Periarticular infiltration used in total joint replacements: an update and review article.

Periarticular infiltration following total knee and hip arthroplasty has been demonstrated to be equivalent to peripheral nerve blocks for postoperative pain management. The ideal cocktail has not been established yet. We have conducted a literature search on PubMed and Embase.

Pseudotumors in Total Joint Arthroplasty.

»: The true incidence of pseudotumors in association with total joint arthroplasty is underestimated.

»: Pseudotumors occur with metal-on-metal, metal-on-polyethylene, and metal-on-ceramic articulations.

»: Metal ion levels should not be the only factor in decision-making regarding revision surgery.

Metal Hypersensitivity in Joint Arthroplasty.

Metal hypersensitivity in joint arthroplasty is a very controversial topic with limited evidence. With increasing numbers of joint replacements being done annually, a clear understanding of the pathogenesis, clinical picture, preimplant screening, postimplant workup, and treatment plan is crucial. This review article looked at all the available evidence regarding metal hypersensitivity and summarized the key findings.

Controversial Topics in Total Knee Arthroplasty: A 5-Year Update (Part 1).

Background: This review article examines updates to the literature during the past 5 years on numerous topics related to total knee arthroplasty which were felt to have ongoing controversy. These include the use of peripheral nerve blocks and local infiltrative analgesia, intrathecal morphine, patellar resurfacing, and bearing designs.

Methods: For each individual topic, a literature search was conducted on several databases with emphasis on studies that were published in the past 5 years.

Controversial Topics in Total Knee Arthroplasty: A Five-Year Update (Part 2).

Unlabelled: This review article examines updates to the literature during the past 5 years on numerous topics which were felt to have ongoing controversy. These topics include venous thromboprophylaxis, tranexamic acid usage, tourniquet usage, and wound closure techniques.

Methods: For each individual topic, a literature search was conducted on several databases with emphasis on studies that were published in the past 5 years.

Comprehensive Review of Current Constraining Devices in Total Hip Arthroplasty.

Hip instability after total joint arthroplasty is a devastating complication. Appropriate management of instability is a challenge. Three components that are commonly used in these challenging scenarios are constrained liners, constrained tripolar components, and nonconstrained tripolar components.