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Using a Google Web Search Analysis to Assess the Utility of ChatGPT in Total Joint Arthroplasty
Jeremy A. Dubin, Sandeep S. Bains, MD, DC, MBA, Zhongming Chen, MD, Daniel Hameed, MD, James Nace, DO, MPT, Michael A. Mont, MD, Ronald E. Delanois, MD
doi : 10.1016/j.arth.2023.04.007
Volume 38, Issue 7, July 2023, Pages 1195-1202
Rapid technological advancements have laid the foundations for the use of artificial intelligence in medicine. The promise of machine learning (ML) lies in its potential ability to improve treatment decision making, predict adverse outcomes, and streamline the management of perioperative healthcare.
Prior Authorization in Total Joint Arthroplasty: A Survey of the American Association of Hip and Knee Surgeons Membership
Daniel E. Pereira, MD a , Eli Kamara, MD b , Chad A. Krueger, MD c , P. Maxwell Courtney, MD c , Matthew S. Austin, MD c , Adam Rana, MD d , Charles P. Hannon, MD, MBA
doi : 10.1016/j.arth.2023.01.022
Volume 38, Issue 7, July 2023, Pages 1203-1208.e3
This study surveyed the impact that prior authorization has on the practices of total joint arthroplasty (TJA) members of the American Association of Hip and Knee Surgeons (AAHKS).
Major National Shifts to Outpatient Total Knee Arthroplasties in the United States: A 10-Year Trends Analysis of Procedure Volumes, Complications, and Healthcare Utilizations (2010 to 2020)
Pedro J. Rullan, MD a , James R. Xu b , Ahmed K. Emara, MD a , Robert M. Molloy, MD a , Viktor E. Krebs, MD a , Michael A. Mont, MD c , Nicolas S. Piuzzi, MD
doi : 10.1016/j.arth.2023.01.019
Volume 38, Issue 7, July 2023, Pages 1209-1216.e5
The removal of total knee arthroplasty (TKA) from inpatient-only lists accelerated changes in orthopaedic surgical practices across the United States. This study aimed to (1) quantify the annual volume of inpatient/outpatient primary TKAs; (2) compare patient characteristics before/after the year 2018; and (3) compare annual trends in 30-day readmissions, 30-day complications, and healthcare utilization parameters for inpatient/outpatient TKAs.
Racial and Ethnic Disparities in Short-Stay Total Knee Arthroplasty
Aoife S. MacMahon, MD, Kevin L. Mekkawy, DO, Kawsu Barry, MD, Harpal S. Khanuja, MD
doi : 10.1016/j.arth.2022.12.044
Volume 38, Issue 7, July 2023, Pages 1217-1223
The purpose of this study was to understand racial and ethnic disparities in hospital-based, Medicare-defined outpatient total knee arthroplasty (TKA). We aimed to determine the following: 1)Â whether there are differences in preoperative characteristics or postoperative outcomes in outpatient TKA between racial/ethnic groups and 2) trends in outpatient TKA volume, based on race/ethnicity.
Disparities in Elective and Nonelective Total Hip Arthroplasty
Gregory A. Benes a, *, Vinod Dasa, MD b , Peter C. Krause, MD b , Deryk G. Jones, MD c , Lauren J. Leslie, DO c , Andrew G. Chapple, PhD
doi : 10.1016/j.arth.2023.01.011
Volume 38, Issue 7, July 2023, Pages 1224-1229.e1
The Efficacy of Telemedicine Versus In-Person Education for High-Risk Patients Undergoing Primary Total Joint Arthroplasty
Samantha N. Baxter, DO, MS a , Andrea H. Johnson, MSN, CRNP b , Jane C. Brennan, MS c , Steffanie S. Dolle, RN, BSN, ONC c , Justin J. Turcotte, PhD, MBA d, *, Paul J. King, MD
doi : 10.1016/j.arth.2023.01.015
Volume 38, Issue 7, July 2023, Pages 1230-1237.e1
While multiple studies have demonstrated the positive impact of preoperative education on total joint arthroplasty (TJA) outcomes, the traditional method of conducting in-person individualized counseling or group education may limit access to these resources for a subset of the population.
Utility of the LET-IN-OUT Clinical Decision Support Tool for Medical Risk Stratification Prior to Outpatient Total Hip or Knee Arthroplasty
Zoe D. Trutner*, Joshua M. Cummings, Cortney A. Matthews, Kenoma Anighoro, MD, Prakash Jayakumar, MD, PhD, Thomas R. Vetter, MD, MPH
doi : 10.1016/j.arth.2023.01.003
Volume 38, Issue 7, July 2023, Pages 1238-1244
A Reduction in Opioid Prescription Size After Total Joint Arthroplasty Can be Safely Performed Without an Increase in Complications
Thomas S. Wenzlick, MD a , Andrew R. Kutzner, MD a , David C. Markel, MD b , Richard E. Hughes, PhD c , Heather D. Chubb, MS c , Karl C. Roberts, MD
doi : 10.1016/j.arth.2023.01.013
Volume 38, Issue 7, July 2023, Pages 1245-1250
Impact of Proximal Tibial Varus Anatomy on Survivorship After Medial Unicondylar Knee Arthroplasty
Robert E. Erlichman, MD a , Joanne B. Adams, BFA, CMI a , Keith R. Berend, MD a , Adolph V. Lombardi Jr., MD a, b , David A. Crawford, MD
doi : 10.1016/j.arth.2022.12.043
Volume 38, Issue 7, July 2023, Pages 1251-1256
Precise indications for medial unicondylar knee arthroplasty (UKA) continue to be defined. It is unclear if patients who have proximal tibia vara should be considered candidates for UKA. The purpose of this study was to evaluate the impact of proximal tibial varus alignment on outcomes after UKA.
15-Year Follow-Up of Mobile Bearing Medial Unicompartmental Knee Arthroplasty
David A. Crawford, MD, Heath Rutledge-Jukes, Jacob S. Alexander, MD *, Adolph V. Lombardi Jr., MD, Keith R. Berend, MD
doi : 10.1016/j.arth.2023.01.024
Volume 38, Issue 7, July 2023, Pages 1257-1261
Medial unicompartmental knee arthroplasty (UKA) is a successful treatment for antero-medial osteoarthritis. However, there are few published studies on the long-term survival of this procedure. The purpose of this study was to review the 15-year minimum outcomes and survival of a mobile-bearing medial UKA.
Predicting Postoperative Anemia and Blood Transfusion Following Total Knee Arthroplasty
David A. Kolin, MD, MSc a , Stephen Lyman, PhD a , Alejandro G. Della Valle, MD a , Michael P. Ast, MD a , David C. Landy, MD, PhD b , Brian P. Chalmers, MD
doi : 10.1016/j.arth.2023.01.018
Volume 38, Issue 7, July 2023, Pages 1262-1266.e2
While transfusion and clinically relevant anemia after elective primary total knee arthroplasty (TKA) are uncommon, there remains a question of who needs postoperative hemoglobin monitoring, especially in the setting of increasing incidence of outpatient TKA. The purpose of this study was to create predictive models for postoperative anemia and blood transfusion to guide clinical decision-making.
Coronal Laxity at Flexion is Larger After Posterior-Stabilized Total Knee Arthroplasty Than With Cruciate-Retaining Procedures
Kuo Hao, MD 1 , Yingzhen Niu, MD 1 , Ao Feng, MD, Fei Wang, MD
doi : 10.1016/j.arth.2022.12.041
Volume 38, Issue 7, July 2023, Pages 1267-1272
It is unclear whether coronal stability differs between cruciate-retaining (CR) and posterior-stabilized (PS) total knee arthroplasty (TKA). The purpose of this study was to compare coronal laxity, radiological, and clinical outcomes between CR-TKA and PS-TKA.
Dexmedetomidine Prolongs the Analgesic Effects of Periarticular Infiltration Analgesia following Total Knee Arthroplasty: A Prospective, Double-Blind, Randomized Controlled Trial
Enze Zhao, MD a , Kai Zhou, MD a , Zunhan Liu, MD a , Zichuan Ding, MD a , Hanpeng Lu, MD a , Jiali Chen, MD b , Zongke Zhou, PhD a,
doi : 10.1016/j.arth.2023.01.029
Volume 38, Issue 7, July 2023, Pages 1273-1280
Periarticular infiltration analgesia (PIA) is widely administered to relieve postoperative pain following total knee arthroplasty (TKA). The present study aimed to evaluate the effect of prolonging the analgesic duration by adding dexmedetomidine to PIA for pain management after TKA.
Smokeless Tobacco Use is Associated With Worse Outcomes Following Total Knee Arthroplasty
Timothy L. Waters, BA a , Lacee K. Collins, BS a , Matthew W. Cole, MD a , Zachary Salas, MD a , Bryan D. Springer, MD b , William F. Sherman, MD, MBA
doi : 10.1016/j.arth.2023.01.035
Volume 38, Issue 7, July 2023, Pages 1281-1286
Studies have demonstrated increased complication risk after total knee arthroplasty (TKA) in patients who smoke cigarettes, but it is unclear if smokeless tobacco use confers a similar impact.
Are Short Stems Associated With Higher Fracture Rates and Early Revision Rates in Primary Total Hip Arthroplasty? A Noninferiority Analysis
Joseph T. Nelson, MD a , Huiyong Zheng, PhD b , Brian R. Hallstrom, MD b , Richard E. Hughes, PhD b , Michael A. Mont, MD c , Michael A. Masini, MD
doi : 10.1016/j.arth.2023.01.008
Volume 38, Issue 7, July 2023, Pages 1287-1294.e2
This study aimed to determine if “short� femoral stems were noninferior to (at least as good as) standard-length stems in regards to 90-day periprosthetic fracture and 1-year revision rates.
Hip Arthroplasty Outcomes in the Presence of Kidney Failure: AÂ National Data Linkage Study
Ian A. Harris, MMed (Clin Epi), MSc (HDS), PhD a, b, c, *, Michelle F. Lorimer, BSc (Maths&CompSc) (Hons) d , Christopher E. Davies, BMaths&CompSc (Hons), GCPH, PhD d, e, f , Dominic Keuskamp, BSc, MSc, PhD d, e, f , Kathryn B. Dansie, BHlthSc (Hons), MBiostat e, f , Peter L. Lewis, MBBS a , Stephen E. Graves, MBBS, DPhil (Oxon) a, f , Stephen P. McDonald, MBBS (Hons), PhD
doi : 10.1016/j.arth.2023.01.014
Volume 38, Issue 7, July 2023, Pages 1295-1302
Patients who have kidney failure are at higher risk of requiring total hip arthroplasty (THA) and are at higher risk of complications. This study compared the rate of revision surgery and mortality following THA between patients who have kidney failure receiving long term dialysis or who had a kidney transplant and those who did not have kidney failure.
How Does Preoperative Anemia Impact Clinical Outcomes Following Primary Total Hip Arthroplasty?: Experience From Colombia
Milan F. Zarate Leal, MD a , Juan J. Mart?nez Arboleda, MD b , Maria J. Perez Bermudez, MD a , Juan F. Londo~no, MD a , Alfredo A. Sanchez Vergel, MD
doi : 10.1016/j.arth.2023.01.025
Volume 38, Issue 7, July 2023, Pages 1303-1308
Anemia is a common condition and a known risk factor for complications after primary total hip arthroplasty. Few studies have evaluated this topic in Latin American countries where this problem can be more important. The purpose of this study was to determine the role of preoperative anemia in 30-day complications after primary total hip arthroplasty.
Identifying Aseptic Revision Total Knee Arthroplasty Diagnoses That Achieve Minimal Clinically Important Difference and Patient Acceptable Symptom State
Ilya Bendich, MD, MBA *, Thomas D. Tarity, MD, Kyle Alpaugh, MD, Stephen Lyman, PhD, Alioune Diane, Peter K. Sculco, MD, Alexander S. McLawhorn, MD, MBA
doi : 10.1016/j.arth.2023.01.020
Volume 38, Issue 7, July 2023, Pages 1309-1312
Minimal clinically important difference (MCID) defines a meaningful clinical change in patient-reported outcome measures. Patient acceptable symptom state (PASS) provides a patient-reported outcome measures threshold value to indicate a satisfactory clinical state.
Re-revision Knee Arthroplasty in a Tertiary Center: Infection and Multiple Previous Surgeries Were Associated With Poor Early Clinical and Functional Outcomes
Lennart von Fritsch, MD a, b, *, Shiraz A. Sabah, FRCS (Orth) a , Joshua Xu, MD a , Andrew J. Price, FRCS (Orth), DPhil a, c , Christian Merle, Dr MSc b, d , Abtin Alvand, FRCS (Orth), DPhil
doi : 10.1016/j.arth.2023.01.030
Volume 38, Issue 7, July 2023, Pages 1313-1319
The incidence of re-revision knee arthroplasty (re-revision KA) is increasing and associated with high complication and failure rates. The aim of this study was to investigate re-revision rates, complications, and patient-reported outcomes following re-revision KA and factors associated with poor outcome.
Burden and Characteristics of Revision Total Knee Arthroplasty in China: A National Study Based on Hospitalized Cases
Huizhong Long, MD a , Dongxing Xie, MD, PhD a, b , Chao Zeng, MD, PhD a, b, c, d , Haibo Wang, MBBS e, f , Guanghua Lei, MD, PhD a, b, c, d , Tuo Yang, MD, PhD
doi : 10.1016/j.arth.2023.02.052
Volume 38, Issue 7, July 2023, Pages 1320-1325.e2
National epidemiological data in China are absent for revision total knee arthroplasty (TKA). This study aimed to investigate the burden and characteristics of revision TKA in China.
Relationship Between Preoperative Nutritional Status and Predicting Short-Term Complications Following Revision Total Hip Arthroplasty
Jamie C. Heimroth, MD *, Eric V. Neufeld, MD, Nipun Sodhi, MD, Timothy Walden, MD, Max L. Willinger, MD, Sreevathsa Boraiah, MD
doi : 10.1016/j.arth.2023.02.077
Volume 38, Issue 7, July 2023, Pages 1326-1329
The association between malnutrition and complications following primary total joint arthroplasty is well-delineated; however, nutritional status has yet to be explored specifically in revision total hip arthroplasty (THA). Therefore, our objective was to examine if a patient’s nutritional status based on body mass index, diabetic status, and serum albumin predicted complications following a revision THA.
Custom Triflange Acetabular Components For Catastrophic Bone Loss: Minimum 5-Year Results
Jacob S. Alexander, MD *, Adolph V. Lombardi Jr., MD, Keith R. Berend, MD, Michael J. Morris, MD, Joanne B. Adams, BFA, CMI, David A. Crawford, MD
doi : 10.1016/j.arth.2023.01.023
Volume 38, Issue 7, July 2023, Pages 1330-1334
Custom acetabular components are an increasingly utilized reconstructive option in total hip arthroplasty for catastrophic bone loss and acetabular failure. The purpose of this study was to determine the survivorship of such components for reconstruction due to catastrophic bone loss at a minimum 5-year follow-up.
Long-Term Outcomes of Cementing Highly Cross-Linked Polyethylene Liners Into Well-Fixed Acetabular Shells in Revision Total Hip Arthroplasty
Kyungjun Cho, MD a , Chan-Woo Park, MD a , Sang Jin Jeong, MD a , Jong-Hyun Lee, MD a , Seung-Jae Lim, MD a, *, Youn-Soo Park, MD
doi : 10.1016/j.arth.2023.01.028
Volume 38, Issue 7, July 2023, Pages 1335-1341
Cementing a new liner into a secure, well-positioned metallic shell can be a less-invasive strategy in revision total hip arthroplasty (THA). This study aimed to report the mean 14-year outcomes of cementing highly cross-linked polyethylene (XLPE) liners into well-fixed acetabular shells in revision THAs.
Clinical and Radiographic Outcomes of a Monoblock Fluted Titanium-Tapered Stem for Paprosky IIIa, IIIb, and IV Femoral Bone Defects
Brandon Passano, MD, MS a , Christian T. Oakley, MD b , William B. Lutes, DO c , Stephen J. Incavo, MD d , Kwan J. Park, MD d , Ran Schwarzkopf, MD, MSc
doi : 10.1016/j.arth.2023.01.034
Volume 38, Issue 7, July 2023, Pages 1342-1348
Higher 2-Year Cumulative Incidence of Mental Health Disorders Following Antibiotic Spacer Placement for Chronic Periprosthetic Joint Infection following Total Joint Arthroplasty
Avilash Das, MD a , Amil R. Agarwal a, b, *, Alex Gu, MD a , Seth Stake, MD c , Simone A. Bernstein, MD d , Gregory J. Golladay, MD e , Savyasachi C. Thakkar, MD
doi : 10.1016/j.arth.2022.12.040
Volume 38, Issue 7, July 2023, Pages 1349-1355.e1
The relationship of chronic periprosthetic joint infection (PJI) treatment on the development and relapse of mood disorders remains largely unreported. This study aims to compare the incidence of different mental health disorders following antibiotic spacer placement for chronic PJI when compared to aseptic revisions and primary procedures.
Diagnostic Utility and Thresholds for Commonly Obtained Serum and Synovial Markers Prior to Reimplantation in Periprosthetic Joint Infection
Abhijit Seetharam, MD a , Julian E. Dilley, MD a , R. Michael Meneghini, MD a , Michael M. Kheir, MD
doi : 10.1016/j.arth.2023.01.021
Volume 38, Issue 7, July 2023, Pages 1356-1362
Accurate diagnosis of persistent periprosthetic joint infection (PJI) during 2-stage exchange remains a challenge. This study evaluated the diagnostic performance and thresholds of several commonly obtained serum and synovial markers to better guide reimplantation timing.
Hypoalbuminemia Predicts Failure of Two-Stage Exchange for Chronic Periprosthetic Joint Infection of the Hip and Knee
Cody C. Green, MD a, b , Michael M. Valenzuela, DO c , Susan M. Odum, PhD d , Taylor M. Rowe, BA c , Bryan D. Springer, MD b, d , Thomas K. Fehring, MD b, d , Jesse E. Otero, MD, PhD
doi : 10.1016/j.arth.2023.01.012
Volume 38, Issue 7, July 2023, Pages 1363-1368
Nutritionally compromized patients, with preoperative serum albumin (SAB) < 3.5g/dL, are at higher risk for periprosthetic joint infection (PJI) in total joint arthroplasty. The relationship between nutritional and PJI treatment success is unknown. The purpose of this study was to examine the relationship between preresection nutrition and success after first-stage resection in planned two-stage exchange for PJI.
High Rate of Intramedullary Canal Culture Positivity in Total Knee Arthroplasty Resection for Prosthetic Joint Infection
Murillo Adrados, MD a , Brian M. Curtin, MD a , Bryan D. Springer, MD a, b , Jesse E. Otero, MD, PhD a, b , Thomas K. Fehring, MD a, b , Keith A. Fehring, MD
doi : 10.1016/j.arth.2023.01.017
Volume 38, Issue 7, July 2023, Pages 1369-1372
The Risk of Acute Infection Following Intra-Articular Corticosteroid Injection During Total Knee Manipulation Under Anesthesia
Lucas E. Bartlett, DO a, *, James P. Henry, DO a , Katherine A. Lygrisse, MD a , Nadia Baichoo, MA b , Bradley D. Gerber, MD b , James A. Germano, MD
doi : 10.1016/j.arth.2023.02.064
Volume 38, Issue 7, July 2023, Pages 1373-1377
Manipulation under anesthesia (MUA) is an established option for improving motion in patients presenting with early stiffness following total knee arthroplasty (TKA). Intra-articular corticosteroid injections (IACI) are sometimes administered adjunctively, yet literature examining their efficacy and safety remains limited.
Could Novel Radiographic Findings Help Identify Aseptic Tibial Loosening?
Robert W. Elrod, MD a, *, Christopher E. Pelt, MD b , J. Bohannan Mason, MD c , Alexander J. Volkmar, MD a , Gregory G. Polkowksi, MD, MSCR a , Rogelio A. Coronado, PT, PhD a , J. Ryan Martin, MD
doi : 10.1016/j.arth.2023.01.031
Volume 38, Issue 7, July 2023, Pages 1378-1384
Aseptic loosening following total knee arthroplasty remains one of the leading causes of long-term failure. Radiographic identification of loose implants can be challenging with standard views. The purpose of this study was to compare the incidence of novel radiographic findings of anterior heterotopic bone formation and medial or lateral cyst formation in patients who have aseptic loosening to patients who have well-fixed implants.
Hip Abduction Can Be Considered the Sole Posterior Precaution Strategy to Lower the Rate of Impingement After Posterior Approach Total Hip Arthroplasty With Large Femoral Head: AÂ Computer Simulation Study
Aidin Eslam Pour, MD, MS *, Wei Shao Tung, Claire A. Donnelley, MD, Steven M. Tommasini, PhD, Daniel H. Wiznia, MD, MS
doi : 10.1016/j.arth.2023.01.027
Volume 38, Issue 7, July 2023, Pages 1385-1391
Studies suggest that posterior hip precautions are unnecessary after total hip arthroplasty; however, many surgeons and patients choose to follow these precautions to some extent. In this study, we hypothesized that 20° of hip abduction would be sufficient to prevent impingement and dislocation in motions requiring hip flexion when using larger prosthetic heads (≥36 mm) when the acetabular implant is placed within a reasonable orientation (anteversion:15-25° and inclination: 40-60°).
Readability of Online Patient Education Materials for Total Joint Arthroplasty: A Systematic Review
Amir H. Karimi, Aakash K. Shah, Christian J. Hecht II, Robert J. Burkhart, Alexander J. Acu~na, MD, Atul F. Kamath, MD
doi : 10.1016/j.arth.2023.01.032
Volume 38, Issue 7, July 2023, Pages 1392-1399
As the demand for total joint arthroplasty continues to grow, patients increasingly turn to internet sources for accessible orthopaedic health information. We sought to evaluate the readability of online hip and knee arthroplasty patient education materials (PEMs).
Outcomes following Total Hip and Knee Arthroplasty in Patients Who Have Paget's Disease of Bone: A Systematic Review
Maha Arif, BMedSci a, *, Navnit S. Makaram, MRCS(Ed), MSc a, b , Gavin J. Macpherson, FRCSEd (Tr & Orth) b , Stuart H. Ralston, MD, FRCP, FFPM (Hon), FMedSci, FRSE
doi : 10.1016/j.arth.2023.01.004
Volume 38, Issue 7, July 2023, Pages 1400-1408
Conflict of Interest Statement
doi : 10.1016/S0883-5403(23)00490-4
Volume 38, Issue 7, July 2023, Page A9
