Liam Yapp

Orthopaedic Surgeon @EdinOrthopaedic

[J Bone & Joint Surg @jbjs]

"One-Stage Versus Two-Stage Exchange Arthroplasty for Periprosthetic Joint Infection" by Fehring et al.

Read online at: https://t.co/BpIaW6GMMa

[The Bone & Joint Journal @BoneJointJ]

While most contemporary cement types have comparable revision rates, five were associated with a significantly higher rate of revision. Outcome monitoring for bone cement warrants scrutiny just like implant components.

#BoneCement #Orthopedics

https://t.co/Wng4FCbkNp

[J Bone & Joint Surg @jbjs]

Robotic-assisted total knee arthroplasty is designed for precision — but does pin tracker placement affect soft-tissue balance?

A randomized controlled trial found intraincisional femoral pin tracker placement may alter medial compartment soft-tissue tension during robotic-assisted TKA.

Understanding these differences may help surgeons optimize soft-tissue balancing before tracker removal.

Watch the video summary and read the article here 👉 https://t.co/Aa5TIWVV98

#orthopaedics #TKA #roboticsurgery #kneearthroplasty #JBJS

[The Journal of Arthroplasty @JArthroplasty]

Varus/valgus constrained and hinge designs provide effective stability in select TKA cases without compromising longevity. Constrained components demonstrated comparable survivorship and functional results.

https://t.co/ajeXKPhQJY

[Shaun Lintern @ShaunLintern]

🚨 BREAKING: Hip and knee ops across England will be rationed by the NHS as a major supplier of cement used in orthopaedic surgery has suffered an outage that could last months. To protect emergency trauma patients hospitals will be told to prioritise patients by NHSE today:

[Bone & Joint Open @BoneJointOpen]

Total hip arthroplasty restores health-related quality of life to population norms across propensity score matched sex and age stratifications at one year postoperatively.

#HipArthroplasty #Research #Osteoarthritis #BJO @EdinOrthopaedic @EdinburghKnee

https://t.co/sblQUqNItn

[Lee Zhao @lee_c_zhao]

Surgery is a "wicked" environment: feedback is delayed, noisy, and often biased. My essay on why experience doesn't always equal mastery, and how to learn when the feedback loops are broken.

https://t.co/mkHMtpskBV

#MedTwitter #Surgery #MedEd

[The Journal of Arthroplasty @JArthroplasty]

Repeat 2-stage revision for recurrent knee PJI yields low infection control rates and major morbidity, including a 23% amp rate. Younger patients are at greater risk of failure.

https://t.co/V3D82G44g8

[Official JAAOS @OfficialJAAOS]

Curious about how to advise patients on how and when to return to golf after an elective orthopaedic surgery?

This review from Randy M. Cohn, MD, FAAOS; Erik J. Stapleton, DO, MS; John M. Pirtle, DO, MEd; and Adam D. Bitterman, DO, FAAOS offers insights! https://t.co/5QlyEDkk0x

[J Bone & Joint Surg @jbjs]

"A Randomized Controlled Trial of a Conventional Versus Modular Dual-Mobility Bearing. Are Serum Metal Levels a Concern?" by DeBenedetti

Click here to read the full article 👉 https://t.co/k7k4OglcIT

#hip

[J Bone & Joint Surg @jbjs]

"Fractures of the Femur After Hip Joint Replacement: The Vancouver Classification After 30 Years" by Duncan et al.

Read online at: https://t.co/lF8IOl69To

[Howard Luks MD @hjluks]

Thirty Years of Ortho: What I’d Tell the Next Generation
I’ve been an orthopedic surgeon for three decades. Long enough to see techniques come and go, implants rise and fall, and the pendulum of “standard practice” swing back and forth more times than I can count.

What hasn’t changed are the pressures that come with the job… and the quiet lessons you don’t fully understand until you’ve liv,ed them.

If I were talking to the next generation—residents, fellows, the young attendings just getting their legs under them… this is what I’d tell them.

You can’t build a meaningful career on RVUs. You can meet every target and still feel empty. A career that lasts is built on trust, judgment, and relationships. You don’t measure that in productivity metrics.

A good surgeon listens more than they talk. People think surgery is a technical field, but the real work is in understanding what someone is actually asking of you. Most patients are just scared. They don’t need your scalpel, no matter what the MRI shows. Half the mistakes in this profession start with bad listening.

Master the anatomy. Master the craft. But learn the limits too. Early in your career, you’re focused on what you can do. With experience, you start to appreciate what you shouldn’t do. Judgment is a superpower.

Protect your time, or the system will take every minute you allow it to.

Learn to say no!!! There’s no shortage of demands. Notes. Inboxes. Meetings. Every one of them feels urgent. Some of you might actually feel important when you go to meetings... But... None of them is worth sacrificing your sanity or the people waiting for you at home.

Seek colleagues, not titles. Promotions and committee seats feel important for a season, but it’s just fluff, and nothing gets accomplished in those meetings anyway.

Your strength matters more than you realize. Not your technical strength—your physical and emotional strength. You can’t take care of people if your own health fades. Move, lift, sleep, and protect your energy. A worn-out surgeon becomes brittle.

Be the doctor you’d want for your family.

You need a life outside the operating room if you want a long life inside it. The surgeons who last aren’t the ones who work the most—they’re the ones who stay grounded. They have people they care about, interests that pull them away from medicine, and enough perspective to know that identity and work are not the same thing.

Thirty years in, the operations are only part of the story. What keeps you going is the purpose behind the work—helping people move, reassuring them when they’re scared, giving them back pieces of their life.
That’s the part that never gets old.

[The Lancet Rheumatology @TheLancetRheum]

NEW RESEARCH—Assessing clinical and cost effectiveness of total versus partial knee replacement (TOPKAT): 10-year follow-up of a multicentre, randomised controlled trial https://t.co/khnyd3ndtY

[J Bone & Joint Surg @jbjs]

"Mean Body Mass Index Does Not Increase or Decrease at 10 Years After Primary Total Hip or Knee Arthroplasty" by Karczewski et al. 

Read the full article - https://t.co/6ZGRK7cjC5 

#hip #knee

[The Journal of Arthroplasty @JArthroplasty]

There is no clinical advantage of routine patellar resurfacing at 5yr f/u. Resurfacing may reduce anterior knee pain, it also introduces risks such as fracture and maltracking. These findings support a more selective approach.

https://t.co/5I5cbpJftL

[The Bone & Joint Journal @BoneJointJ]

The aim of this study was to describe the ten-year survival and PROMs following revision TKA using a condylar constrained knee arthroplasty.

#PROMs #TKA #KneeArthroplasty @lzyapp @EdinburghKnee

https://t.co/4HTpuZLoQg

[Prof Fares Haddad @bjjeditor]

A further excellent piece of work from the group in Edinburgh highlighting the very real cost of patients having to wait for hip and knee arthroplasty.

#WaitingList #Arthroplasty #NHS @EdinburghKnee

https://t.co/3pzQbulhlh

[The Bone & Joint Journal @BoneJointJ]

The aim of this study was to investigate how the time waiting for surgery can influence the overall cost and gains in QALYs over a ten-year period following THA or TKA.

#THA #TKA #Arthroplasty #NHS #WaitingList @EdinburghKnee

https://t.co/YzW5s4FcfS

[The Journal of Arthroplasty @JArthroplasty]

Acetabular cups with no screws had the lowest rate of all-cause revision, aseptic revision, and revision for acetabular loosening. If screws are inserted, there is no difference in results depending on the # of screws inserted or the total screw length.

https://t.co/u5lCdCzfrb

[The Journal of Arthroplasty @JArthroplasty]

This series demonstrated in vivo damage of DM THA components following short-term-to-midterm (0-5yr) implantation, with overall mild-to-mod fretting and corrosion scores.

https://t.co/nqurbm7zG3