Arthroplasty Today最新文献

{"title":"The Impact of Cementing Techniques on Implant Longevity in Relation to Keel Length in Persona and NexGen Knee Arthroplasty: A Comprehensive Study","authors":"Arash Sharafat Vaziri MD ,&nbsp;Mohammad Naghi Tahmasebi MD ,&nbsp;Hoseinali Hadi MD ,&nbsp;Sina Javidmehr MD ,&nbsp;Sohrab Keyhani MD ,&nbsp;Zahra Vahdati MD ,&nbsp;Hossein Nematian MD ,&nbsp;Yalda Farahmand MD","doi":"10.1016/j.artd.2024.101608","DOIUrl":"10.1016/j.artd.2024.101608","url":null,"abstract":"<div><h3>Background</h3><div>The aim of this study was to investigate the efficacy of our modified cementing technique in reducing the rate of aseptic tibial loosening focusing on its relationship with keel length.</div></div><div><h3>Methods</h3><div>Every participant who underwent primary total knee arthroplasty (TKA) between August 2014 and September 2022 with a minimum of 4-year follow-up using 1 of 3 implants were included: Persona + conventional cementing technique; Persona + modified cementing technique; and NexGen LPS-Flex. The modifications applied include better preparation of the bone surfaces and the cancellous bone cavities, pressurizing the cement and interstitial fluid suction at the same time, applying a layer of cement on the surfaces of the tibia and implant, and immobilizing the limb. Kaplan-Meier analyses were performed to estimate survivorship.</div></div><div><h3>Results</h3><div>A total of 988 of 1039 primary TKAs (95.1%) were included with follow-up of 89.26 ± 7.32 months. Twenty eight (2.83%) TKA required revisions due to aseptic tibial loosening; 3 (1.1%) in the NexGen group, 21 (6.9%) in the conventionally cemented Persona group, and 4 (0.9%) within the modified cemented Persona group. Aseptic loosening occurred at a mean of 69.00 ± 2.65, 34.57 ± 22.90, and 68.50 ± 3.42, respectively. Survivorship for aseptic loosening was 98.9%, 93.1%, and 99.1% at 8 years, respectively. The revision rate for early (during the first 24 months) aseptic loosening was 4.6% in the conventionally cemented Persona group. No early aseptic loosening reported in other 2 groups.</div></div><div><h3>Conclusions</h3><div>In conclusion, meticulous cementing techniques can reduce the rate of tibial loosening in shorter keel designs.</div></div>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"31 ","pages":"Article 101608"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simultaneous vs Staged Procedures for Bilateral Total Knee Arthroplasty: Reduced Infection, Cost, and Readmission Rates Associated With Simultaneous Procedures","authors":"Aaron Singh BA,&nbsp;Travis M. Kotzur BS,&nbsp;Kathleen Lundquist MD,&nbsp;Blaire C. Peterson BS,&nbsp;William H. Young MD,&nbsp;Chance C. Moore MD,&nbsp;Frank Buttacavoli MD","doi":"10.1016/j.artd.2024.101611","DOIUrl":"10.1016/j.artd.2024.101611","url":null,"abstract":"<div><h3>Background</h3><div>Many patients require total knee arthroplasty (TKA) bilaterally; however, there is limited data on bilateral procedures. This study aims to compare medical and surgical complications and hospital-related outcomes between simultaneous and staged bilateral TKA. We hypothesize that staged procedures will have superior outcomes.</div></div><div><h3>Methods</h3><div>This retrospective cohort study queried the National Readmissions Database, years 2016-2020, for patients undergoing bilateral TKA via <em>ICD-10</em> codes. For patients undergoing staged procedures, outcomes were compared in aggregate for comparison to simultaneous operations. Multivariate regression was performed to assess complications. Negative binomial regression was utilized for 30-day readmission, reoperation, and discharge disposition. Quasi-Poisson regression was performed to assess total charges. Demographics and comorbidities, measured via Elixhauser Comorbidity Index, were controlled for in our analysis.</div></div><div><h3>Results</h3><div>A total of 210,682 patients, 89,568 (42.51%) undergoing simultaneous bilateral and 121,115 (57.49%) undergoing staged bilateral TKA, were included. The staged cohort had higher odds of medical complications (odds ratio (OR), 1.14; <em>P</em> &lt; .001), reduced surgical complications (OR, 0.51; <em>P</em> &lt; .001), and increased odds of routine discharges (OR, 1.39; <em>P</em> &lt; .001). They also had increased odds of readmission (OR, 1.25; <em>P</em> &lt; .001), reoperation (OR, 1.56; <em>P</em> &lt; .001), and greater total charges (OR, 1.18; <em>P</em> &lt; .001).</div></div><div><h3>Conclusions</h3><div>Our results demonstrate that, for some patients, simultaneous procedures may be a viable option. While staged operations were associated with reduced surgical complications and resulted in better discharge dispositions, they were also associated with greater medical complications, readmissions, reoperations, and total cost. Surgeons should consider individual patient risks and preferences when planning bilateral TKA.</div></div>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"31 ","pages":"Article 101611"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Tribute to Greg J. Golladay, MD, FAOA: Big Shoes to Fill!","authors":"Brett R. Levine MD, MS (Editor-in-Chief)","doi":"10.1016/j.artd.2025.101639","DOIUrl":"10.1016/j.artd.2025.101639","url":null,"abstract":"","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"31 ","pages":"Article 101639"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143349618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Contemporary Analysis of Discharge Disposition Following Total Joint Arthroplasty","authors":"Swaroopa Vaidya MS ,&nbsp;Gregory Panza PhD ,&nbsp;Jake Laverdiere BS ,&nbsp;Dianne Vye MSN, RN, ONC ,&nbsp;Jenna Bernstein MD","doi":"10.1016/j.artd.2024.101592","DOIUrl":"10.1016/j.artd.2024.101592","url":null,"abstract":"<div><h3>Background</h3><div>Total joint arthroplasty (TJA) represents the single largest procedural cost for the Centers for Medicare &amp; Medicaid Services. Discharge to a skilled nursing facility (SNF) remains a primary driver of post-acute care costs. The COVID-19 pandemic led to a decrease in number of discharges to SNFs. Examining preoperative patient characteristics of those who are still admitted to SNFs, despite cultural shifts, may help providers identify patients still at high risk for SNF discharge.</div></div><div><h3>Methods</h3><div>This retrospective study included patients who had elective total hip arthroplasty or total knee arthroplasty from January through December 2022 at a high-volume orthopaedic institute. Preoperative patient-reported outcome scores, demographics, and clinical characteristics were collected from patient charts and compared between patients who were discharged home vs SNF. Multivariate logistic regression analyses were used to determine potential predictors for discharge to SNF.</div></div><div><h3>Results</h3><div>In the total sample (<em>N</em> = 2795), 96.4% of patients were discharged home, and 3.6% were discharged to a SNF. Medicare insurance was associated with being discharged to a SNF (<em>P</em> &lt; .05), while having commercial insurance was associated with being discharged home (<em>P</em> &lt; .05). Being older, having longer procedure length, longer hospital length of stay, and a lower preoperative Patient-Reported Outcomes Measurement Information System (PROMIS 10) score were significant predictors of discharge to SNF (<em>P</em> &lt; .05).</div></div><div><h3>Conclusions</h3><div>This was the first study to identify PROMIS 10 score as a potential predictor of discharge to a SNF after TJA. Findings from this study may help providers redefine contemporary predictors of SNF admission following TJA.</div></div>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"31 ","pages":"Article 101592"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11715114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intraprosthetic Dislocation Following Dual Mobility Total Hip Arthroplasty: A Retrieval Analysis Study","authors":"Salar Sobhi BSc, MD ,&nbsp;Alan Kop MSc, PhD ,&nbsp;Moreica Pabbruwe PhD ,&nbsp;Christopher W. Jones BCom, BEng(Hons), MBBS(Hons), PhD, FRACS, FAOrthA ,&nbsp;Michael A. Finsterwald MD, FMH, FRACS, FAOrthA","doi":"10.1016/j.artd.2024.101596","DOIUrl":"10.1016/j.artd.2024.101596","url":null,"abstract":"<div><h3>Background</h3><div>Dual mobility (DM) implants in total hip arthroplasty provide excellent range of motion with low dislocation rates. A complication of this design is intraprosthetic dislocation (IPD), where the polyethylene (PE) liner dissociates from the femoral head. In older designs, IPD occurred due to a small head size and late PE wear with head-capture-mechanism failure. Routine retrieval analysis identified concerns regarding IPD of modern implants, and scant reporting in the literature led to this retrospective study.</div></div><div><h3>Methods</h3><div>A total of 124 (110 primary, 14 revision) DM implants (mean in situ time 2.0 ± 3.1 years) revised by 20 surgeons across Western Australia between July 2014 and August 2023 were assessed. Demographics, clinical information, mechanisms of failure, and observations at revision arthroplasty were analyzed. The retrieval analysis included an assessment of metal and PE wear mechanisms, corrosion between modular components, and extent of bony attachment to acetabular shells.</div></div><div><h3>Results</h3><div>There were 11 cases of IPD. Of these, 8 (73%) had a documented preceding failed closed reduction, with the remaining 3 revised due to trunnionosis, loosening, and joint instability. Nine out of 11 (82%) cases were female. Although metallic wear and inner-lip impingement of PE bearings were observed, there was no obvious failure mechanism for the other 3 retrieved IPD implants.</div></div><div><h3>Conclusions</h3><div>Most cases of IPD in DM implants occur after failed closed reduction in the setting of a hip dislocation, suggesting an iatrogenic cause of IPD. No implant-related features could be defined for the remaining cases. Recognizing common failure modes can help with the prevention and treatment of this complication.</div></div>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"31 ","pages":"Article 101596"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732184/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimizing Operating Room Efficiency for Primary Hip and Knee Arthroplasty Using Performance Benchmarks","authors":"Koorosh Kashanian BMSc ,&nbsp;Matey Juric BSc ,&nbsp;Tim Ramsay PhD ,&nbsp;Pascal Fallavollita PhD ,&nbsp;Paul E. Beaulé MD, FAAOS, FRCSC","doi":"10.1016/j.artd.2024.101590","DOIUrl":"10.1016/j.artd.2024.101590","url":null,"abstract":"<div><h3>Background</h3><div>With increasing demand for total hip arthroplasty (THA) and total knee arthroplasty (TKA), maximizing operating room (OR) efficiency is critical. This paper sought to examine the implementation of time benchmarks when performing primary TKA and THA. We hypothesized that implementing benchmarks would improve efficiency and the number of joints performed per day.</div></div><div><h3>Methods</h3><div>Two hundred ninety-five patients from 59 OR days were reviewed. All surgeries were performed as outpatients and included 160 females and 135 males; 161 TKA and 134 THA; mean age, 66.1; mean body mass index, 28.6 kg/m²; American Society of Anesthesia, 2. Time points, demographics, and adverse events were recorded. Benchmarks to complete 4 joints in 8 h were: anesthesia preparation time (APT) of &lt;11 min, procedure time of &lt;72 min, anesthesia finish time (AFT) of &lt;21 min, and turnover of &lt;22 min.</div></div><div><h3>Results</h3><div>The percentage of cases meeting individual benchmarks for APT was 50.17%; procedure time was 95.25%; AFT was 99.67%; turnover was 65.25%. The means were: APT 11:00 min, Surgical Prep Time 9:00 min, procedure time 55:00 min, AFT 3:00 min, and turnover 19:00 min. Overall, 98.3% (58/59) of ORs had 4 cases completed within 8 h and 52.5% (31/59) had 5 cases within 8 h. Age, body mass index, and consecutive laterality of surgery were determined to affect the likelihood of meeting benchmarks for case time, APT, and turnover.</div></div><div><h3>Conclusions</h3><div>Establishing time benchmarks permitted the introduction of 5 joint days within an 8-h OR without increasing resource utilization. Factors that influence OR efficiency for high-volume primary hip and knee replacements were identified.</div></div>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"31 ","pages":"Article 101590"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient “No-Show” Prior to Elective Primary Total Hip Arthroplasty Increases Risk of Postoperative Anemia","authors":"Jeffrey S. Mun BA ,&nbsp;Matthew W. Parry MD, MS ,&nbsp;Alex Tang MD ,&nbsp;Jesse J. Manikowski MS ,&nbsp;Cory Crinella PA-C ,&nbsp;John J. Mercuri MD, MA","doi":"10.1016/j.artd.2024.101602","DOIUrl":"10.1016/j.artd.2024.101602","url":null,"abstract":"<div><h3>Background</h3><div>Patients who “no-show” (NS) clinical appointments are at a higher risk of poor healthcare outcomes. The objective of this study was to evaluate and characterize the relationship between patient NS prior to primary total hip arthroplasty (THA) and 90-day complication risk after THA.</div></div><div><h3>Methods</h3><div>We retrospectively reviewed 4147 patients undergoing primary THA. Patients were divided based on whether they NS at least 1 appointment vs always attend (AA) appointments. Information collected included number of NS and attended appointments, demographics, comorbidities, and 90-day postoperative complications. Regression analyses were run to identify relationships between NS status and postoperative outcomes, as well as factors that would predict NS status.</div></div><div><h3>Results</h3><div>Compared to AA patients, NS patients had an increased odds of a postoperative complication (odds ratio:1.3, <em>P</em> = .0005), specifically postoperative anemia (odds ratio: 1.3, <em>P</em> = .0004). When comparing NS and AA patients who both experienced postoperative anemia-related complications, the NS patients had significantly greater intraoperative blood loss compared to AA patients (mean ± standard deviation: 412.6 mL ± 310.2 vs 357.3 mL ± 269.0, <em>P</em> = .028). NS patients also had a greater rate of symptomatic anemia compared to AA patients (100 [3%] vs 25 cases [2%], <em>P</em> = .018). Age, smoking status, gender, race, body mass index, Charlson Comorbidity Index, and insurance status were independent predictors of missing clinical appointments.</div></div><div><h3>Conclusions</h3><div>There was an increased risk for complications, specifically anemia-related complications, in THA patients who NS preoperatively. Demographic factors were independently associated with higher odds of missing a scheduled clinical appointment. The results suggest orthopedic surgeons should consider NS data to pre-emptively assess risk for complications following THA.</div></div><div><h3>Level of Evidence</h3><div>Level III.</div></div>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"31 ","pages":"Article 101602"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11754156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic Assistance in Simultaneous Bilateral Medial Unicompartmental Knee Arthroplasty: A Retrospective Cohort Study of 126 Knees Demonstrating Enhanced Radiographic Accuracy and Comparable Safety to Conventional Methods","authors":"Valentina Rossi MD ,&nbsp;Constant Foissey MD ,&nbsp;Andreas Fontalis MD, MSc, MRCS ,&nbsp;Gabriel Gaggiotti MD ,&nbsp;Stefano Gaggiotti MD ,&nbsp;Elvire Servien MD, PhD ,&nbsp;Sébastien Lustig MD, PhD","doi":"10.1016/j.artd.2024.101594","DOIUrl":"10.1016/j.artd.2024.101594","url":null,"abstract":"<div><h3>Background</h3><div>One-stage bilateral unicompartmental knee arthroplasty (BUKA) is a promising option for patients with bilateral medial knee osteoarthritis. This study aims to compare the safety, early clinical and functional outcomes, and radiological results of conventional vs robotic-assisted medial BUKA.</div></div><div><h3>Methods</h3><div>A retrospective cohort study was conducted involving patients who underwent medial BUKA as a single-stage procedure between April 2016 and January 2022. The study included both conventional (36 procedures) and robotic-assisted techniques (90 procedures) with a minimum follow-up of 6 months. Conventional procedures were performed either simultaneously by two surgical teams or sequentially by one team. Robotic procedures were exclusively performed sequentially by a single team. Data on surgical outcomes, patient-reported outcome measures (International Knee Society score), and radiographic measurements were collected.</div></div><div><h3>Results</h3><div>Among the 63 patients analyzed, robotic-assisted procedures took significantly longer (115 ± 22 minutes) compared to conventional approaches (86.9 ± 12 minutes; <em>P</em> &lt; .0001). No significant differences were observed in complications, length of hospital stay, rehospitalizations, patient-reported outcome measures, or overall clinical outcomes. However, radiographic analysis showed superior joint line restoration in the robotic group (−0.2 ± 0.7 mm vs −1.4 ± 1.35 mm, <em>P</em> = .03) and better tibial implant varus control (0.3° ± 0.6 vs 1° ± 1.8 degrees, <em>P</em> = .03).</div></div><div><h3>Conclusions</h3><div>While robotic-assisted BUKA resulted in longer operative times, clinical outcomes were comparable. Radiographic findings indicated improved implant positioning, suggesting potential benefits in implantation accuracy that warrant further research.</div></div><div><h3>Level of Evidence</h3><div>IV.</div></div>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"31 ","pages":"Article 101594"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11788786/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of a Novel Landmark-guided Intra-articular Postero-medial Surgeon-administered Injection Technique","authors":"Nicolas S. Piuzzi MD ,&nbsp;Andrew I. Spitzer MD ,&nbsp;Jason Mussell PhD ,&nbsp;Ignacio Pasqualini MD ,&nbsp;Stan Dysart MD ,&nbsp;Jeffrey Gonzales MD ,&nbsp;Michael A. Mont MD ,&nbsp;Jess H. Lonner MD ,&nbsp;William Mihalko MD, PhD","doi":"10.1016/j.artd.2025.101619","DOIUrl":"10.1016/j.artd.2025.101619","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to define an intra-articular surgeon-administered technique that may be comparable to ultrasound (US)-guided adductor canal block (ACB).</div></div><div><h3>Methods</h3><div>Five cadaver lower limbs were examined. An anesthesiologist administered a US-guided ACB using 20 mL of dilute indocyanine dye. An orthopedic surgeon performed a medial parapatellar arthrotomy and introduced an 18-gauge needle 1-2 cm proximal to the palpated adductor tubercle angled posteromedially. Needle position and dye spread were fluoroscopically documented.</div></div><div><h3>Results</h3><div>This technique consistently reached the infrapatellar branch of the saphenous nerve, nerve to the vastus medialis muscle, and posterior capsule, with minimal proximal dye spread.</div></div><div><h3>Conclusions</h3><div>This technique may be an efficient complement to ACB or surgeon infiltration or an alternative to US-guided ACB when it is not available.</div></div>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"31 ","pages":"Article 101619"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143162547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Keeping the Momentum Going","authors":"Brett R. Levine MD, MS (Editor-in-Chief)","doi":"10.1016/j.artd.2025.101638","DOIUrl":"10.1016/j.artd.2025.101638","url":null,"abstract":"","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"31 ","pages":"Article 101638"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143349616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}