Total Joint Arthroplasty

The inclusion of social determinants of health variables in randomized controlled trials is lacking in studies published in key orthopedic journals, a speaker said at the American Association of Hip and Knee Surgeons Annual Meeting.

For patients undergoing total joint arthroplasty, preoperative generalized anxiety disorder is a risk factor for poor postoperative pain control; however, appropriate treatment may improve outcomes, according to the published results.

Patients who undergo total joint arthroplasty in the outpatient setting are less likely to become persistent opioid users than those who undergo inpatient total joint arthroplasty, according to published results.

Outpatient total joint arthroplasty provides a safe option for the right candidate, increases patient satisfaction and may be beneficial for the surgeon, according to a presenter at the Current Concepts in Joint Replacement Winter Meeting.

General anesthesia used in patients undergoing total joint arthroplasty in the community hospital setting was associated with complications that deterred same-day discharge or failure to launch, results of retrospective study showed.

Improvements in mobility and pain after total joint arthroplasty had a positive effect on both the patient and their spouse, with significant improvements in quality of life and marital functioning of the spouse, according to results.

Surgical site infection is a devastating complication after orthopedic surgery. There has been much debate regarding the efficacy of chlorhexidine gluconate for presurgical bathing to reduce surgical site infection risk.

Despite a high prevalence of self-reported nuisance symptoms after total joint arthroplasty, published results showed these symptoms had a minimal impact on overall patient satisfaction.

Published results showed variation in total inpatient cost between different subspecialties of arthroplasty, with implant cost found to be the main driver of cost variation.

Multiplex polymerase chain reaction, which uses polymerase chain reaction to simultaneously amplify several different next-generation DNA sequences, had 25.6% sensitivity when performed using Musculoskeletal Infection Society criteria for aspirate or tissue samples collected during 93 revision primary total joint arthroplasties and 77 primary total joint arthroplasties, according to study results.