Journal of Arthroplasty最新文献

{"title":"Radiographic and Clinical Comparisons of a Modern Symmetrical versus Asymmetrical Implant Design in Primary Total Knee Arthroplasty.","authors":"Joshua P Rainey, Brenna E Blackburn, Claire R Kapron, Michael J Archibeck, Lucas A Anderson, Christopher E Pelt","doi":"10.1016/j.arth.2025.02.021","DOIUrl":"https://doi.org/10.1016/j.arth.2025.02.021","url":null,"abstract":"<p><strong>Introduction: </strong>While asymmetrical, left/right specific, femoral, and tibial components are commonly used in modern total knee arthroplasty (TKA), the recent introduction of a modern symmetrical, left/right nonspecific, design may afford benefits as a result of reduced implant and instrumentation requirements. Given the symmetrical trochlear design of left/right non-specific femoral components, some concerns over patient outcomes and patellar tracking may exist. The purpose of this study was to compare the clinical and radiographic outcomes in a symmetrical TKA design to a more commonly used asymmetrical femoral component.</p><p><strong>Methods: </strong>There were 225 patients (246 knees) who underwent TKA at an academic center with an implant featuring a symmetrical tibial and femoral component, which features a double 9° Q-angle trochlear design instead of left/right specific trochleae, and were compared to a matched historical cohort of 235 patients (236 knees) who had asymmetrical femoral components. All surgeries in both groups were performed using a similar posterior referenced, measured resection technique. Patient demographics, patient-reported outcomes (PROs), complications, knee range of motion (ROM), and radiographic analysis performed by an independent observer, including patellar tilt and displacement, were assessed. Chi-square and t-tests were used. There were no significant demographic differences between groups.</p><p><strong>Results: </strong>There were no differences in PROs, failures, or complications at one year (P > 0.05). Radiographic patellar tracking was similar between groups with the exception of the symmetrical TKA demonstrating significantly less patellar tilt (0.5 versus 3.1°, P < 0.0001). There was no significant difference in preoperative or postoperative ROM between the groups (P = 0.49 and P = 0.25).</p><p><strong>Conclusion: </strong>The symmetrical femoral design demonstrated similar PROs and outcomes to an asymmetrical design. Despite some concern that patellar tracking could be worse in a symmetrical implant, the modern symmetrical TKA design demonstrated less patellar tilt and overall appears to perform clinically similarly to an asymmetric anatomic design.</p>","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Noise-Related Injury During Robotic Versus Manual Total Knee Arthroplasty.","authors":"Dianne N Pagan, Natalia Cruz-Ossa, William Cade, Michele R D'Apuzzo, Jaime A Carvajal, Victor H Hernandez","doi":"10.1016/j.arth.2025.02.022","DOIUrl":"https://doi.org/10.1016/j.arth.2025.02.022","url":null,"abstract":"<p><strong>Background: </strong>Occupational noise exposure during robotic total knee arthroplasty (TKA) poses a risk to orthopaedic surgeons that has not been quantified in the literature. According to National Institute for Occupational Safety and Health (NIOSH) guidelines, noise exposure levels at or above 85 decibels as an 8-hour time-weighted average (TWA) are hazardous. The objectives of this study were to compare noise metrics between manual and robotic TKAs and determine if the TWA of each group exceeds the NIOSH guidelines required for workplace noise safety.</p><p><strong>Methods: </strong>Intraoperative audio was recorded during manual and two different robotic TKA. The DecibelX application was used to record the duration of exposure, average and maximum decibel level, TWA, noise dose percentage of maximum allowable daily noise, and noise dose percentage projected forward over eight hours. Dwass-Steel-Critchlow-Fligner and Kruskal-Wallis tests were performed. Statistical significance was set at P < 0.05.</p><p><strong>Results: </strong>There were 66 recordings analyzed. The mean duration of exposure and mean maximum decibels were comparable between groups. The mean average decibel level was 92.7 dB for manual TKA, 97.6 dB for robotic TKA system A, and 92.7 dB for robotic TKA system B (P < 0.01). The mean noise dose for manual TKA was 114.1, 235.7 for robotic TKA system A, and 83.6% for robotic TKA system B (P < 0.01). The mean projected noise dose for manual TKA was 818.9, 1,936.3 for robotic TKA system A, and 667.9% for robotic TKA system B (P < 0.01). The mean TWA was 83.8 dB for manual TKA, 88.3 dB for robotic TKA system A, and 82.8 dB for robotic TKA system B (P < 0.01).</p><p><strong>Conclusion: </strong>With a mean TWA of 88.3 dB, robotic TKA system A procedure is above the limit of 85 dB set by NIOSH occupational noise exposure guidelines and is in the range of noise levels that are known to cause noise-induced hearing loss (NIHL).</p>","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Intraoperative Positive Tissue Sample Location in Predicting Septic Failure After One-Stage Septic Revision Total Hip Arthroplasty.","authors":"Taner Karlidag, Luigi Zanna, Minjae Lee, Thorsten Gehrke, Mustafa Citak","doi":"10.1016/j.arth.2025.02.034","DOIUrl":"https://doi.org/10.1016/j.arth.2025.02.034","url":null,"abstract":"<p><strong>Background: </strong>The practice of collecting various intraoperative tissue samples from diverse periarticular sites is essential for accurately identifying the responsible microorganism, making it the gold standard in the procedure for managing periprosthetic joint infection (PJI). We hypothesized that the location of positive intraoperative cultures differs significantly between patients who underwent septic revision following a one-stage exchange for hip PJI and those who did not.</p><p><strong>Methods: </strong>We conducted a retrospective case-control study at our tertiary arthroplasty center, analyzing data from January 2009 to September 2017. Our search identified 56 patients who experienced septic failure following one-stage hip revision arthroplasty for PJI. These patients were matched 1:1 by age, sex, and surgery date with a control group who had successful one-stage revision total hip arthroplasty (THA) without septic failure. Positive intraoperative tissue samples were categorized into three locations: soft-tissue, bone-prosthesis interface (superficial bone), and deep bone (intramedullary).</p><p><strong>Results: </strong>The septic failure cohort demonstrated a statistically significant increase in both the Charlson Comorbidity Index (CCI) and Body Mass Index (BMI) compared to the control group (P < 0.001 and P = 0.01, respectively). Furthermore, a significantly greater number of positive superficial and deep bone culture samples were identified within the septic failure group (P < 0.001 and P < 0.001, respectively). Additionally, regression analysis indicated that a positive deep bone culture is associated with nearly a three-fold increase in the odds of re-infection, with an odds ratio of 2.8 (95% confidence interval: 1.1 to 7.3, P = 0.031).</p><p><strong>Conclusion: </strong>A positive deep bone culture sample is significantly correlated with septic failure following a one-stage exchange for PJI of the hip. Patients exhibiting positive deep bone cultures may derive benefit from extended postoperative antibiotic therapy for the treatment of infection, as well as rigorous monitoring and evaluation of inflammatory markers during the follow-up phases subsequent to one-stage exchange arthroplasty.</p>","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Hidden Value of Elective Orthopaedic Pre-Operative Assessment: Incidental Medical Findings Requiring Investigation.","authors":"O Hennessy, S Noonan, C Skerritt, J Broderick","doi":"10.1016/j.arth.2025.02.029","DOIUrl":"https://doi.org/10.1016/j.arth.2025.02.029","url":null,"abstract":"<p><strong>Introduction: </strong>Anesthetic preoperative assessment is a cornerstone of safe elective surgery, particularly as we deal with an aging and increasingly comorbid population. Pre-assessment allows an opportunity to optimize patients for surgery and has the potential to uncover medical issues of which the patient was previously unaware. The purpose of the study was to explore the number of new incidental medical diagnoses uncovered during routine preoperative assessment for elective orthopaedic procedures.</p><p><strong>Methods: </strong>A retrospective chart review was carried out of patients attending preoperative assessment at Cappagh National Orthopaedic Hospital (CNOH) between July and December of 2022. In total, 500 patients were included. Patient demographics and outcomes of preoperative assessment, including any new medical diagnosis as well as routine hemoglobin values, body mass index (BMI), and electrocardiogram (ECG) findings, were recorded in encrypted and anonymized data files. In total, following the exclusion of incomplete or duplicated records as well as non-arthroplasty cases, 482 patients were included in this study. The average age of participants was 67 years (range, 29 to 90), with 264 (54.7%) women and 218 (45.2%) men. The majority of patients were being pre-assessed for elective joint arthroplasty.</p><p><strong>Results: </strong>The most common new incidental diagnoses were cardiac in nature, with 36 (7.5%) patients of the overall cohort requiring new onward referrals to a cardiology service. In total, 63, or 13% of patients, required new medical management, and 45 patients overall, or 9.3%, were deemed not fit to proceed to surgery at the initial pre-assessment with further investigations required.</p><p><strong>Conclusion: </strong>Preoperative anesthetic assessment plays a key role in the optimization of patients for elective orthopaedic procedures. Our study also highlights a secondary benefit of uncovering a major number of incidentally discovered new medical diagnoses, in particular cardiac. This secondarily benefits the patient by allowing for earlier detection and treatment of potentially life-threatening comorbidities.</p>","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medicare (Dis)Advantage: The Patients and Physicians.","authors":"James A Browne, Matthew P Abdel, Robert M Meneghini, Bryan D Springer","doi":"10.1016/j.arth.2025.02.017","DOIUrl":"https://doi.org/10.1016/j.arth.2025.02.017","url":null,"abstract":"","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the Accuracy of a Computed Tomography-Based Mixed-Reality Navigation Tool for Acetabular Component Positioning in Total Hip Arthroplasty.","authors":"Eric S Dilbone, Alexander F Heimann, Justin Leal, Sean P Ryan, Samuel S Wellman","doi":"10.1016/j.arth.2025.02.003","DOIUrl":"https://doi.org/10.1016/j.arth.2025.02.003","url":null,"abstract":"<p><strong>Background: </strong>Robotics and navigation systems have improved the accuracy and precision of acetabular component placement in total hip arthroplasty (THA). The purpose of this study was to determine if the intraoperative use of a novel mixed-reality (MR) navigation system resulted in accurate acetabular component placement with minimal outliers.</p><p><strong>Methods: </strong>A series of 79 patients who underwent THA performed by a single surgeon using a novel MR navigation system were retrospectively reviewed. The preoperative planned acetabular component operative inclination (OI) and tilt-adjusted operative anteversion (OA) were collected for each case. At the six-week follow-up, each patient underwent three-dimensional (3D) EOS imaging, which was used to measure the acetabular component placement via validated measuring software. Patients who had bilateral THAs or 3D images that did not have critical bony landmarks visible for measurement were excluded from the study. Absolute error was calculated for both inclination and anteversion. Outliers were defined as any cup position that was outside a range of ± 10 degrees from the preoperatively planned target.</p><p><strong>Results: </strong>A total of 39 patients met the inclusion criteria. The mean planned OI for each patient was 40.8 (range, 40 to 41) degrees, and the mean measured postoperative OI was 40.4 (range, 37 to 46) degrees (P = 0.40), resulting in a mean absolute error of 1.8 (range, zero to five) degrees. The mean planned OA was 30.2 (range, 25 to 35) degrees, and the mean measured postoperative OA was 31.1 (range, 27 to 42) degrees (P = 0.11), resulting in a mean absolute error of 2.0 (range, zero to six) degrees. There were no outliers in either OI or OA.</p><p><strong>Conclusion: </strong>The results of this study suggest that the use of MR navigation during THA results in accurate postoperative acetabular component inclination and anteversion relative to the preoperative plan without outliers.</p>","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Demographics of the American Association of Hip and Knee Surgeons and Fellowship Match Data.","authors":"Zachary C Lum, Nana O Sarpong, Molly A Hartzler, Rolanda Willacy, Obinna O Adigweme, Rinelda M Horton, Ugo N Ihehweazu, Mary I OConnor, Muyibat A Adelani","doi":"10.1016/j.arth.2025.02.016","DOIUrl":"https://doi.org/10.1016/j.arth.2025.02.016","url":null,"abstract":"","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient Frailty in Total Knee Arthroplasty: The Implementation of a Frailty Score Using an Electronic Medical Record.","authors":"Casey M O'Connor, Ameer Tabbaa, Luba Ayzenshtat, James E Feng, Afshin A Anoushiravani, Steven T Lyons, Thomas Bernasek","doi":"10.1016/j.arth.2025.01.051","DOIUrl":"https://doi.org/10.1016/j.arth.2025.01.051","url":null,"abstract":"<p><strong>Introduction: </strong>Frailty has been associated with poor outcomes and higher costs after primary total knee arthroplasty. However, the implementation of a frailty score at a level one tertiary care facility to evaluate patient outcomes has not been well described. This study examined the retrospective implementation of the Hospital Frailty Risk Score (HFRS) and the relationship of the HFRS score with 90-day readmission, revision at any time point, and length of initial hospitalization.</p><p><strong>Methods: </strong>Using our relational database from our hospitals' electronic medical record system, we identified patients who were discharged following primary TKA from 2015 to 2023. The HFRS was calculated for each patient to determine frailty. Frail patients were defined as those who had an HFRS ≥ 5 and non-frail patients had an HFRS < 5. We used regression analyses to adjust for demographic confounders to evaluate the association of patient frailty (as defined by an HFRS ≥ 5) following primary TKA and patient outcomes, including 90-day readmissions, revision TKA, and length of hospital stay.</p><p><strong>Results: </strong>Frail patients had significantly higher rates of 90-day readmission (79 versus 14), revision (30 versus 11), and length of initial hospitalization (3.5 ± 3.5 versus 2.8 ± 2.3 days) (P < 0.0001). Frail patients were at increased risk of revision TKA for mechanical loosening (0.35 versus 0.045%, P < 0.05). Also, frail patients were at significantly higher risk for readmission and revision for infection compared to the non-frail cohort (1.4 versus 0.17%, P < 0.0001; 0.81 versus 0.25%, P < 0.05).</p><p><strong>Conclusions: </strong>Frailty, measured using HFRS, is associated with increased 90-day readmission, revision, and inpatient length of stay following primary TKA. Frail patients are at significantly increased risk of infectious complications following primary TKA. This study demonstrates that the HFRS can be implemented using a common electronic medical record (EMR) and may help multidisciplinary care teams better focus preoperative optimization interventions on this high-risk cohort.</p>","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gut-Joint Axis: History of Clostridium Difficile Infection Increases the Risk of Periprosthetic Joint Infection After Total Knee Arthroplasty.","authors":"Jens T Verhey, Sayi P Boddu, Saad Tarabichi, David G Deckey, Zachary K Christopher, Mark J Spangehl, Henry D Clarke, Joshua S Bingham","doi":"10.1016/j.arth.2025.02.014","DOIUrl":"https://doi.org/10.1016/j.arth.2025.02.014","url":null,"abstract":"<p><strong>Introduction: </strong>Increasing evidence suggests that the gut microbiome is important in immune system function and influences the risk of periprosthetic joint infection (PJI) after total knee arthroplasty (TKA). A C. difficile infection (CDI) is an indicator of poor gut microbiome health. However, no prior studies have evaluated the independent risk of CDI on the rates of PJI after TKA.</p><p><strong>Methods: </strong>Patients undergoing TKA from 2010 to 2021 were identified in a patient claims database (n = 1,416,362). Patients who had a history of CDI within two years prior to TKA (n = 5,170) were propensity-matched on a 1:4 basis to those who did not have a diagnosis of CDI. The exposed CDI cohort was also stratified into four groups by time of CDI before TKA (zero to three months, three to six months, six to 12 months, and one to two years). The risk of PJI within two years following TKA was compared between the exposed and control cohorts. Logistic regression was used to evaluate the association of CDI occurring in each time interval prior to TKA and PJI after TKA.</p><p><strong>Results: </strong>A CDI within two years prior to TKA was independently associated with higher odds of PJI (OR [odds ratio], 2.1; 95% CI [confidence interval], 1.91 to 2.36). In addition, we observed a stepwise increase in the risk of PJI by the timing of preoperative CDI infection, with patients who had a diagnosis of CDI within three months of their primary TKA exhibiting the highest odds of developing PJI (OR, 4.19; 95% CI, 3.51 to 5.02). Additionally, patients who had a diagnosis of CDI within two years of undergoing primary TKA were significantly more likely to experience a subsequent episode of CDI at the latest follow-up (OR, 25.9; 95% CI, 22.3 to 30.1).</p><p><strong>Conclusion: </strong>A CDI prior to TKA is an independent risk factor for PJI. Closer proximity of CDI to surgery is associated with a \"dose-dependent\" increased PJI risk. Surgeons should consider delaying TKA until a minimum of one year after a diagnosis of CDI.</p>","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Predictors of the Forgotten Joint Score 12 in Total Knee Arthroplasty.","authors":"Weston Carpenter, Sara Strecker, Matthew Solomito, Robert James Carangelo, Daniel Witmer","doi":"10.1016/j.arth.2025.02.013","DOIUrl":"https://doi.org/10.1016/j.arth.2025.02.013","url":null,"abstract":"<p><strong>Background: </strong>Patient-reported outcomes (PRO) have become a key criterion for determining patient satisfaction following orthopaedic procedures like total knee arthroplasty (TKA). The Forgotten Joint Score 12 (FJS-12) is designed to evaluate if a patient is aware of their replaced joint. Little literature exists surrounding the predictive power of other metrics on the FJS-12. In this paper, differences in these clinical metrics were assessed between groups of patients who scored above the FJS-12 cutoff and those who did not after TKA.</p><p><strong>Methods: </strong>Patients who underwent primary elective TKA and answered all required PROs during the designated study period were included. Using an established cutoff of 33.3, patients were put in a \"Forgotten Joint Group\" or a \"Remembered Joint Group.\" This study included 672 patients who fit the criteria. Of these, 508 (76%) forgot their joints and 164 (24%) remembered their joints at twelve months. Differences in clinical metrics between the two groups were assessed for significance using univariate analyses (t-test, Chi-square, Fisher's Exact). Receiver operating characteristic (ROC) curve analysis was then used to determine the predictive value of metrics that showed these significant differences.</p><p><strong>Results: </strong>Early results from the Knee Injury and Osteoarthritis Outcome Score for Joint Replacement (KOOS-JR) and Numeric Pain Scale (NPS) were strongly correlative of the twelve-month FJS-12 score, rather than patient demographics. Patients who scored above 65.1 or 72.1 on the KOOS-JR three and six months after surgery, respectively, or below a 3 on the NPS three and/or six months after surgery were also favored to forget their replaced joint at twelve months.</p><p><strong>Conclusion: </strong>Identifying predictors of the FJS-12 allows for the recognition of at-risk patients before the twelve-month time point, facilitating earlier intervention and improving care after surgery. The scope of this analysis may be broadened in the future to include other arthroplasty procedures, such as for the hip and shoulder.</p>","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}