Current practice patterns in primary hip and knee arthroplasty among members of the American Association of Hip and Knee Surgeons.

Department of Orthopedics, Mayo Clinic, Rochester, Minnesota 55905, USA.
The Journal of arthroplasty (Impact Factor: 2.37). 09/2010; 25(6 Suppl):2-4. DOI: 10.1016/j.arth.2010.04.033
Source: PubMed

ABSTRACT A poll was conducted at the 2009 Annual Meeting of the American Association of Hip and Knee Surgeons to determine current practices among its members in primary total hip arthroplasty and total knee arthroplasty. This article summarizes the audience responses to a number of multiple choice questions concerning perioperative management and operative practice patterns and preferences including anesthetic choices, blood management, surgical approaches, implant selection, implant fixation, bearing surface choice, postoperative rehabilitation, recommended postoperative activity restrictions, and antibiotic prophylaxis.

  • [Show abstract] [Hide abstract]
    ABSTRACT: Perioperative blood loss during total knee arthroplasty can be significant, with magnitudes typically ranging from 300 mL to 1 L, with occasional reports of up to 2 L. The resultant anemia can lead to severe complications, such as higher rates of postoperative infection, slower physical recovery, increased length of hospital stay, and increased morbidity and mortality. Although blood transfusions are now screened to a greater extent than in the past, they still carry the inherent risks of clerical error, infection, and immunologic reactions, all of which drive the need to develop alternative blood management strategies. Thorough patient evaluation is essential to individualize care through dedicated blood management and conservation pathways in order to maximize efficacy and avoid associated complications. Interventions may be implemented preoperatively, intraoperatively, and postoperatively.
    The Journal of the American Academy of Orthopaedic Surgeons 06/2014; 22(6):361-371. · 2.40 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Total hip arthroplasty (THA) implant usage has evolved as experience has been gained with newer implant designs. The purpose of this study was to characterize trends in THA implant usage between 2001 and 2012. The Orthopedic Research Network, which includes 174 hospitals and ~105,000 THA, was used to evaluate trends in fixation, bearings, acetabular cup and liner, and femoral head usage. In 2012, 93% of THAs were cementless; 56% of THA bearings were metal-HXLPE; and 35% were ceramic-HXLPE. 99% of acetabular cups were modular. 61% of femoral heads were metal, 39% were ceramic, 51% were 36mm, and 28% were 32mm. THA implant usage trends favor cementless fixation, metal-on-polyethylene or ceramic-on-polyethylene bearings, modular acetabular cups, and large diameter femoral heads.
    The Journal of Arthroplasty 05/2014; · 2.37 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: The objective of this study was to evaluate the association of early ambulation with length of stay, costs, and outcomes in inpatients undergoing total knee arthroplasty.
    American journal of physical medicine & rehabilitation / Association of Academic Physiatrists 05/2014; · 1.56 Impact Factor