Our purpose was to estimate the incidence of unicompartmental knee arthroplasty in the United States. Three major implant manufacturers provided data over an 8-year period from 1998 to 2005. In addition, a database from 44 hospitals was used to derive national estimates for implants manufactured by all other companies. The incidence of unicompartmental knee arthroplasty ranged from 6570 implants in 1998 to 44990 in 2005. Unicompartmental knee arthroplasty increased at an average rate of 32.5% during the study period compared with a 9.4% average increase in rate of total knee arthroplasty over the same period. Although unicompartmental arthroplasty is growing at triple the rate of total knee arthroplasty in the United States, the data suggest that unicompartmental implants currently account for less than 8% of all knee arthroplasty procedures.
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http://dx.doi.org/10.1016/j.arth.2007.04.012 | DOI Listing |
J Orthop Surg Res
January 2025
Central Coast Local Health District, Gosford, NSW, 2295, Australia.
Background: The use of intravenous tranexamic acid (TXA), an antifibrinolytic agent, has been shown to effectively reduce total blood loss and transfusion rates in total knee arthroplasty (TKA). The aim of this paper is to evaluate the implementation lag and clinical uptake of the use of TXA for primary TKA after publication of two landmark studies. Additionally, it assessed the efficacy of TXA use in TKA in reducing post-operative blood transfusions and hospital length of stay (LOS).
View Article and Find Full Text PDFBMJ Open
January 2025
Department of Surgery, Alberta Health Services, Calgary, Alberta, Canada.
Introduction: To improve surgical quality and safety, health systems must prioritise equitable care for surgical patients. Racialised patients experience worse postoperative outcomes when compared with non-racialised surgical patients in settler colonial nation-states. Identifying preventable adverse outcomes for equity-deserving patient populations is an important starting point to begin to address these gaps in care.
View Article and Find Full Text PDFJ Arthroplasty
January 2025
Orthopedic Surgery Artificial Intelligence Laboratory, Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA; Mayo Clinic Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA. Electronic address:
Background: Minimum joint space width (mJSW) is an important continuous quantitative metric of osteoarthritis progression in the knee. The purpose of this study was to develop an automated measurement algorithm for mJSW in the medial and lateral compartments of the knee that can flexibly handle native knees as well as knees after arthroplasty.
Methods: We developed an end-to-end algorithm consisting of a deep learning segmentation model plus a computer vision algorithm to measure mJSW in the medial and lateral compartments of the knee.
J Arthroplasty
January 2025
The Rubin Institute for Advanced Orthopedics, Baltimore, Maryland. Electronic address:
Introduction: Smartphone and wearable technologies are novel devices for monitoring postoperative mobility and recovery in total knee arthroplasty (TKA) patients. This systematic review of the highest-level evidence studies evaluated the advantages of these technologies in postoperative care, specifically focusing on 1) smartphone applications, 2) wearable devices, and 3) their combined use.
Methods: A systematic literature search from July 26, 2015, to June 13, 2024, identified Level-1 and -2 published studies investigating smartphone applications and wearables for monitoring post-TKA recovery.
J Arthroplasty
January 2025
Department of Orthopaedic Surgery, Virginia Commonwealth University Health System, Richmond, VA, USA.
Introduction: Outpatient total knee arthroplasty (TKA) has quickly grown in popularity, largely driven by policy shifts and the recent coronavirus disease 2019 (COVID-19) pandemic. The aim of this study was to compare 30-day complications between outpatient TKA (oTKA) versus inpatient TKA (iTKA) before and after the COVID-19 pandemic to elucidate the effect of the pandemic on utilization and short-term outcomes.
Methods: Patients who underwent primary TKA between 2008 and 2021 were identified through Current Procedural Terminology codes in a national database.
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