Arthroplasty Today最新文献

{"title":"Failure of the Noncontact Bridging Periprosthetic Plating System: A Single-Institution Experience","authors":"Michael R. Mercier MD, MSc ,&nbsp;James M. Broderick MBBS, MCh ,&nbsp;Catherine S. Hibberd MBBS, MS ,&nbsp;Shane P. Russell MB, BCh, BAO, MCh, MRCSI ,&nbsp;Mansur M. Halai MBChB ,&nbsp;Amit Atrey MD, MSc, MRCS ,&nbsp;Aaron Nauth MD, MSc ,&nbsp;Amir Khoshbin MD, MSc","doi":"10.1016/j.artd.2025.101753","DOIUrl":"10.1016/j.artd.2025.101753","url":null,"abstract":"<div><h3>Background</h3><div>Periprosthetic femur fractures (PFFs) are challenging complications following total joint arthroplasty. Locking compression plates have emerged as a preferred option because of their stability and ability to be placed in a minimally invasive fashion. Surgical techniques for their application have been well-described; however, there are limited reports of failure. Here, we present 6 unique cases of implant failure using the Noncontact Bridging (NCB) Periprosthetic Plating System in the management of PFF.</div></div><div><h3>Methods</h3><div>A retrospective chart review was conducted of all open reduction internal fixation procedures using the NCB plating system for PFF performed at a single tertiary academic trauma center from 2015 to 2022. Instances of postoperative implant failure were selected for review. Surgical information regarding their index PPF and subsequent open reduction internal fixations were collected.</div></div><div><h3>Results</h3><div>Of the 44 instances the NCB plating system was used, 6 (13.6%) cases of implant failure were identified. Four out of 6 cases occurred within 4 months of fixation. Five of the failures were due to plate fracture and 1 by plastic deformation. Failure of the plate was noted at the tip of the prosthesis in 5 out of 6 cases. Stress concentration was minimized by avoiding the use of 3 consecutive screw plate holes in all cases.</div></div><div><h3>Conclusions</h3><div>Here we present the largest case series to date of NCB plating system failure. These cases highlight the need for further surveillance of plate failure in the management of PFF, as well as ways in which system design could be improved.</div></div><div><h3>Level of Evidence</h3><div>IV.</div></div>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"34 ","pages":"Article 101753"},"PeriodicalIF":1.5,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Outcomes and Overall Satisfaction of Patents Enrolled in an Artificial Intelligence–Powered Chatbot Following Periacetabular Osteotomy","authors":"Joshua P. Rainey MD ,&nbsp;Allan K. Metz MD ,&nbsp;Brenna E. Blackburn PhD ,&nbsp;Kevin J. Campbell MD ,&nbsp;Jill A. Erickson PA-C ,&nbsp;Christopher L. Peters MD ,&nbsp;Lucas A. Anderson MD","doi":"10.1016/j.artd.2025.101752","DOIUrl":"10.1016/j.artd.2025.101752","url":null,"abstract":"<div><h3>Background</h3><div>The role of technology in the perioperative care of patients continues to grow. A surgeon-specific perioperative chatbot may improve the care of patients by answering questions or concerns. The purpose of this retrospective review was to assess if enrollment in a perioperative chatbot was associated with differences in clinical outcomes or patient satisfaction following periacetabular osteotomy.</div></div><div><h3>Methods</h3><div>We identified 62 patients who enrolled in a short message service (SMS) chatbot from December 1, 2020 to August 1, 2023. A consecutive historical cohort of 64 patients from August 1, 2018 to November 30, 2020 was identified for comparative purposes. Descriptive statistics were used to compare demographic differences between patients enrolled vs not enrolled in the chatbot. Independent t-tests, Fischer’s exact tests, and chi-squared tests were also used for comparative purposes.</div></div><div><h3>Results</h3><div>Patients who were enrolled in a perioperative SMS-based chatbot requested significantly fewer narcotic refills (<em>P</em> = .0001). There were also significantly fewer clinic calls placed for patients enrolled in the chatbot compared to those not enrolled (1.1 calls vs 3.3 calls, <em>P</em> &lt; .0001). There were no significant differences in emergency department visits or readmissions within 90 days of surgery, reoperations, or infections. Patients enrolled in a perioperative chatbot had significantly higher satisfaction compared to those not enrolled (4.7 vs 4.3, <em>P</em> = .039).</div></div><div><h3>Conclusions</h3><div>Enrollment in an SMS-based perioperative chatbot for patients undergoing periacetabular osteotomy was associated with fewer narcotic refills, fewer telephone calls to clinic, and increased patient satisfaction compared to a historical cohort not enrolled perioperative chatbot.</div></div>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"34 ","pages":"Article 101752"},"PeriodicalIF":1.5,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Total Hip Arthroplasty Using a Direct Anterior Approach Reduces Postoperative Leg Length Differences by Preserving the Medial Iliofemoral Ligament","authors":"Kanto Mouri MD,&nbsp;Atsushi Madachi MD","doi":"10.1016/j.artd.2025.101757","DOIUrl":"10.1016/j.artd.2025.101757","url":null,"abstract":"<div><h3>Background</h3><div>This study compared postoperative leg length discrepancy (LLD) and global hip offset (GO) between medial iliofemoral ligament preservation and excision during total hip arthroplasty (THA) using direct anterior approach.</div></div><div><h3>Methods</h3><div>A retrospective review of 101 unilateral THA cases performed between January 2022 and July 2024 divided patients into 2 groups: ligament excision and ligament preservation groups. The medial iliofemoral ligament was excised from January 2022 to August 2023 and preserved from September 2023 to July 2024. The final leg length was determined based on intraoperative confirmation of THA stability. Preoperative and postoperative radiographs were analyzed to measure LLD and GO. The percentage of cases with absolute postoperative LLD and GO contralateral differences &gt;5 mm was examined in both groups. To minimize the influence of implants, such as large diameter heads, only THA head diameters of 28 or 32 mm were used. Clinical complications within 3 months postsurgery were also examined.</div></div><div><h3>Results</h3><div>The preservation group exhibited significantly smaller postoperative LLD and absolute LLD than the excision group (<em>P</em> &lt; .01), with fewer patients experiencing postoperative LLD &gt;5 mm (<em>P</em> &lt; .01). GO did not differ between the groups. Clinical complications included one dislocation, 2 fractures, and one infection in the excision group, while the preservation group had one fracture. No significant difference in complication rates was found.</div></div><div><h3>Conclusions</h3><div>Medial iliofemoral ligament preservation during THA using direct anterior approach effectively reduces postoperative LLD without increasing complications or compromising GO.</div></div>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"34 ","pages":"Article 101757"},"PeriodicalIF":1.5,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144470859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does Achieving the Minimal Clinically Important Difference in the Knee Injury and Osteoarthritis Outcome Score for Joint Replacement at 1 Year Postoperative Predict Satisfaction Following Total Knee Arthroplasty?","authors":"George N. Guild MD,&nbsp;Anita (Alex) Bradham BA,&nbsp;Natalie Gresham BS,&nbsp;Joseph M. Schwab MD,&nbsp;Alexis Alva MD,&nbsp;Thomas L. Bradbury MD","doi":"10.1016/j.artd.2025.101751","DOIUrl":"10.1016/j.artd.2025.101751","url":null,"abstract":"<div><h3>Background</h3><div>Managed care systems have expressed interest in using patient-reported outcome measures (PROMs) to determine surgical eligibility for total knee arthroplasty (TKA). The relationship between PROMs and patient satisfaction following TKA is an area of active research. We asked (1) what is the relationship between patient satisfaction and achieving minimal clinically important difference (MCID) in Knee Injury Osteoarthritis Outcomes Survey for Joint Replacement (KOOS, JR) at 1 year post-TKA, (2) what is the optimal change in KOOS, JR from preoperative to 1-year post-TKA that predicts patient satisfaction, and (3) are there additional preoperative factors that influence patient satisfaction following TKA.</div></div><div><h3>Methods</h3><div>A retrospective cohort study analyzed patients who underwent primary TKA at a single ambulatory surgery center. Patients completed KOOS, JR and Veterans Rand 12-Item Health Survey (VR-12) at baseline, 12 weeks, 6 months, and 1 year postoperatively. Satisfaction was assessed using a Likert scale. Logistic regression, best-fit modeling, and classification and regression tree analyses were performed to determine predictors of satisfaction.</div></div><div><h3>Results</h3><div>Among 600 patients, 93.7% were satisfied. MCID was met in 71.8% of satisfied patients vs 44.7% of unsatisfied patients (<em>P</em> &lt; .001). Preoperative to 1-year change in KOOS, JR (odds ratio 1.09, <em>P</em> &lt; .001) and preoperative VR-12 mental component scores (odds ratio 1.05, <em>P</em> = .007) predicted satisfaction. No change threshold for KOOS, JR predicted satisfaction.</div></div><div><h3>Conclusions</h3><div>While KOOS, JR improvement correlated with satisfaction, achieving MCID was not a reliable predictor. Preoperative factors, including VR-12 mental component scores, may better identify patients likely to be satisfied post-TKA. Further research on larger cohorts is needed to refine PROM-based eligibility criteria.</div></div>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"34 ","pages":"Article 101751"},"PeriodicalIF":1.5,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144470858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to ‘Influence of Femoral Component Flexion on Outcomes After Primary Total Knee Arthroplasty’ [Arthroplasty Today 33 (2025) 101, 718]","authors":"Praharsha Mulpur MBBS, DNB (Ortho),&nbsp;Tarun Jayakumar MBBS, MS (Ortho),&nbsp;Mudidana Prudhvi MBBS, MS (Ortho),&nbsp;Krishna Raj Khanal MBBS, MS (Ortho),&nbsp;Kushal Hippalgaonkar MBBS, DNB (Ortho),&nbsp;A.V. Gurava Reddy MBBS, D.Ortho, DNB (Ortho), FRCS, MCh (Ortho)","doi":"10.1016/j.artd.2025.101759","DOIUrl":"10.1016/j.artd.2025.101759","url":null,"abstract":"","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"34 ","pages":"Article 101759"},"PeriodicalIF":1.5,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144365885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What is the Association Between Nontobacco Nicotine Dependence and Postoperative Complications in Total Hip Arthroplasty? A Large Propensity-Matched Cohort Study","authors":"Logan M. Good MD ,&nbsp;Collin W. Blackburn MD, MBA ,&nbsp;Jeremy M. Adelstein MD ,&nbsp;Alexander N. Berk MD ,&nbsp;Samuel A. Florentino MD ,&nbsp;Harkirat S. Jawanda MD ,&nbsp;Wayne B. Cohen-Levy MD","doi":"10.1016/j.artd.2025.101743","DOIUrl":"10.1016/j.artd.2025.101743","url":null,"abstract":"<div><h3>Background</h3><div>Nontobacco nicotine dependence (NTND) is an increasing alternative to traditional tobacco use. However, limited data exist in NTND patients undergoing total hip arthroplasty (THA). The purpose of this study was to investigate differences in complications and revision rates among patients with and without NTND undergoing THA.</div></div><div><h3>Methods</h3><div>The TriNetX US Collaborative Network database was queried using ICD-10 and CPT codes to identify patients aged 18 and older undergoing primary THA between 2014 and 2024. Cohorts were divided depending on history of NTND and propensity-matched based on age, gender, race, ethnicity, body mass index, and comorbidities. Rates of complications and revision THA were compared.</div></div><div><h3>Results</h3><div>A total of 99,496,579 patients aged 18 and older were identified, of which 192,826 underwent primary THA. After exclusions, 15,561 (93.2%) were nonnicotine users and 8452 (6.8%) were NTND. After 1:1 propensity score matching, each cohort included 8378 patients. Complications including myocardial infarction, stroke, pneumonia, acute kidney injury, sepsis, emergency department visits, and rehospitalization were significantly higher at 90 days postoperatively in NTND patients (<em>P</em> &lt; .05). At 1 year postoperatively, in addition to these complications, the risk of postoperative deep vein thrombosis ([OR] 1.251; <em>P</em> = .0369) and infection (OR 1.288; <em>P</em> = .045) became significantly higher. Rates of prosthetic joint infection (OR 1.485; <em>P</em> = .004), revision THA (OR 1.868; <em>P</em> = .002), and death (OR 1.575; <em>P</em> = .035) were significantly elevated in NTND patients compared to their counterparts at 90 days, 1 year, and 5 years postoperatively.</div></div><div><h3>Conclusions</h3><div>NTND patients have higher rates of infection, revision, mortality, and postoperative complications including DVT, myocardial infarction, stroke, pneumonia, kidney injury, sepsis, infection, and return to the hospital. Providers should counsel NTND patients and consider screening protocols prior to operative management.</div></div><div><h3>Level of Evidence</h3><div>Retrospective cohort study, level of evidence III.</div></div>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"34 ","pages":"Article 101743"},"PeriodicalIF":1.5,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144338492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship Between Lumbar Spine Hounsfield Unit Values and Bone Mineral Density in Patients With Osteoarthritis Undergoing Total Hip Arthroplasty","authors":"Masanori Nishi MD, PhD,&nbsp;Yasushi Yoshikawa MD, PhD,&nbsp;Ichiro Okano MD, PhD,&nbsp;Yuki Usui MD, PhD,&nbsp;Hajime Nishida MD,&nbsp;Shota Nakamura MD,&nbsp;Koichiro Tashiro MD,&nbsp;Yoshifumi Kudo MD, PhD","doi":"10.1016/j.artd.2025.101756","DOIUrl":"10.1016/j.artd.2025.101756","url":null,"abstract":"<div><h3>Background</h3><div>Hip osteoarthritis (OA) and osteoporosis often coexist, complicating bone mineral density (BMD) assessment because of degenerative changes. We aimed to examine the utility of lumbar spine Hounsfield unit (HU) values in patients with hip OA undergoing total hip arthroplasty (THA).</div></div><div><h3>Methods</h3><div>This study included patients with hip OA who underwent primary THA and preoperative BMD measurements with dual-energy X-ray absorptiometry. BMD was measured in the total hip (TH), femoral neck, lumbar spine (L2-L4), and distal radius. HU values at L4 and L5 were evaluated using preoperative computed tomography of the hip joints for 3-dimensional preoperative planning. To assess the effect of arthritis and deformity, we compared the hips of those with and without OA. Correlation coefficients were used to assess the relationship between the HU values and T-scores.</div></div><div><h3>Results</h3><div>Overall, 218 hips were analyzed. Moderate correlations were found between lumbar HU values and T-scores at all measurement sites, with the strongest correlations between L5 HU values and T-scores of the nonarthritic TH (rho = 0.64, <em>P</em> &lt; .01). Receiver operating characteristic analysis of nonarthritic hips yielded area under the curves of 0.76 for L4 and 0.77 for L5 (optimal cut-off values: 96.6 HU and 92.6 HU, respectively). In osteoarthritic hips, area under the curve values were 0.82 for L4 and 0.83 for L5 (cut-off values: 118.9 HU and 100.8 HU, respectively).</div></div><div><h3>Conclusions</h3><div>Lumbar HU values moderately correlated with BMD at all measurement sites, especially at the TH. This may serve as a useful screening tool for osteoporosis before THA in patients with hip OA.</div></div>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"34 ","pages":"Article 101756"},"PeriodicalIF":1.5,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144338493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Femoral Fixation for Primary Total Hip Arthroplasty—An International Registry Perspective","authors":"Tony Gaidici BS ,&nbsp;David G. Deckey MD ,&nbsp;Thorsten M. Seyler MD, PhD ,&nbsp;Michael P. Bolognesi MD ,&nbsp;Mark J. Spangehl MD ,&nbsp;Joshua S. Bingham MD","doi":"10.1016/j.artd.2025.101755","DOIUrl":"10.1016/j.artd.2025.101755","url":null,"abstract":"<div><h3>Background</h3><div>The preferred method for femoral fixation (FF) during total hip arthroplasty (THA) has varied internationally. While prior studies explored trends within single countries or small international cohorts, there’s a paucity of studies comparing international trends of FF for primary THA patients. This study analyzed global trends in FF methods, survival by fixation type, and periprosthetic fractures as a reason for revision.</div></div><div><h3>Methods</h3><div>Data were extracted from 2000 to the present from 16 national joint replacement registries. Data were collected on the number of cemented and uncemented primary THA cases each year. Revision and survival data were analyzed by fixation method. Aggregate data on periprosthetic fractures as a reason for revision and specific data on periprosthetic fractures by fixation method were included when available.</div></div><div><h3>Results</h3><div>A global shift from cemented to uncemented FF was observed over the past two decades, except in the Netherlands. Even in countries favoring cementation, such as Sweden, uncemented techniques are gaining popularity. Survival rates for cemented and uncemented methods were comparable, but periprosthetic fracture rates varied regionally. Preferences reflected both clinical practice differences and patient needs.</div></div><div><h3>Conclusions</h3><div>Most countries investigated show a preference for uncemented fixation. However, the popularity of cemented fixation in certain countries reflects its continued relevance, especially in populations with different clinical needs. Survival by fixation method was similar among countries, but periprosthetic fracture as reason for revision varied widely.</div></div>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"34 ","pages":"Article 101755"},"PeriodicalIF":1.5,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144338494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Femoral Neck-Bite Sign: A Radiographic Indicator of Catastrophic Sandwich Liner Failure in Total Hip Arthroplasty","authors":"Hendrik Pott Dr med ,&nbsp;Ricarda Stauss Dr med ,&nbsp;Peter Savov PD, Dr med ,&nbsp;Max Ettinger Dr med ,&nbsp;Ralf Dieckmann Dr med","doi":"10.1016/j.artd.2025.101740","DOIUrl":"10.1016/j.artd.2025.101740","url":null,"abstract":"<div><div>In this case report, we present the failure of a sandwich liner resulting in extensive notching of the femoral neck as well as metallosis and osteolysis in a 74-year-old woman. All implants were removed due to large bone defects and a cage was combined with a polyethylene cup, ceramic head, and modular cementless stem. Clinical and radiological follow-ups were conducted at 6 weeks and 6 months postoperatively, showing postoperative patient-reported outcome measures that were marginally inferior to the preoperative status. We discussed that a timely revision surgery was nonetheless warranted in order to prevent further bone loss and systemic toxic metallosis. We introduce the Femoral Neck-Bite Sign, a radiographic finding that may indicate ceramic liner fracture as in this case or implant impingement resulting in femoral notching.</div></div>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"34 ","pages":"Article 101740"},"PeriodicalIF":1.5,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144338495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anticipating Time Taken off Work After Bernese Periacetabular Osteotomy: A Single-Surgeon Experience of 282 Cases","authors":"Bernard H. van Duren DPhil, FRCS (Tr & Orth) ,&nbsp;Yash Pursun ,&nbsp;Kane Teal ,&nbsp;Ajay Malviya PhD, FRCS (Tr & Orth)","doi":"10.1016/j.artd.2025.101713","DOIUrl":"10.1016/j.artd.2025.101713","url":null,"abstract":"<div><h3>Background</h3><div>Expected time off work is a common question from patients undergoing periacetabular osteotomy (PAO) as most are of working age. Planning for financial and social impacts plays an important role when considering PAO. No previous studies have reported on the time taken to return to work following PAO. The aim of this study was to quantify the amount of time taken off work following PAO.</div></div><div><h3>Methods</h3><div>Patients who had responded to questions asking about their return to work from the Northumbria Hip Preservation Unit patient-reported outcomes database were included. In addition to time taken to return to work, demographic data, EuroQol 5-dimension (EQ-5D) visual analog scale, EQ-5D index, University of California, Los Angeles activity, non-arthroplasty hip score, and International hip outcome tool-12 scores before and after surgery were collected.</div></div><div><h3>Results</h3><div>In total, there were responses for 282 PAO procedures performed. Time taken to return to work ranged from 0 weeks to 208 weeks. The median time reported to return to work was 16 weeks (interquartile range: 12-22 weeks). Preoperative EQ-5D visual analog scale and EQ-5D index scores moderately correlated to weeks till return. University of California, Los Angeles activity and non-arthroplasty hip score were only weak correlations. One year postoperatively, there was only a weak correlation between patient-reported outcome measure scores and the time taken to return to work, though all were significant (<em>P</em> &lt; .05).</div></div><div><h3>Conclusions</h3><div>Based on the findings, we would advise prospective PAO candidates that the average time taken to return to work after PAO was 16.5 weeks with the majority (85%) having returned by 6 months. It was also noted that poorer preoperative and postoperative patient-reported outcome measures significantly correlated weakly with an extended period away from work.</div></div>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"34 ","pages":"Article 101713"},"PeriodicalIF":1.5,"publicationDate":"2025-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144335884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}