Pub Date : 2024-10-20DOI: 10.1016/j.arth.2024.10.082
Oliver Marín-Peña, Lazaros A Poultsides, Fatih Yildiz, Mohammad Ali Enayatollahi, Claudio Chillemi, Julian Costantini, Quanjun Cui, Stavros Memtsoudis
{"title":"Is There a Difference in Outcome of Total Joint Arthroplasty When Regional Versus General Anesthesia Are Used?","authors":"Oliver Marín-Peña, Lazaros A Poultsides, Fatih Yildiz, Mohammad Ali Enayatollahi, Claudio Chillemi, Julian Costantini, Quanjun Cui, Stavros Memtsoudis","doi":"10.1016/j.arth.2024.10.082","DOIUrl":"10.1016/j.arth.2024.10.082","url":null,"abstract":"","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-20DOI: 10.1016/j.arth.2024.10.075
Vahit Emre Özden, Tahir Khan, Yutaka Inaba, Katsufumi Uchiyama, Ali Parsa, James N Powell, Marco Teloken, Javad Parvizi
{"title":"What Are the Indications for Reconstructive Pelvic Periacetabular Osteotomy in Patients Who Have Hip Pain?","authors":"Vahit Emre Özden, Tahir Khan, Yutaka Inaba, Katsufumi Uchiyama, Ali Parsa, James N Powell, Marco Teloken, Javad Parvizi","doi":"10.1016/j.arth.2024.10.075","DOIUrl":"10.1016/j.arth.2024.10.075","url":null,"abstract":"","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-20DOI: 10.1016/j.arth.2024.10.078
Armita Armina Abedi, Javad Parvizi, Maher Halawa, James A Harty, Hongyi Shao, Abdullah S Hammad
{"title":"Should intravenous corticosteroids be administered routinely during primary knee or hip arthroplasty to impart analgesic and anti-inflammatory properties?","authors":"Armita Armina Abedi, Javad Parvizi, Maher Halawa, James A Harty, Hongyi Shao, Abdullah S Hammad","doi":"10.1016/j.arth.2024.10.078","DOIUrl":"https://doi.org/10.1016/j.arth.2024.10.078","url":null,"abstract":"","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-20DOI: 10.1016/j.arth.2024.10.070
Murat Bozkurt, Anil Pulatkan, Nikolai N Kornilov, Simon P Coffey, Hatem Bakr, Nilo T Paner, Badrul S Badaruddin, Christian Merle, Wenzel Waldstein, Peter R Aldinger
{"title":"Who Are Suitable Candidates for Isolated Patello-femoral Arthroplasty?","authors":"Murat Bozkurt, Anil Pulatkan, Nikolai N Kornilov, Simon P Coffey, Hatem Bakr, Nilo T Paner, Badrul S Badaruddin, Christian Merle, Wenzel Waldstein, Peter R Aldinger","doi":"10.1016/j.arth.2024.10.070","DOIUrl":"10.1016/j.arth.2024.10.070","url":null,"abstract":"","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-20DOI: 10.1016/j.arth.2024.10.081
Vahit Emre Özden, Wael S Osman, Takeshi Morii, Juan Carlos M Pastor, Ahmed M Abdelaal, Ahmed S Younis
{"title":"What Percentage of Patients Are Dissatisfied Post-primary Total Hip and Total Knee Arthroplasty?","authors":"Vahit Emre Özden, Wael S Osman, Takeshi Morii, Juan Carlos M Pastor, Ahmed M Abdelaal, Ahmed S Younis","doi":"10.1016/j.arth.2024.10.081","DOIUrl":"10.1016/j.arth.2024.10.081","url":null,"abstract":"","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-20DOI: 10.1016/j.arth.2024.10.080
Amir Human Hoveidaei, Seyed Pouya Taghavi, Amirhossein Ghaseminejad-Raeini, Christopher McClellan, Paolo Ferrua, Jan Geurts, Georgi Wassilew, Joseph Bosco, Mustafa Citak
{"title":"Do Outpatient Knee or Hip Arthroplasties Improve Patient Outcomes?","authors":"Amir Human Hoveidaei, Seyed Pouya Taghavi, Amirhossein Ghaseminejad-Raeini, Christopher McClellan, Paolo Ferrua, Jan Geurts, Georgi Wassilew, Joseph Bosco, Mustafa Citak","doi":"10.1016/j.arth.2024.10.080","DOIUrl":"https://doi.org/10.1016/j.arth.2024.10.080","url":null,"abstract":"","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-20DOI: 10.1016/j.arth.2024.10.069
Amir Human Hoveidaei, Kasra Pirahesh, Erdem Aras Sezgin, Fabio Stucchi Devito, Matthew Hubble, Nikolai S Nikolaev, Pablo Sanz-Ruiz, Federico José Burgo, Mustafa Citak
{"title":"Can cemented femoral stems be used during revision total hip arthroplasty?","authors":"Amir Human Hoveidaei, Kasra Pirahesh, Erdem Aras Sezgin, Fabio Stucchi Devito, Matthew Hubble, Nikolai S Nikolaev, Pablo Sanz-Ruiz, Federico José Burgo, Mustafa Citak","doi":"10.1016/j.arth.2024.10.069","DOIUrl":"https://doi.org/10.1016/j.arth.2024.10.069","url":null,"abstract":"","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-20DOI: 10.1016/j.arth.2024.10.063
Yasin Erdoğan, Enejd Veizi, Başak Sinem Sezgin, Şahan Güven, Tolga Tolunay, Kasım Kılıçarslan, Ahmet Fırat
Background: Total knee arthroplasty (TKA) is the treatment of choice for advanced knee osteoarthritis. Long-term studies report high patient satisfaction, while complications such as periprosthetic joint infection (PJI) can be devastating. Knowledge regarding risk factors for PJI is critical to minimize and ideally avoid complications. The purpose of this study was to investigate the risk of PJI and revision in patients who had preoperative asymptomatic high C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) levels in primary TKAs.
Methods: Patients undergoing primary TKA between 2010 and 2022 were eligible. Inclusion criteria were patients who had preoperative complete biochemical parameters and a minimum follow-up of 12 months. Patients who died during the first year, and those who had a history of inflammatory arthritis, autoimmune disease, renal pathologies or septic arthritis, were excluded. Patients who had elevated blood CRP and ESR levels taken within 48 hours before surgery underwent a thorough medical examination with a focus on infection symptoms. After screening and consultation, residual elevated CRP and ESR levels were classified as asymptomatic. After exclusions, 1,528 patients were included. The mean age was 66 years (range, 35 to 92) and the mean follow-up time was 6.4 years (range, 1.6 to 12.3).
Results: The rate of revision within one year after surgery was 1.6%, whereas the rate of revision in the first five years was 3.8%. The PJI rates for the 1st and 5th postoperative years were 1.7 and 2.9% respectively. Regression analysis did not show any of the potential variables to be a risk factor for revision or PJI.
Conclusion: Asymptomatic elevated acute-phase reactants are not a risk factor for periprosthetic joint infection or aseptic revision. At a mean follow-up of 6.4 years, overall survival was 96.7%, with only 2.2% of patients revised due to a PJI.
{"title":"Asymptomatic Elevated Inflammatory Markers: Is There a Risk for Infection or Revision in Primary Total Knee Arthroplasty?","authors":"Yasin Erdoğan, Enejd Veizi, Başak Sinem Sezgin, Şahan Güven, Tolga Tolunay, Kasım Kılıçarslan, Ahmet Fırat","doi":"10.1016/j.arth.2024.10.063","DOIUrl":"https://doi.org/10.1016/j.arth.2024.10.063","url":null,"abstract":"<p><strong>Background: </strong>Total knee arthroplasty (TKA) is the treatment of choice for advanced knee osteoarthritis. Long-term studies report high patient satisfaction, while complications such as periprosthetic joint infection (PJI) can be devastating. Knowledge regarding risk factors for PJI is critical to minimize and ideally avoid complications. The purpose of this study was to investigate the risk of PJI and revision in patients who had preoperative asymptomatic high C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) levels in primary TKAs.</p><p><strong>Methods: </strong>Patients undergoing primary TKA between 2010 and 2022 were eligible. Inclusion criteria were patients who had preoperative complete biochemical parameters and a minimum follow-up of 12 months. Patients who died during the first year, and those who had a history of inflammatory arthritis, autoimmune disease, renal pathologies or septic arthritis, were excluded. Patients who had elevated blood CRP and ESR levels taken within 48 hours before surgery underwent a thorough medical examination with a focus on infection symptoms. After screening and consultation, residual elevated CRP and ESR levels were classified as asymptomatic. After exclusions, 1,528 patients were included. The mean age was 66 years (range, 35 to 92) and the mean follow-up time was 6.4 years (range, 1.6 to 12.3).</p><p><strong>Results: </strong>The rate of revision within one year after surgery was 1.6%, whereas the rate of revision in the first five years was 3.8%. The PJI rates for the 1<sup>st</sup> and 5<sup>th</sup> postoperative years were 1.7 and 2.9% respectively. Regression analysis did not show any of the potential variables to be a risk factor for revision or PJI.</p><p><strong>Conclusion: </strong>Asymptomatic elevated acute-phase reactants are not a risk factor for periprosthetic joint infection or aseptic revision. At a mean follow-up of 6.4 years, overall survival was 96.7%, with only 2.2% of patients revised due to a PJI.</p>","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-19DOI: 10.1016/j.arth.2024.10.047
Wenbo Mu, Abdullah S Hammad, Joris Ploegmakers, Li Cao, Neil P Sheth, Rajeev K Sharma, Seung-Hoon Baek, Wei Huang
{"title":"What Is the Most Optimal Surgical Treatment for Patients Who Have a Chronic Pelvic Discontinuity?","authors":"Wenbo Mu, Abdullah S Hammad, Joris Ploegmakers, Li Cao, Neil P Sheth, Rajeev K Sharma, Seung-Hoon Baek, Wei Huang","doi":"10.1016/j.arth.2024.10.047","DOIUrl":"10.1016/j.arth.2024.10.047","url":null,"abstract":"","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-19DOI: 10.1016/j.arth.2024.10.043
Saad Tarabichi, Fang Rui, David G Deckey, Jens T Verhey, Paul Van Schuyver, Mohamed Rashed, Usama Saleh, Ali Albelooshi, Chuan He, David Jevsevar, David Musil, Mark J Spangehl, Joshua S Bingham
{"title":"What Are the Contraindications for Lateral or Medial Unicondylar Knee Arthroplasty?","authors":"Saad Tarabichi, Fang Rui, David G Deckey, Jens T Verhey, Paul Van Schuyver, Mohamed Rashed, Usama Saleh, Ali Albelooshi, Chuan He, David Jevsevar, David Musil, Mark J Spangehl, Joshua S Bingham","doi":"10.1016/j.arth.2024.10.043","DOIUrl":"10.1016/j.arth.2024.10.043","url":null,"abstract":"","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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