Transcriptomic technique may help identify infections after knee and hip replacement

Periprosthetic joint infection (PJI) is a devastating complication of knee and hip replacement surgery that can, in some cases, be difficult to distinguish from other causes of arthroplasty failure. An “omics”-based tool that measures predicted abundance of immune cells may aid in making the diagnosis of failed arthroplasty due to PJI, suggests a study in The Journal of Bone & Joint Surgery. The journal is published in the Lippincott portfolio in partnership with Wolters Kluwer.

High costs of nonoperative treatment in the year before total knee replacement

In the year before total knee arthroplasty (TKA), patients incur considerable costs for nonoperative treatments and other procedures for osteoarthritis (OA) – raising questions about the value of those procedures, reports a study in The Journal of Bone & Joint Surgery. The journal is published in the Lippincott portfolio in partnership with Wolters Kluwer.

Corticosteroid injections of hip linked to ‘rapidly destructive hip disease’

Corticosteroid injections are a common treatment option for pain and inflammation in patients with osteoarthritis of the hip. But a new study adds to concerns that hip steroid injections may lead to increased rates of a serious complication called rapidly destructive hip disease (RDHD), according to a paper in The Journal of Bone & Joint Surgery. The journal is published in the Lippincott portfolio in partnership with Wolters Kluwer.

Multimodal analgesia: The new ‘standard of care’ for pain control after total joint replacement

Until relatively recently, opioids were a mainstay of treatment for pain following total hip or knee replacement. Today, a growing body of evidence supports the use of multimodal analgesia – combinations of different techniques and medications to optimize pain management while reducing the use and risks of opioids, according to a paper in The Journal of Bone & Joint Surgery. The journal is published in the Lippincott portfolio in partnership with Wolters Kluwer.

Hip replacement surgery improves symptoms and biomechanics – but not physical activity

Patients undergoing total hip arthroplasty (THA) show significant reduction in pain and other symptoms and improvement in walking gait biomechanics. However, those improvements do not lead to increased daily physical activity levels, reports a study in The Journal of Bone & Joint Surgery. The journal is published in the Lippincott portfolio in partnership with Wolters Kluwer.

High risk of acute kidney injury in patients undergoing treatment for infected total knee replacements

Acute kidney injury (AKI) occurred in nearly 20 percent of patients who underwent surgery with implantation of antibiotic-loaded “spacers” and intravenous (IV) antibiotics for the treatment of deep infections after total knee arthroplasty, reports a study in The Journal of Bone & Joint Surgery. The journal is published in the Lippincott portfolio in partnership with Wolters Kluwer.

From the woodworking shop to the operating room: New technique uses mortise and tenon joints to repair unstable shoulders

Orthopaedic surgery techniques for treatment of recurrent shoulder instability are effective, but prone to problems with nonunion of bone grafts held in place by screws alone. A new technique – borrowing a design used for centuries in Chinese architecture and woodworking – provides an effective approach to shoulder stabilization, suggests a study in The Journal of Bone & Joint Surgery. The journal is published in the Lippincott portfolio in partnership with Wolters Kluwer.

After Medicaid Expansion, ‘Unmet Need’ for Joint Replacement Surgery

States that have expanded Medicaid eligibility under the Affordable Care Act have seen an “early surge in demand” for hip and knee replacement surgery, reports a study in the September 2, 2020 issue of The Journal of Bone & Joint Surgery. The journal is published in the Lippincott portfolio in partnership with Wolters Kluwer.