- Orthopaedic implants and arthroplasty
- Orthopedic Infections and Treatments
- Total Knee Arthroplasty Outcomes
- Hip disorders and treatments
- Infectious Diseases and Tuberculosis
- Surgical site infection prevention
- Cardiac, Anesthesia and Surgical Outcomes
- Breast Lesions and Carcinomas
- Breast Cancer Treatment Studies
- Hip and Femur Fractures
- Sarcoma Diagnosis and Treatment
- Cancer Diagnosis and Treatment
- Global Cancer Incidence and Screening
- Bone fractures and treatments
- Anesthesia and Pain Management
- Surgical Sutures and Adhesives
- Hemoglobin structure and function
- Musculoskeletal Disorders and Rehabilitation
- Bone Tumor Diagnosis and Treatments
- Pelvic and Acetabular Injuries
- Pancreatic and Hepatic Oncology Research
- Intraperitoneal and Appendiceal Malignancies
- Health and Conflict Studies
- Osteomyelitis and Bone Disorders Research
- Cultural and Social Studies in Latin America
Cleveland Clinic Florida
2020-2024
Fundación Universitaria Sanitas
2017-2022
Cleveland Clinic Lerner College of Medicine
2022
Case Western Reserve University
2022
Rothman Institute
2014-2020
Thomas Jefferson University
2014-2020
University of Washington
2018-2020
Rothman Orthopaedics
2019-2020
University of Washington Medical Center
2020
Tehran University of Medical Sciences
2018
Two-stage exchange arthroplasty remains the preferred method to treat periprosthetic joint infection. The aim of this study was investigate clinical course infection following resection and insertion a spacer.Our institutional database used identify 504 cases (326 knees 178 hips) treated with spacer as part two-stage arthroplasty. A review patient charts performed extract information relevant objectives that included details arthroplasty.The mean follow-up duration after initial implantation...
It is strongly recommended that tissue and synovial fluid culture samples be obtained during reimplantation performed as part of a 2-stage exchange arthroplasty. The rate positive cultures the influence on subsequent outcomes, to our knowledge, are unknown. This study was designed determine investigate association between at outcomes.We retrospectively reviewed data 259 patients who met Musculoskeletal Infection Society criteria for periprosthetic joint infection (PJI) underwent both stages...
An overall assessment of how patient demographic characteristics and comorbidities are improving or worsening can allow better understanding the value revision total joint arthroplasty (TJA). Therefore, purpose this study was to identify trends episode-of-care outcome from 2008 2018 in patients undergoing TJA.The National Surgical Quality Improvement Program database queried characteristics, comorbidities, outcomes TJA (n = 45,706). Pairwise t tests pairwise chi-square were performed on...
Background: Many surgeons add topical antibiotics to irrigation solutions assuming that this has a local effect and eliminates bacteria. However, prior studies have suggested the addition of solution confers little benefit, adds cost, may potentiate anaphylactic reactions, contribute antimicrobial resistance. We sought compare efficacy cytotoxicity an containing polymyxin-bacitracin with other commonly used solutions. Methods: Staphylococcus aureus Escherichia coli were exposed (500,000-U/L...
Revision total hip arthroplasty (THA) can be successfully performed through the direct anterior (DA) approach. Patient positioning, surgical approach and specific instruments are important for obtaining adequate exposure. Acetabular exposure facilitated by capsular release correct placement of retractors. Distal proximal extension incision, as well a femoral extended trochanteric osteotomy (ETO) to increase The purposes this article describe DA approach, provide techniques revision THA...
After the successful treatment of periprosthetic joint infection (PJI), patients may present with degenerative disease in another symptoms severe enough to warrant arthroplasty. However, it is not known whether a history treated PJI at one site will have an increased risk second arthroplasty site.The primary objective this study determine if there difference developing after total hip (THA) or knee (TKA) who had previous anatomic compared no PJI. The secondary other potential factors that...
Underweight (UW) patients undergoing total hip arthroplasty have exhibited higher complication rates, including infection and transfusion. No study to our knowledge has evaluated UW knee (TKA) patients. We, therefore, conducted a investigate if these are at increased risk for complications, transfusion.A case-control was using prospectively collected institutional database. Twenty-seven TKA were identified as (body mass index [BMI] < 18.5 kg/m2) from 2000-2012 matched age, gender, date of...
Background: Although periprosthetic joint infection (PJI) can affect multiple joints concurrently, the majority of patients with prosthetic present PJI a single joint. Data regarding optimal management these are limited. We aimed to identify prevalence, risk factors for subsequent PJI, and clinical circumstances in joints. Methods: retrospectively reviewed records 197 ≥2 total prostheses place who presented from 2000 2017. The average follow-up was 3.6 years (range, 0.5 17 years)....
Blood conservation and reduction in the need for allogeneic blood transfusion (ABT) has been a subject of importance total hip arthroplasty. There are number well-recognized parameters that influence loss during arthroplasty (THA). The role surgical approach on rate ABT THA is not well studied. hypothesis this study was lower with direct anterior (DA) approach.In case-control retrospective cohort study, we analyzed 1,524 primary THAs performed at single institution by seven...