- Revision Hip Resurfacing Patients Have Better Outcomes Than THR Revision Patients
- Hip Resurfacing Viable for Patients 45 or Younger Study 2018
- Average Age of Joint Replacement Patients Dropped by 2 Years Medical Study
- Asprin and Xarelto Provide Similar Protection Against Venous Thromboembolism
- Patients Living Alone can be Safely Discharged and Sent Home After Surgery
- Updated Guidelines To Monitor Metal on Metal Devices by UK’s MHRA 2017
- Women More Sensitized than Men to Metal in Hip Replacement Medical Study
- Patients Who Live Alone Can Recover Effectively and Safely at Home
- THR Younger Patients at Higher Risk for Revision Surgery
- Metal in Total Hip Arthroplasty: Wear Particles, Biology, and Diagnosis
- Hip Resurfacing As An Outpatient Procedure Medical Study
- 35 Year Follow Up for THR Patients 50 and under
- Metal Ion/Pseudotumors Medical Studies
- Hip Resurfacing Devices Medical Studies
- One-component revision of failed hip resurfacing Study by Dr. Pritchett 2014
- Hip Resurfacing Using Highly
June 1, 2018 – BARCELONA, Spain – Total surface replacement may still be a viable hip arthroplasty option in young, active patients based on how well it fared in a study when it was revised to total hip replacement vs. primary THR that was revised to THR, according to a presenter at the EFORT Annual Congress…
…“Our study shows, therefore, that there is less blood loss, there’s a shorter length of stay and better function in patients undergoing revision of resurfacing as opposed to revision of a standard stemmed prosthesis,” Kent said… Read the rest
All 217 patients equal to or less than 45 years of age at time of surgical intervention presenting to our centre with MoM-HR between May 2002 and May 2011…
…This study indicates that MoM-HR is a suitable option for young individuals…
…The survivorship of HR in the less than 45 age group was similar to that of total hip replacement, as well as HR in older patients. Given the proposed benefits of HR, this procedure may be viewed as a viable option in patients aged less than 45 years.… Read the rest
Aspirin, Xarelto show no difference in preventing venous thromboembolism after TJA.
Among patients who received 5 days of rivaroxaban prophylaxis after total hip or total knee arthroplasty, extended prophylaxis with aspirin was not significantly different from rivaroxaban in the prevention of symptomatic venous thromboembolism.
After patients received once-daily oral Xarelto (rivaroxaban, Bayer Pharma) until postoperative day 5, Michael Dunbar, MD, FRCSC, PhD, and colleagues then randomly assigned 3,424 patients undergoing either THA or TKA to continue rivaroxaban or switch to aspirin for an additional 9 days after TKA or for 30 days after THA. The primary effectiveness outcome was symptomatic venous thromboembolism 90 days after randomization and the primary safety outcome was bleeding complications, including major or clinically relevant nonmajor bleeding.
Washington D.C. [USA], Jan. 20 : A study has recently revealed that patients who live alone can be safely discharged and sent home from a hospital to recover from hip or knee replacement surgery.
The results question the belief that patients who live alone should routinely be sent to an inpatient rehabilitation facility after total joint replacement surgery before going home.
Researchers said, “Patients living alone had a safe and manageable recovery when discharged directly home after total joint Arthroplasty.”
Andrew N. Fleischman and colleagues from The Rothman Institute, Thomas Jefferson University, Philadelphia, conducted the study.
The team examined 769 patients who were discharged and sent home after one-sided total hip or knee replacement. Of these, 138 patients were living alone for the first two weeks after surgery.
They compared complication rates and other important outcomes for patients who lived alone versus those who lived with others.
The average age … Read the rest
The Medicines and Healthcare products Regulatory Agency (MHRA) UK has called for longer-term monitoring of all patients fitted with metal-on-metal hip implants, as a precautionary measure, in an update to its original guidance issued in 2012.
“MHRA, in colsultation with its independent Metal-on-Metal Expert Advisory Group (MoM EAG), has continued to monitor the performance of MoM hip joint articulations for the occurrence of soft tissue reaction associated with these devices. However, some patients will develop progressive soft tissue reactions to the wear debris associated with MoM articulations.”
Advice varies according to device, age and sex of patients. The BHR is device with a 10A ODEP rating. Those patients are recommended to have follow-ups and blood tests: First year, once at seven years and three yearly thereafter.
Recent studies indicate that females demonstrate an increased risk of experiencing adverse local tissue reactions, aseptic loosening, and revision after primary metal-on-metal hip resurfacing arthroplasty compared with males; the underlying biological mechanisms responsible for sex discrepancies in implant failure remain unclear. In addition to anatomical and biomechanical sex differences, there may be inherent immunological disparities that predispose females to more aggressive adaptive immune reactivity to implant debris, i.e., metal sensitivity…
…The findings support the possibility that the higher rate of complications after TJA in women may have an “adaptive immunological basis.” But it is still unclear whether the sex-related difference in immune sensitization is related to intrinsic biologic factors, such as hormones, or to environmental factors, such as exposure to metals in jewelry or cosmetics.… Read the rest
…a new study to be presented Thursday, March 16, at the 2017 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS), found that even patients who live alone can recover effectively and safely at home…
…(The Study) involved 769 patients undergoing primary THR or TKR. Of these, 138 patients lived alone and 631 lived with other people. In both groups, patients age 75 and older were well represented. The patients who lived alone were more likely to stay an additional night in the hospital prior to discharge and utilize more home health services, especially older patients. Limited support without weekly visits was reported by 37.2 percent of patients living alone, although nearly 80 percent had a friend or relative living within 15 miles who could provide help if needed…
…There was no increase in complications or unplanned clinical events for patients living alone … Read the rest
…We identified 63,158 patients who had undergone total hip replacement and 54,276 who had total knee replacement between Jan 1, 1991, and Aug 10, 2011, and followed up these patients to a maximum of 20 years…
…researchers analyzed data from the Clinical Practice Research Datalink on just over 63,000 patients who had undergone a total hip replacement and 54,000 that had total knee replacements. The surgeries took place between January 1, 1991 and August 10, 2011. Researchers followed the patients for a maximum of 20 years, to see how they made out with their prosthetic joints…
Results showed the following:
- For total hip replacement, the 10-year implant survival rate was 95-96 percent, and the 20-year rate 85 percent.
- For total knee replacement, the 10-year implant survival rate was 96 percent, and 20-year rate 89 percent.
- The lifetime risk of requiring revision surgery in patients who went
Assessment of Durability and Function at Minimum 35-year Follow Up of THR in Patients 50 and Under
Paper 773, presented at the AAOS 2014 Annual Meeting, March 11-15, 2014, New Orleans, Louisiana.
…The purpose of the present study was to evaluate the clinical, radiographic and functional outcomes of Charnley total hip arthroplasty (THA) in patients under age 50 (a group that continues to actively function with their THA) at minimum 35 years of follow up….
…This study demonstrates the durability of cemented total hip replacements (THR) in a young patient population. Although 63.5% percent of the original hip replacements were functioning at the latest follow-up examination or at the time of death, a significant decrease in activity level as measured by functional scores was seen over time…