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(Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - November 5, 2009 Category: Orthopaedics Tags: Frontmatter Source Type: journals

Table of Contentsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - November 5, 2009 Category: Orthopaedics Tags: Frontmatter Source Type: journals

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(Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - November 5, 2009 Category: Orthopaedics Tags: Frontmatter Source Type: journals

Editorial Boardemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - November 5, 2009 Category: Orthopaedics Tags: Frontmatter Source Type: journals

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(Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - November 5, 2009 Category: Orthopaedics Source Type: journals

Erratumemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Two previous articles by Kersey et al (J Arthroplasty 2000) and Mason et al (J Arthroplasty 2003) published in the Journal related to the value of white blood cell count in the joint aspirate for diagnosis of infection utilized an incorrect unit for the number of white cells. The correct unit should have been cells per microliter (/μl) as recommended by the ARC and used by most laboratories and not cells per milliliter. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - November 5, 2009 Category: Orthopaedics Authors: Rosalie Richman Tags: Erratum Source Type: journals

Influence of Patient-, Design-, and Surgery-Related Factors on Rate of Dislocation After Primary Cementless Total Hip Arthroplastyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract: We performed clinical, radiographic, and computed tomography examinations on a consecutive series of 1268 patients (1648 hips) to determine the prevalence of and factors contributing to dislocation after using a primary cementless total hip system. The prevalence of posterior dislocation was 3.6% (60 hips). Significant risk factors (Fisher exact test or χ2 test, P < .05) were female sex, advanced age, high American Society of Anesthesiologists score (3 or 4), fracture of the femoral neck, nonrepair of the posterior soft-tissue sleeve, low or high cup anteversion, low or high stem anteversion, and low height of h...
Source: The Journal of Arthroplasty - November 5, 2009 Category: Orthopaedics Authors: Young-Hoo Kim, Yoowang Choi, Jun-Shik Kim Tags: Original Articles Source Type: journals

Differences in Highly Cross-Linked Polyethylene Wear Between Zirconia and Cobalt-Chromium Femoral Heads in Japanese Patients: A prospective, randomized studyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study indicates that zirconia head offers no benefits over metal head in terms of wear reduction at 5 years in Japanese patients who have lightweight and thin polyethylene liners. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - November 5, 2009 Category: Orthopaedics Authors: Kenji Kawate, Tetsuji Ohmura, Ikuo Kawahara, Katsuya Tamai, Tomoyuki Ueha, Kazuo Takemura Tags: Original Articles Source Type: journals

Use of Slide Presentation Software as a Tool to Measure Hip Arthroplasty Wearemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract: The authors propose a manual measurement method for wear in total hip arthroplasty (PowerPoint method) based on the well-known Microsoft PowerPoint software (Microsoft Corporation, Redmond, Wash). In addition, the accuracy and reproducibility of the devised method were quantified and compared with two methods previously described by Livermore and Dorr, and accuracies were determined at different degrees of wear. The 57 hips recruited were allocated to: class 1 (retrieval series), class 2 (clinical series), and class 3 (a repeat film analysis series). The PowerPoint method was found to have good reproducibility an...
Source: The Journal of Arthroplasty - November 5, 2009 Category: Orthopaedics Authors: Ho Hyun Yun, Nirmal K. Jajodia, Jae Sung Myung, Jong Keon Oh, Sang Won Park, Won Yong Shon Tags: Original Articles Source Type: journals

Forewordemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The anticipated “Asian Era” already is in progress. With substantial economic growth, Asia, the most populated continent in the world, has undergone advancements in many aspects. Along with the increased availability of high-quality health care, the significance and number of arthroplasties have increased tremendously as well. (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - November 5, 2009 Category: Orthopaedics Authors: Jun-Dong Chang Tags: Original Articles Source Type: journals

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(Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - September 25, 2009 Category: Orthopaedics Tags: Frontmatter Source Type: journals

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(Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - September 25, 2009 Category: Orthopaedics Tags: Frontmatter Source Type: journals

Table of Contentsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - September 25, 2009 Category: Orthopaedics Tags: Frontmatter Source Type: journals

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(Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - September 25, 2009 Category: Orthopaedics Tags: Frontmatter Source Type: journals

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(Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - September 25, 2009 Category: Orthopaedics Tags: Frontmatter Source Type: journals

Early Complications After Minimally Invasive Mobile-Bearing Medial Unicompartmental Knee Arthroplastyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract: The purpose of this article is to review the early complications of minimally invasive mobile-bearing unicompartmental knee arthroplasty by analyzing the first 100 consecutive cases. All cases were medial unicompartmental arthroplasties with a follow-up of at least 24 months (range, 24-51 months). Seven revision procedures were performed due to 2 fractures of the medial tibial plateau, 1 loosening of the femoral component, and 4 dislocations of the meniscal bearing. The early results as determined by The Knee Society scores, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores and postope...
Source: The Journal of Arthroplasty - September 3, 2009 Category: Orthopaedics Authors: Moo-Ho Song, Bu-Hwan Kim, Seong-Jun Ahn, Seong-Ho Yoo, Min-Soo Lee Tags: Original Articles Source Type: journals

Management of Periprosthetic Femur Fractures Treated With Distal Fixation Using a Modular Femoral Stem Using an Anterolateral Approachemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract: The authors retrospectively analyzed 27 hips with periprosthetic femoral fractures (types B2 and B3) treated with distal fixation using a modular, fluted, femoral stem. The average follow-up was 4.8 years. Most fractures (25 hips) were united (92.6%), and mean Harris Hip Score at follow-up was 84.7. Subsidence was noted in 2 patients within 6 months postoperatively, but despite the subsidence, one achieved union. One patient developed peroneal nerve palsy. Two hips were defined as failure: one nonunion associated with infection, and the other one had 10 mm more subsidence. No dislocation occurred in any of the pa...
Source: The Journal of Arthroplasty - September 3, 2009 Category: Orthopaedics Authors: Myung-Sik Park, Yung-Jin Lim, Woo-Chul Chung, Dong-Hun Ham, Sang-Hong Lee Tags: Original Articles Source Type: journals

Midterm Results of Hybrid Total Hip Arthroplasty for Treatment of Osteoarthritis Secondary to Developmental Dysplasia of the Hip-Chinese Experienceemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study was designed to evaluate the midterm results of hybrid total hip arthroplasty in a consecutive series of 45 Chinese patients with osteoarthritis secondary to dysplastic hip. The average follow-up was 6.6 years. A total of 24 hips were classified as dysplasia, 20 hips as low dislocation, and 13 hips as high dislocation. The preoperative Harris score was 46.19 ± 18.01, which improved to 91.78 ± 3.52 at the final follow-up. The rate of polyethylene liner wear was 0.27 mm/y. Osteolysis was identified around 5 acetabular components and 13 femoral components. With the use of loosening or revision as the end point fo...
Source: The Journal of Arthroplasty - September 3, 2009 Category: Orthopaedics Authors: Bin Shen, Jing Yang, Liao Wang, Zong-ke Zhou, Peng-de Kang, Fu-xing Pei Tags: Original Articles Source Type: journals

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(Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - August 20, 2009 Category: Orthopaedics Tags: Frontmatter Source Type: journals

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(Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - August 20, 2009 Category: Orthopaedics Tags: Frontmatter Source Type: journals

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(Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - August 20, 2009 Category: Orthopaedics Tags: Frontmatter Source Type: journals

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(Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - August 20, 2009 Category: Orthopaedics Tags: Frontmatter Source Type: journals

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(Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - August 20, 2009 Category: Orthopaedics Tags: Frontmatter Source Type: journals

Results With the Cementless Spotorno Stem in Total Hip Arthroplastyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract: Increasingly young and active patients are undergoing total hip arthroplasty, making hip prosthesis survival rates an important issue. Cementless total hip arthroplasty provides better prosthesis longevity than does cemented hip arthroplasty, especially in younger patients. Because there is growing support in the literature for tapered geometry in cementless femoral components, we evaluated short-term results for total hip arthroplasty using Cementless Spotorno (CLS) titanium stems. We performed 100 consecutive primary cementless total hip arthroplasties in 87 patients during a 9-year period using CLS stems. Outc...
Source: The Journal of Arthroplasty - August 19, 2009 Category: Orthopaedics Authors: Haresh P. Bhalodiya, Somesh Prakash Singh Tags: Original Articles Source Type: journals

Hip Resurfacing Arthroplasty for Ankylosing Spondylitisemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract: We compared the results of the metal-on-metal hip resurfacing with the ceramic-on-ceramic total hip arthroplasty (THA) in 2 groups. The preoperative and postoperative ranges of motion (ROMs) were recorded. At the latest follow-up, both of the groups make satisfactory clinical and radiographic results. There was no significant difference in Harris hip score of the 2 groups, but the ROM of the hips in hip resurfacing group was significantly wider than THA group (P < .01). Hip resurfacing has better ROM improvement than THA, with the same pain relief. Its high stability and low dislocation rate allow patients to do ...
Source: The Journal of Arthroplasty - August 17, 2009 Category: Orthopaedics Authors: Jia Li, Weidong Xu, Ling Xu, Zhimin Liang Tags: Original Articles Source Type: journals

First Series of Exeter Small Stem Primary Total Hip Arthroplasty Minimum 5 Years of Follow-Upemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract: We carried out a prospective study of 47 Exeter (Stryker Inc, Warsaw, Ind) small stem total hip arthroplasty in 42 patients with an average age of 58 years and a mean follow-up of 8.5 years. The Oxford hip score improved from a preoperative mean of 47 to 17 at last follow-up. More than 87% patients had excellent or good Harris hip scores, and 90% were able to walk with little or no pain. Stem subsidence within the cement mantle was observed in 26% of cases, and none showed evidence of aseptic loosening or implant failure. Two stems were removed due to infection. The survival rate of this implant was 95.7% at 10 ...
Source: The Journal of Arthroplasty - August 17, 2009 Category: Orthopaedics Authors: Cheh Chin Tai, Hui Yin Nam, Azlina Amir Abbas, Azhar M. Merican, Siew Kit Choon Tags: Original Articles Source Type: journals

Evaluation of Phase Stability in Zirconia Femoral Heads From Different Manufacturers After In Vitro Testing or In Vivo Retrievalemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract: Yttria-stabilized zirconia femoral heads from 3 different manufacturers were tested in vitro with respect to their phase stability and compared with retrieved zirconia heads. The monoclinic content on the surface of unused heads was analyzed by confocal Raman spectroscopy after exposure for increasing times to moist atmosphere. The increase in monoclinic content was then plotted as a function of geometric location on the head surface of the head and compared with that measured at similar locations after in vivo exposure. Profiles of residual stress associated to polymorphic transformation were also measured from ...
Source: The Journal of Arthroplasty - August 13, 2009 Category: Orthopaedics Authors: Kyoju Fukatsu, Giuseppe Pezzotti, Yasuhisa Hayaishi, Nobuhiko Sugano Tags: Original Articles Source Type: journals

Clinical Results of the Wear Performance of Cross-Linked Polyethylene in Total Hip Arthroplasty: Prospective Randomized Trialemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract: To investigate the clinical results of cross-linked polyethylene (CLPE) and to compare the CLPE wear against zirconia and stainless steel heads, we studied the radiographic wear after a minimum 3-year follow-up in total hip arthroplasty (THA). Ninety-four hips were randomly implanted with a 22.225-mm head cemented THA—the group of non-CLPE against zirconia and CLPE against 2 different zirconias and stainless steel. The linear wear rate was significantly lower in the group of CLPE against zirconia (0.067, 0.059 mm/y) and against stainless steel (0.068 mm/y) compared with non-CLPE against zirconia (0.170 mm/y). I...
Source: The Journal of Arthroplasty - August 13, 2009 Category: Orthopaedics Authors: Kentaro Ise, Keiichi Kawanabe, Jiro Tamura, Haruhiko Akiyama, Koji Goto, Takashi Nakamura Tags: Original Articles Source Type: journals

The Use of Allograft Prosthesis Composite for Extensive Proximal Femoral Bone Deficiencies: A 2- to 9.8-Year Follow-Up Studyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report here results for 15 hips that we repaired using allograft prosthesis composite (APC) and monitored for a mean of 4.2 years. Two hips underwent repeat revisions with new APCs after a mean of 83.7 months. The average Harris Hip Score improved from 21.8 before revision surgery to 83.2 afterward, and 12 stems showed good stability. Of the 15 hips repaired with APC, 13 had good junctional union. One of the 2 remaining hips showed nonunion, which was repaired with an onlay graft 3.3 years later, and the other hip showed both infection and nonunion. There was 1 dislocation, and 2 hips had complications related to the gr...
Source: The Journal of Arthroplasty - July 31, 2009 Category: Orthopaedics Authors: Soo H. Lee, Young J. Ahn, Sae J. Chung, Byeong K. Kim, Ji H. Hwang Tags: Original Articles Source Type: journals

Postoperative Mortality and Factors Related to Mortality After Bipolar Hemiarthroplasty in Patients With Femoral Neck Fracturesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study included 241 patients with femoral neck fractures after bipolar hemiarthroplasty. We analyzed the mortality rate and the relationship between postoperative mortality and risk factors, such as age, sex, body mass index, the time to surgery, and the Society of Anesthesiologists' score. The postoperative mortality rate 1 and 3 years after surgery was 11.2% and 19.5%, respectively. There proved to be a relationship between postoperative mortality and age, the time to surgery, and the Society of Anesthesiologists score. We recommend that surgery should not be delayed, and caution should be exercised for the high-risk...
Source: The Journal of Arthroplasty - July 30, 2009 Category: Orthopaedics Authors: Young Wook Lim, Soon Yong Kwon, Suk Ku Han, Doo Hoon Sun, Seong Pil Choi, Yong Sik Kim Tags: Original Articles Source Type: journals

Isolated Acetabular Revision Hip Arthroplasty with the Use of Uncemented Cupemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract: We evaluated the clinical and radiological results of isolated acetabular revision hip arthroplasty. Forty-three hips underwent isolated acetabular revision with uncemented cup and were followed up for an average of 76 months. The monoblock femoral stems were used in 20 hips and modular femoral stems in 23 hips. The average Harris Hip Score improved to 87 at last follow-up from 57 preoperatively. All femoral stems maintained stable fixation with bone ingrowth and no subsidence at last follow-up. Five hips with the monoblock stem underwent rerevision due to loosening of cup with osteolysis. The isolated acetabular...
Source: The Journal of Arthroplasty - July 30, 2009 Category: Orthopaedics Authors: Yee-Suk Kim, Young-Ho Kim, Kyu-Tae Hwang, Il-Yong Choi Tags: Original Articles Source Type: journals

Conservative Treatment for the Intraoperative Detachment of Medial Collateral Ligament from the Tibial Attachment Site during Primary Total Knee Arthroplastyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract: For intraoperative injuries of the medial collateral ligament (MCL) during primary total knee arthroplasty (TKA), many authors recommended complex reconstructive procedures or conversion to the constrained prosthesis in previous literature. However, it is well known that medial collateral ligament has good healing potential after injuries. This retrospective study evaluated the clinical and radiological results of 15 primary TKAs complicated with intraoperative complete detachment of the MCL from tibial attachment site, which were all treated solely by nonoperative conservative treatment without any other additiv...
Source: The Journal of Arthroplasty - July 29, 2009 Category: Orthopaedics Authors: Min-Hoi Koo, Choong H. Choi Tags: Original Articles Source Type: journals

Prevalence of Osteonecrosis of the Femoral Head: A Nationwide Epidemiologic Analysis in Koreaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study was performed to estimate the prevalence of osteonecrosis of the femoral head in Korea. Using medical claims data from the Korean National Health Insurance Corporation, all individuals treated under a diagnosis of osteonecrosis of the femoral head were identified for each year from 2002 to 2006. Among them, the number of true cases was estimated using a randomly collected validation sample of 382 patients for which the actual diagnosis was investigated by authors. The estimated yearly prevalence per 100 000 population ranged from 20.53 (20.13 ≤ 95% confidence interval ≤ 20.94) in 2002 to 37.96 (37.42 ≤ 95...
Source: The Journal of Arthroplasty - July 29, 2009 Category: Orthopaedics Authors: Joon Soon Kang, Sohee Park, Joo Hyoun Song, Yung Yul Jung, Myung Rae Cho, Kee Hyung Rhyu Tags: Original Articles Source Type: journals

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(Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - July 24, 2009 Category: Orthopaedics Tags: Frontmatter Source Type: journals

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(Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - July 24, 2009 Category: Orthopaedics Tags: Frontmatter Source Type: journals

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(Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - July 24, 2009 Category: Orthopaedics Tags: Frontmatter Source Type: journals

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(Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - July 24, 2009 Category: Orthopaedics Tags: Frontmatter Source Type: journals

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(Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - July 24, 2009 Category: Orthopaedics Tags: Frontmatter Source Type: journals

Clinical Efficacy of Mechanical Thromboprophylaxis Without Anticoagulant Drugs for Elective Hip Surgery in an Asian Populationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract: To evaluate the clinical efficacy of mechanical thromboprophylaxis after elective hip surgery, we reviewed 3016 patients who underwent hip surgery at 5 centers. Primary total hip arthroplasty (THA), revision THA, and pelvic or femoral osteotomies were performed in 2648, 298, and 70 patients, respectively. Epidural anesthesia, intraoperative calf bandage, early mobilization, and intermittent pneumatic compression postoperatively with additional use of elastic stockings were the basic regimen for thromboprophylaxis. Postoperatively, no cases of fatal pulmonary embolism (PE) were encountered. One symptomatic PE and ...
Source: The Journal of Arthroplasty - July 6, 2009 Category: Orthopaedics Authors: Nobuhiko Sugano, Hidenobu Miki, Nobuo Nakamura, Masaharu Aihara, Kengo Yamamoto, Kenji Ohzono Tags: Original Articles Source Type: journals

Computer-Assisted Total Knee Arthroplasty for Arthritis With Extra-articular Deformityemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract: Forty extra-articular deformities (22 femoral and 18 tibial) in 34 patients (mean age, 63.1 years) were studied. Mean coronal extra-articular deformity was 9.3°; mean preoperative limb alignment was 166.7°. Three limbs underwent simultaneous corrective osteotomy; the rest were treated with intra-articular correction during computer-assisted total knee arthroplasty (TKA). Mean postoperative limb alignment was 179.1°. At a mean follow-up of 26.4 months, the Knee Society knee score improved from a mean preoperative score of 49.7 to 90.4 points postoperatively; function score improved from 47.3 to 84.9 points. Com...
Source: The Journal of Arthroplasty - July 6, 2009 Category: Orthopaedics Authors: Arun Mullaji, Gautam M. Shetty Tags: Original Articles Source Type: journals

Long-Term Outcome of Total Knee Arthroplasty in Charcot Joint: A 10- to 22-Year Follow-Upemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract: The results of 11 total knee arthroplasties in 9 patients with a Charcot joint secondary to neurosyphilis were reviewed. The mean age was 60.1 years, and follow-up averaged 12.3 years. Endomodel rotating hinge prostheses (Waldemar Link GMBH and Co, Hamburg, Germany) were implanted in all knees. The mean knee score increased from 44.9 before surgery to 95.0 at the final follow-up, and the mean function score increased from 45.0 before surgery to 93.6 at the final follow-up. Complications were noted in 3 knees, including 2 dislocations of the knee and 1 deep infection. The clinical results of total knee arthroplast...
Source: The Journal of Arthroplasty - July 6, 2009 Category: Orthopaedics Authors: Dae Kyung Bae, Sang Jun Song, Kyoung Ho Yoon, Jung Ho Noh Tags: Original Articles Source Type: journals

Long-Term Results of Cemented Total Hip Arthroplasty for Dysplasia, With Structural Autograft Fixed With Poly-l-Lactic Acid Screwsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study reviewed a series of cemented total hip arthroplasty (THA) for dysplasia, with structural autograft fixed with poly-l-lactic acid screws. Grafted bone union was confirmed radiologically in every case, and there were no cases of early collapse or extravasation of grafted bone. Kaplan-Meier survivorship analysis of socket revision, radiologic loosening of the socket, and the appearance of a radiolucent line greater than 1 mm in the graft-socket interface as the end points indicated survival rates of 99%, 97.1%, and 63.5% at 10 years and 96.6%, 90.2%, and 56.1% at 15 years, respectively. The results of this study i...
Source: The Journal of Arthroplasty - June 25, 2009 Category: Orthopaedics Authors: Koji Goto, Haruhiko Akiyama, Keiichi Kawanabe, Kazutaka So, Takeshi Morimoto, Takashi Nakamura Tags: Original Articles Source Type: journals

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The authors would like to thank Jill Dawson and colleagues for raising some interesting discussion points in our recent article in The Journal of Arthroplasty (Wylde V, Blom AW, Whitehouse SL, Taylor AH, Pattison GT, Bannister GC. Patient-reported outcomes after total hip and knee arthroplasty—comparison of midterm results). (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - June 21, 2009 Category: Orthopaedics Authors: Vikki Wylde, Ashley Blom, Gordon Bannister Tags: Letters to the Editor Source Type: journals

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Wylde et al (Wylde V, Blom A, Whitehouse SL, Taylor AH, Pattison GT, Bannister GC. Patient reported outcomes after total hip and knee arthroplasty—comparison of midterm results. J Arthroplasty March 27, 2008. in press) have recently reported findings from an audit/cross-sectional survey in which they make direct comparisons of responses to the Oxford hip and knee scores sent to patients who had received a unilateral hip or knee arthroplasty (respectively) between 5 and 8 years previously. They conclude from their findings that patients who receive total knee arthroplasty experience a significantly poorer functional outco...
Source: The Journal of Arthroplasty - June 21, 2009 Category: Orthopaedics Authors: Jill Dawson, Helen Doll, Ray Fitzpatrick, Andrew Carr, David Murray Tags: Letters to the Editor Source Type: journals

Treatment of Periprosthetic Hip Infection Caused by Resistant Microorganisms Using 2-Stage Reimplantation Protocolemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract: To determine the effectiveness of staged reimplantation for the treatment of periprosthetic hip infection caused by resistant microorganisms, we performed a retrospective case-control study on 37 consecutive patients who had a culture-proven periprosthetic hip infection treated using a 2-stage reimplantation protocol. Twenty-four patients infected by resistant microorganisms were compared with 13 patients infected by nonresistant microorganisms. The second-stage reimplantation procedure was possible in 34 (92%) of the 37 patients, but the remaining 3 required permanent resection because of persistent infection. A...
Source: The Journal of Arthroplasty - June 15, 2009 Category: Orthopaedics Authors: Seung-Jae Lim, Jae-Chul Park, Young-Wan Moon, Youn-Soo Park Tags: Original Articles Source Type: journals

Total Hip Arthroplasty After Previous Transtrochanteric Anterior Rotational Osteotomy for Femoral Head Osteonecrosisemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract: We compared the perioperative morbidity, position of the implants, implant stability, and clinical results of 14 conversion total hip arthroplasties after previous transtrochanteric anterior rotational osteotomy with those of a matched control group of 28 primary total hip arthroplasties. The operation time was prolonged, perioperative blood loss increased, and the risk of stem or cup malposition was increased in the conversion group. However, there were no significant differences in the postoperative complications, clinical results, and implant stability between the 2 groups. None of the implants were loose in b...
Source: The Journal of Arthroplasty - June 15, 2009 Category: Orthopaedics Authors: Young-Kyun Lee, Yong-Chan Ha, Ki-Choul Kim, Jeong Joon Yoo, Kyung-Hoi Koo Tags: Original Articles Source Type: journals

Primary Total Hip Arthroplasty Using an Anterior Approach and a Fracture Table: Short-term Results From a Community Hospitalemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract: There are no data regarding the efficacy and safety of minimally invasive hip arthroplasty technique performed by community practice orthopedists. The early clinical and radiographic results of primary total hip arthroplasty using a minimally invasive anterior approach to the hip performed on a fracture table were studied. Two hundred thirty-one consecutive patients (247 hips) of 5 community practice surgeons were studied. The average surgical time (164 minutes) and estimated blood loss (858 mL) were more than double, and the major complication rate (9%) was 6 times that reported by an innovator of the procedure....
Source: The Journal of Arthroplasty - June 2, 2009 Category: Orthopaedics Authors: Steven T. Woolson, Michael A. Pouliot, James I. Huddleston Tags: Original Articles Source Type: journals

Re: A Novel Technique for the Removal of Well-Fixed Cementless, Large-Diameter Metal-on-Metal Acetabular Componentsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
I wish to comment on the recently published article entitled “A Novel Technique for the Removal of Well-Fixed Cementless, Large-Diameter Metal-on-Metal Acetabular Components,” (2008;23-7:1071-1073) by Olyslaegers et al. We read with great interest the author's technique of cementing a polyethylene acetabular component within the well-fixed uncemented acetabular resurfacing component to allow the use of bone-preserving explant systems. We have also had to remove several resurfacing cups over the past 7 years and have used a bipolar head to act as a centralizing mechanism for the explant system. We have found that this t...
Source: The Journal of Arthroplasty - June 2, 2009 Category: Orthopaedics Authors: Kieran Hirpara, Derek Bennett Tags: Letters to the Editor Source Type: journals

Conflict of Interest Statementemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - June 1, 2009 Category: Orthopaedics Tags: Frontmatter Source Type: journals

Instructions to Authorsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - June 1, 2009 Category: Orthopaedics Tags: Frontmatter Source Type: journals