The Journal of Arthroplasty @JArthroplasty Twitter profile

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The Journal of Arthroplasty

@JArthroplasty

4 years

For patients receiving an arthroplasty after a femoral neck fracture, cemented fixation of the stem leads to significantly decreased mortality compared to cementless fixation. @ExeterHipUnit @hugortopedista @jointdocShields @EdinburghKnee Visual abstract by @jaimelbellamyDO

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The Journal of Arthroplasty

@JArthroplasty

5 months

Safe zone of an ischial screw in the sagittal plane was 17deg anterior to 13deg posterior to the ref line from the ASIS through the center of the acetabulum.

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143

The Journal of Arthroplasty

@JArthroplasty

3 years

#Surgeonofthemonth : Hugo Rodríguez, MD @hugortopedista [Colombian, HIP Professor at @HIUSJ_Bogota @MI_FUCS ] Fun Facts: Usually the shy one Strives to increase Latin representation in ortho research Enthusiastic to learn with people around the world! #orthotwitter #medtwitter

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The Journal of Arthroplasty

@JArthroplasty

3 years

JOA #Surgeon of the month: John Shields, MD, FAAOS @jointdocShields [md: @UVA r: @WakeHealthOrtho f: @NEBHortho fellowship director @WakeHealthOrtho ] Fun facts: knew he was ortho since 9th grade his stutter is a strength, making him a better listener than speaker #orthotwitter

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The Journal of Arthroplasty

@JArthroplasty

11 months

Hemiarthroplasty may improve outcomes for patients with unstable intertrochanteric fractures. It remains a good option in the hands of experienced surgeons.

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108

The Journal of Arthroplasty

@JArthroplasty

1 year

Conflict between the altered biomechanics of the stiff spine and a reconstructed hip occurs in a small percentage of patients and can result in instabilities, dislocations, and revisions. Read the editorial for free here:

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The Journal of Arthroplasty

@JArthroplasty

1 year

Removal of hardware performed concurrently or within 3mo of #TKA is associated with increased odds of #PJI at 1yr postop. Do you remove HW concurrent or stage removal? #VA by @DrJRLex

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The Journal of Arthroplasty

@JArthroplasty

4 years

The Dorr classification of femoral canal width: Often discussed and referenced, rarely calculated (math is hard). Measuring the isthmus of the femur alone may alert surgeons of potential issues when using a broach only THA system. @AAHKS

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The Journal of Arthroplasty

@JArthroplasty

3 years

The mortality rate for patients who undergo a septic revision for a #TKA is over 20% at 5 years. Very sobering data from @UniofNottingham hospitals @jaimelbellamyDO with the VA

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The Journal of Arthroplasty

@JArthroplasty

9 months

Rivaroxaban chemoprophylaxis following TKA and THA was associated with an increased risk of bleeding and prothrombotic complications compared to aspirin and enoxaparin. What do you use?

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The Journal of Arthroplasty

@JArthroplasty

2 years

Who wears a surgical helmet system? The New Zealand Joint Registry found a lower rate of #PJI after #TKA with their use. @womenAAHKS @jointdocShields @NaanDerthaal @generalorthomd @ashtongoldmanmd @JennaBernstein7

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The Journal of Arthroplasty

@JArthroplasty

1 year

This study proposes a new classification system for #THA stems with and without modularity.

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The Journal of Arthroplasty

@JArthroplasty

4 years

We are trying to get to 5000 followers by the end of the year. We have two weeks left. Like, repost and follow if you would like to help us achieve our goal!

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The Journal of Arthroplasty

@JArthroplasty

4 years

More than 1 in 5 of revision #TKAs will fail according to this study from @OCResearchInst @OrthoCarolina @Sodum65 @CMC_OrthoRes @AtriumHealth Visual abstract by @DrChadKrueger

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The Journal of Arthroplasty

@JArthroplasty

1 year

“Ream-first” & “reduce-first” for treatment of Vancouver type B2 PPFx show similar stability and stem fixation. It is up to the surgeon to decide while considering other patient-specific factors. Read more for free here:

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The Journal of Arthroplasty

@JArthroplasty

10 months

For high-risk candidates, articulating spacers can preserve knee function, reduce morbidity from second-stage surgery, and lower the costs with similar rates of infection clearance as 2-stage exchange.

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The Journal of Arthroplasty

@JArthroplasty

2 years

"A 30-day low or high dose aspirin regimen remains optimal for prevention of VTE without increasing major bleeding events in TKA patients." @RothmanOrtho @ResearchAtJeff @ParviziJavad

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The Journal of Arthroplasty

@JArthroplasty

2 years

What kind of orthobiologics (if any) are you using for knee OA? Learn about all the studies below. @womenAAHKS @kimtuckinAZ @CenterRotation @alexusmcooper @KevinWeiszMD @DrPeterGold @BrdgPlt2Nowhere #PRP #stemcells

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The Journal of Arthroplasty

@JArthroplasty

3 years

Very interesting and powerful study from @nyulangone looking at the utility of vancomycin powder and iodine during #TJA to decrease infection. Thoughts? @AAHKS @carhigueramd @ParviziJavad @ICMPhilly @DrJessMorton with the VA

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The Journal of Arthroplasty

@JArthroplasty

2 years

Dilute Povidone-Iodine for irrigation in #TJA : Who uses it? Who is opposed to it? @BrianChalmersMD @carhigueramd @OrthoCarolina @ParviziJavad @EdinburghKnee @semarwinmd

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The Journal of Arthroplasty

@JArthroplasty

2 years

#OrthoTwitter : What is your criteria to decide cemented or cementless for #hip arthroplasty? @womenAAHKS @EdinburghKnee @jointdocShields @CenterRotation @BrdgPlt2Nowhere @DrMarecek

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The Journal of Arthroplasty

@JArthroplasty

9 months

No THA approach is superior to another, but certain patient cohorts may benefit more from specific approaches. Women with a BMI ≤ 25 should consider an anterior approach, BMI ≥ 42 a lateral approach, BMI ≥ 46 a posterior approach.

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The Journal of Arthroplasty

@JArthroplasty

1 year

Automated impaction in #THA is a safe technique for femoral preparation, which resulted in improved stem coronal alignment, optimized canal fill within the proximal femur, and reduced operative times. Read more for free here:

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The Journal of Arthroplasty

@JArthroplasty

2 years

Robotic #TKA was longer and costlier than manual for experienced surgeons, without clinically significant differences in LOS or complications. @womenAAHKS @kimtuckinAZ @CenterRotation @KevinWeiszMD @BrdgPlt2Nowhere @DrPeterGold @JennaBernstein7

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The Journal of Arthroplasty

@JArthroplasty

5 years

Will this study change anyone's practice or the discussions they have with their anesthesia teams? Certainly interesting data... @aspauldi

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The Journal of Arthroplasty

@JArthroplasty

11 months

Gloves Contamination during Revision Surgery for Periprosthetic Joint Infection

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The Journal of Arthroplasty

@JArthroplasty

3 years

Mandatory reading @AAOSAdvocacy @AAHKS @AAHKS_YAG @AAOS1 @CMSGov

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The Journal of Arthroplasty

@JArthroplasty

4 years

As some areas look to start elective surgeries again, @ParviziJavad @stefaanvo @EmanueleChisari @hipkneedr @DrChadKrueger provide some points for consideration to keep everyone safe @AAHKS

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The Journal of Arthroplasty

@JArthroplasty

4 years

Should we be using more high-offset stems in #THA patients deemed 'high risk' for dislocation? Compelling data from @HipSurgeryNYC @HSSProfEd @hssarjr @KeckMedUSC @DrChadKrueger with the visual abstract

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The Journal of Arthroplasty

@JArthroplasty

4 months

This study forms the basis for identifying critical evidence supported by clinical practice for wound management to help reduce variability, advance standardization, and ultimately improve outcomes during TKA.

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The Journal of Arthroplasty

@JArthroplasty

3 years

It seems pretty clear at this point that cementing hip stems for #THAs or hemiarthroplasties after femoral neck fractures decreases the risk of periprosthetic fracture @heckmannortho @UCLAortho @AAHKS

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The Journal of Arthroplasty

@JArthroplasty

2 months

In this large-series of patients >65 years of age undergoing primary THA, collared-cementless stems had a nearly 3-fold decrease in risk for early PPF compared to non-collared cementless stems.

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The Journal of Arthroplasty

@JArthroplasty

4 years

Study from @KPSCALnews comparing the complications and revision rates between the #DAA and #PL approaches. Will let the audience take up the discussion from here... @DrLeeRubin @ashtongoldmanmd @jaimelbellamyDO Visual abstract by @DrChadKrueger

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The Journal of Arthroplasty

@JArthroplasty

4 years

#THA ... "choice of surgical approach can be left to the discretion of surgeons and patients without fear of differential early outcomes" @jaimelbellamyDO with the #VA @BrianChalmersMD @DrLeeRubin @ashtongoldmanmd @AAHKS

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The Journal of Arthroplasty

@JArthroplasty

9 months

End-stage hip osteoarthritis was not associated with an increased prevalence of adverse spinopelvic characteristics compared to matched, asymptomatic volunteers. Age and LLstanding are the strongest predictors of lumbar spine flexion.

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The Journal of Arthroplasty

@JArthroplasty

4 years

More data from @ParviziJavad and his group supporting the use of low dose aspirin for VTE prophylaxis for 4 weeks postoperatively. Visual abstract by @jointdocShields

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The Journal of Arthroplasty

@JArthroplasty

4 months

Mixed-component DM articulations show similar results compared to matching components. When encountering a well-fixed femoral stem or acetabular shell, the use of a mixed component DM articulations may reduce the morbidity for the patient.

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The Journal of Arthroplasty

@JArthroplasty

3 years

Love this!!!

A.T. Mameghani, MD 🇨🇭🇺🇦🇮🇱

@atmghn

3 years

this is so ortho. must have! #orthotwitter

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The Journal of Arthroplasty

@JArthroplasty

9 months

Patients with medial compartment OA and underwent #UKA had significantly lower joint awareness, decreased pain, improved function, and higher satisfaction than matched TKA patients at minimum 5yr follow-up while maintaining excellent survivorship.

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The Journal of Arthroplasty

@JArthroplasty

4 years

For #THA - Do whatever approach you are most comfortable with. The majority of patients will do well. @HipSoc @AAHKS @UofR @DrChadKrueger with the visual abstract

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The Journal of Arthroplasty

@JArthroplasty

3 years

Understanding conflicts is an important part of understanding literature. Interesting study from @RothmanOrtho looking at this with robotic TKAs. @AAHKS VA by @DrPeterGold

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The Journal of Arthroplasty

@JArthroplasty

2 years

Compared to primary THAs performed with the PA, DAA cases had a lower risk of dislocation, higher survivorship with dislocation as an endpoint, and a lower risk of revision for instability in this single institution cohort. @AAHKS_YAG

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The Journal of Arthroplasty

@JArthroplasty

1 year

Good things come to those who wait! If staging #TKAs is considered, a delayed interval of at least 6 weeks between may significantly reduce revision and major complications. Free access here:

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The Journal of Arthroplasty

@JArthroplasty

3 years

Unless you have a concern, more than one post-op radiograph after #TJA probably isn't necessary..and adds a lot of $$$. How often are you taking post op rads? @AAHKS @Dr_Stambough @BrianChalmersMD @kate_wynne @uiowa

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The Journal of Arthroplasty

@JArthroplasty

1 year

What are your reasons to use or not use a TNQ (tourniquet) for #TKA ? This RCT study showed no difference in blood loss, pain, or PROMs. @CenterRotation @alexusmcooper @kimtuckinAZ @alexgab_MD @DrPeterGold @KevinWeiszMD @BrdgPlt2Nowhere @Ortho_Deck

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The Journal of Arthroplasty

@JArthroplasty

3 years

UKAs are great!!! (and maybe a better option that HTOs...) @AAHKS @NuelleSportsMD @jaimelbellamyDO

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The Journal of Arthroplasty

@JArthroplasty

2 months

Cementless TKA provides durable biologic fixation and successful long-term results with improved operating room efficiency.

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The Journal of Arthroplasty

@JArthroplasty

1 year

Selective DM utilization did not reduce 90d readmissions or reoperations following #THA . Other dislocation-mitigation strategies may have masked any benefits of selective DM use. Read more for free here:

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63

The Journal of Arthroplasty

@JArthroplasty

4 years

Patients above the age of 90 undergoing fixation of hip fractures have increased serious adverse events. However, waiting 2+ days to perform the surgery appears to decrease those risks @DrChadKrueger @HSSProfEd @JofOrthoTrauma membership- your thoughts??

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The Journal of Arthroplasty

@JArthroplasty

1 year

How do you tame the GT fracture? @womenAAHKS @KevinWeiszMD @kimtuckinAZ @alexusmcooper @CenterRotation @DrPeterGold @BrdgPlt2Nowhere @BrianChalmersMD @HSpecialSurgery

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The Journal of Arthroplasty

@JArthroplasty

4 years

Aspirin vs Direct Oral Anticoagulants (DOACs) for #VTE prophylaxis after #TKA and #THA . Maybe (DOACs) aren't the enemy after all? @AAHKS @JointRegistry @DrChadKrueger with the Visual Abstract

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The Journal of Arthroplasty

@JArthroplasty

3 years

Streamlining your surgical instrument trays can save hundreds of thousands of dollars each year @AAHKS @AAOSmembers @ResearchAtJeff @RothmanOrtho

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The Journal of Arthroplasty

@JArthroplasty

4 years

Great article highlighting the importance of filling the canal in the coronal plane for cementless #THA .

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The Journal of Arthroplasty

@JArthroplasty

2 years

Registry data has its flaws but this is a thought-provoking article on #UKA vs #TKA @AAHKS

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The Journal of Arthroplasty

@JArthroplasty

3 years

More technology to use during #TKAs , more precision in the operating room, but still no improvement in short-term patient outcomes. @AAHKS @DrChadKrueger with the VA

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65

The Journal of Arthroplasty

@JArthroplasty

2 years

Patients undergoing THA after HA are at an increased risk for surgical complications, as well as the need for revision surgery @sportsmedAOSSM @AAHKS

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64

The Journal of Arthroplasty

@JArthroplasty

9 months

Large cementless hip stems have a higher revision rate due to periprosthetic fracture than small-medium stems. Using a collared stem reduces the rate of periprosthetic fracture.

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The Journal of Arthroplasty

@JArthroplasty

4 years

Limb length discrepancy is a relatively common post-op complaint after #THA . This article explores how using intra-op radiographs may be able to assist. @DrChadKrueger with the visual abstract

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63

The Journal of Arthroplasty

@JArthroplasty

3 years

Good information for those patients above the age of 90 who are in need of a hip or knee replacement. @AAHKS @MayoClinic @MayoOrthoRes @DrJessMorton

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The Journal of Arthroplasty

@JArthroplasty

7 months

The optimal combined anteversion to avoid anterior dislocations in THA performed through the DAA should be less than 60°.

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62

The Journal of Arthroplasty

@JArthroplasty

4 years

The "avoidance of [TKA] surgery should not necessarily be regarded as an indicator of success of nonoperative treatment" for patients with knee arthritis. @AAHKS @TheABFM Visual abstract by @DrChadKrueger

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The Journal of Arthroplasty

@JArthroplasty

1 year

What is the Fate of Undisplaced Femoral Neck Fractures Treated with Cannulated Screws?

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The Journal of Arthroplasty

@JArthroplasty

3 years

Is patellar denervation during #TKA making a comeback??? @AAHKS @DrJessMorton

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The Journal of Arthroplasty

@JArthroplasty

3 years

"For patients without symptoms attributable to the TJA prosthesis, conducting virtual care visits without routine radiographs may be considered" If you don't have a reason to X-ray, don't get an x-ray. @uihealthcare @uiowa @AAHKS @jointdocShields

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The Journal of Arthroplasty

@JArthroplasty

3 years

30 days of #ASA appears to work well for most patients for #VTE prophylaxis after #TJA . @RothmanOrtho @ResearchAtJeff @ParviziJavad @ICMPhilly

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The Journal of Arthroplasty

@JArthroplasty

2 years

Should you worry about a UTI prior to #TJA ? This study found patients are at risk of #PJI . @womenAAHKS @kimtuckinAZ @JennaBernstein7 @CenterRotation @KevinWeiszMD @BrdgPlt2Nowhere

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The Journal of Arthroplasty

@JArthroplasty

2 years

"Compared to the CR, an UC insert did not increase revision rates and was actually lower than a PS insert." which poly/technique do you use? @BrianChalmersMD @jointdocShields @CenterRotation @kate_wynne

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The Journal of Arthroplasty

@JArthroplasty

1 year

Cementless femur in #THA continues to predominate in the US, with cementless having an increased risk of #PPFx in patients aged 65yr or more. Surgeons should consider greater use of cemented femoral fixation in this population. Read more for free here:

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59

The Journal of Arthroplasty

@JArthroplasty

3 years

When asking if cemented to cementless #TKAs are most resistant to aseptic loosening at 25 years the answer is clear: both

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59

The Journal of Arthroplasty

@JArthroplasty

11 months

Radiographic findings of anterior HO bone formation and cysts that develop after #TKA may lead to easier identification of aseptic loosening. #VA by @Ortho_Deck

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18

61

The Journal of Arthroplasty

@JArthroplasty

4 years

More data from @MOR_Docs @dellavalleortho @TadGerlingerMD @BrettLevineMD @ScottSporerMD showing the benefits of betadine lavage for #TKA and #THA @DrChadKrueger

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The Journal of Arthroplasty

@JArthroplasty

11 months

The optimal combined anteversion (CA) to avoid anterior dislocations in #THA performed through the DAA should be less than 60°.

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18

61

The Journal of Arthroplasty

@JArthroplasty

3 years

Should we all be cementing more stems in #THA ? Does anyone think cemented stems will be the primary femoral fixation in the US? @bethgausdenmd @carhigueramd @RafaSierra5 @AAHKS_YAG @ExeterHipUnit @EdinburghKnee

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The Journal of Arthroplasty

@JArthroplasty

4 years

Articulating spacer or resection arthroplasty for #PJI ? Good summary on the topic by @CodyWylesMD here: @MayoOrthoRes @AAHKS_YAG Thanks to @jaimelbellamyDO for a great visual abstract!

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The Journal of Arthroplasty

@JArthroplasty

3 years

No clear answer as to what dressing is best after TJAs. What do you use and why? @BrianChalmersMD @jointdocShields @ACR_MD @jaimelbellamyDO @EdinburghKnee @LeonardBullerMD

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The Journal of Arthroplasty

@JArthroplasty

1 year

Un ciclo corto de antibiótico oral después de reimplante disminuye la tasa de reinfección al año en #PJI . ¿Usa antibiótico? Si es así ¿Por cuánto tiempo después del reimplante? *Translation by @hugortopedista

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The Journal of Arthroplasty

@JArthroplasty

1 year

Instability is no longer the leading etiology of failure following #THA with a decline of approximately 40% over the past decade. PJI, ppfx, mechanical loosening, and then instability are now the leading causes of failure. Read more for free here:

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The Journal of Arthroplasty

@JArthroplasty

2 months

Corticosteroid injections administered up to 3mo prior to THA increased the risk of PJI within 1yr after THA, with an HR of 2.63; however, injections between 3-6mo before surgery did not have a significantly higher infection rate.

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The Journal of Arthroplasty

@JArthroplasty

3 years

Vitamin D levels may be associated with increased implant survival for #TKA patients. Seems like an 'easy enough' supplement for most patients to be given? @DrPeterGold with the VA

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58

The Journal of Arthroplasty

@JArthroplasty

4 years

More data showing that #cemented #THAs do very well. Even in the young. @ExeterHipUnit @EdinburghKnee and many others are nodding in agreement

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The Journal of Arthroplasty

@JArthroplasty

4 years

The key message from this registry study seems to be the following: optimize the patient preoperatively. If it takes 12 hours to do so, great. If it takes 72 hours to do so, so be it. @HSSProfEd @jaimelbellamyDO with the visual abstract

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The Journal of Arthroplasty

@JArthroplasty

1 year

Post-DAIR dislocation was 16.3% in primary and 25.4% in revision #THAs , respectively; reduced 11-fold if components were exchanged. @womenAAHKS @kimtuckinAZ @BrdgPlt2Nowhere @alexusmcooper @CenterRotation @DrPeterGold @KevinWeiszMD #VA by @Ortho_Deck

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The Journal of Arthroplasty

@JArthroplasty

4 years

Nice summary of various intraoperative and postoperative variables that have been studied in relation to #PJI . Check out the article in this month's supplement issue here: @DrChadKrueger

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The Journal of Arthroplasty

@JArthroplasty

3 years

Note- this may not be anatomically correct... and would be at risk for dislocation @AAHKS @AAOS1

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55

The Journal of Arthroplasty

@JArthroplasty

2 years

More data from @RothmanOrtho @ParviziJavad @ResearchAtJeff @EmanueleChisari the potential benefits of aspirin for #DVT prevention

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The Journal of Arthroplasty

@JArthroplasty

4 years

Surgeons who completed an adult reconstruction fellowship were found to be associated with improved peri-operative metrics for #TJA pts compared surgeons who did not. @AAHKS @nyulangone @AAHKS_YAG @womenAAHKS @DrChadKrueger with the visual abstract

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The Journal of Arthroplasty

@JArthroplasty

9 months

Surgeons who performed 50 or more THAs per year had significantly fewer intraoperative PFFs than surgeons who did less than 50 THAs per year. Surgeon experience was not significantly related to PFFs.

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55

The Journal of Arthroplasty

@JArthroplasty

3 years

#Surgeonofthemonth : @BrianChalmersMD [md: U of Kansas r: @MayoOrthoRes f/now: @HSSProfEd ] Fun Fact: Loves to barbecue Big issue in ortho: increasing work per case with decreasing incentives to take on medicare/caid/complex patients #orthotwitter #medtwitter #arthroplasty

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56

The Journal of Arthroplasty

@JArthroplasty

4 years

Robotic Assisted TKA results in greater improvements in postoperative Hospital for Special Surgery score and Western Ontario and McMaster Universities scores compared to conventional TKA. Excellent visual abstract by @jaimelbellamyDO

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56

The Journal of Arthroplasty

@JArthroplasty

7 months

How do you approach your femoral neck fractures? #VA by Dr. David Deckey

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54

The Journal of Arthroplasty

@JArthroplasty

3 years

#THAs and #TKAs improve both sleep quality and duration compared to patient's preoperative state. @AAHKS @DrPeterGold with the VA

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The Journal of Arthroplasty

@JArthroplasty

1 year

Obese and morbidly obese patients are more likely to require repeat revision surgery. They should be informed of their risk for multiple operations. Read more for free here:

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55

The Journal of Arthroplasty

@JArthroplasty

1 year

This tapered, titanium, porous plasma spray-coated femoral component for #THA continues to demonstrate high long-term survival with a low rate of femoral component revision for any reason or aseptic loosening/failure of ingrowth. Read more for free here:

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The Journal of Arthroplasty

@JArthroplasty

3 years

When it comes to elderly patients with acetabular fractures, ORIF and acute #THA seems to be the way to go. @jaimelbellamyDO with the Visual Abstract

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The Journal of Arthroplasty

@JArthroplasty

4 years

Prior knee arthroscopy increases the risk of revision after #TKA @jaimelbellamyDO @AAHKS @AJSM_SportsMed

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The Journal of Arthroplasty

@JArthroplasty

1 year

Excessive standing posterior PT, low lumbar flexion, and a severe SSD are more prevalent in unstable #THAs . How do you screen patients preop for #THA ? @womenAAHKS @CenterRotation @kimtuckinAZ @BrdgPlt2Nowhere @KevinWeiszMD #VA by @Ortho_Deck

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The Journal of Arthroplasty

@JArthroplasty

4 years

Topical vancomycin powder and dilute povidone-iodine lavage for high-risk TJA patients. More data from @nyulangone @MdSchwarzkopf on these controversial subjects showing the potential benefit of both for #PJI reduction. @AAHKS VA by @DrChadKrueger

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54

The Journal of Arthroplasty

@JArthroplasty

1 year

A constrained acetabular liner (CAL) provides excellent stability in both #THA in high-risk individuals and #rTHA in active instability. There were no dislocations when using a CAL to treat active instability post-THA. Read more for free here:

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54

The Journal of Arthroplasty

@JArthroplasty

3 months

The presence or absence of contact between the medial collar and femoral neck did not affect postoperative BMD changes or radiological or clinical results.

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