Arthroplasty News and Research

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Arthroplasty is a orthopaedic surgery procedure, in which the arthritic or dysfunctional joint surface is replaced with something better or by remodeling or realigning the joint by osteotomy or some other procedure. Previously, a popular form of arthroplasty was interpositional arthroplasty with interposition of some other tissue like skin, muscle or tendon to keep inflammatory surfaces apart or excisional arthroplasty in which the joint surface and bone was removed leaving scar tissue to fill in the gap. Other forms of arthroplasty include resection(al) arthroplasty, resurfacing arthroplasty, mold arthroplasty, cup arthroplasty, silicone replacement arthroplasty, etc. Osteotomy to restore or modify joint congruity is also an arthroplasty.

New approach to pain management can reduce opioid use after urethroplasty

For men undergoing surgery to repair scarring in the urethra (urethroplasty), a new approach to pain management can reduce the need for strong opioid drugs without compromising pain control, reports a study in Urology Practice, an Official Journal of the American Urological Association.

21 Feb 2023

Plasma D-dimer measurement can provide useful information when diagnosing periprosthetic joint infection

Measurement of plasma D-dimer levels – a test more commonly used to detect blood-clotting disorders – can provide useful information when making the difficult diagnosis of periprosthetic joint infection (PJI), reports a study in The Journal of Bone & Joint Surgery.

10 Feb 2023

Knee extension velocity while seated strongly predicts walking performance

"Speed or strength, which is more important?" may be a critical question for not only athletes but also knee surgery patients.

13 Jan 2023

Study finds older knee replacement designs to be just as effective as newer models

Older knee replacement designs are just as effective as newer models - according to new research from the Norfolk and Norwich University Hospital and University of East Anglia.

6 Jan 2023

Partial knee arthroplasty yields faster functional recovery than total knee replacement

For selected patients with knee osteoarthritis, unicompartmental (or "partial") knee arthroplasty (UKA) shortens the recovery time for two key measures of physical function, as compared with total knee arthroplasty (TKA), reports a randomized trial in The Journal of Bone & Joint Surgery.

22 Dec 2022

Study shows benefits of decreasing opioid refills for hip and knee arthroplasty patients

Opioids are commonly prescribed to patients that are discharged after a total knee and hip arthroplasty. Patients are typically given larger prescriptions of opioids that can result in an excess of the medication in their home after recovery is over.

14 Dec 2022

Study examines whether cortisone-like medicine can reduce pain after total knee arthroplasty

Results from a study by Henry Ford Health orthopedic researchers is the latest of several high-powered studies geared toward effectively managing pain and decreasing opioids use after total knee replacement surgery.

5 Dec 2022

Mast cells in synovial tissue may explain why women report worse osteoarthritis pain than men

Investigators at Hospital for Special Surgery (HSS) have discovered that at the time of total knee replacement, women have significantly increased levels of immune cells called mast cells in synovial tissue surrounding the knee joint than men.

14 Nov 2022

Rheumatoid arthritis patients taking opioids have twice the risk of venous thromboembolism

New research presented this week at ACR Convergence 2022, the American College of Rheumatology's annual meeting, found that adult RA patients starting opioids had twice the risk of venous thromboembolism (VTE) compared to patients starting nonsteroidal anti-inflammatory drugs (NSAIDs).

8 Nov 2022

PROMs data infrequently accessed by members of clinical care, study suggests

Even when patient-reported outcome measures (PROMs) are successfully incorporated into electronic health records (EHRs), these patient-centered data are infrequently accessed by members of clinical care teams, suggests a study in the November/December issue of American Journal of Medical Quality, official journal of the American College of Medical Quality.

1 Nov 2022

Research could lead to better postoperative care for patients who need shoulder arthroplasty revisions

The most common bacterial infection to occur after revision shoulder arthroplasty surgery can be diagnosed more accurately by considering how quickly samples of the microbe grow in hospital labs and the level of bacteria that grows, a study partly performed at UT Southwestern shows.

31 Oct 2022

Patients with late-stage knee OA incur high costs for nonoperative treatments before total knee arthroplasty

In the year before total knee arthroplasty (TKA), patients incur considerable costs for nonoperative treatments and other procedures for osteoarthritis (OA) – raising questions about the value of those procedures, reports a study in The Journal of Bone & Joint Surgery.

22 Sep 2022

NHS Golden Jubilee orthopedic surgeons perform the first meniscal transplant in Scotland

Orthopedic surgeons at NHS Golden Jubilee have performed the first meniscal transplant on a patient in Scotland.

5 Aug 2022

Advantages of overlapping surgery must be balanced against safety, ethical and training concerns, say experts

Overlapping surgery - in which a single senior surgeon operates across two parallel operating theatres and anaesthetists induce anaesthesia and junior surgeons commence and complete the operation – has been discussed as a potential route to reducing hospital waiting lists in this post-COVID era in which many patients are expected to face extensive delays of months or even years to have surgery.

22 Jul 2022

Majority of U.S. hospitals not fully compliant with transparency in pricing about knee and hip replacement

On January 1, 2021, the federal government began requiring U.S. hospitals to maintain clear, accessible online price lists for 300 common services.

24 Jun 2022

Study: More than two-thirds of the patients recover from knee replacement without opioids

A retrospective case series study led by Dr. Vinod Dasa, Professor of Clinical Orthopaedics at LSU Health New Orleans School of Medicine, reports that more than two-thirds of the patients who underwent total knee replacement did not need opioids for postoperative pain.

25 Mar 2022

Updated guideline released for managing antirheumatic drugs in patients undergoing hip or knee replacement

The American College of Rheumatology and the American Association of Hip and Knee Surgeons released a summary of their updated guideline for the Perioperative Management of Antirheumatic Medication in Patients with Rheumatic Diseases Undergoing Elective Total Hip or Total Knee Arthroplasty.

28 Feb 2022

Study shows how neighborhood-level social vulnerability impacts COVID-19 hospitalization outcomes

COVID-19 has sent nearly 900,000 Americans to the hospital in the past two years. A new study shows that the ZIP codes they came from had a lot to do with how sick they were when they got to the hospital, and how much care they needed once they were there.

21 Feb 2022

Chatbot helped improve the health of patients whose joint replacement surgeries got delayed by COVID-19

When patients' hip or knee replacements were delayed in response to COVID-19 surges, chatbots delivering encouraging messages not only benefited the mental health of patients – they also experienced boosts to their physical health, too.

20 Jan 2022

Optical sensing can address unmet clinical needs in orthopedic surgery

Knees and hips wear out. Backs and necks become unstable. Fortunately, orthopedic surgeons specialize in musculoskeletal repair.

6 Jan 2022