• The nurse is assessing for brachial plexus compromise on a patient that underwent a left shoulder arthroplasty. (nclextestpro.com)
  • Reverse total shoulder arthroplasty for failed shoulder arthroplasty. (orthobullets.com)
  • Recently, the reverse total shoulder arthroplasty (rTSA) has been used in these difficult clinical situations. (orthobullets.com)
  • Therefore, we sought to examine our initial experience using rTSA as a treatment for failed shoulder arthroplasty. (orthobullets.com)
  • During a 5-year period, 31 patients (mean age, 68.7 years) underwent rTSA for treatment of a failed shoulder arthroplasty and their presurgical and operative data were analyzed. (orthobullets.com)
  • For the multicenter, double-blind Australian Surgical Antibiotic Prophylaxis (ASAP) trial , conducted from 2019 to 2022, Peel and colleagues randomized 4,113 patients from 11 Australian hospitals: 2,233 undergoing knee arthroplasty, 1,850 undergoing hip arthroplasty, and 30 undergoing shoulder arthroplasty. (healthiscure.com)
  • They also noted a lack of generalizability to patients with MRSA colonization, revision surgery patients at higher risk for infection from resistant Staphylococcus species, and shoulder arthroplasty patients, because of small numbers. (healthiscure.com)
  • Stemless shoulder arthroplasty implants allow a surgeon to more accurately recreate a patient's normal anatomy because the implant is contained solely within the proximal humeral metaphysis. (medscape.com)
  • Canal sparing shoulder arthroplasty implants have been used since 2004, and currently six manufacturers have designs available. (medscape.com)
  • Stemless reverse shoulder arthroplasty offers the same potential benefits as anatomic stemless designs. (medscape.com)
  • The first shoulder arthroplasty dates back to 1893, performed by a French surgeon, Jules Emile Péan. (medscape.com)
  • [ 2 ] However, it was not until 1974 that Neer reported outcomes on the first total shoulder arthroplasty, consisting of a prosthetic glenoid component and the Vitallium humeral head. (medscape.com)
  • Although fairly rare, previous reports of stemmed implants have estimated the rate of intraoperative humeral fracture to be 1.5%, [ 4 ] and the rate of periprosthetic humeral fracture after anatomic shoulder arthroplasty to be 1.6% [ 5 ] to 2.4. (medscape.com)
  • We reviewed a series of 543 patients who underwent 682 medial Oxford meniscal bearing unicompartmental knee arthroplasties performed between 1983 and January 2005. (orthobullets.com)
  • included 41 patients who underwent a unicompartmental knee arthroplasty and met strict inclusion criteria. (cochrane.org)
  • He underwent left conversion robotic-assisted total knee arthroplasty (RA TKA). (bvsalud.org)
  • In a meta-analysis, antigranulocyte scintigraphy with monoclonal antibodies had a reasonably high discriminating ability with respect to identification of prosthesis infection in patients who underwent total joint arthroplasty. (medscape.com)
  • Main outcome measures Hip arthroplasty procedures were linked to the time to any subsequent mortality or revision (implant failure). (bmj.com)
  • The Oxford medial unicompartmental arthroplasty employs a fully congruent mobile bearing intended to reduce wear and increase the lifespan of the implant. (orthobullets.com)
  • Implant arthroplasty, with its various designs and techniques, has yet to be proven as the definitive solution for first metatarsophalangeal joint arthritis or hallux limitus (unlike the knee and hip). (japmaonline.org)
  • This case highlights using RA TKA for failed mUKA as a viable and promising conversion arthroplasty alternative technique that may improve surgical outcomes by enhancing implant alignment and positioning, protecting the soft tissues , and preserving bone stock. (bvsalud.org)
  • Some implants are a convertible design that allows conversion from an anatomic to a reverse humeral component while leaving the metaphyseal implant in place. (medscape.com)
  • Based on these results, authors of this study concluded that accelerated recovery programs for unicompartmental knee arthroplasties are effective, accepted by patients, and may be cost effective. (cochrane.org)
  • We report the 24- to 36-month follow-up of one center's experience with the ProDisc-L artificial disc as part of a prospective, randomized trial comparing total disc arthroplasty to combined anterior-posterior lumbar fusion. (texasback.com)
  • Purpose: Variability of the human lower lumbar geometry is related to complications of disc arthroplasty surgery. (cdc.gov)
  • The data suggest that patients can expect improved functional outcome and decreased pain after revision of previous arthroplasty to rTSA and that this procedure can provide a reliable salvage option for a challenging clinical problem. (orthobullets.com)
  • Any technology that can reduce bearing wear rates in THA and total knee arthroplasty (TKA) can potentially decrease the morbidity and risks associated with premature revision surgery related to wear. (medscape.com)
  • however, a subset of these patients with a failed arthroplasty will require revision. (orthobullets.com)
  • During revision knee arthroplasty, we observed severe metallosis in the knee joint, polyethylene insert deformation, and posteromedial coronal baseplate fracture. (hindawi.com)
  • Of these, metal component fracture is a devastating complication that requires a highly complex revision arthroplasty procedure [ 4 ]. (hindawi.com)
  • Ganapathi M, Lake DN, Griffiths AP: Periprosthetic high-grade B-cell lymphoma complicating an infected revision total hip arthroplasty. (karger.com)
  • As a consequence of use of metal-on-metal hip arthroplasties some patients have precised revision for pain or metal hipersensivity reactions among other causes. (openorthopaedicsjournal.com)
  • Periprosthetic Humerus Fracture Around an Arthroplasty Stem The case of an 81-year-old man with a left shoulder hemiarthroplasty performed 12 years prior who fell and sustained a periprosthetic humeral fracture. (medscape.com)
  • High strength, a high elastic modulus, high fracture toughness, and high fatigue resistance are vital for materials used as articular surfaces in total joint arthroplasty, both to provide mechanical reliability and to resist deformation. (medscape.com)
  • We report here a case of contralateral tibial baseplate fracture in a female patient who had undergone bilateral MG II total knee arthroplasty for bilateral rheumatoid arthritis of the knee 16 years earlier. (hindawi.com)
  • Experts Unravel the 'Mysteries of Wrist Motion' Dr Scott Wolfe discusses his award-winning research in wrist kinematics and arthroplasty, and a novel prosthetic device that recently received FDA approval. (medscape.com)
  • Prosthetic hip implants with ceramic-on-ceramic alumina bearing couple (left) and metal-on-polyethylene bearing couple (right). (medscape.com)
  • Previous experience has also shown that each new bearing technology applied to total joint arthroplasty can have unforeseen complications. (medscape.com)
  • Ischaemic reperfusion injury (IRI) after tourniquet release during total knee arthroplasty (TKR) is related to postoperative cerebral complications. (medsci.org)
  • Infection, though an uncommon complication of arthroplasty, may be among the most devastating complications for the patient, as well as for the surgeon. (medscape.com)
  • Methods of preventing, diagnosing, and treating infection must be continually improved in order to reduce the cost and complications of total joint arthroplasty. (medscape.com)
  • The purpose of this case series is to present our successful experiences and positive results using distraction arthroplasty to treat PTOA in the ankle, subtalar, first metatarsophalangeal, and second tarsometatarsal joints, and to present distraction arthroplasty as a viable alternative to invasive joint sacrificing procedures such as arthrodesis or arthroplasty. (wjgnet.com)
  • Figure 16 Intra-operative fluoroscopy of the left second tarsometatarsal joints demonstrating insertion of arthroeresis screw into the sub-talar joint to treat flat-foot deformity, in addition to application of external fixator. (wjgnet.com)
  • Hip resurfacing arthroplasty is a type of hip replacement that replaces the arthritic surface of the joint but removes far less bone than the traditional total hip replacement. (eorthopod.com)
  • Ceramic bearings were first employed as alternatives to polyethylene (PE) bearings in total joint arthroplasty about a decade after Sir John Charnley introduced the first durable total hip arthroplasty (THA) with a metal-PE articulation. (medscape.com)
  • When compared to the most commonly used bearing couple in joint arthroplasty, which consists of cobalt-chrome (CoCr) metal alloy articulating against UHMWPE (see the image below), ceramic surfaces offer significant reductions in bearing wear rates. (medscape.com)
  • More than half a million total joint arthroplasties are performed annually in the United States, and this number is growing. (medscape.com)
  • Examination of the left knee indicated joint effusion and tenderness along the medial joint line with localized warmth. (hindawi.com)
  • It's now almost 2 years to the day that I had my left arthroplasty with discectomy, debridement of joint surfaces and dermis-fat graft. (tmjhope.org)
  • Clinical pathways are becoming more widely used, especially for common and costly surgeries such as joint arthroplasties. (cochrane.org)
  • However, given the paucity of insights into the status of the implementation of recommended practices on a national level, we sought to investigate current utilization, trends, and the penetration of OSA care-related interventions in the perioperative management of patients undergoing lower joint arthroplasties. (anesthesiaexperts.com)
  • During an arthroplasty, the damaged joint is replaced either partially (half knee replacement) or completely (total knee replacement) with an artificial joint made from plastic and/or metal. (lu.se)
  • The minimally invasive Oxford unicompartmental knee arthroplasty (UKA) is a demanding procedure but has many advantages compared with total knee arthroplasty (TKA). (springer.com)
  • A second decade lifetable survival analysis of the Oxford unicompartmental knee arthroplasty. (orthobullets.com)
  • This study aims to investigate the Thai population characteristics that may correlate the component sizes used in the Oxford Phase 3 unicompartmental knee arthroplasty (OUKA) and to examine common matching patterns and variables affecting matching and patient-specific factors while determining the femoral component (Fc) size for Thai patients. (jointdrs.org)
  • Oxford unicompartmental knee arthroplasty (OUKA) is an effective procedure for treating medial compartmental osteoarthritic knee with reportedly good long-term survivorship. (jointdrs.org)
  • Eskander MS, McPhee E, Eskander JP, Nascimento R, McCormick JJ, Hao S, Shepro D, Johnson K: A left knee wound complication by non-Hodgkins lymphoma in bilateral total knee arthroplasties. (karger.com)
  • 2006-2013) cases of total hip and knee arthroplasties and investigated utilization and temporal trends in the perioperative use of regional anesthetic techniques, blood oxygen saturation monitoring (oximetry), supplemental oxygen administration, positive airway pressure therapy, advanced monitoring environments, and opioid prescription among patients with and without OSA. (anesthesiaexperts.com)
  • PIs observed or reported during surgery were confirmed by inspection of HCWs' hands before they left the operating room. (cdc.gov)
  • Insufficiency fractures of the right superior and inferior pubic rami and ischium and possibly of the sacrum were noted on hip and pelvic radiographs, and a subsequent MRI showed avascular necrosis of the left femoral head. (upmc.edu)
  • When compared with revisions for aseptic loosening or primary total hip arthroplasties (THAs), revisions for sepsis are associated with significantly greater use of hospital and physician resources. (medscape.com)
  • A 76-year-old woman, who had undergone bilateral MG II total knee arthroplasty due to rheumatoid arthritis 16 years earlier, presented to our department with a 3-month history of left knee pain. (hindawi.com)
  • Our patient was a 60-year-old woman who had undergone bilateral MG II (Zimmer) total knee arthroplasty for rheumatoid arthritis of the knee (Larsen grade IV) in our department 16 years earlier (Figure 1 ). (hindawi.com)
  • Plain radiographs of the bilateral knee of the patient with rheumatoid arthritis before and after Miller-Galante II Total Knee Arthroplasty performed 16 years earlier. (hindawi.com)
  • Bilateral Simultaneous Total Knee Arthroplasty, is it Safe? (drincavo.com)
  • Bilateral Simultaneous Total Knee Arthroplasty (TKA) may Not be Safe Even in the Healthiest Patients, reports findings from a nationally representative database. (drincavo.com)
  • Tsukayama et al based their treatment of infections after total hip arthroplasty (THA) on the clinical presentation-that is, positive intraoperative cultures, early postoperative infection, acute hematogenous infection, or late chronic infection. (medscape.com)
  • Adding vancomycin to beta-lactam prophylaxis with cefazolin did not help prevent surgical-site infections in patients undergoing arthroplasty mostly for the knees or hips, a randomized trial showed. (healthiscure.com)
  • For example, surgical-site infections in patients undergoing knee arthroplasty occurred in 5.7% of the vancomycin group versus 3.7% of the placebo group (RR 1.52, 95% CI 1.04-2.23). (healthiscure.com)
  • Thus, the future of management of arthroplasty-associated infections lies in devising ways to prevent infections, developing investigations that allow early detection, and minimizing both the emergence of new pathogens and the spread of antibiotic resistance among existing pathogens. (medscape.com)
  • On 12/14/15 I had left thumb arthroplasty with tendon transfer, carpal tunnel release, and dequerains release. (healthtap.com)
  • Robotic-Assisted Conversion of a Failed Medial Unicompartmental Knee Arthroplasty to Total Knee Arthroplasty: A Case Report. (bvsalud.org)
  • CASE An 81-year-old man with a history of left medial unicompartmental knee arthroplasty (mUKA) 8 years prior presented to the outpatient clinic with gradually increasing medial left knee pain of 6 years of duration. (bvsalud.org)
  • report on the 20-year survivorship of total knee arthroplasty implants that were mechanically aligned (0° ± 3° relative to the mechanical axis) compared with those that were outside that range and considered outliers. (jbjs.org)
  • The left side shows varus malalignment. (hindawi.com)
  • A follow-up plain radiograph taken 15 years after arthroplasty revealed a deterioration of the varus malalignment of the tibia (Figure 2 ). (hindawi.com)
  • b) Postoperative plain radiograph shows a femorotibial angle (FTA) of 174° on the right side and 183° on the left side. (hindawi.com)
  • Impact of antibiotic prophylaxis programs upon postoperative difficulties right after total mutual arthroplasty: Finding through Chinese human population. (foxsignaling.com)
  • The use of cefuroxime-impregnated cement was shown to be effective in the prevention of early to intermediate deep infection after primary total knee arthroplasty (TKA) performed with perioperative systemic antibiotic prophylaxis but without any so-called clean-air measures. (medscape.com)
  • Among the types of failed arthroplasty, patients with failed TSA noted the greatest improvement in their outcome, but this improvement was not statistically significant. (orthobullets.com)
  • 1) What clinical problems have been reported in patients with Metal-on-metal hip arthroplasties? (openorthopaedicsjournal.com)
  • The use of dual-mobility head can be an acceptable option to revise metal-on-metal arthroplasties correctly oriented with abscence of loosening or infection signs and keeping bone stock in young patients. (openorthopaedicsjournal.com)
  • However, only about 1 in 10 patients with knee or hip OA require an arthroplasty. (lu.se)
  • The Tsukayama classification of arthroplasty-associated infection into four types (see Classification ) can help in formulating the treatment recommendations for the infection. (medscape.com)
  • Distraction arthroplasty is a method for treatment of early arthritic joints without fusing or replacing them and its effectiveness has been well documented. (wjgnet.com)
  • O'Shea K, Kearns SR, Blaney A, Murray P, Smyth HA, McElwain JP: Periprosthetic malignancy as a mode of failure in total hip arthroplasty. (karger.com)
  • The hospital I was at for my acute care physical therapy clinical had recently started an accelerated recovery program for the treatment of knee arthroplasties. (cochrane.org)
  • However, the patient had no complaints about the left knee at this point, and we considered the problem was related to polyethylene wear. (hindawi.com)
  • Singh JA, Vessely MB, Harmsen WS, Schleck CD, Melton LJ 3rd, Kurland RL, Berry DJ: A population-based study of trends in the use of total hip and total knee arthroplasty,1969-2008. (karger.com)
  • We aimed to present our experience of adopting tissue adhesive as adjunct to standard wound closure in total hip arthroplasty (THA) and evaluate its performance. (biomedcentral.com)
  • In the last 20 years metal-on-metal (MoM) total hip arthroplasty has reached much interest. (openorthopaedicsjournal.com)
  • The patient's diagnosis of avascular necrosis in combination with pain refractory to non-operative measures resulted in a left total hip arthroplasty. (upmc.edu)
  • However, 16 years after arthroplasty, she presented to our department with a 3-month history of severe pain in the left knee. (hindawi.com)
  • Many years ago my left side of my jaw was clicking and then one day it just went out of place and then back in then out and back in and the dizzy ness i was getting with feeling sick at any moment……then the pain set in. (tmjhope.org)
  • Arthroplasty should be a last resort treatment if no other treatment method has worked. (lu.se)