Healthcare News
Increased rates of cementless TKA yielded negligible increases in early revision
As cementless fixation in total knee arthroplasty has increased in the U.S. since 2012, results presented here showed a small but significant increase in 1-year revision risk with this method in patients aged 65 years or older.
Source: Healio
The Shift to Outpatient Total Hip and Knee Arthroplasty: Perioperative Work Has Not Changed
Total hip (THA) and knee arthroplasty (TKA) are increasingly being performed on an outpatient basis. Due to this shift in the site of service, the volume and complexity of the work required for these procedures may be affected. The purpose of this study was to quantify the amount of perioperative work performed by the surgeon and advanced practice providers for same-day THA and TKA.
Source: The Journal of Arthroplasty
GLP-1s may have profound impact on total joint replacement
GLP-1s may help patients with a BMI of 40 kg/m2 become eligible for joint replacement. But questions remain on the use of GLP-1s before surgery and the long-term effects on musculoskeletal health.
Source: Healio
In-Hospital Exposure and Opioids Prescribed After Total Knee Arthroplasty
Opioids are frequently used intraoperatively and during post-anesthesia care unit (PACU) care in total knee arthroplasty (TKA) cases and are commonly prescribed after surgery despite known adverse effects. This study examined whether in-hospital opioid exposure is related to postoperative opioid prescribing in opioid-naïve TKA patients.
Femoral resection accuracy and precision in manual caliper-verified kinematic alignment total knee arthroplasty
The accuracy and precision of bone resections in total knee arthroplasty (TKA) are essential to avoid poor implant positioning, which can lead to component wear, pain, and instability, reducing patient satisfaction and implant survivorship. Technology-assisted TKA techniques aim to improve accuracy but come with added costs, increased operative time, and varying success in clinical outcomes. Caliper-verified kinematic alignment (KA) attempts to restore the joint line by precisely measuring resections to equal implant thickness. We evaluated the accuracy and precision of caliper-verified KA-TKA performed with manual instruments.
