Let’s Continue Improving Hip-Implant Longevity
In October 2017, JBJS published results from a 10-year randomized controlled trial by Devane et al. documenting the dramatic …
Dual-Mobility Cups Lower Revision Risk in Some THAs
OrthoBuzz occasionally receives posts from guest bloggers. In response to a recent study in The Journal of Bone & Joint …
Good Outcomes and Savings with Preferred-Vendor Program
It has been said that outcomes of total joint arthroplasty are 90% related to surgeon factors (such as prosthetic alignment …
Electrocautery Damages Metal Hip Implants in 2 Ways
In the setting of revision total hip arthroplasty (THA), the use of electrocautery—and contact between the thermal device and retained …
Diagnosing PJI: When The “Urine Dipstick” Outperforms Conventional Labs
Despite what seems like a new, high-quality study being published on the topic every week or so, orthopaedic surgeons still …
Durability of Constrained Liners in Revision THA
The indications for treating total hip arthroplasty (THA) dislocations by cementing a constrained polyethylene liner into a well-fixed, retained acetabular …
In THA, Less Blood Loss with Multidose Postop Oral TXA
The recent orthopaedic literature, including a 2017 JBJS study, provides substantial evidence that oral and intravenous tranexamic acid (TXA) …
Bundled Payments for Hip and Knee Replacement: Working as Planned?
When Medicare’s Comprehensive Care for Joint Replacement (CJR) program was implemented in 2016, the health care community—especially orthopaedic surgeons— had …
Will New Payment Models Adversely Affect Medicaid Patient Access to THA?
Concerns have arisen that the implementation of value-based, alternative payment models pegged to “bundled” episodes of care and/or patient outcomes …