Christian Eccles MD

Will Your Knee Replacement Need a Second Surgery?

Will Your Knee Replacement Need a Second Surgery? Increasingly, knee replacement surgeries are requiring follow-up operations when post-op complications arise. Now, new research from the University of Texas Southwestern is illuminating whether you might fall into a high-risk category for these second surgeries.

This Memorial Day, we remember and honor those who gave their lives in service to our nation.

Infection Risk No Higher for Total Hip Arthroplasty With Robotics, Navigation.

Infection Risk No Higher for Total Hip Arthroplasty With Robotics, Navigation Use of computer navigation (CN) or robotic assistance (RA) is not associated with an increased risk for periprosthetic joint infection (PJI) within 90 days after total hip arthroplasty (THA), according to a study published online Feb. 7 in the Journal of Bone & Joint Surgery.

Transforming knee replacement surgery using real-time data.

Transforming knee replacement surgery using real-time data Each year, more than 800,000 knee replacement procedures are performed in the US alone. For every patient encounter, untapped data is currently lost that could be used to better understand the pathway and enhance patient outcomes. Now, a unique collaboration between Smith+Nephew and Huma Therapeutic...

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Long-acting opioids may be unnecessary in study of total knee replacement.

Long-acting opioids may be unnecessary in study of total knee replacement In a new study, researchers have found that replacing long-acting with immediate-release opioids after total knee replacement surgery resulted in comparable pain management but less nausea-medication usage and less need for residential rehabilitation after hospital discharge.

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New HSS Studies Highlight the Benefits of Robotic-Assisted Joint Replacement Surgery.

New HSS Studies Highlight the Benefits of Robotic-Assisted Joint Replacement Surgery The use of robotics is becoming increasingly common in joint replacement, but more research is needed to quantify its benefits. HSS investigators presented two retrospective studies at the American Academy of Orthopaedic Surgeons (AAOS) Annual Meeting in San Francisco analyzing outcomes in both knee...

Physical Therapy After Knee Replacement.

Physical Therapy After Knee Replacement A post-operative protocol is a guideline that your surgeon and physical therapist (PT) may follow. It ensures you are making progress after your knee surgery. The TKR protocol gives you and your PT a framework for building your rehabilitation program.

Managing Stiffness After Knee Replacement.

Managing Stiffness After Knee Replacement Even when knee replacement surgery is successful, stiffness in the knee joint can remain. People with a stiff knee after surgery may be unable to fully straighten the leg, to bend the knee, or both. Fortunately, there are ways to get rid of knee stiffness.

Weight-loss drugs tied to benefit after hip replacement.

Weight-loss drugs tied to benefit after hip replacement New diabetes and weight-loss drugs may benefit patients undergoing hip replacement, without adding to complication risks, according to preliminary data released on Monday at a large meeting of orthopedic surgeons.

Citrus Supplement Could Ease Swelling After Knee Replacement.

Citrus Supplement Could Ease Swelling After Knee Replacement A diet supplement derived from citrus fruits reduced swelling and pain after knee replacement surgery, a new clinical trial found.

Frailty risk score may predict increased complications, costs after revision TKA.

Frailty risk score may predict increased complications, costs after revision TKA Results showed patients categorized as frail may be at risk for loosening, infection, instability, longer length of stay, readmission and increased costs after revision total knee arthroplasty vs. with patients without frailty.

Study: Spinal, general anesthesia offer ‘reliable’ same-day discharge for outpatient TJA.

Study: Spinal, general anesthesia offer ‘reliable’ same-day discharge for outpatient TJA Spinal and general anesthesia were associated with high rates of successful same-day discharge TJA. Patients who received general anesthesia had higher levels of pain and rates of nausea vs. spinal anesthesia.

New advances mean many patients go home same day after knee replacement.

New advances mean many patients go home same day after knee replacement People used to have to spend a night in the hospital following a knee replacement, but improvements in technology, surgery and pain management have made it possible to undergo the procedure in the morning and be back home by the evening

How Long Does a Hip or Knee Replacement Last?

How Long Does a Hip or Knee Replacement Last? Joint replacements are generally very successful, allowing most people who have them to return to active lives free of chronic pain. But while artificial joints are designed to last a long time, they won’t last forever. This means that if you’re a young, active person considering a hip or knee r...

Enteric-coated aspirin may be inferior to chewable aspirin after TKA.

Enteric-coated aspirin may be inferior to chewable aspirin after TKA Chewable aspirin showed lower venous thromboembolism rates after total knee arthroplasty vs. enteric-coated aspirin.

Revision Surgery: Why Some Patients Need a ‘Redo’ Surgery.

Revision Surgery: Why Some Patients Need a ‘Redo’ Surgery No one ever wants a second surgery to fix something that should have been taken care of the first time. Unfortunately, not all procedures go as planned, and nothing lasts forever, including the metal and plastic parts used in a hip, knee, or shoulder replacement surgery.

The Best and Worst Shoes for Knee Osteoarthritis.

The Best and Worst Shoes for Knee Osteoarthritis If you’re one of the millions of Americans living with knee osteoarthritis (the wear-and-tear form of arthritis), it’s important to find a supportive pair of shoes.

Study: Consider suppressive antibiotic therapy for PJI to maximize survival after TJA.

Study: Consider suppressive antibiotic therapy for PJI to maximize survival after TJA Surgeons should consider suppressive antibiotic therapy after debridement, antibiotics and implant retention in patients with periprosthetic joint infection to maximize reoperation-free survival, according to published results.

Wishing you health and happiness in the coming New Year! #2024

Hemiarthroplasty for femoral fracture associated with lower risk of dislocation vs. THA.

Hemiarthroplasty for femoral fracture associated with lower risk of dislocation vs. THA Published results showed hemiarthroplasty was associated with a lower risk of hip dislocation at 1 year compared with total hip arthroplasty, although researchers questioned whether the results are clinically significant.

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What Type of Hip Replacement Implant Is Best?

What Type of Hip Replacement Implant Is Best? There are many orthopedic manufacturing companies that produce different implants used in hip replacement surgery. Most of these companies make several different hip replacement prostheses. Is there a way to determine which hip replacement implant is best?

Knee Replacement Surgery: Overview.

Knee Replacement Surgery: Overview Knee replacement surgery (knee arthroplasty) involves removing a patient's damaged joint surface and replacing it with a metal and plastic implant.

Joint replacement surgery, arthritis are not inevitable.

Joint replacement surgery, arthritis are not inevitable Don't worry about your hips or knees as you age. Arthritis in those joints isn't inevitable. Keep doing the activities you enjoy.

Common blood pressure medications linked to lower risk of total knee replacement
Among patients with knee pain.

Common blood pressure medications linked to lower risk of total knee replacement Among patients with knee pain, those who take a widely used class of blood pressure-lowering medications called beta-blockers appear to have a lower risk of total knee arthroplasty (TKA) for the treatment of advanced osteoarthritis (OA), suggests a study in The Journal of Bone & Joint Surgery.

Wishing you and your family a wonderful Thanksgiving!

Knee replacement options: What are some types and considerations?

Knee replacement options: What are some types and considerations? There are multiple approaches to surgery, including traditional, minimally invasive, and robotic-assisted. A surgeon can also choose from various implants based on ligament stability and other factors, such as deformity, previous trauma, or prior surgery.