We report the surgical technique used to perform posterior-stabilized total knee arthroplasty (TKA) in two patients with a well positioned and functional hip arthrodesis. Intraoperatively, the operating table was placed in an increased Trendelenburg position. Episodically, we flexed the foot of the table by 90° to allow maximal knee flexion to facilitate exposure and bone cuts. We opted to rese...

The article presents updated guidelines developed by the American College of Rheumatology and Association Hip Knee Surgeons on perioperative treatment patients with rheumatoid arthritis, ankylosing spondylitis, psoriatic juvenile idiopathic arthritis systemic lupus erythematosus undergoing elective total hip or knee arthroplasty. use anti-rheumatic drug therapy, including traditional disease-mo...

Metallic debris from metal-on-metal bearings is a recognized mode of failure that may lead to implant loosening and periprosthetic soft tissue reactions. The sequelae of metallosis have been most commonly reported with respect to total hip arthroplasty. The authors report a rare case of metallosis following a hybrid metal-on-polyethylene total knee arthroplasty that used a porous tantalum tibia...

We aim to present a case of bilateral hip and knee osteonecrosis due steroid use in an ankylosing spondylitis (AS) patient who developed immune thrombocytopenic purpura (ITP) after the nonsteroidal anti-inflammatory drugs (NSAID). A 60-year-old male was diagnosed with AS sacroiliitis inflammatory low back pain on sacroiliac radiography 10 years ago. He followed up NSAIDs. Intravenous treatment ...

BACKGROUND Severe knee flexion contractures greater than 80° are rare and challenging to manage. Previous studies have demonstrated unsatisfactory clinical results after correcting these deformities because residual flexion contractures were not corrected within a short period of time. We herein report the case of a patient with adult-onset Still's disease with 90° of bilateral knee flexion con...

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...

Venous thromboembolism is uncommon after knee arthroscopy, and there are no guidelines for thromboprophylaxis in elective routine knee arthroscopy. Preoperative evaluation of common thrombophilias should provide guidance for postarthroscopy thromboprophylaxis in otherwise healthy patients who are at high risk for venous thromboembolism. This study assessed 10 patients with venous thromboembolis...

Total ankle arthroplasty was developed to reduce pain and retain motion of the ankle joint in patients with osteoarthritis much like its total hip and knee counterparts. Orthopaedic surgeons are well equipped to evaluate and treat patients with end-stage hip or knee arthritis; however, the management of patients with ankle arthritis represents a challenge to both general orthopaedic surgeons an...

BACKGROUND Fast-track has become a well-known concept resulting in improved patient satisfaction and postoperative results. Concerns have been raised about whether increased efficiency could compromise safety, and whether early hospital discharge might result in an increased number of complications. We present 1-year follow-up results after implementing fast-track in a Norwegian university hosp...

INTRODUCTION Patients suffering from bilateral knee osteoarthritis often require bilateral total knee arthroplasty (TKA) to alleviate symptoms. There is controversy surrounding the approach to the surgical treatment of such patients. We asked if Asian patients undergoing staged-bilateral TKA had any difference in their short-term functional outcomes, comparing the first TKA to the second one an...