Current Concepts in Joint Replacement Meeting

ORLANDO, Fla. — Femoral revision in cemented total hip arthroplasty in patients with Paprosky type IIIb and type IV defects could be aided by impaction grafting, according to a speaker at the Current Concepts in Joint Replacement Winter Meeting, here.

ORLANDO, Fla. — A two-stage exchange is common for the treatment of an infected total hip or total knee arthroplasty, but many orthopedic surgeons in North America were taught this technique without becoming familiar with single-stage exchange, according to a presenter at the Current Concepts in Joint Replacement Winter Meeting, here.

ORLANDO, Fla. — Being familiar with more than one hip stem design is critical to successful cementless fixation with total hip arthroplasty (THA), based on information presented here.

ORLANDO, Fla., USA — Patient-specific instrumentation has been associated with a simpler surgical procedure, but it may not be cost effective or efficient enough to achieve that in all but the most specific surgical settings, according to presenters at the Current Concepts in Joint Replacement Winter Meeting, here.

Complications from metal-on-metal hip arthroplasty call for individualized treatments, according to an orthopedic surgeon researcher from Rush University Medical Center in Chicago.

Although recent reports focusing on the potential risks of metal-on-metal hip replacement have caused some orthopedists to foresee the end of their widespread use, others hold that the bearing will be here to stay given proper patient selection and head size.

Proponents of simultaneous bilateral total knee arthroplasty cite patient preference for the dual procedure and shorter recovery, while detractors note the greater risks for complications and mortality.

In a recent crossfire debate, Douglas E. Padgett, MD, argued that orthopedists should use robotic-guided navigation during total hip replacement to ensure accurate component positioning. But, Michael E. Berend, MD, countered that too many questions about the technology remain for widespread use including efficacy, time, cost and potential risks.

Administering fluids first rather than transfusing patients and using an antifibrinolytic agent such as tranexamic acid can reduce blood loss and the need for transfusion in patients undergoing hip or knee arthroplasty, according to a presentation at the Current Concepts in Joint Replacement 2011 Winter Meeting.

ORLANDO, Fla. — At the Current Concepts in Joint Replacement 2011 Winter Meeting, Craig J. Della Valle, MD, provided tips on the prevention of intraoperative fractures during total hip arthroplasty.