BACKGROUND With improving surgical techniques for total elbow arthroplasty clinical outcomes have improved and its utilization continues to increase. Despite these advances, complication rates remain as high as 24%. Of these complications periprosthetic joint infection is one of the most common and morbid. The rheumatoid elbow remains a leading indication for total elbow arthroplasty. Patients ...

INTRODUCTION Isolated patellofemoral (PF) arthritis is rare, and there is no complete agreement about the best surgical treatment. The operative treatments are total knee arthroplasty and patellofemoral replacement (PFR). The incidence of many early complications of PF arthroplasty has decreased with the introduction of newer designs. Nowadays, the main cause of revision surgery is the progress...

BACKGROUND There is controversy regarding the most appropriate strategy to prevent venous thromboembolism following total joint arthroplasty. Our objective was to estimate the lifetime costs, quality-adjusted life-years (QALYs), and costs per QALY gained using low-molecular-weight heparin compared with low-dose aspirin for two weeks after total knee or total hip arthroplasty in patients with no...

<p class="abstract">One of the most common treatment for fracture neck femur in elderly is bipolar hemi-arthroplasty which associated with patient being mobilized early, lower complication rate, longer implant life. Both uncemented and cemented arthroplasty have been good outcomes, however has higher incidences DVT due to thrombogenic potential cement addition hypercoagulability femoral f...

prosthetic joint infection (pji) is a serious complication of total knee arthroplasty (tka). control of infection after a failed two-stage tka is not always possible, and the resolution of infection may require an above-knee amputation (aka) or a the-knee (kf). the purpose of this review is to determine which treatment method (aka or kf) yields better function and ambulatory status for patients...

background:  due to difficulty in obtaining anatomical reduction, management of the unstable intertrochanteric fractures in elderly osteoporotic patients is challenging. the purpose of this study is to compare the results of hip arthroplasty (total, hemi, or bipolar) with dhs in the elderly patients with unstable intertrochanteric fractures.   methods:  we prospectively studied and followed-up ...

background: total knee arthroplasty is a complex procedure aiming to relieve pain and improve function. it is critical to select prosthesis that best cover the bone surfaces. ethnicity may affect fitness of the components mainly designed for caucasian populations. this study aimed to evaluate morphometric features of proximal tibia in iranian population.   methods : during 2013, 150 consecutive...

background : anterior cervical discectomy and fusion (acdf) is an effective treatment for disc herniations ; but some studies demonstrated that in the untreated levels adjacent to a fusion, increased motion might lead to an increased risk of adjacent segment degeneration (asd). on the other hand, methods of cervical disc arthroplasty (cda) have improved. the aim of this study is to evaluate and...

This hot topic issue of the Open Orthopaedics Journal deals with current concepts and topics in arthroplasty. With contributions from the orthopedic surgeons, researchers and epidemiologists, it features a few interesting articles. The articles focus on current concepts providing a comprehensive review of some topics or addressing some controversial areas in the field of arthroplasty. Arthropla...

Objectives To compare the clinical and cost effectiveness of total hip arthroplasty with resurfacing arthroplasty in patients with severe arthritis of the hip. Design Single centre, two arm, parallel group, assessor blinded, randomised controlled trial with 1:1 treatment allocation. Setting One large teaching hospital in the United Kingdom. Participants 126 patients older than 18 years with sev...