The intraoperative appearance of rapidly destructive osteoarthritis and septic arthritis can be similar. Three patients at our institution demonstrated preoperative or intraoperative findings potentially consistent with infection during primary total hip arthroplasty; however, none of these patients were found to have an actual infection. One of these patients underwent an unnecessary 2-stage t...

Periprosthetic joint infection (PJI) is a severe complication of total joint arthroplasty with an incidence of approximately 1%. Due to the high risk of persisting infection, successful treatment of fungal PJI is challenging. The purpose of this study was to gain insight into the current management of fungal PJI of the hip and, by systematically reviewing the cases published so far, to further ...

A survey of 43 cemented arthroplasties of the trapeziometacarpal joint with a la Caffinière prosthesis in 40 patients is presented. A 70% patient satisfaction rate was obtained, with a mean DASH score of 24.2. Good range of motion was preserved (opposition 9/10 on Kapandji's scale) and gripping force as well as key pinch force increased from 18 kg to 24 kg and from 5.3 to 6.0 kg respectively. H...

A collection of 99 staphylococcal isolates associated with prosthetic joint infection and 23 coagulase-negative staphylococci isolated from noninfected arthroplasty-associated specimens were screened in order to determine whether the presence of icaA could be used to distinguish between pathogens and nonpathogens. All Staphylococcus aureus prosthetic joint infection isolates (n = 55) were icaA ...

BACKGROUND Although total knee arthroplasty reduces pain and improves function, patients continue to walk with asymmetrical movement patterns, that may affect muscle activation and joint loading patterns. The purpose of this study was to evaluate the specific biomechanical abnormalities that persist after total knee arthroplasty and examine the neuromuscular mechanisms that may contribute to th...

INTRODUCTION Correct restoration of the joint line is generally considered as crucial when performing total knee arthroplasty (TKA). During revision knee arthroplasty however, elevation of the joint line occurs frequently. The general belief is that this negatively affects the clinical outcome, but the reasons are still not well understood. MATERIAL AND METHODS In this cadaveric in vitro stud...

Knee osteoarthritis (OA) affects the joint beyond just the articular cartilage. Specifically, magnetic resonance imagingidentifiedbone marrow lesions (BML) in the subchondral bone have both clinical and pathophysiological significance.Compared to joint space narrowing on traditional radiographs, the presence of BMLs has been better correlated withseverity of clinical symptoms ...

EDITORIAL Table 1 summarizes recommendations based on the presented papers. To prevent infection, it is critical to identify high-risk patients and control those risks prior to surgery. Action must be taken at every step of the surgical process, from preoperative to postoperative protocols, including intraoperative measures. In this Editorial some recent issues that surgeons should explor...

There has been much debate and controversy about the routine use of antibiotic-impregnated bone cement in primary total joint arthroplasty. The purpose of this study was to undertake a meta-analysis to determine whether the use of antibiotic-impregnated bone cement would reduce the incidence of infection after primary total joint arthroplasty. Of 313 citations identified for screening, 6 trials...

The biologic response to polyethylene particulate debris generated from metalonpolyethylene bearing surfaces is thought to be largely responsible forperiprosthetic osteolysis and aseptic loosening in total joint arthroplasty. As a result, there has been an interest in developing polyethylene with improved wear characteristics, as well as a renewed interest in alternative bearing surfaces for to...