- 100,000th Robotic-Arm Assisted Joint Replacement Procedure Performed in the U.S. with Stryker’s Mako System
- 35 Year Follow Up for THR Patients 50 and under
- 7-year Study of Vitamin E-Diffused Highly Crosslinked Polyethylene Total Hip Replacement Device
- AAOS to CMS: Decision for outpatient TKA should remain patient-surgeon choice
- Advantage Ceramic Total Hip Replacement Devices 2013
- AJRR Releases First-Ever Patient Annual Report
- Alternative Bearing Surfaces in THR
- Anesthesia and Control of Operative Blood Loss THR
- Anterior, Lateral and Posterior Approach to Surgery by Talking with Docs – Dr. Zalzal and Dr. Weening
- Are You a Candidate For THR Surgery By Joel Matta
- Articles about Total Hip Replacement including information about choosing a surgeon, what sports you can participate in after surgery and MIS surgery.
- Aspirin effective in preventing symptomatic venous thromboembolic events in TJA
- Autologous Blood Donation before THR
- Average Age of Joint Replacement Patients Dropped by 2 Years Medical Study
- Benefit of Direct Posterior Approach for THR by Dr.
Talking With Docs Published on Jan 29, 2019
One of our viewers asked for our thoughts on tennis player Andy Murray and his hip replacement. We are all waiting and hoping he can return to a competitive tennis career. It is important to understand the difference between hip resurfacing and total hip replacement. The surgeons discuss some professional athletes who have had joint replacements. …
Older adults and their families often wonder: Where’s the best place to recover after a hip or knee replacement — at home or in a rehabilitation facility?
Increasingly, the answer appears to be home if the procedure is elective, friends and family are available to help and someone doesn’t have serious conditions that could lead to complications.
This trend is likely to accelerate as evidence mounts that recuperating at home is a safe alternative and as hospitals alter medical practices in response to changing Medicare policies.
The newest data comes from a March study in JAMA Internal Medicine of 17 million Medicare hospitalizations of people from 2010 to 2016. All the patients were older adults and went home or to a skilled nursing facility after a medical procedure or a serious illness. Knee and hip replacements were the most common reason for these hospitalizations.…
7-year evaluation of a new formulation of vitamin E-diffused highly crosslinked polyethylene
March 14, 2019 LAS VEGAS — At the American Academy of Orthopaedic Surgeons Annual Meeting, Charles R. Bragdon, PhD, associate director of clinical studies and director of Partners’ Orthopedic Registries at Harris Orthopaedic Laboratory at Massachusetts General Hospital, spoke about results of a 7-year evaluation of a new formulation of vitamin E-diffused highly crosslinked polyethylene.
He said that results of the prospective, blinded, randomized controlled trial of 67 patients indicate that in contrast to conventional polyethylene, which is minimally crosslinked and wears at 0.1 mm per year, this formulation of polyethylene and others before it essentially have undetectable wear over time.
“Wear is no longer a function time,” he said. “It is not a function of head size. It is not a function of body weight. We have been able to remove the wear from the equation of failure of total hip replacement.”
Polyethylene wear is not a function of time…
Press release issued: 14 February 2019 Read Full Article Here
After reviewing thousands of case studies going back 25 years across six countries, generalisable survival data is now available for the first time to estimate how long hip and knee replacements are likely to last.
This involved the reports of 215,676 people whose cases were followed up for 15 years after undergoing total hip replacements; 74,052 who were followed up for 20 years; and 51,359 who were followed up for 25 years.
Of the total hip replacements, 89 per cent were found to last 15 years, 70 per cent lasted 20 years, and 58 per cent lasted 25 years…
December 31, 2018 ORLANDO — At the Current Concepts in Joint Replacement Winter Meeting, Jeffrey B. Stambough, MD, discussed a study that looked at long-term outcomes of two consecutive groups of patients who underwent total hip arthroplasty with either conventional polyethylene or highly crosslinked polyethylene bearings. He said after a 15-year follow-up, highly crosslinked polyethylene bearings were an effective solution after patients younger than 50 years old underwent THA.
MORGANTOWN, W.Va. (WDTV)–Right inside Ruby’s doors two patients had their lives changed forever.
For 8 years, Operation Walk USA has given back to patients who may not qualify for health coverage, have no insurance or can’t afford surgery on their own…
…To date, more than 700 patients have been helped through Operation Walk USA.…
Recently, a strong emphasis has been placed on establishing rehabilitation protocols after primary total hip and knee arthroplasty in an attempt to shorten, improve, and standardize the postoperative period of recovery. Less invasive surgical techniques, patient demands, and the pressure of insurance regulations have forced postoperative rehabilitation to be placed on an expedited scale. With these concerns in mind, we introduce a pre- and postarthroplasty program involving the Pilates method. Modified exercises have been developed to account for the postoperative precautions and needs of total hip and knee arthroplasty patients. A patient-driven interest in the use of Pilates for postoperative rehabilitation has led to the development of our programs following total hip or knee arthroplasty. In reviewing our early observations of a small series of patients, it appears this technique can be utilized without early complications; however, further studies are necessary to confirm its utility and safety…
…At 1 year followup, review of patient charts and followup telephone calls revealed; 25 patients were extremely satisfied and 13 were satisfied with their outcome and use of Pilates in their rehabilitation.…
November 3, 2018 Dallas – Data presented at the American Association of Hip and Knee Surgeons Annual Meeting showed total hip arthroplasty performed with a highly crosslinked acetabular liner in patients younger than 50 years of age was associated with Kaplan-Meier overall survivorship of 93% at 15 years when revision due to failure was the endpoint.
Talking With Docs Published on July 24, 2018 – Dr. Paul Zalzal and Dr. Brad Weening discuss different surgical approaches to hip replacement surgery. There has been a lot of interest in the anterior hip approach recently. This video compares anterior approach to lateral and posterior approaches.
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The general information provided on the Video is for informational purposes only and is not professional medical advice, diagnosis, treatment, or care, nor is it intended to be a substitute therefore. Always seek the advice of your physician or other qualified health provider properly licensed to practice medicine or general healthcare in your jurisdiction concerning any questions you may have regarding any information obtained from this Video and any medical condition you believe may be relevant to you or to someone else.…
August 2, 2018 – A long-term follow-up study from Australia confirms that hip implants with components made of cross-linked polyethylene (XLPE) substantially lower the risk of revision surgery after total hip replacement, reports a study in the August 1, 2018 issue of The Journal of Bone & Joint Surgery. The journal is published in the Lippincott portfolio in partnership with Wolters Kluwer.
“The use of XLPE has resulted in a significant reduction in the rate of revision at 16 years following total hip arthroplasty for osteoarthritis,” writes Professor Richard de Steiger, MBBS, FRACS, FAOrthA, and colleagues of the Australian Orthopaedic Association National Joint Replacement Registry, Adelaide, South Australia. With less wear and better longevity than implants using conventional polyethylene (CPE) components, the superior durability of XLPE implants may encourage total hip replacement to be performed in younger patients.…
7/19/2018 – Ormonde M. Mahoney, MD, and Andrew M. Shimmin, MBBS, FRACS, debated the use of highly crosslinked polyethylene for patients who undergo total hip arthroplasty at the Orthopedics Today Hawaii Annual Meeting
He (Shimmin) emphasized that ceramic bearing wear products have less biological activity and minimal reports of osteolysis with its long-term use…
…Furthermore, Shimmin noted ceramic-on-ceramic bearings can be made with larger articulations, which can lead to greater jump height and more stability…
…“In the registry data that I presented yesterday, larger ceramic bearings are revised less than smaller diameter ceramic-on-ceramic bearings,” he said.