.2025.101879","DOIUrl":"10.1016/j.artd.2025.101879","url":null,"abstract":"<div><h3>Background</h3><div>Dual-mobility (DM) articulations are increasingly used in revision total hip arthroplasty (THA) to reduce instability, but their effectiveness in conjunction with jumbo cups is unclear. This study evaluated the risk of all-cause and instability-related re-revision when DM articulations were used with jumbo vs standard cups in revision THA.</div></div><div><h3>Methods</h3><div>A retrospective review included 199 revision THA patients with DM articulations: 156 with regular cups and 43 with jumbo cups (≥62 mm for females, ≥66 mm for males). Exclusion criteria were cup-cage constructs, cemented DM liners in pre-existing cups, and tumor cases. The primary outcome was re-revision, with focus on instability. Student's <em>t</em>-test compared revision rates, and multivariable logistic regression with backward selection was used to assess the relationship between cup size and re-revision risk.</div></div><div><h3>Results</h3><div>At a mean 4.6-year follow-up, re-revision rates were similar between groups (10.3% regular vs 11.6% jumbo, <em>P</em> = .79). Instability-related re-revisions were also comparable (5.1% regular vs 7% jumbo; <em>P</em> = .64). Logistic regression demonstrated that jumbo cup utilization was not associated with risk of all-cause revision (<em>P</em> = .99) or instability-related re-revision (<em>P</em> = .77). However, the number of prior surgeries increased risk for both all-cause (OR: 1.32 [1.07, 1.63], <em>P</em> = .009) and instability-related (OR: 1.46 [1.13, 1.87], <em>P</em> = .003) re-revisions.</div></div><div><h3>Conclusions</h3><div>Our results demonstrate satisfactory midterm outcomes in both jumbo and regular cup patients implanted with DM systems. These findings demonstrate that the use of DM liners in jumbo cups does not portend increased risk of re-revision compared to use of DM in regular sized cups.</div></div>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"36 ","pages":"Article 101879"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145365284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Letter to the Editor Regarding “Utility of Frailty Index in Predicting Discharge Disposition and Prolonged Length of Stay Following Enhanced Recovery After Surgery Protocol Total Hip and Knee Arthroplasty”","authors":"Parth Aphale PhD, Himanshu Shekhar BHMS, Shashank Dokania BHMS","doi":"10.1016/j.artd.2025.101893","DOIUrl":"10.1016/j.artd.2025.101893","url":null,"abstract":"","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"36 ","pages":"Article 101893"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145466857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-11-03DOI: 10.1016/j.artd.2025.101895
Chia-Hao Hsu MD
{"title":"Reconsidering Patellofemoral Outcomes in Medially Stabilized Total Knee Arthroplasty: The Role of Implant Design and Rotational Strategy in Kinematic Alignment","authors":"Chia-Hao Hsu MD","doi":"10.1016/j.artd.2025.101895","DOIUrl":"10.1016/j.artd.2025.101895","url":null,"abstract":"","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"36 ","pages":"Article 101895"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145466856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-11-04DOI: 10.1016/j.artd.2025.101891
Jillian H. Neuner BA , Meagan K. Mitchell BS , Lindsay Orbeta MS, RD , Mary K. Mulcahey MD , Stephanie E. Wong MD
Background
Optimal perioperative nutrition affects outcomes in total joint arthroplasty (TJA), with malnutrition linked to increased complications. While YouTube is a popular platform for patient education, the quality of videos on perioperative nutrition is unknown. This study evaluated the quality and educational value of videos using established and TJA-specific scoring systems.
Methods
A systematic YouTube search with 11 arthroplasty and nutrition-related keywords was performed, excluding sponsored and non-English content. Two reviewers recorded view count, duration, upload age, health-system affiliation, and presenter credentials, then graded quality with Journal of the American Medical Association criteria, Global Quality Score, modified DISCERN, and a novel Joint Replacement Nutrition Score (JRNS). Interrater reliability was evaluated using intraclass correlation coefficients.
Results
Of 98 videos identified, 43 met inclusion criteria. Mean view count was 34,751 (range, 2-470,475). Mean duration was 11.2 minutes (range, 0.5-51.4). Health system affiliation was present in 41.9% (18/43), and 32.6% (14/43) were authored by physicians. Quality scores were: Journal of the American Medical Association 2.77 (range, 1-4), Global Quality Score 3.07 (range, 1-5), modified DISCERN 2.83 (range, 1-4), and JRNS 4.64 (range, 0-11), with high interrater reliability (intraclass correlation coefficient range, 0.717-0.922). Quality did not differ by health system affiliation nor presenter credentials.
Conclusions
YouTube videos on TJA perioperative nutrition were generally low to moderate quality, omitting key topics like individualized nutrition, increased caloric needs, and evidence-based supplementation. The novel JRNS demonstrated interrater reliability and highlighted content gaps across available videos. Nonphysician professionals produced some of the most informative videos. The lack of correlation between view count and quality emphasizes the need for higher-quality content to reach patients. Interdisciplinary collaboration is needed to develop comprehensive educational resources on perioperative nutrition for TJA.
{"title":"Assessing the Quality of YouTube Videos Related to Perioperative Nutrition for Patients Undergoing Total Joint Arthroplasty","authors":"Jillian H. Neuner BA , Meagan K. Mitchell BS , Lindsay Orbeta MS, RD , Mary K. Mulcahey MD , Stephanie E. Wong MD","doi":"10.1016/j.artd.2025.101891","DOIUrl":"10.1016/j.artd.2025.101891","url":null,"abstract":"<div><h3>Background</h3><div>Optimal perioperative nutrition affects outcomes in total joint arthroplasty (TJA), with malnutrition linked to increased complications. While YouTube is a popular platform for patient education, the quality of videos on perioperative nutrition is unknown. This study evaluated the quality and educational value of videos using established and TJA-specific scoring systems.</div></div><div><h3>Methods</h3><div>A systematic YouTube search with 11 arthroplasty and nutrition-related keywords was performed, excluding sponsored and non-English content. Two reviewers recorded view count, duration, upload age, health-system affiliation, and presenter credentials, then graded quality with <em>Journal of the American Medical Association</em> criteria, Global Quality Score, modified DISCERN, and a novel Joint Replacement Nutrition Score (JRNS). Interrater reliability was evaluated using intraclass correlation coefficients.</div></div><div><h3>Results</h3><div>Of 98 videos identified, 43 met inclusion criteria. Mean view count was 34,751 (range, 2-470,475). Mean duration was 11.2 minutes (range, 0.5-51.4). Health system affiliation was present in 41.9% (18/43), and 32.6% (14/43) were authored by physicians. Quality scores were: <em>Journal of the American Medical Association</em> 2.77 (range, 1-4), Global Quality Score 3.07 (range, 1-5), modified DISCERN 2.83 (range, 1-4), and JRNS 4.64 (range, 0-11), with high interrater reliability (intraclass correlation coefficient range, 0.717-0.922). Quality did not differ by health system affiliation nor presenter credentials.</div></div><div><h3>Conclusions</h3><div>YouTube videos on TJA perioperative nutrition were generally low to moderate quality, omitting key topics like individualized nutrition, increased caloric needs, and evidence-based supplementation. The novel JRNS demonstrated interrater reliability and highlighted content gaps across available videos. Nonphysician professionals produced some of the most informative videos. The lack of correlation between view count and quality emphasizes the need for higher-quality content to reach patients. Interdisciplinary collaboration is needed to develop comprehensive educational resources on perioperative nutrition for TJA.</div></div>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"36 ","pages":"Article 101891"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145466854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-10-23DOI: 10.1016/j.artd.2025.101881
Brandon K. Couch MD, Allyson N. Pfeil BS, Corey F. Hryc PhD, Robin Goytia MD, Vasilios Mathews MD
Background
Preoperative templating in total hip arthroplasty (THA) improves surgical accuracy and predictability. Recently, prosthesis manufacturers (PMs) have introduced industry-generated templating systems, but their accuracy compared to surgeon-generated templates has yet to be evaluated.
Methods
A retrospective review was conducted on THAs performed by 2 surgeons between October 2023 and September 2024. Surgeon-generated and PM-generated templates were compared to actual implanted components. Accuracy of acetabular and femoral component sizing, as well as femoral offset prediction, was assessed using χ2 analysis (P < .05). Subgroup analyses examined the influence of patient sex and body mass index on accuracy.
Results
A total of 306 surgeon templates and 240 PM templates were analyzed. Surgeons correctly predicted acetabular and femoral component sizes in 45.1% and 28.4% of cases, respectively, while PM templates achieved 33.8% and 35.0%. No significant difference was found between groups in component size accuracy (acetabular: P = .09; femoral: P = .08). However, surgeons demonstrated significantly greater accuracy in offset prediction (83.7% vs 73.3%, P = .003). Additionally, surgeon-generated femoral component accuracy was significantly associated with patient body mass index (P < .001).
Conclusions
PM templating demonstrated a reasonable ability to predict implant sizes in THA, with comparable performance to high-volume, fellowship-trained arthroplasty surgeons. While surgeon-generated templates outperformed PM templates in offset prediction, these findings suggest that industry-generated templates could be a valuable tool for surgical planning and inventory management in hospitals.
背景全髋关节置换术（THA）的术前模板可提高手术的准确性和可预测性。最近，假体制造商（pm）已经引入了工业生成的模板系统，但与外科医生生成的模板相比，它们的准确性尚未得到评估。方法回顾性分析2023年10月至2024年9月间2例外科医生行tha手术的资料。将外科医生生成的和pm生成的模板与实际植入的组件进行比较。采用χ2分析评估髋臼和股骨假体尺寸以及股骨偏移预测的准确性（P < 0.05）。亚组分析检验了患者性别和体重指数对准确性的影响。结果共分析外科医生模板306份，PM模板240份。外科医生正确预测髋臼和股骨假体大小的比例分别为45.1%和28.4%，而PM模板分别为33.8%和35.0%。各组间假体尺寸准确性无显著差异（髋臼：P = 0.09；股骨：P = 0.08）。然而，外科医生在偏移预测方面的准确性明显更高（83.7% vs 73.3%, P = 0.003）。此外，手术生成的股骨成分准确性与患者体重指数显著相关（P < .001）。结论spm模板在THA中具有合理的预测假体大小的能力，其性能可与大容量、培训过的关节置换外科医生相媲美。虽然外科医生生成的模板在偏移量预测方面优于PM模板，但这些发现表明，行业生成的模板可能是医院手术计划和库存管理的有价值的工具。
{"title":"Comparative Analysis and Accuracy of Surgeon- and Prosthesis Manufacturer–Generated Radiographic Templates in Total Hip Arthroplasty","authors":"Brandon K. Couch MD, Allyson N. Pfeil BS, Corey F. Hryc PhD, Robin Goytia MD, Vasilios Mathews MD","doi":"10.1016/j.artd.2025.101881","DOIUrl":"10.1016/j.artd.2025.101881","url":null,"abstract":"<div><h3>Background</h3><div>Preoperative templating in total hip arthroplasty (THA) improves surgical accuracy and predictability. Recently, prosthesis manufacturers (PMs) have introduced industry-generated templating systems, but their accuracy compared to surgeon-generated templates has yet to be evaluated.</div></div><div><h3>Methods</h3><div>A retrospective review was conducted on THAs performed by 2 surgeons between October 2023 and September 2024. Surgeon-generated and PM-generated templates were compared to actual implanted components. Accuracy of acetabular and femoral component sizing, as well as femoral offset prediction, was assessed using χ<sup>2</sup> analysis (<em>P</em> < .05). Subgroup analyses examined the influence of patient sex and body mass index on accuracy.</div></div><div><h3>Results</h3><div>A total of 306 surgeon templates and 240 PM templates were analyzed. Surgeons correctly predicted acetabular and femoral component sizes in 45.1% and 28.4% of cases, respectively, while PM templates achieved 33.8% and 35.0%. No significant difference was found between groups in component size accuracy (acetabular: <em>P</em> = .09; femoral: <em>P</em> = .08). However, surgeons demonstrated significantly greater accuracy in offset prediction (83.7% vs 73.3%, <em>P</em> = .003). Additionally, surgeon-generated femoral component accuracy was significantly associated with patient body mass index (<em>P</em> < .001).</div></div><div><h3>Conclusions</h3><div>PM templating demonstrated a reasonable ability to predict implant sizes in THA, with comparable performance to high-volume, fellowship-trained arthroplasty surgeons. While surgeon-generated templates outperformed PM templates in offset prediction, these findings suggest that industry-generated templates could be a valuable tool for surgical planning and inventory management in hospitals.</div></div>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"36 ","pages":"Article 101881"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145365285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-11-07DOI: 10.1016/j.artd.2025.101903
Emily Tufford BS , Andrew H. Kim BS , Peter F. Monahan BS , Peter Tortora BS , Luke B. Elias BA , Andrew B. Harris MD , Gregory J. Kirchner MD, MPH , Mark W. Mason MD
Background
The research benchmarks necessary for a successful adult reconstruction fellowship match remain unclear. This study aimed to characterize and identify trends in the academic profiles of adult reconstruction fellows in the United States.
Methods
The American Association of Hip and Knee Surgeons fellowship directory was used to identify U.S. adult reconstruction fellowships programs that listed fellows graduating from 2019 to 2023. For each fellow, total number of publications, authorship position, number of publications with an adult reconstruction focus, and number of citations were collected using Scopus. Only publications accepted or published before the fellow’s match year were compiled. Research productivity was compared across medical degree, sex, fellowship year, and residency program geographic region.
Results
A total of 247 fellows from 46 programs were identified. Fellows published an average of 5.5 ± 9.7 publications during residency, with 66.6 ± 190.4 citations. There was no significant change in research productivity from 2019 to 2023. Average number of publications per fellow was significantly greater for fellows with an MD degree compared with a DO degree (5.8 ± 10.0 vs 2.1 ± 4.2; P < .05). Fellows who completed residency in the northeast had the highest average number of publications per fellow (9.9 ± 16.3) and average number of first author publications per fellow (2.6 ± 4.0) among all regions.
Conclusions
There was no change in research output among adult reconstruction fellows graduating from 2019 to 2023, suggesting that research may not be driving the increased competitiveness of adult reconstruction fellowships.
成功的成人重建奖学金匹配所需的研究基准尚不清楚。本研究旨在描述和确定美国成人重建研究员学术概况的趋势。方法使用美国髋关节和膝关节外科协会奖学金目录来确定列出2019年至2023年毕业的美国成人重建奖学金项目。使用Scopus收集每位研究员的总发表数、作者地位、成人重构重点的发表数和被引次数。只有在同一年之前被接受或出版的出版物才会被编辑。研究效率在医学学位、性别、奖学金年份和住院医师项目地理区域之间进行了比较。结果共筛选到46个专业的247名研究员。住院期间平均发表论文5.5±9.7篇，被引用次数66.6±190.4次。从2019年到2023年，科研生产力没有显著变化。医学博士的人均发表论文数量显著高于医学博士（5.8±10.0 vs 2.1±4.2;P < 0.05）。东北地区住院研究员人均发表论文数（9.9±16.3篇）和人均第一作者发表论文数（2.6±4.0篇）在各地区中最高。结论2019年至2023年毕业的成人重建研究人员的研究产出没有变化，这表明研究可能没有推动成人重建研究人员竞争力的提高。
{"title":"Evaluating Research Productivity Trends Among Orthopaedic Adult Reconstruction Fellowship Applicants: A Bibliometric Study","authors":"Emily Tufford BS , Andrew H. Kim BS , Peter F. Monahan BS , Peter Tortora BS , Luke B. Elias BA , Andrew B. Harris MD , Gregory J. Kirchner MD, MPH , Mark W. Mason MD","doi":"10.1016/j.artd.2025.101903","DOIUrl":"10.1016/j.artd.2025.101903","url":null,"abstract":"<div><h3>Background</h3><div>The research benchmarks necessary for a successful adult reconstruction fellowship match remain unclear. This study aimed to characterize and identify trends in the academic profiles of adult reconstruction fellows in the United States.</div></div><div><h3>Methods</h3><div>The American Association of Hip and Knee Surgeons fellowship directory was used to identify U.S. adult reconstruction fellowships programs that listed fellows graduating from 2019 to 2023. For each fellow, total number of publications, authorship position, number of publications with an adult reconstruction focus, and number of citations were collected using Scopus. Only publications accepted or published before the fellow’s match year were compiled. Research productivity was compared across medical degree, sex, fellowship year, and residency program geographic region.</div></div><div><h3>Results</h3><div>A total of 247 fellows from 46 programs were identified. Fellows published an average of 5.5 ± 9.7 publications during residency, with 66.6 ± 190.4 citations. There was no significant change in research productivity from 2019 to 2023. Average number of publications per fellow was significantly greater for fellows with an MD degree compared with a DO degree (5.8 ± 10.0 vs 2.1 ± 4.2; <em>P</em> < .05). Fellows who completed residency in the northeast had the highest average number of publications per fellow (9.9 ± 16.3) and average number of first author publications per fellow (2.6 ± 4.0) among all regions.</div></div><div><h3>Conclusions</h3><div>There was no change in research output among adult reconstruction fellows graduating from 2019 to 2023, suggesting that research may not be driving the increased competitiveness of adult reconstruction fellowships.</div></div>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"36 ","pages":"Article 101903"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145466859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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