Do More Expensive Total Knee Arthroplasty Prostheses Provide Greater Improvements in Outcomes Over Less Expensive Prostheses Sold by a Physician-owned Distributorship?

Background: It is unknown whether more expensive total knee prostheses provide better improvements in patient-determined outcomes compared with less expensive prostheses. A physician-owned distributorship (POD) was created with a goal to provide lower cost implants to hospitals as an alternative to higher cost prostheses sold by the large orthopaedic implant companies. The hypothesis was that lower cost total knee prostheses would have equivalent outcomes, while resulting in lower costs to the hospitals purchasing them compared with higher cost industry-supplied knee prostheses.

Evaluation of Methods to Quantify Populations of Rhizoctonia in Soil.

The best method to quantitatively determine populations of Rhizoctonia in soil from soybean fields undergoing rice and soybean rotations was determined for use in a large-scale spatial study to be done over multiple fields and years. The methods evaluated were the toothpick-baiting method, the multiple-pellet soil sampler, and the pour-plate method using elutriated organic matter from soil or surface residue. The toothpick-baiting method was calibrated using the multiple-pellet soil sampler and determined to assay an approximate soil volume of 15.