OBJECTIVE Despite the generalized use of prophylactic antibiotics in orthopaedic surgery, Surgical Site Infections (SSIs) are still a major source of morbidity, mortality, and hospital cost. This is due in part to the increasing prevalence of antibiotic resistant organisms. METHODS A review of local epidemiology, the importance of an antibiotic stewardship program, patient optimization, and r...

Introduction: Distal Femoral fracture may lead to the development of post-traumatic arthrosis knee joint because direct intraarticular injury. Malunion distal femur fracture, intra-articular osseous defects, limb malalignment and compromised surrounding soft tissues in turn affect outcome total arthroplasty (TKA) makes it a technically demanding surgery. Here we report our experience regarding ...

Survivorship following modern total knee arthroplasty (TKA) is good with revision rates generally lower than for total hip arthroplasty (THA). Our experience in Belfast supports that fact with original component survivorship of 99% for the low contact stress rotating platform TKA, which is better than our THA survivorship. It is important to discriminate between survivorship and patient satisfa...

BACKGROUND Iceland's geographical isolation with a stable and small population gives a rare opportunity for follow-up studies of medical interventions. Total hip replacements (THR) have been done at FSA Central Hospital in Akureyri, Iceland since 1982 with the Exeter hip implant being in use from the beginning. METHODS Hospital records for all patients operated on with THR between 1982 and th...

Total hip replacement (THR), one of the most successful and cost effective surgical interventions introduced in the last 50 or so years in medicine and the second most common elective operation in the UK (Sheldon et al., 1996, Garellick et al., 1998), owes most of its success to the introduction of hard-on-soft arthroplasty by Charnley. Arthroplasty (from the Greek ‘arthrosis’ = ‘joint’ and ‘-p...

Background and purpose - The effect of total joint arthroplasty (TJA) on physical activity is not fully understood. We investigated the change in physical activity after TJA and patient factors associated with change. Patients and methods - Using a total joint replacement registry, primary total hip arthroplasty (THA) patients (n = 5,678) and knee arthroplasty (TKA) patients (n = 11,084) betwee...

The biological effect of wear of articulating surfaces is a continued concern with large joint replacements and, likewise, of interest for total disc replacements. There are a number of important biotribological testing parameters that can greatly affect the outcome of a wear study in addition to the implant design and material selection. The current ASTM and ISO wear testing standards/guides f...

OBJECTIVE To determine the dimensionality, reliability, model fit, adequacy of the qualifier levels, response patterns across different factors, and targeting of the International Classification of Functioning, Disability and Health (ICF) osteoarthritis core set categories in people with osteoarthritis undergoing hip and knee arthroplasty. METHODS The osteoarthritis core set was rated in 316 ...

BACKGROUND AND PURPOSE Previous work has shown that despite preventive measures, intraoperative contamination of joint replacements is still common, although most of these patients seem to do well in follow-up of up to 5 years. We analyzed the prevalence and bacteriology of intraoperative contamination of primary joint replacement and assessed whether its presence is related to periprosthetic j...

BACKGROUND Total joint arthroplasty is a highly efficacious and cost-effective procedure for moderate to severe arthritis in the hip and knee. Although patient characteristics are considered to be important determinants of who receives total joint arthroplasty, no systematic review has addressed how they affect the outcomes of total joint arthroplasty. This study addresses how patient character...