BACKGROUND Metal hypersensitivity is an uncommon complication after total knee arthroplasty (TKA) that can lead to significant functional impairment and aseptic prosthesis failure. CASE REPORT We describe a 70-year-old patient who presented with persistent pain, swelling, and instability 2 years after a primary TKA. The patient had a history of metal hypersensitivity following bilateral metal...

OMERACT began work over a decade ago on a consensus effort to identify optimal outcome measures for knee and hip osteoarthritis clinical trials. Recent evidence indicates extensive variation in outcome measures used in clinical trials of knee and hip arthroplasty published since 2000. This heterogeneity leads to confusion, not only for conducting systematic reviews but also for applying evidenc...

To the authors' knowledge, few reports have been published in the English literature of using total knee arthroplasty and total hip arthroplasty for the treatment of hereditary multiple exostoses. This article describes 2 patients with hereditary multiple exostoses, 1 treated with total hip arthroplasty and 1 treated with total knee arthroplasty. Bony deformities make arthroplasty uniquely chal...

OBJECTIVE The Medical Advisory Secretariat undertook a review of the evidence on the effectiveness and cost-effectiveness of computer assisted hip and knee arthroplasty. The two computer assisted arthroplasty systems that are the topics of this review are (1) navigation and (2) robotic-assisted hip and knee arthroplasty. THE TECHNOLOGY Computer-assisted arthroplasty consists of navigation and...

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...

Hip-to-ankle radiographs have been used to evaluate lower limb alignment before and after total knee arthroplasty. However, earlier studies have inappropriately used correlation to assess the reproducibility of the radiographs. We determined the reliability of the hip-to-ankle radiograph using the Bland-Altman analysis. Two consecutive hip-to-ankle radiographs were obtained in 52 patients (52 k...

BACKGROUND Infection remains a leading cause of failure of hip and knee replacements. Infection burden is the ratio of implants revised for infection to the total number of arthroplasties in a specific period, measuring the steady state of infection in a registry. We hypothesized infection burden would be similar among arthroplasty registries. METHODS We evaluated publicly reported data from ...

To the Editor: I read with interest the article by Memtsoudis et al. in the recent issue of ANESTHESIOLOGY on perioperative outcomes after unilateral and bilateral total knee arthroplasty. When the authors discuss about the issue of benefits and risks of simultaneous versus staged bilateral total knee arthroplasty, they have quoted an article by Sliva et al. In the original article by Sliva et ...