Hip Arthoplasty

Use of a specific modular femoral revision system yielded excellent component survivorship for patients undergoing revision total hip arthroplasty, according to results.

In the Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System proposed rule, CMS aims to remove total hip arthroplasty from the inpatient only list and add total knee arthroplasty to the ASC Covered Surgical Procedures List in 2020.

NEW YORK — Infection eradication and limited stem migration occurred at 2-year minimum follow-up in patients who underwent staged total hip arthroplasty revision due to infection using a femoral impaction bone grafting technique. The results were similar to those seen with implantation of primary cemented taper-slip prostheses, according to a presenter at the Musculoskeletal Infection Society Annual Open Scientific Meeting.

Regularly, I am confronted with a patient who demands a hip replacement when that patient, in my opinion, is not a candidate for surgery based upon the generally accepted recommendations that need to be followed before surgery can be considered. Such a situation usually becomes stressful for both the patient and the surgeon because, if we stay true to our professional, academic-based knowledge, ultimately, the expert the patient has been look forward to meeting will not perform the surgery and the patient cannot undergo the surgery he or she has anticipated.

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