Clinical use and applications of a citrate-based antiseptic lavage for the prevention and treatment of PJI.

Total joint arthroplasties (TJA) are some of the most commonly performed surgeries in the United States with the number of TJA expected to rise significantly over the next decade as the population ages and arthritic burden worsens. However, the rise in TJA volume correlates with a heightened risk of complications, notably prosthetic joint infections (PJI), despite their low occurrence rate of less than 2%. PJI imposes a significant burden on surgery success, patient well-being, and healthcare costs, with an estimated annual expense of 1.

Survivorship and Radiographic Analysis of Highly Porous Acetabular Cups Designed for Improved Osseointegration Potential.

Introduction: A variety of highly porous materials have been used to obtain biological acetabular fixation after total hip arthroplasty (THA). Due to their improved surface-coated properties, new highly porous titanium metal implants have shown potential to promote prosthesis osseointegration. Therefore, the purpose of this multicenter study was to evaluate: 1) overall acetabular cup survivorship; 2) postoperative complications; and 3) radiographic signs of loosening and radiolucencies in patients who received a new highly porous titanium metal cup.

Use of the AO femoral distractor in revision total hip arthroplasty.

Use of the femoral distractor in trauma settings is well documented in the orthopedic literature. Use of the device extends into adult reconstructive surgery; surgeons use this distractor as an aid in performing difficult revision total hip arthroplasties (THAs). Patients with associated soft-tissue contractures secondary to subacute or chronic dislocation of a THA may present a clinical picture that might make consideration of simple open reduction only a remote possibility.