A study presented at the AAOS Annual Meeting shows that healthy revision total hip arthroplasty patients have about the same chance of developing a deep vein thrombosis or pulmonary embolism as healthy patients undergoing primary hip replacement.
Faculty from a recent ICJR symposium discuss planning and implementation of an outpatient joint replacement surgery program.
The International Congress for Joint Reconstruction (ICJR) recently sponsored a CME symposium, accredited by Marshall University, designed to help orthopaedic surgeons understand the steps involved in planning and implementing an outpatient joint replacement surgery program.
Few joint replacement surgeons were exposed to the direct anterior approach for total hip arthroplasty during their residency and fellowship – which means they’ll need additional training if they want to offer this approach to their patients.
Complicated revision total hip arthroplasty (THA) and total knee arthroplasty (TKA), septic prosthetic failure, and periprosthetic femoral fractures seem to be increasing. The expanding applications for arthroplasty in younger patients coupled with their longer lifespan is translating into more revision procedures. In addition, with the increasing population of older patients and the increasing number of THA and TKA procedures done in this population prostheses are being used in more osteoporotic bone and the incidence of periprosthetic fractures is increasing.
A 66-year-old female who has acetabular protrusio and end-stage osteoarthritis of the right hip undergoes total hip arthroplasty through the ABMSparing approach. According to the authors, this approach avoids the complications of wound healing that can occur with an approach that crosses the hip flexion crease, as well as avoids cutting muscle.
Mobile-bearing acetabular components are a relatively new design option for total hip arthroplasty. The goal of these components, say the manufacturers, is to allow a better fit with the patient s anatomy, provide greater mobility, and create a stable hip that s less prone to dislocation.