prosthetic joint infection (pji) is a calamitous complication with high morbidity and substantial cost. the reported incidence is low but it is probably underestimated due to the difficulty in diagnosis. pji has challenged the orthopaedic community for several years and despite all the advances in this field, it is still a real concern with immense impact on patients, and the healthcare system....

background: malnutrition has been linked to poor outcomes after elective joint arthroplasty, but the risk of unplanned postoperative intensive care unit (icu) admission in malnourished arthroplasty patients is unknown. methods: 1098 patients were followed as part of a prospective risk stratification program at a tertiary, high-volume arthroplasty center. chronic malnutrition was defined as preo...

despite improvements in surgical and anesthetic techniques, total joint arthroplasty (tja) is still associated with substantial blood loss and postoperative anemia (1). a considerable portion of patients with postoperative anemia require blood transfusion, which has been shown to negatively affect the outcome of tja and predisposes patients to development of surgical site infection and peripros...

BACKGROUND Improving access to total joint replacement (TJR) has been a priority. Without robust mechanisms to ensure appropriateness, these procedures may be overused, incurring substantial costs. In that context, decision-makers are particularly concerned with the appropriateness of TJR. OBJECTIVE While our previous research focused on the appropriateness of TJR from clinical and patient pe...

BACKGROUND AND PURPOSE An increasing number of patients have several joint replacement procedures during their lifetime. We investigated the use and suitability of multi-state model techniques in providing a more comprehensive analysis and description of complex arthroplasty histories held in arthroplasty registries than are allowed for with traditional survival methods. PATIENTS AND METHODS ...

juvenile idiopathic arthritis is the leading cause of hip replacement in young children. however, arthroplasty in this population is challenging with several concerns about quality of the growing bone, young age for revision surgery, and difficulties in potential several revisions. in this study we introduce a case of a 12-year old who is one of the youngest patients to undergo revision hip art...

BACKGROUND It is not known, whether outcome reporting in trials of total joint arthroplasty in the recent years is adequate or not. Our objective was to assess whether outcomes reported in total joint replacement (TJR) trials fulfil the Outcome Measures in Rheumatology (OMERACT) Filter 2.0. METHODS We systematically reviewed all TJR trials in adults, published in English in 2008 or 2013. Sear...

Joint replacement is currently on the rise with a high community burden. A registry was designed to evaluate the costs,possible complications, and rate of revisions as well as finding the most effective techniques, risk factors associatedwith poor results, indications for revision surgeries, and also demographic evaluation of patients undergoing jointreplacement surgery in Iran. Level of eviden...

BACKGROUND There has been a major and alarming increase in readmission rates following total joint arthroplasty. With proposed changes in reimbursement policy, increased rates of unplanned readmission following arthroplasty will penalize providers. In particular, it has been proposed that specific complications--so-called "zero-tolerance" complications--are unacceptable and that their treatment...

BACKGROUND Hip and knee arthroplasties are common and successful procedures, however, success and durability are not guaranteed. The revision burden, defined as the ratio of implant revisions to the total number of arthroplasties in a specific period, is a measure of the steady state of arthroplasty success in a given registry. This study examines the hypothesis that revision burden would be si...