To the Editor: We read with interest the article on the effects of nabilone on postoperative pain by Pierre Beaulieu.1 While it is unfortunate that his results did not generate firm conclusions, we believe that descriptive subgroup analyses may have yielded some important information regarding the effects of nabilone on postoperative morphine consumption and side-effects. Nineteen of the 41 pat...

OBJECTIVE To characterize arthroplasty procedures, calculate the surgical infection rate and identify related risk factors. METHODS This was a retrospective cohort study. Data on operations performed between 2010 and 2012 were gathered from documental sources and were analyzed with the aid of statistical software, using Fisher's exact test, Student's t test and the nonparametric Mann-Whitney ...

This report is on a migration of a Steinman pin into the posterior com Department of the calf. It was used to fix a greater trochanteric osteotomy in a total hip arthroplasty. The puzzling note is how this metal piece passed through the anterolateral compartment of the thigh to the posterior compartment of the calf. Accord ing to our literature review, migration of fixation pins through the kne...

We reviewed the experience of a dedicated orthopaedic elective service to determine whether we could establish a BMI group where arthroplasty was no longer effective as assessed by the patient's functional outcome. This was a prospective observational study with retrospective analysis of data collected on 1439 total hip arthroplasty, 934 total knee arthroplasty and 326 unicompartment knee arthr...

BACKGROUND Periodic clinical and radiographic evaluation is commonly recommended by orthopaedic surgeons to monitor patients following total joint arthroplasty, yet the compliance with and efficacy of patient follow-up protocols have not been well defined. The purpose of this study was to evaluate patient compliance with early clinical follow-up after total hip arthroplasty or total knee arthro...

BACKGROUND Acute colonic pseudo-obstruction, also known as Ogilvie syndrome, is an uncommon postoperative complication of total hip and total knee arthroplasty that is characterized by massive colonic dilatation and the potential for substantial morbidity and mortality. METHODS We conducted a retrospective case-control study of 1170 total hip and knee arthroplasties performed by one surgeon f...

Objective: The current study aimed to characterize the variation of serum PCT and IL-6 levels and look the specificity and the sensitivity in diagnosing pneumonia, urinary and superficial surgical site infections during the perioperative period of primary hip and knee arthroplasty. Methods: This observational study included 73 patients undergoing primary hip and knee arthroplasty. Serum Procalc...

BACKGROUND AND PURPOSE Our unit started to use routine multimodal techniques to enhance recovery for hip and knee arthroplasty in 2008. We have previously reported earlier discharge, a trend toward a reduction in complications, and a statistically significant reduction in mortality up to 90 days after surgery. In this study, we evaluated the same cohort to determine whether survival benefits we...

RATIONALE Rheumatoid arthritis is a chronic systemic connective tissue disease. Total hip and knee arthroplasties are common major orthopaedic procedures worldwide. PATIENT CONCERNS To date, no studies have presented 1-stage concurrent total hip arthroplasty (THA) and total knee arthroplasty (TKA) in patients with rheumatoid arthritis (RA). We reported a case which is, to our knowledge, the f...

A web-based survey was developed to evaluate joint arthroplasty surgeon's preferences for the return to sporting activities after total hip arthroplasty. This survey listed 30 groups of activities (37 specific sports) and was sent to all members of the Hip Society and American Association of Hip and Knee Surgeons. All surgeons were asked to grade each activity as follows: allow, allow with expe...