The Journal of Arthroplasty

The Journal of Arthroplasty brings together the clinical and scientific foundations for joint replacement of the hip and knee.

[The Journal of Arthroplasty @JArthroplasty]

AI-based analyses can accurately and consistently evaluate postop THA x-rays. One system showed the best balance between sensitivity/specificity, AI-assisted interpretation may serve as a reliable adjunct to clinical f/u for early complication prediction.

https://t.co/ARHS2YR7UY

[The Journal of Arthroplasty @JArthroplasty]

There is significant regional variation regarding the prevalence of cemented femoral fixation used to treat FNFs with either HA or THA in the US. Cemented fixation resulted in a lower risk of ppfx and revision.

https://t.co/bChPqtihyC

[The Journal of Arthroplasty @JArthroplasty]

Visible component motion under compression, distraction, IR, or ER of the leg emerged as the key indicator. These findings contribute to more standardized intraop assessment and provide a reference in the absence of intraop techniques.

https://t.co/woXFx5QZIN

[The Journal of Arthroplasty @JArthroplasty]

After-hours hemiarthroplasty was independently associated with prolonged operative times, increased blood losses, higher transfusion requirements, and a higher observed risk of PJIs, although the latter finding was based on a small number of events.

https://t.co/IRFEE4u265

[The Journal of Arthroplasty @JArthroplasty]

Periarticular hardware retention in conversion TKA was associated with increased OR time, blood loss, and early complications, especially with plates or intramedullary nails, it was not associated with higher reop rates or 2yr PROMs.

https://t.co/v9ybKN0ffI

[The Journal of Arthroplasty @JArthroplasty]

This study reinforced the fact that kneeling and/or squatting cannot be achieved in roughly 2/3 of patients after knee arthroplasty. Optimizing preop BMI, ROM, and kneeling through targeted prehab and counseling may enhance satisfaction and recovery.

https://t.co/zaIPyaasMq

[The Journal of Arthroplasty @JArthroplasty]

This series of MDM bearings in primary THA shows excellent functional outcomes at 10 years of follow-up with no failures related to the MDM bearing. It is an excellent alternative in primary hip arthroplasty for patients at higher risk of instability.

https://t.co/r35XhaavD0

[The Journal of Arthroplasty @JArthroplasty]

Cementless collared, metadiaphyseal-filling stems were associated with an increased risk of revision for PPFx in the treatment of FNFs when compared to cemented stems. There is an increased risk of aseptic loosening compared to cementless CMDF stems.

https://t.co/8eHRRAGBvi

[The Journal of Arthroplasty @JArthroplasty]

EOAP was associated with a significantly increased risk of PJI and revision surgery, supported by Kaplan-Meier analysis. Subgroup analysis of lower-risk patients upheld these results in PJI.

https://t.co/rtQfUslwiY

[The Journal of Arthroplasty @JArthroplasty]

Morbid obesity is associated with increased postop infection and return to the OR following THA. However, patients who had a BMI ≥ 40 demonstrated substantially greater medical complexity, risk is influenced by both BMI and comorbidity burden.

https://t.co/KHKVAqDgsO

[The Journal of Arthroplasty @JArthroplasty]

Preoperative cryoneurolysis was associated with reduced opioid utilization and lower pain scores following TKA. Our findings support cryoneurolysis as an opioid-sparing adjunct within multimodal perioperative pathways.

https://t.co/xWdrB14ISs

[The Journal of Arthroplasty @JArthroplasty]

A preop algorithm with CTA and endovascular intervention mitigates vascular risks in revision THA with intra-pelvic migration. Balloon catheter placement and arterial coiling offer targeted vascular protection, enabling safer surgical execution.

https://t.co/aaW8Ww6dQs

[The Journal of Arthroplasty @JArthroplasty]

Keloid was associated with significantly higher arthrofibrosis rates 1 and 2yr post-TKA compared to matched controls.

https://t.co/HFJ9FaptKV

[The Journal of Arthroplasty @JArthroplasty]

Conversion of PFA to TKA was associated with improved function and modest survivorship. Pre-conversion lateral patellar tilt of ≥ 10° was associated with patellar component revision at conversion and may aid surgical planning and patient counseling.

https://t.co/xwGaft5eWc

[The Journal of Arthroplasty @JArthroplasty]

Most TKA patients resumed hunting and fishing 6mo. The high rates of return and willingness to recommend TKA underscore its functional benefits for outdoor recreational pursuits.

https://t.co/nkOzMNhRLl

[The Journal of Arthroplasty @JArthroplasty]

AI assistance in arthroplasty research has increased significantly since the release of LLMs. Its disproportionately utilized by high-productivity authors, not non-English-speaking authors. Adoption is driven by research efficiency and scalability.

https://t.co/agE8vaV9GB

[The Journal of Arthroplasty @JArthroplasty]

Cost per admission for revision hip arthroplasty for prosthetic loosening increases suggest that while costs may fall, admission costs will continue to rise, posing a challenge for policymakers, insurers, and ortho surgeons in the coming years.

https://t.co/FyKDqnHMjS

[The Journal of Arthroplasty @JArthroplasty]

MRI-based quantitative indices, including volumetric and slice-based parameters, are associated with femoral head collapse in ONFH. Combined assessment of volumetric and depth-related parameters may improve risk stratification.

https://t.co/5n2i3gDuJ6

[The Journal of Arthroplasty @JArthroplasty]

Periprosthetic hip and knee fractures are a rapidly growing source of healthcare utilization in the US. The increasing volume, high acuity, and projected growth of these injuries highlight the need to mitigate their expanding clinical and economic impact.

https://t.co/hdAakcdoPq

[The Journal of Arthroplasty @JArthroplasty]

A THA for Crowe IV dislocation after Schanz osteotomy improved function and patient satisfaction, with acceptable implant survivorship; complication and revision rates remained substantial. Preop mobility aid use was associated with poor outcomes.

https://t.co/ONvVAsj8UY