Overall, 8.2% of patients were dissatisfied 5yr after THA. There are modifiable factors that can be targeted with optimization programs to improve patient outcomes and satisfaction after primary THA.

authors.elsevier.com/a/1iq9-38vD3A2…

Corticosteroid injections administered up to 3mo prior to THA increased the risk of PJI within 1yr after THA, with an HR of 2.63; however, injections between 3-6mo before surgery did not have a significantly higher infection rate.

authors.elsevier.com/a/1iqA038vD3A2…

This epidemiological analysis of VTE prophylaxis use from 2016 to 2021 shows an increase in aspirin following TKA compared to other anticoagulant cohorts in a nationally representative population.

authors.elsevier.com/a/1ipiS38vD3A2…

This study showed 30d mortality (0.6 versus 5.5%, P = .012), and 1yr mortality (8.3 versus 20.5%, P = .003) rates significantly increased in patients who had time to surgery > 24hr for patients with periprosthetic femur fracture at the hip.

authors.elsevier.com/a/1ipiS38vD3A2…

The authors recommend standardized training programs, expedited family meetings, multidisciplinary team involvement, assistive technology, and incorporation of GOC discussions into hip pathways.

authors.elsevier.com/a/1ipiS38vD3A2…

The analysis from this study showed ECI is superior to CCI and HFR for predicting 30-day postoperative outcomes following TKA. Surgeons should consider assessing patients using ECI prior to TKA.

authors.elsevier.com/a/1igx838vD3A2…

Statistical outcomes in RCTs analyzing PJI are fragile and may lack statistical integrity. This study recommended fragility analysis, reporting of FI and FQ metrics, to aid in the interpretation of outcomes in the TJA literature.

authors.elsevier.com/a/1igx838vD3A2…

The custom cement-over megaprostheses (CCOM) technique demonstrates good implant survivorships and satisfactory patient-reported outcomes in complex, often frail patients who have compromised bone stock.

authors.elsevier.com/a/1igil38vD3A2…

The findings in this study showed improved methodologies over time reflect positive steps toward evidence-based practice in TKA. A continued focus on producing methodologically sound studies may guide evidence-based clinical decision-making.

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The incidence of PFFs is low using a triple-tapered, collared cementless femoral stem with automated impaction through the DAA THA.

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There is insufficient good-quality data on the operative treatment of severe symptomatic HO after THA performed over the last 25 years. Prophylaxis with low-dose irradiation prevented a recurrence.

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This study found prior authorization in a high-volume orthopaedic practice to approve elective THA and TKA led to increased surgical waiting times and a high administrative burden for surgeons and healthcare staff.

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Sonication fluid culture demonstrated better sensitivity compared with the conventional culture method, and preoperative fluid culture provided lower sensitivity in diagnosing PJI.

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The presence or absence of contact between the medial collar and femoral neck did not affect postoperative BMD changes or radiological or clinical results.

authors.elsevier.com/a/1igpO38vD3A2…

Our study identified the incidence of quadriceps tendon extensor mechanism disruption following TKA as 0.41%. Risk factors include an increased Charlson Comorbidity Index, obesity, and use of fluoroquinolones postop.

authors.elsevier.com/a/1igpO38vD3A2…

An ever increasing inflation rate and an ever declining reimbursement rate. Read our new article below.

Coltin Gerhart Jack Haglin

Zirconium is commonly used to make bone cement visible on xrays.
Diagnosis of loosening can be challenging, interesting results on Zr from synovial fluid for diagnosing aseptic loosening.

Fun fact: Zirconium is a derivative of Zircon, the oldest mineral on earth
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Dustin Schuett DO, FAAOS Christopher Pelt, MD Jeff Stambough, MD, FAAOS AAHKS Josh Rozell Orthobullets Recent The Journal of Arthroplasty article looking at just this
arthroplastyjournal.org/article/S0883-…

At Fitness & Recreation you can find a NEJM volume between the treadmills. If The Journal of Arthroplasty starts making hoodies for the gym, we can set a new standard. I promise wearing it with the 100# dumbells , hahaha! #orthotwitter @aahks