The Journal of Arthroplasty

This study highlights the importance of timely surgical intervention rather than waiting for a particularly trained surgeon (trauma or arthroplasty) to be available for FNFs. arthroplastyjournal.org/article/S0883-…

A “1.5-stage” spacer construct using stemmed-revision components was associated with promising short-term results. Durable spacer constructs may be a viable option for select patients. arthroplastyjournal.org/article/S0883-…

DAIR is a viable treatment option for late acute hematogenous PJI, especially in Type A hosts with sx <4wks. Patients who have a high comorbidity burden and elevated preop inflammatory labs should be monitored closely for treatment failure. arthroplastyjournal.org/article/S0883-…

There exists a balance between conformity and non-conformity in component design that is optimal. Internal/external rotation of the tibial tray must be further standardized and studied to ensure stability and natural knee mechanics. arthroplastyjournal.org/article/S0883-…

The arthrodesis nail without bone–bone fusion is an effective and safe procedure for patients who have a recurrent PJI, providing satisfactory functional results when a knee prosthesis revision cannot be performed. arthroplastyjournal.org/article/S0883-…

Preop single low dose (8mg) DXM IV in patients undergoing TKA is safe and effective for reducing postop pain scores, improving early mobility, and reducing inflammatory markers. However, the effect on PONV was less evident. arthroplastyjournal.org/article/S0883-…

High-risk patients who got ASA had similar risk of PE/DVT, but decreased risk of bleeding compared to enoxaparin. ASA in high-risk patients was not associated with an increased risk of adverse outcomes. arthroplastyjournal.org/article/S0883-… #VA by Dr. Zachary Podoll @zjpodoll

Noise-induced hearing loss affects up to 50% of ortho staff. This review evaluates noise exposure guidelines, data on sources of noise production in the OR, and inform and guide effective prevention strategies. arthroplastyjournal.org/article/S0883-…

TKA patients who have a large patellar tilt angle, a small lateral patello-femoral angle, and a small trochlear dysplasia index preop are at increased risk of postop AKP with unresurfaced patellae. arthroplastyjournal.org/article/S0883-…

Closed reduction for dislocation after primary THA has a high risk of DVT/PE. Surgeons should consider chemoprophylaxis among patients who experience a dislocation, even when treated with a closed reduction. arthroplastyjournal.org/article/S0883-… #VA by Dr. Zachary Podoll @zjpodoll

What do the numbers 1-, 1.5-, and 2-stage revision even mean? Find out here! arthroplastyjournal.org/article/S0883-…

Cefazolin administration did not increase the risk of anaphylaxis in patients with documented PCN anaphylaxis. This finding could potentially reduce the reliance on less effective second-line antibiotics. arthroplastyjournal.org/article/S0883-…

This study showed HXLPE cemented acetabular cups demonstrate reduced polyethylene wear rates compared to CPE cemented cups in young patients undergoing THA after 10yr f/u. arthroplastyjournal.org/article/S0883-…

Silk fibroin dressing (knee on right) was associated with less hypersensitivity and shorter application time as compared to 2-octyl cyanoacrylate mesh dressings. This study found substantial savings, eliminating the glue drying time saved 3.7min. arthroplastyjournal.org/article/S0883-…

Navigation systems, particularly fluoroscopic image-dependent navigation, enhance acetabular component positioning accuracy over conventional DAA-THA. However, imageless navigation requires optimization to reduce OR time and improve anteversion accuracy. arthroplastyjournal.org/article/S0883-…

The mGNRI is an easy-to-calculate nutritional index and an excellent predictor of postop complications following TJA. Patients who fall below the mGNRI threshold of 92.8 should be carefully considered for nutritional optimization prior to TJA. arthroplastyjournal.org/article/S0883-…

This study showed matching a patient’s native knee coronal alignment classified by CPAK was not predictive of PROMs, which supports prior research that TKA outcomes are multifactorial and related to complex interactions. arthroplastyjournal.org/article/S0883-…

This study presented an approach to implement an efficient exam protocol to assess 3D knee kinematics, which can be added to the routine clinical workup for patients who have diseased or replaced knees. arthroplastyjournal.org/article/S0883-…

The use of 3D-printed porous tantalum integrated acetabular prosthesis in THA in the treatment of various types of DDH can fully ensure the acetabulum's coverage, accurately restoring the rotation center of the hip. arthroplastyjournal.org/article/S0883-…

There were differences in THA fixation based on age and between Part II and recert candidates in use of hybrid/uncemented fixation. Age >75yr, the likelihood of cemented/hybrid fixation increased; however, even in patients over 85yr, use remained <50%. arthroplastyjournal.org/article/S0883-…