Impact of Inpatient Versus Outpatient Total Joint Arthroplasty on 30-Day Hospital Readmission Rates and Unplanned Episodes of Care.

This article describes a study comparing 30-day readmission rates between patients undergoing outpatient versus inpatient total hip (THA) and knee (TKA) arthroplasty. A retrospective review of 137 patients undergoing outpatient total joint arthroplasty (TJA) and 106 patients undergoing inpatient (minimum 2-day hospital stay) TJA was conducted. Unplanned hospital readmissions and unplanned episodes of care were recorded.

Staged Bilateral Total Knee Arthroplasty: Time of the Second Side.

The purpose of this study was to determine if there was a safe time frame for performing the second total knee arthroplasty (TKA) in staged bilateral TKAs. Retrospectively, 589 TKAs were studied at a single institution from January 2000 to June 2012. Patients were excluded if they underwent simultaneous or staggered bilateral TKA during the same hospitalization.

Fasciotomy following total knee arthroplasty: beware of terrible outcome.

There is a paucity of literature on compartment pressure thresholds and complications following fasciotomy in postoperative Total Knee Arthroplasty (TKA) patients. The purpose of this study is to identify the postoperative course in a series of patients who had surgical decompression following TKA. We identified six patients who underwent fasciotomy for proven or suspected compartment syndrome following primary TKA between 2000 and 2010.

Joint arthroplasty and infection: where do we stand?

With the field of orthopedic surgery making tremendous advances, no one arena has changed more dramatically then total joint arthroplasty. While this kind of surgery has improved quality of life for many patients, it is not without complications. When they do occur, these complications can be devastating and inflict immense burden on patients and the society.

Periprosthetic proximal femur fractures: current concepts.

With the increase in demand for total hip and knee arthroplasty, the orthopaedic community has seen a dramatic increase in periprosthetic fractures. Given the high morbidity and mortality associated with these fractures, the orthopaedic surgeon needs to be prepared to deal with this difficult problem. The purpose of this article is to provide the surgeon with an algorithmic approach that allows for easy classification and treatment options for periprosthetic fractures of the proximal femur.

Total hip arthroplasty for acute femoral neck fractures using a cementless tapered femoral stem.

The purpose of this study was to evaluate the osseointegration potential and implant-related complications of cementless total hip arthroplasty with a titanium alloy collarless, tapered, wedge-shaped femoral stem with a proximal circumferential plasma-spray coating in patients with acute hip fractures. The cohort consists of 85 patients with a mean age of 78.1 years.