Journal of Arthroplasty最新文献

{"title":"Is There a Difference in the Outcomes Between Cemented and Uncemented Primary Total Knee Arthroplasty?","authors":"Hamidreza Yazdi MD , Amir Mohsen Khorrami MD , Amir Azimi MD , Luis Pulido MD , Guillermo Bonilla MD , Fatih Yildiz MD , Rocco Papalia MD","doi":"10.1016/j.arth.2024.10.083","DOIUrl":"10.1016/j.arth.2024.10.083","url":null,"abstract":"","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":"40 2","pages":"Pages S72-S74"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512511","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":"Do Functional Outcomes Differ Among Total Knee Arthroplasty Approaches at six, 12, and Beyond 18 Months of Follow-Up?","authors":"Seyed Mohammad Javad Mortazavi MD , Ali Soltani Farsani , George Babis MD , Julio Cesar Palacio MD , David Mateu-Vicent MD , Joao Mauricio Barretto MD , Mohammad Razi MD , Parag Sancheti FRCS (Ed), MS (Orth), PhD (Dundee, UK) , Mohammad Saeed MD , Eleftherios Tsiridis MD , Seyed Hadi Kalantar MD","doi":"10.1016/j.arth.2024.10.046","DOIUrl":"10.1016/j.arth.2024.10.046","url":null,"abstract":"","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":"40 2","pages":"Pages S91-S94"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710845","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":"Trends in Women Adult Reconstruction Surgeons: Fellowship Applicants and American Association of Hip and Knee Surgeons Members","authors":"Raylin Xu MD ,&nbsp;Sarah Ditelberg BS ,&nbsp;Michael A. Mont MD ,&nbsp;Adam S. Olsen MD ,&nbsp;Richard Iorio MD ,&nbsp;Antonia F. Chen MD, MBA","doi":"10.1016/j.arth.2024.07.040","DOIUrl":"10.1016/j.arth.2024.07.040","url":null,"abstract":"<div><h3>Background</h3><div>Major research and recruitment efforts have focused on diversifying the orthopaedic surgery workforce, with a focus on gender diversity. This study aimed to characterize gender trends in the adult reconstruction fellowship match and the American Association of Hip and Knee Surgeons (AAHKS) membership over the past decade. We hypothesized that there would be increases in the percentage of women adult reconstruction fellows and AAHKS members.</div></div><div><h3>Methods</h3><div>For this retrospective, descriptive study, the full names of matched adult reconstruction fellows from 2012 to 2022 were collected. For the fellowship match, genders were predicted by the Genderize algorithm. From the AAHKS database, full names, self-identified genders, and clinical statuses were extracted from January 2016 to May 2023. Descriptive statistics were analyzed. Gender trends were evaluated with logistic regression analyses. <em>P</em> values &lt; 0.05 were considered significant.</div></div><div><h3>Results</h3><div>From 2012 to 2022, 1,762 residents were matched for adult reconstruction fellowships. Women represented between 2.5 and 9.0% of matched adult reconstruction fellows per year. The percentage of matched women applicants has remained stable (<em>P</em> = 0.4). From 2016 to 2023, the membership of AAHKS grew from 2,845 to 4,159 surgical members. The number of women adult reconstruction surgeons significantly increased from 2.5 to 3.8% (2016 to 2023, <em>P</em> &lt; 0.001). At the resident level, women’s membership increased from 4.0% to 12.0% (2016 to 2023, <em>P</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Although more women orthopaedic surgeons are matching in adult reconstruction, the percentage of women adult reconstruction fellows has remained stable, with the highest level being in 2021. However, the increase in women’s membership in AAHKS is encouraging, especially at the resident and international levels. More diverse work environments can enhance patient experiences and outcomes, in addition to provider well-being and productivity. Therefore, it is prudent and essential to continue building a more diverse adult reconstruction community.</div></div>","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":"40 2","pages":"Pages 511-515.e1"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890815","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":"Failed Same-Calendar-Day Discharges: Understanding the Reasons for an Inpatient Stay Following Intended Outpatient Total Joint Arthroplasty","authors":"Duwayne P. Vermaak MBChB, MSc, MMed, MS ,&nbsp;Natacha F. Allan MBChB ,&nbsp;Kelsi A. Greenwood MSc ,&nbsp;Toni Monni MBChB, MMed, MS ,&nbsp;Frans J. Labuschagne MBChB, MMed","doi":"10.1016/j.arth.2024.08.008","DOIUrl":"10.1016/j.arth.2024.08.008","url":null,"abstract":"<div><h3>Background</h3><div>The adoption of Same-Calendar-Day discharge, or outpatient, arthroplasty has driven the evolution of care pathway protocols to optimize success rates of discharging patients home on the day of surgery. There are, however, instances where patients are unable to discharge on the same day as intended and require a stay in the hospital. This can lead to a poorer patient and provider care experience as well as incur additional costs. This study, therefore, aimed to determine the incidence of “failed” Same-Calendar-Day discharge, report the demographics of this patient population, and identify common reasons for failure of Same-Calendar-Day discharge.</div></div><div><h3>Methods</h3><div>A retrospective review of a prospectively maintained regional database of 1,002 Same-Calendar-Day discharge hip and knee arthroplasty patients was performed. Patients not discharged on the Same-Calendar-Day were converted to an Enhanced Recovery After Surgery (ERAS) pathway. The ERAS conversion cohort (n = 59) was identified, and demographics, comorbidities, and reasons for conversion were reported.</div></div><div><h3>Results</h3><div>Of 1,002 patients in the database, 59 (5.9%) did not achieve Same-Calendar-Day discharge. The most common comorbidities were hypertension (52.5%), arthritis of the spine (22.0%), and depression and anxiety (18.6%). The median length of stay for these patients was 1 night. The all-cause 90-day readmission rate of this patient group was 5.1%. Difficulty mobilizing (n = 16), nausea and vomiting (n = 14), and social circumstances (n = 11) were the primary causes of patients being converted to ERAS pathways.</div></div><div><h3>Conclusions</h3><div>Same-Calendar-Day discharge arthroplasty can be successfully achieved in the majority of the patient group, provided patients are assessed and treated under standard protocols that are adapted to the individual needs. Common hurdles encountered in Same-Calendar-Day discharge arthroplasty are mobilization, nausea and vomiting, and social circumstances.</div></div>","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":"40 2","pages":"Pages 310-313"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914502","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":"Response to “Critical Analysis of “Complication Rates Are Not Higher After Outpatient Versus Inpatient Fast-Track Total Knee Arthroplasty: A Propensity-Matched Prospective Comparative Study”","authors":"Jean-Yves Jenny MD ,&nbsp;Julien Godet MD ,&nbsp;Resurg ,&nbsp;SOFCOT Fast-Track and Ambulatory TKA Working Group ,&nbsp;SOFCOT ,&nbsp;Aymard de Ladoucette MD","doi":"10.1016/j.arth.2024.09.033","DOIUrl":"10.1016/j.arth.2024.09.033","url":null,"abstract":"","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":"40 2","pages":"Page e10"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958437","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":"Lower Extremity Arterial Calcification Predicts Referral to a Closed Unit After Primary Total Hip Arthroplasty","authors":"Ezequiel F. Martínez MD,&nbsp;Agustín M. García-Mansilla MD,&nbsp;Carlos M. Lucero MD,&nbsp;Martin A. Buttaro MD,&nbsp;Pablo A. Slullitel MD","doi":"10.1016/j.arth.2024.08.016","DOIUrl":"10.1016/j.arth.2024.08.016","url":null,"abstract":"<div><h3>Background</h3><div>We aimed to determine the association between lower extremity arterial calcification (LEAC) and referral to a closed unit (CU), length of stay, 90-day readmissions, and 1-year mortality in primary total hip arthroplasty (THA) patients.</div></div><div><h3>Methods</h3><div>We retrospectively analyzed 705 patients who underwent primary THA, identifying 64 patients (9.13%) who had LEAC and 641 who did not have LEAC. Patients who had LEAC were older (77 ± 10.0 versus 67 ± 11.5 years; <em>P</em> &lt; 0.001) and had more comorbidities, except for a history of thromboembolic and oncologic diseases (<em>P</em> &gt; 0.05). A preoperative antero-posterior pelvic radiograph was used to assess the presence of LEAC. Admission to CU, length of stay, 90-day readmissions, and 1-year mortality were recorded. A logistic regression model was used to identify risk factors for referral to CU.</div></div><div><h3>Results</h3><div>Patients who had LEAC had a higher incidence of admission to the intensive care unit (8 of 64 [12.5%] versus 8 of 641 [1.09%]; <em>P</em> &lt; 0.001), a longer hospital stay (4.7 ± 1.8 versus 4.2 ± 1.3 days; <em>P</em> = 0.006), more readmissions (16 of 64 [25%] versus 33 of 641 [5.15%]; <em>P</em> &lt; 0.001), and a higher 1-year mortality rate (6 of 64 [9.3%] versus 0 of 641 [0%]; <em>P</em> &lt; 0.001) than patients who did not have LEAC. Of the patients who had LEAC admitted to CU, only 3 of 8 had a previous indication to do so in the preoperative assessment performed by the Department of Anesthesiology, while all non-LEAC ones referred to CU did so. Logistic regression analysis showed that LEAC was a risk factor for admission to CU (odds ratio = 4.77; 95% confidence interval: 1.12 to 20.25; <em>P</em> = 0.034).</div></div><div><h3>Conclusions</h3><div>The presence of LEAC was a risk factor for transfer to CU, longer in-hospital stays, more readmissions, and a higher 1-year mortality rate. Identifying patients who have LEAC can aid in the preoperative assessment and risk stratification of patients planned for primary THA.</div></div>","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":"40 2","pages":"Pages 443-448"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005791","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":"Simultaneous Bilateral Total Hip Arthroplasty With Either the Direct Anterior or Posterior Approaches: A Propensity Score Match Study","authors":"Ricardo J. Torres-Ramirez,&nbsp;Cale Pagan MD,&nbsp;Samuel Rodriguez MD,&nbsp;Felix Oettl MD,&nbsp;Alejandro Gonzalez Della Valle MD,&nbsp;Jose A. Rodriguez MD","doi":"10.1016/j.arth.2024.08.032","DOIUrl":"10.1016/j.arth.2024.08.032","url":null,"abstract":"<div><h3>Background</h3><div>Bilateral hip osteoarthritis is evident in approximately 20% of patients who present to the clinic for evaluation of hip pain, and for those undergoing total hip arthroplasty (THA), 22% will end up needing a contralateral THA. The risk and benefits of simultaneous bilateral total hip arthroplasty (SBTHA) versus staged bilateral THA procedures have been well studied, demonstrating equivalent safety profiles comparable to unilateral and SBTHA. However, the influence of the surgical approach on SBTHA on postoperative outcomes remains unclear. We sought to compare perioperative outcomes and complication rates between the direct anterior approach (DAA) and posterior approach (PA) in patients undergoing SBTHA.</div></div><div><h3>Methods</h3><div>We performed a 1:1 propensity score match based on age, sex, and body mass index. A total of 252 patients were available after matching, 126 patients in the DAA group and 126 in the PA group. Perioperative outcomes as well as surgical complications at the latest follow-up were retrospectively collected for each group. The mean follow-up was 36.7 months (range, 12.5 to 74.4).</div></div><div><h3>Results</h3><div>A SBTHA with DAA had significantly shorter surgical time (<em>P</em> &lt; 0.001), anesthesia time (<em>P</em> &lt; 0.001), and length of stay (<em>P</em> &lt; 0.001), compared to the PA. A greater percentage of patients in the DAA group (91%) were discharged home compared to the PA group (57%) (<em>P</em> &lt; 0.001). There were no differences in in-hospital complications (<em>P</em> = 0.617), 90-day complications (<em>P</em> = 0.605), or reoperation rates (<em>P</em> = 0.309) between surgical approaches.</div></div><div><h3>Conclusions</h3><div>A SBTHA, either through the DAA or PA, can be safely performed with low complication rates. The DAA in the setting of SBTHA provides shorter surgical times, a shorter length of stay, and a greater percentage of patients discharged home.</div></div>","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":"40 2","pages":"Pages 455-459"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074495","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":"Does the Use of Robotics Improve the Outcome of Primary Total Knee Arthroplasty?","authors":"Alisagib A. Dzhavadov MD ,&nbsp;Goksel Dikmen MD ,&nbsp;Jenna A. Bernstein MD ,&nbsp;Jose I. Fregeiro MD ,&nbsp;Xiang Li MD ,&nbsp;Ming Han Lincoln Liow MD ,&nbsp;David Liu MD ,&nbsp;Bharat S. Mody MD ,&nbsp;Javad Parvizi MD ,&nbsp;Jan Victor MD","doi":"10.1016/j.arth.2024.10.058","DOIUrl":"10.1016/j.arth.2024.10.058","url":null,"abstract":"","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":"40 2","pages":"Pages S86-S87"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480011","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":"Is the Primary Goal of Total Knee Arthroplasty Soft-Tissue Balancing or Alignment Correction?","authors":"Juan D. Lizcano MD ,&nbsp;Jose A. San Juan MD ,&nbsp;Mariano Balaguer-Castro MD ,&nbsp;Ahmed A. Ebied MD ,&nbsp;Michael A. Mont MD ,&nbsp;Muhammad K. Rahim Najjad MD ,&nbsp;Daniel H. Rienzi MD ,&nbsp;Carlos A. Higuera-Rueda MD ,&nbsp;Stefan Kreuzer MD","doi":"10.1016/j.arth.2024.10.056","DOIUrl":"10.1016/j.arth.2024.10.056","url":null,"abstract":"","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":"40 2","pages":"Pages S95-S98"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480125","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":"Should Smoking Cessation Be Recommended and Required for Patients Undergoing Elective Knee or Hip Arthroplasty?","authors":"Atthakorn Jarusriwanna MD ,&nbsp;Plamen Kinov MD, DSc, PhD ,&nbsp;Simon Kovač MD, PhD ,&nbsp;Satish Kutty MBBS, MSc ,&nbsp;Richard Kyte MBBCH, FCOrth (SA) ,&nbsp;Arjun Lamichhane MBBS, MS ,&nbsp;Minjae Lee MBBS","doi":"10.1016/j.arth.2024.10.035","DOIUrl":"10.1016/j.arth.2024.10.035","url":null,"abstract":"","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":"40 2","pages":"Pages S48-S49"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480156","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}