The Role and Timing of Treatment Strategies During Two-Stage Revision for Periprosthetic Joint Infections.

Introduction: Prosthetic joint infection continues to be a source of significant morbidity to patients and an economic burden to society as a whole. Two-stage revision is the current gold standard for treatment of periprosthetic joint infection in North America. Despite this, much discussion persists about treatment strategies surrounding the interim of the two-stage revision and treatment beyond reimplantation.

Same Day Discharge After Total Joint Arthroplasty The Future May Be Now.

Total joint arthroplasty has traditionally been performed as an inpatient procedure to mitigate the risks of perioperative complications, limited mobility, and pain control issues. Reducing readmissions and complications is increasingly important with the push toward outcomes based reimbursement. Nonetheless, there is a definite trend toward not only shortening postoperative length of stay but also toward considering a same day discharge arthroplasty model in appropriately selected patients.

The utility of bicruciate-retaining total knee arthroplasty.

Background: We describe the features of modern and historical bicruciate-retaining (BCR) total knee arthroplasty (TKA) implants compared with other TKA implant designs, reviewing kinematics, proprioception, operative technique, and clinical results.

Methods: We performed a review based on PubMed, Embase, CINAHL Plus, and Cochrane databases from January 1990 to April 2016 using combinations of the following keywords: "bicruciate-retaining arthroplasty," "bicruciate-retaining total knee arthroplasty," "bicruciate-retaining TKA," "kinematics," "knee kinematics," and "TKA kinematics."

Results: Four studies have supported the notion that preservation of both cruciate ligaments in TKA preserves more "normal" knee kinematics.

Revision Total Hip Arthroplasty-Reducing Hospital Cost Through Fixed Implant Pricing.

Background: A large component of the cost of revision total hip arthroplasty (THA) is the cost of the implants. We examined the pricing of revision THA implants to determine the possible savings of different pricing models.

Methods: From our institutional database, all revision THAs done from 9/1/2013 to 8/31/2014 were identified.