A5021441821- Orthopaedic implants and arthroplasty
- Total Knee Arthroplasty Outcomes
- Orthopedic Infections and Treatments
- Hip disorders and treatments
- Shoulder Injury and Treatment
- Anesthesia and Pain Management
- Bone and Joint Diseases
- Musculoskeletal Disorders and Rehabilitation
- Artificial Intelligence in Healthcare and Education
- Hip and Femur Fractures
- Advanced X-ray and CT Imaging
- Pelvic and Acetabular Injuries
- Sarcoma Diagnosis and Treatment
- Surgical site infection prevention
- Venous Thromboembolism Diagnosis and Management
- Medical Imaging and Analysis
- Musculoskeletal synovial abnormalities and treatments
- Osteoarthritis Treatment and Mechanisms
- Knee injuries and reconstruction techniques
- Lower Extremity Biomechanics and Pathologies
- Cardiac, Anesthesia and Surgical Outcomes
- Orthopedic Surgery and Rehabilitation
- Bone fractures and treatments
- Reconstructive Surgery and Microvascular Techniques
- Diabetic Foot Ulcer Assessment and Management
Mayo Clinic
2016-2025
Mayo Clinic in Arizona
2016-2025
WinnMed
2011-2025
Mayo Clinic in Florida
2020-2024
University of Minnesota Rochester
2022
Stryker (United States)
2018-2021
Hospital for Special Surgery
2021
Brigham and Women's Hospital
2021
Harvard University
2021
Jacksonville College
2021
Pelvic discontinuity is an increasingly common complication of THA. Treatments this complex situation are varied, including cup-cage constructs, acetabular allografts with plating, pelvic distraction technique, and custom triflange components. It unclear whether any these offer substantial advantages.We therefore determined (1) revision overall survival rates, (2) healing rate, (3) Harris hip score (HHS) after treatment a component (4) the cost reconstructive operation compared to other...
Although some surgeons strongly advocate for one approach over the other, there are few data directly comparing direct anterior with a miniposterior total hip arthroplasty (THA).Using same advanced pain and rapid rehabilitation protocols both groups, we compared approaches respect to (1) return activities of daily living at 2 days, weeks, or months; (2) risk intraoperative early postoperative complications; (3) component position.Over 1-year period identified all consecutive, primary THAs...
Loosening of a cemented glenoid component is an important cause failure in shoulder arthroplasty. This study was developed to examine the outcome patients managed with metal-backed, bone-ingrowth as alternative component.The group included eighty-three total arthroplasties performed between 1989 and 1994. Seventy-four shoulders had diagnosis primary osteoarthritis, nine other diagnoses. All were followed radiographically clinically for minimum two years or until time revision surgery....
Abstract Background Dislocation is one of the most common complications after revision THA. Dual-mobility constructs and large femoral heads (ie, 40 mm) are two contemporary, nonconstrained bearing options used in THA to minimize risk dislocation; however, it not currently established if there a clear benefit using dual-mobility over setting. Questions/purposes We sought determine would provide reduction dislocation, rerevision for reoperation or other as compared with Methods From 2011...
The choice of surgical approach for THA remains controversial. Some studies suggest that the direct anterior (DAA) leads to less muscle damage than miniposterior (MPA), but there is little high-quality evidence indicating whether this accelerates recovery, or approach-which may be technically more demanding-is associated with component malposition complications.(1) Does DAA result in faster return activities daily living MPA? (2) have superior patient-reported outcome measures (3) improved...
Concurrent hip and spine pathologies can alter the biomechanics of spinopelvic mobility in primary total arthroplasty (THA). This study examines how differences pelvic orientation patients with fusions increase risk dislocation after THA.We identified 84 (97 THAs) between 1998 2015 who had undergone spinal fusion prior to THA. Patients were stratified into three groups depending on length lumbar whether or not sacrum was involved. Mean age 71 years (40 87) 54 (56%) female. The mean body mass...
Bariatric surgery has been advocated as a means of reducing body mass index (BMI) and the risks associated with total knee arthroplasty (TKA). However, this not proved clinically. In order to determine impact bariatric on outcome TKA, we identified cohort 91 TKAs that were performed in patients who had undergone (bariatric cohort). These matched two separate cohorts surgery. One was 1:1 those higher pre-bariatric BMI (high group), other 1:2 based lower pre-TKA (low group). group, mean before...
The aim of our study was to describe the characteristics, treatment, and outcomes patients with periprosthetic joint infection (PJI) normal inflammatory markers after total knee arthroplasty (TKA) hip (THA). In 538 TKAs 414 THAs underwent surgical treatment for PJI met inclusion criteria. Pre-operative erythrocyte sedimentation rate (ESR) C-reactive protein level (CRP) were reviewed identify seronegative cohort. An age- gender-matched cohort identified from remaining comparison. Overall, 4%...
Multimodal analgesia is standard practice for total knee arthroplasty; however, the role of regional techniques in improved perioperative outcomes remains unknown. The authors hypothesized that peripheral nerve blockade would result lower pain scores and opioid consumption than two competing periarticular injection solutions.This three-arm, nonblinded trial randomized 165 adults undergoing unilateral primary arthroplasty to receive (1) femoral catheter plus sciatic blocks, (2)...
Background: Tranexamic acid (TXA) reduces bleeding and the need for transfusion after total knee arthroplasty. Most literature has focused on intravenous (IV) administration of TXA, with less data available efficacy topically administered TXA. This multicenter randomized clinical trial specifically assessed topical TXA compared IV as measured by calculated blood loss, drain output, rates. Complications, including venous thromboembolism (VTE), were reported. Methods: A 640 patients who...
Aims Total hip arthroplasty (THA) has well known subjective benefits, but little is objectively about the recovery of mobility in early post-operative period. Patients and Methods A total 33 patients aged > 60 years who underwent elective primary THA had their activity monitored for 30 days post-operatively using an at-home (Fitbit) ankle accelerometer. Their mean age was 70.7 (61 to 86); 15 (45.5%) were female. The rate compliance level determined. Comparisons between subgroups based on...
Loss or absence of proximal femoral bone in revision total hip arthroplasty (THA) remains a significant challenge. While the main indication for use replacements (PFRs) is treatment malignant disease, they have valuable role THA loosening, fracture and infection patients with loss. Our aim was to determine clinical outcomes, implant survivorship, complications PFRs used indications other than malignancy.A retrospective review 44 who underwent using PFR between 2000 2013 undertaken. Their...
The number of revision total knee arthroplasties (TKA) that are performed is expected to increase. However, previous reports the causes failure after TKA limited in they report at specific institutions, which often dependent on referral patterns. Our aim was most common indications for re-operations and revisions a large series posterior-stabilised TKAs undertaken single institution, excluding referrals from elsewhere, may bias failure.A 5098 were between 2000 2012 included study....
Background: Povidone-iodine (PI) irrigation is often used prior to wound closure in total joint arthroplasty, but there are limited reports evaluating its efficacy decreasing infections. The goal of this study was compare the rate any reoperation for infection (both superficial and deep) primary hip arthroplasty (THA) knee (TKA) among patients who did not receive PI closure. Methods: Using our institution’s registry, we identified 5,534 THA 6,204 TKA procedures performed from 2013 2017....