Journal of Arthroplasty

This review is intended to provide an overview of the latest advancements in total knee arthroplasty technology, address potential challenges and solutions related to the application of these technologies, and explore their limitations.

https://authors.elsevier.com/a/1jdUV38vD3A3vQ

Dental dx within 12mo of THA are associated with increased medical complications and greater implant-related complications, including PJIs. Delaying invasive dental procedures for 12mo after THA may be advisable.

https://www.arthroplastyjournal.org/article/S0883-5403(24)00370-X/fulltext

by Dr. David Deckey

Smokeless to***co use is associated with higher rates of medical- and joint-related complications following THA. Surgeons may consider delineating b/n smoking and smokeless to***co use during preop counseling.

https://www.arthroplastyjournal.org/article/S0883-5403(23)00565-X/fulltext

by Dr. Serena Taylor

Fixed-bearing lateral UKA in the ACL-def knee resulted in lower survival than patients with intact ACL. Patient-reported outcomes were similar in both groups.

https://authors.elsevier.com/a/1jgHE38vD3A3um

THA volume and reimbursement in the Midwest had the lowest increase in volume and greatest decline in reimbursement. This is important for surgeons and policymakers as payment models for arthroplasty continue to evolve.

https://ow.ly/UIKl50T8V0f

by Dr. David Deckey

The cup-cage construct is a reliable treatment option for the treatment of various acetabular defects. There are favorable survivorship, clinical, and radiographic outcomes, with a satisfactory complication rate.

https://doi.org/10.1016/j.arth.2024.07.010

This study identified major evidence gaps, which underscores the need for targeted research in TKA wound management. Addressing these gaps is crucial for developing effective, efficient, and patient-friendly wound care strategies.

https://authors.elsevier.com/a/1jYo%7E38vD3A3gf

This study demonstrates the potential of GANs for 3D reconstruction from single AP postoperative THA X-ray images to evaluate cup orientation. Further investigation and refinement of this model are required to improve its performance.

https://authors.elsevier.com/a/1jYo%7E38vD3A3kM

The results of this study underline the overall safety of UHNA use in THA through “mix and match.” The highlighted risk factors for failure must be kept in mind during the decision-making process with patients.

https://doi.org/10.1016/j.arth.2024.07.012

Press Ganey Surveys were higher in patients who received bouquets of flowers from their arthroplasty surgeons compared to patients who did not. At follow-up, improved Press Ganey scores persisted if the patient received flowers.

https://authors.elsevier.com/a/1jZa%7E38vD3A3qa

This study demonstrated that ASA is a viable and potentially safer option than other anticoagulants, exhibiting comparable efficacy in preventing VTE events in revision TJA.

https://authors.elsevier.com/a/1jZJg_K5k6jpag

The use of robotics was associated with a reduction in dislocations for this cohort overall. Fluoroscopy in the DAA and robotic assistance in the PLA were both associated with decreased dislocation risk.

https://authors.elsevier.com/a/1jZJg38vD3A3lW

Obese patients who underwent bariatric surgery prior to THA experienced reduced medical complications at all time points and reduced rates of revision at 72 months relative to a matched cohort who did not undergo bariatric surgery.

https://authors.elsevier.com/a/1jZJg38vD3A3lJ

Use of triamcinolone-extended release intra-articular knee injection was associated with a clinically meaningful reduction in hyperglycemia versus immediate release.

https://authors.elsevier.com/a/1jZJg38vD3A3MU

Patients with MetS do not have an increased risk of revision caused by PJI. In general, performing hip and knee arthroplasty in patients with MetS is without increased risk of revision surgery.

https://doi.org/10.1016/j.arth.2024.07.013

Over half of the early PJIs in THAs and TKAs in the Netherlands were caused by S. aureus and Coag-neg staph including S. epidermidis. Both 5-year mortality and PJI re-revision rates following PJI were relatively high.

https://doi.org/10.1016/j.arth.2024.07.019

As institutions continue to optimize LOS, the RAPT may need to be defined in the context of a hospital stay. In patients requiring an LOS of greater than 2 days, the originally established RAPT cut-offs may be more accurate in predicting discharge.

https://authors.elsevier.com/a/1jZPc38vD3A3mA

Compared to patients who did not have documented chronic sleep disorders, patients who had a prior history of chronic sleep disorders reported significantly greater improvements in most KOOS domains in the 12-month period following TKA.

https://authors.elsevier.com/a/1jUMO_K5k6jpZw

At a specific institution, the same-day conversion of planned inpatient hip and knee arthroplasty patients to outpatient surgery was safe and did not increase short-term clinical outcomes or complications.

https://authors.elsevier.com/a/1jUMP38vD3A3QN

The microbiology profile is significantly different in patients who have PJI of the knee with a sinus tract. This can aid the surgeon with surgical planning and selecting the appropriate antibiotic-loaded bone cement and empiric antibiotic treatment.

https://authors.elsevier.com/a/1jUiM38vD3A3kl

Early dislocation within 7d of surgery has similar all cause revision-free survivorship, but an increased risk of a subsequent revision for instability when compared to patients who dislocated within 7-90d.

https://authors.elsevier.com/a/1jUiM38vD3A3Ze

Robotic assistance in THA is associated with an increased risk of surgical complications, including periprosthetic fracture, while incurring greater charges.

https://authors.elsevier.com/a/1jUkz38vD3A3fR

Titanium discs were infected with S. aureus. Solutions #3 and #4 reduced bacteria acutely, but only #4 demonstrated efficacy in clearing biofilm compared to saline.

https://authors.elsevier.com/a/1jNR138vD3A3bR

This study demonstrates no difference in complication or re-revision survivorship after aseptic rTHA performed through a DAA, ABMS approach, or PA, nor between anterior or posterior-based approaches.

https://authors.elsevier.com/a/1jPaZ_K5k6jpaB

This study investigated the wear, oxidation levels, and degradation of remelted HXLPE that was retrieved at least 10 years after THA. Long-term oxidation and wear of remelted HXLPE liners retrieved from THA patients were minimal.

https://doi.org/10.1016/j.arth.2024.06.034

Despite the technical challenges and complexity associated with this unique patient cohort, they demonstrated excellent implant survivorship and clinical outcomes post-TKA with mid-term to long-term follow-up of more than 20 years.

https://authors.elsevier.com/a/1jOrB38vD3A3Lk

Because of the small difference in the rise of skin temperature between infected and noninfected patients, there is little indication that skin temperature is a reliable indicator of infection.

https://doi.org/10.1016/j.arth.2024.06.001

Lateral UKA showed a survivorship rate of 98.0% at 5yr, 96.0% at 10yr, and 94.5% at 15yr. When including patients who underwent additional surgery for the progression of arthritis, survivorship was 97.4% at 5yr, 95.4% at 10yr, and 91.3% at 15yr.

https://authors.elsevier.com/a/1jNEg38vD3A3OI