Total Joint Arthroplasty

The alpha-defensin lateral-flow test showed a high sensitivity and specificity in detecting periprosthetic joint infection prior to revision total joint arthroplasty, according to recent study results.

With a finding of weak to moderate correlation between patient-reported outcome measures and patient satisfaction, published results advise against overreliance of patient-reported outcome measures to assess patient outcomes after total joint arthroplasty if patient satisfaction is the desired outcome.

KOLOA, Hawaii — In commenting on 40 years of developments in the orthopedic specialty, Jack M. Bert, MD, discussed advances in outpatient total joint arthroplasty, arthroscopic surgery and conservative care modalities to prolong surgery.

ORLANDO — At the Current Concepts in Joint Replacement Winter Meeting, A. Seth Greenwald, DPhil (Oxon), discussed the impact the meeting has had on total joint replacement surgeons. During the last 36 years, he said there have been many achievements in the advancement of joint component development and increasing satisfactory outcomes among patients.

KOLOA, Hawaii — At Orthopedics Today Hawaii, Anthony A. Romeo, MD, highlighted important topics for orthopedic surgeons discussed at the meeting, such as sports medicine, trauma, total joint replacement, shoulder and elbow, and practice management.

Under the Bundled Payments for Care Improvement program, participation in bundled payment for lower extremity joint replacement for 3 years correlated with episode savings compared with nonparticipation, according to study results. However, investigators noted the savings were driven by early participants and did not correlate with changes in quality.

No decrease occurred in the risk of infection or reoperation for infection when dilute povidone-iodine irrigation was used in primary or revision total hip arthroplasty or total knee arthroplasty cases, published results showed.

Based on the positive feedback and huge interest from all previous years, the EFORT Comprehensive Review Course is currently considered as one of the basic steps of the orthopaedics and traumatology training.

There was no difference in venous thromboembolism and wound drainage rates in a comparison of chemoprophylactic agents used in low-risk patients who underwent revision compared with primary total joint arthroplasty, according to study results.

A newly accepted study in The Journal of Arthroplasty describes a genome-wide analysis to identify the genetic loci responsible for implant loosening after total joint arthroplasty. This study was performed as part of the European Union-funded project “HypOrth – New approaches in the development of hypoallergenic implant material in orthopaedics: Steps to personalised medicine,” which is financed under grant agreement 602398. The project was an international effort to understand the mechanisms of the development of aseptic loosening and an applied multidisciplinary approach to achieve this goal.