Arthroplasty Today最新文献

{"title":"Sequential Knee and Hip Arthroplasty in a Patient With Pfeifer-Weber-Christian Disease","authors":"Edgar Barros Prieto MD ,&nbsp;Eduardo Noboa Freile MD ,&nbsp;Carlos Peñaherrera Carillo MD ,&nbsp;Francisco Endara Urresta MD ,&nbsp;Alejandro Barros Castro MD ,&nbsp;Paul Vaca Perez MD","doi":"10.1016/j.artd.2025.101637","DOIUrl":"10.1016/j.artd.2025.101637","url":null,"abstract":"<div><div>Pfeifer-Weber-Christian Disease (PWCD) is a rare chronic inflammatory condition characterized by recurrent painful subcutaneous nodules and systemic manifestations. Long-term corticosteroid therapy, essential for managing PWCD, predisposes patients to complications such as osteoarthritis and avascular necrosis, often necessitating joint replacement surgeries. This report discusses a 38-year-old woman with a 15-year history of PWCD who underwent sequential knee and hip arthroplasty due to severe joint degeneration. The patient presented with debilitating pain, significant functional impairment, and advanced degenerative changes in the left knee and right hip. A multidisciplinary team provided comprehensive perioperative care to address the complexities of chronic inflammation, immunosuppression, and poor bone quality. This case highlights the feasibility of joint replacement in PWCD patients when a multidisciplinary approach and meticulous planning are applied. It underscores the importance of individualized surgical strategies and extended follow-up to optimize outcomes in complex cases.</div></div>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"32 ","pages":"Article 101637"},"PeriodicalIF":1.5,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419012","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-assisted Conversion of Arthrodesis to Primary Total Knee Arthroplasty","authors":"Ricarda Stauss MD,&nbsp;Peter Savov MD,&nbsp;Hendrik Pott MD,&nbsp;Max Ettinger MD","doi":"10.1016/j.artd.2025.101628","DOIUrl":"10.1016/j.artd.2025.101628","url":null,"abstract":"<div><div>Conversion of arthrodesis to total knee arthroplasty (TKA) is technically demanding surgical procedure. In the literature, most cases are treated with stemmed semi-constrained or hinged prostheses. We present a case of a robotic-assisted conversion of arthrodesis to primary TKA (rTKA) in a 35-year-old patient using a non-constrained posterior stabilized implant. At follow-up, the patient reported outcomes improved remarkably with the highest increase for function and activities of daily living and a substantial improvement of health-related quality of life. This article is the first report of robotic-assisted conversion of arthrodesis to TKA using a non-constrained implant, thus it may serve as a proof of concept for the use of robotics for desarthrodesis. Future studies are warranted to investigate the long-term outcomes in a larger patient cohort.</div></div>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"32 ","pages":"Article 101628"},"PeriodicalIF":1.5,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419009","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":"Understanding Hip Pain Through Social Media: An Initial Overview of an International Web-Based Survey","authors":"John M. Gaddis BS ,&nbsp;Erika Shults MS ,&nbsp;Bretton Laboret BS ,&nbsp;Ryan Bialaszewski BS ,&nbsp;Katerina Wells MD, MPH ,&nbsp;Charles South PhD ,&nbsp;Joel E. Wells MD, MPH","doi":"10.1016/j.artd.2025.101625","DOIUrl":"10.1016/j.artd.2025.101625","url":null,"abstract":"<div><h3>Background</h3><div>We aimed to understand the adult experience of hip pain through a web-based REDCap platform via social media. The purpose of this study was to assess the possibility of collecting patient-reported data through social media in people with hip pain while outlining the contents of the survey and analyzing the demographics of the sample population.</div></div><div><h3>Methods</h3><div>The survey link was active from October 1, 2023, to May 1, 2024, and available on social media platforms. Respondents provided consent prior to survey participation. Responses were anonymous, and only unique, fully complete surveys were analyzed. The comprehensive hip survey included demographic and overall health reporting, as well as hip-specific diagnoses, hip-specific functional measures, and mental health outcomes.</div></div><div><h3>Results</h3><div>Six hundred twenty-seven surveys were initiated, with 509 surveys completed. Twenty-six countries were represented with most responses originating from the United States (72.1%, n = 367), United Kingdom (10%, n = 51), Canada (5.5%, n = 28), and Australia (4.1%, n = 21). Ninety-three percent of respondents were women, with a mean age of 39 (range: 18-77). Top diagnoses reported were hip dysplasia (60.9%, n = 310), femoroacetabular impingement syndrome (45.2%, n = 230), Perthes disease (6.4%, n = 33), and osteoarthritis (6.3%, n = 32). Seventy-one percent (n = 366) reported previous hip surgery, with hip arthroscopy (60.7%, n = 222), periacetabular osteotomy (50.3%, n = 184), and total hip arthroplasty (24.3%, n = 89) being the most reported procedures.</div></div><div><h3>Conclusions</h3><div>This study demonstrates the feasibility of utilizing social media for a comprehensive web-based survey to gather patient-reported outcomes from individuals with various sources of hip pain internationally.</div></div>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"32 ","pages":"Article 101625"},"PeriodicalIF":1.5,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419011","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":"Corrigendum to ‘A Handheld, Portable Image-Based System May Outperform Computer Navigation or Robotic Platforms in Providing Accurate Acetabular Component Positioning’ [Arthroplasty Today, Volume 30, December 2024, 101511]","authors":"Eric M. Slotkin DO ,&nbsp;Francesca Coxe MD ,&nbsp;Tristan Jones BaSC, MPT, MBA ,&nbsp;Thomas Morton PA-C ,&nbsp;Stefan Kreuzer MD ,&nbsp;Alejandro Della-Valle MD","doi":"10.1016/j.artd.2025.101636","DOIUrl":"10.1016/j.artd.2025.101636","url":null,"abstract":"","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"32 ","pages":"Article 101636"},"PeriodicalIF":1.5,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419014","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":"Reply to \"Comment on: 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.2025.101634","DOIUrl":"10.1016/j.artd.2025.101634","url":null,"abstract":"","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"32 ","pages":"Article 101634"},"PeriodicalIF":1.5,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419013","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":"Femoral Nail and Cement Static Spacer Technique for the Treatment of Chronic Periprosthetic Knee Infection","authors":"Katherine Mistretta MD,&nbsp;Caroline Granger MD,&nbsp;Joseph Kromka MD,&nbsp;Andrew M. Schneider MD","doi":"10.1016/j.artd.2025.101630","DOIUrl":"10.1016/j.artd.2025.101630","url":null,"abstract":"<div><div>A 2-stage protocol is standard of care treatment in the United States for chronic periprosthetic joint infection of the knee. While many patients benefit from insertion of an articulating spacer, there are instances in which this is not feasible, and a static spacer is indicated. However, many static spacer techniques risk instability and lack durability. The ideal static spacer construct should provide immediate brace-free weight-bearing to maximize function during the spacer stage and, if needed, permit delayed reimplantation in the case of medically high-risk patients. Here, we describe our surgical technique for a femoral nail and cement static spacer in the treatment of chronic knee periprosthetic joint infection, a reproducible, stable, and durable construct essential to the armamentarium of the arthroplasty surgeon.</div></div>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"32 ","pages":"Article 101630"},"PeriodicalIF":1.5,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419010","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":"Orthopaedic Consultation is Associated With Fewer Patient-Perceived Barriers to Total Joint Arthroplasty","authors":"Insa Mannstadt BS, BA ,&nbsp;J. Alex B. Gibbons BA ,&nbsp;Troy B. Amen MD, MBA ,&nbsp;Mangala Rajan PhD ,&nbsp;Sarah R. Young PhD ,&nbsp;Henry Tischler MD ,&nbsp;Michael L. Parks MD ,&nbsp;Mark Figgie MD ,&nbsp;Anne Bass MD ,&nbsp;Linda Russell MD ,&nbsp;Bella Mehta MD, MS ,&nbsp;Iris Navarro-Millán MD ,&nbsp;Susan M. Goodman MD","doi":"10.1016/j.artd.2025.101620","DOIUrl":"10.1016/j.artd.2025.101620","url":null,"abstract":"<div><h3>Background</h3><div>Orthopaedic consultations' influence on perceived barriers to total joint arthroplasty (TJA) remains unclear. This study explores how orthopedic consultations are associated with patient perceptions of barriers to TJA.</div></div><div><h3>Methods</h3><div>We performed a post-hoc analysis of questionnaire responses based on data from a previous study that used semi-structured interviews with patients with advanced osteoarthritis. This earlier study identified 5 key barriers to TJA—trust in surgeon, cost/insurance, recovery, surgical outcome, and timing of surgery<em>—</em>and highlighted significant racial differences in these barriers. Our analysis focused specifically on the role of orthopaedic consultations. Using multiple logistic regression models, we compared responses from patients who had an orthopaedic consultation to those who did not, while adjusting for race, age, Hip Disability and Osteoarthritis Outcome Score, Joint Replacement/Knee Injury and Osteoarthritis Outcome Score, Joint Replacement, insurance status, education level, and prior discussions about TJA.</div></div><div><h3>Results</h3><div>Of the 696 participants, 88% were female, 77% White, 11% Black, and 9% Hispanic. Nearly half (49%) had an orthopaedic consultation. Participants who had consulted with an orthopaedist were older, more likely to be college graduates, Medicare beneficiaries, have consulted a primary care physician, attempted conservative management including joint injections, braces, and physical therapy. After adjusting for participant factors, orthopaedic consultation was a predictor of fewer perceived cost/insurance and timing barriers. However, no differences were observed in other barriers.</div></div><div><h3>Conclusions</h3><div>Orthopaedic consultation is associated with fewer reported cost/insurance and timing barriers to TJA. Addressing barriers of concern to patients in the context of orthopaedic consultations could further improve TJA utilization.</div></div>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"32 ","pages":"Article 101620"},"PeriodicalIF":1.5,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143402843","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":"Prevalence of Depressive Symptoms in Patients Undergoing Aseptic Revision Total Hip Arthroplasty Differs Based on Mode of Failure","authors":"Kristen I. Barton MD, PhD ,&nbsp;Daniel N. Bracey MD, PhD ,&nbsp;Vishal Hegde MD ,&nbsp;Aviva Pollet MS ,&nbsp;Roseann Johnson BSc ,&nbsp;Douglas A. Dennis MD ,&nbsp;Jason M. Jennings MD, DPT","doi":"10.1016/j.artd.2025.101627","DOIUrl":"10.1016/j.artd.2025.101627","url":null,"abstract":"<div><h3>Background</h3><div>Complications following total hip arthroplasty (THA) may necessitate a revision and patients who go on to a revision THA may experience depressive symptoms. The objective of this study was to investigate the prevalence of depressive symptoms before and after revision THA for six different failure modes.</div></div><div><h3>Methods</h3><div>Patients who underwent a THA revision with minimum 1-year follow-up at a single institution from 2008 to 2022 were retrospectively reviewed. Patients were grouped by failure modes: aseptic loosening, impingement, infection, instability, metallosis, polyethylene wear, and femoral stem pain. Preoperative and postoperative Veterans RAND 12-Item Health Scores and Harris Hip Score were compared.</div></div><div><h3>Results</h3><div>Twenty-four percent of patients in the retrospective cohort review had a previous existing mental health diagnosis, with depression being the most common (18% of all patients). The prevalence of depressive symptoms differed significantly by failure mode both preoperatively (<em>P</em> = .002) and postoperatively (<em>P</em> = .019). Veterans RAND 12 mental component score was significant between mode of failure groups both preoperatively (<em>P</em> &lt; .001) and postoperatively (<em>P</em> = .005). Function significantly improved in all groups from preoperatively to postoperatively. Patients with depressive symptoms had significantly lower physical component score with instability, aseptic loosening, stem pain, and metallosis preoperatively (<em>P</em> &lt; .001) and with instability, aseptic loosening, stem pain, and polyethylene wear postoperatively (<em>P</em> = .002).</div></div><div><h3>Conclusions</h3><div>Nearly 25% of patients with failed THA had a pre-existing mental health diagnosis and depressive symptoms were the most common. Unfortunately, depressive symptoms only improve modestly with revision surgery and can adversely affect a patient’s functional outcome.</div></div>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"32 ","pages":"Article 101627"},"PeriodicalIF":1.5,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143402844","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":"Fourth-generation Ceramic Head Fracture in Total Hip Arthroplasty: A Case Report and Literature Review","authors":"Clark Yin MD ,&nbsp;Lauren Eberhardt MD ,&nbsp;Matthew Cederman BS ,&nbsp;Henry Haley MD ,&nbsp;Andrew Steffenmeier MD ,&nbsp;Mark Karadsheh MD","doi":"10.1016/j.artd.2025.101614","DOIUrl":"10.1016/j.artd.2025.101614","url":null,"abstract":"<div><div>Ceramics are used in total hip arthroplasty due to inherent wettability and low wear rates, but fracture risk is a known complication. Rates as high as 13.4% were reported in the past, yet as low as 0.02% in newer generations. Howard et al. reported a fracture rate of 0.009% for fourth-generation ceramic heads. We present a case report of a 69-year-old male with a BMI of 40.01 kg/m² who suffered a fracture of a 36-mm ceramic femoral head with pseudoacetabular involvement of the polyethylene liner. This occurred 2 years and 3 months after his primary surgery after a 4-foot fall off of a ladder. The patient underwent revision of his total hip arthroplasty with arthroplasty of the polyethylene liner and femoral head component without stem explantation.</div></div>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"32 ","pages":"Article 101614"},"PeriodicalIF":1.5,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143379062","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":"Outpatient Versus Inpatient Total Joint Arthroplasty: Do Medically and Socially Complex Patients Require More Resources but Achieve Similar Outcomes?","authors":"Justin Leal BS,&nbsp;Christine J. Wu MD,&nbsp;Niall H. Cochrane MD,&nbsp;Thorsten M. Seyler MD, PhD,&nbsp;William A. Jiranek MD,&nbsp;Samuel S. Wellman MD,&nbsp;Michael P. Bolognesi MD,&nbsp;Sean P. Ryan MD","doi":"10.1016/j.artd.2025.101631","DOIUrl":"10.1016/j.artd.2025.101631","url":null,"abstract":"<div><h3>Background</h3><div>This study compared outcomes between patients undergoing outpatient total joint arthroplasty (TJA) at an ambulatory surgery center (ASC) versus a cohort of medically and socially complex patients undergoing TJA at a tertiary healthcare system.</div></div><div><h3>Methods</h3><div>An institutional database at a single academic center was retrospectively reviewed for patients who underwent primary TJA since the opening of an ASC from August 2021 to January 2024. A total of 716 (outpatient: 374; inpatient: 342) total knee arthroplasties and 458 (outpatient: 196; inpatient: 262) total hip arthroplasties met inclusion criteria.</div></div><div><h3>Results</h3><div>Patients in the inpatient total knee arthroplasty group had a higher proportion of patients requiring an emergency department visit (11.4% vs 4.5%; <em>P =</em> .008) and admission (6.7% vs 2.7%; <em>P =</em> .025) within the first 90 days after surgery than the outpatient group; however, 2-year revision-free (97.9% vs 97.9%; <em>P =</em> .75) survival was similar between groups. Patients in the inpatient total hip arthroplasty group had a higher proportion of patients requiring an emergency department visit (13.0% vs 4.6%; <em>P =</em> .035) and admission (7.3% vs 1.0%; <em>P =</em> .018) within the first 90 days after surgery compared to the outpatient group; however, there was no difference in 2-year revision-free survival (96.4% vs 99.5%; <em>P =</em> .059).</div></div><div><h3>Conclusions</h3><div>Medically and socially complex patients undergoing TJA required additional resources during the 90-day postoperative window; however, they achieved similar survivorship as patients who met criteria for outpatient surgery.</div></div>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"32 ","pages":"Article 101631"},"PeriodicalIF":1.5,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143379060","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}