Introduction The use of antibiotics in cement predates the widespread use of systemic intravenous antibiotics for perioperative prophylaxis. In the 1950s, published data recommended avoiding administration of systemic antibiotics with the fear that they may actually increase infection rates. ,…
Introduction Chronic periprosthetic joint infection (PJI) is a devastating complication of hip and knee arthroplasty that leads to a significant increase in joint loss of function, morbidity, and mortality. The traditional assumption is that chronic PJI can be defined as…
Introduction Periprosthetic joint infection (PJI) is a challenging and increasingly common complication after total joint arthroplasty (TJA). In 2009, 2.18% of both total hip arthroplasty (THA) and total knee arthroplasty (TKA) patients were treated for PJI, with an associated annual…
Introduction While total joint arthroplasty (TJA) is considered a relatively safe procedure, complications may arise. Periprosthetic joint infection (PJI) continues to be the leading cause of failure for primary total knee and revision total hip arthroplasty. , The number of…
Introduction Acetabular dysplasia is a major cause of hip pain and dysfunction in young patients. Moderate to severe dysplasia, when left untreated, is an established cause of arthritis requiring total hip arthroplasty (THA) at an early age. , Congenital malformation…
Preoperative Considerations Differentiating Hip Versus Spine Pathology When a patient presents with pain following total hip arthroplasty (THA), it is essential to remember that pain patterns from lumbar spine disorders and hip pathology overlap. Overlapping pain patterns, coupled with the…
Introduction Periprosthetic hip fractures include injuries along the proximal femur and surrounding the acetabulum. They may range from relatively simple fractures with a stable implant to major injuries with components that require revision. Management of such fractures requires a surgeon…
Introduction The only true intermuscular and internervous approach in total hip arthroplasty (THA), the direct anterior approach (DAA) continues to increase in popularity. Several proposed advantages have been attributed to DAA utilization, including lower dislocation rates, more accurate cup position,…
Background Periprosthetic fractures around a total hip arthroplasty (THA) can be difficult and morbid complications to treat. As the number of THA procedures performed in the United States continues to rise, the incidence of periprosthetic fractures is expected to increase…
Introduction Total hip arthroplasty (THA) remains one of the most successful orthopaedic procedures due to its predictable relief of pain and improvement in patient function. For these reasons, coupled with the growing population of elderly patients, the demand for THA…