Revisiting INR Targets Prior to TKA
An elevated International Normalized Ratio (INR)—a standardized gauge for how long it takes blood to clot—is rarely a good sign …
Changing Workplace Culture to Avoid Physician Burnout
In the February 6, 2019 issue of JBJS, David A. Rothenberger, MD contributed a thoughtful and practical “What’s Important” …
Preventing VTE in Below-the-Knee Surgery
Venous thromboembolism (VTE) following hip fractures and hip/knee arthroplasty—both deep vein thrombosis (DVT) and pulmonary embolism (PE)—has been relatively well …
A Four-Legged Step Toward Preventing Elbow Contractures
Up to 50% of patients who sustain an elbow injury subsequently develop some type of contracture, making elbow contracture following …
2018 EST Awards: And the Winners Are…
JBJS Essential Surgical Techniques (EST) and The Journal of Bone and Joint Surgery (JBJS) give out two annual awards–one for …
Benchmark Data on Aseptic Revision after Knee Replacement
The main advantage of joint registries is their large number of recorded procedures, ideally with very few patient “types” not …
Smoking, Depression Adversely Affect Outcomes after TAA
After some relatively poor results in the 1980s, there was a “reboot” with total ankle arthroplasty (TAA) in the late …
Ankle Surgery: Who Should Do It?
The relationship between orthopaedic foot and ankle surgeons and podiatric surgeons has been checkered. Many have advocated that the orthopaedic …
Unexplained Pain After TKA? Duloxetine Might Help
Somewhere between 10% and 15% of patients are unsatisfied with their outcome after primary total knee arthroplasty (TKA). In some …