The Shift to Outpatient Total Hip and Knee Arthroplasty: Perioperative Work Has Not Changed
Total hip (THA) and knee arthroplasty (TKA) are increasingly being performed on an outpatient basis. Due to this shift in the site of service, the volume and complexity of the work required for these procedures may be affected. The purpose of this study was to quantify the amount of perioperative work performed by the surgeon and advanced practice providers for same-day THA and TKA.
Source: The Journal of Arthroplasty
Comparison of Outcomes Between Modular Dual Mobility and Conventional Hip Implants in Primary, Elective Total Hip Arthroplasty
Modular dual mobility designs (MDM) are designed to reduce the risk of postoperative dislocations following primary total hip arthroplasty (THA). This study investigated both the usage and outcomes (ie, patient-reported outcomes and complications) associated with MDM hips compared with conventional implant designs.
Aerobic exercise found to be most effective for knee osteoarthritis
For patients with knee osteoarthritis, aerobic activities such as walking, cycling, or swimming are likely to be the best exercise for improving pain, function, gait performance, and quality of life, finds a study published by The BMJ today.
Hip Weakness May Contribute to Knee Pain
If you have knee pain or other knee problems, your physical therapist may pay close attention to your hips and the strength of your hip muscles. Why? Because your hip muscles, like the gluteus medius, control the position of your knees when you are walking, running, or jumping.
Efficacy of Lower Limb Wearables to Assess Recovery Following Total Hip or Knee Arthroplasty: A Systematic Review and Meta-Analysis
The purpose of this review was to assess the use of lower-limb wearable sensors in monitoring total hip arthroplasty (THA) or total knee arthroplasty (TKA) recovery. Outpatient postoperative assessment routinely focuses on patient-reported outcome measures (PROMs), which can be limited by ceiling effects and subjective reporting. Wearable sensors provide objective, real-time, remote data, enabling recovery tracking, rehabilitation protocol adjustments, and patient exercise adherence. Lower-limb sensors are particularly useful, as close proximity allows monitoring of clinical outcomes specific to the affected joint.
Successful management of PJI occurred in about 50% of patients
Results presented at the Musculoskeletal Infection Society Annual Meeting showed successful management of periprosthetic joint infection occurred in a little more than half of cases after total joint arthroplasty.
In-Hospital Exposure and Opioids Prescribed After Total Knee Arthroplasty
Opioids are frequently used intraoperatively and during post-anesthesia care unit (PACU) care in total knee arthroplasty (TKA) cases and are commonly prescribed after surgery despite known adverse effects. This study examined whether in-hospital opioid exposure is related to postoperative opioid prescribing in opioid-naïve TKA patients.
How small changes in walking technique may help treat knee osteoarthritis
Gait analysis and pain measures show that subtly adjusting the angle of the foot during walking may reduce knee pain caused by osteoarthritis. This approach may also slow progression of the condition, an incurable disease in which the cartilage cushion inside a joint breaks down.
The Femoral Head Edema Zone: A Novel Classification Scheme to Better Predict Osteonecrosis Progression
This study proposed a new classification, the Edema Zone classification, that uses Magnetic Resonance Imaging (MRI) images to grade the extent of edema in osteonecrosis of the femoral head (ONFH). The purpose of the study was 1) to examine how the Edema Zone classification compared to the Japanese Investigation Committee (JIC) classification’s prognostic ability for early conversion to total hip arthroplasty (THA), and 2) to determine how accurately and reliably the Edema Zone classification performed as a classification system.
Total hip arthroplasty versus hemiarthroplasty for displaced femoral neck fracture: an overview of systematic reviews total hip arthroplasty versus hemiarthroplasty for displaced femoral neck fracture: an overview of systematic reviews
Hip arthroplasties for the treatment of displaced femoral neck fractures in adults can be total replacement or hemiarthroplasty. Despite the large number of studies on the topic, the best choice of arthroplasty to be used remains unclear.
