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Total Joint Replacement

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Principles and Practice of Geriatric Surgery

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Abstract

Total joint replacement has developed over the past 50 years into a reliable surgical procedure. Arthritic joints are routinely excised and metal implants placed. Joint replacement is used to treat osteoarthritis, inflammatory arthritis, osteonecrosis, and posttraumatic arthritis. Implants are attached with or without bone cement. The articulation, or bearing surface, has improved markedly with time. Early bearing surfaces were softer than current ones and polyethylene wear was very common. Wear particles activated macrophages and a subsequent cascade of events produced osteolysis, bone loss, and implant loosening. The advent of highly crossing polyethylene has led to the expectation of lifelong use in most patients. Modern anesthetic and rehabilitation techniques have allowed for short hospital length of stay or even outpatient joint replacement surgery. Patient-recorded outcomes of joint replacements are excellent after surgery. Healthcare reform has led to the use of bundled payments for joint replacement. In response to bundled payments, new protocols to maximize patient’s health prior to surgery have been developed, improving results and outcomes of this already very successful surgery.

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References

  1. Brand RA (2010) Biographical sketch: Sir John Charnley MD, 1911–1982. Clin Orthop Relat Res 468(12):3147–3148

    PubMed  PubMed Central  Google Scholar 

  2. Learmonth ID, Young C, Rorabeck C (2007) The operation of the century: total hip replacement. Lancet 370(9597):1508–1519

    PubMed  Google Scholar 

  3. American Academy of Orthopaedic S (2017) Management of osteoarthritis of the hip evidence-based clinical practice guideline. American Academy of Orthopaedic Surgeons, Rosemont, IL

    Google Scholar 

  4. van Lingen CP, Zagra LM, Ettema HB, Verheyen CC (2016) Sequelae of large-head metal-on-metal hip arthroplasties: current status and future prospects. EFORT Open Rev 1(10):345–353

    PubMed  PubMed Central  Google Scholar 

  5. Berstock JR, Blom AW, Beswick AD (2015) A systematic review and meta-analysis of complications following the posterior and lateral surgical approaches to total hip arthroplasty. Ann R Coll Surg Engl 97(1):11–16

    CAS  PubMed  PubMed Central  Google Scholar 

  6. Jolles BM, Bogoch ER (2006) Posterior versus lateral surgical approach for total hip arthroplasty in adults with osteoarthritis. Cochrane Database Syst Rev 3:CD003828

    Google Scholar 

  7. Connolly KP, Kamath AF (2016) Direct anterior total hip arthroplasty: literature review of variations in surgical technique. World J Orthop 7(1):38–43

    PubMed  PubMed Central  Google Scholar 

  8. Meneghini RM, Elston AS, Chen AF, Kheir MM, Fehring TK, Springer BD (2017) Direct anterior approach: risk factor for early femoral failure of cementless total hip arthroplasty: a multicenter study. J Bone Joint Surg Am 99(2):99–105

    PubMed  Google Scholar 

  9. Petis S, Howard JL, Lanting BL, Vasarhelyi EM (2015) Surgical approach in primary total hip arthroplasty: anatomy, technique and clinical outcomes. Can J Surg 58(2):128–139

    PubMed  PubMed Central  Google Scholar 

  10. Khanuja HS, Vakil JJ, Goddard MS, Mont MA (2011) Cementless femoral fixation in total hip arthroplasty. J Bone Joint Surg Am 93(5):500–509

    PubMed  Google Scholar 

  11. Giebaly DE, Twaij H, Ibrahim M, Haddad FS (2016) Cementless hip implants: an expanding choice. Hip Int 26(5):413–423

    PubMed  Google Scholar 

  12. Yamada H, Yoshihara Y, Henmi O, Morita M, Shiromoto Y, Kawano T et al (2009) Cementless total hip replacement: past, present, and future. J Orthop Sci 14(2):228–241

    PubMed  PubMed Central  Google Scholar 

  13. Burke DW, O'Connor DO, Zalenski EB, Jasty M, Harris WH (1991) Micromotion of cemented and uncemented femoral components. J Bone Joint Surg Br 73(1):33–37

    CAS  PubMed  Google Scholar 

  14. Medel FJ, Kurtz SM, Hozack WJ, Parvizi J, Purtill JJ, Sharkey PF et al (2009) Gamma inert sterilization: a solution to polyethylene oxidation? J Bone Joint Surg Am 91(4):839–849

    PubMed  PubMed Central  Google Scholar 

  15. Bitar D, Parvizi J (2015) Biological response to prosthetic debris. World J Orthop 6(2):172–189

    PubMed  PubMed Central  Google Scholar 

  16. Teeter MG, Yuan X, Somerville LE, MacDonald SJ, McCalden RW, Naudie DD (2017) Thirteen-year wear rate comparison of highly crosslinked and conventional polyethylene in total hip arthroplasty: long-term follow-up of a prospective randomized controlled trial. Can J Surg 60(3):212–216

    PubMed  PubMed Central  Google Scholar 

  17. Garvin KL, White TC, Dusad A, Hartman CW, Martell J (2015) Low wear rates seen in THAs with highly crosslinked polyethylene at 9 to 14 years in patients younger than age 50 years. Clin Orthop Relat Res 473(12):3829–3835

    PubMed  PubMed Central  Google Scholar 

  18. Amanatullah DF, Sucher MG, Bonadurer GF 3rd, Pereira GC, Taunton MJ (2016) Metal in total hip arthroplasty: wear particles, biology, and diagnosis. Orthopedics 39(6):371–379

    PubMed  Google Scholar 

  19. Owen DH, Russell NC, Smith PN, Walter WL (2014) An estimation of the incidence of squeaking and revision surgery for squeaking in ceramic-on-ceramic total hip replacement: a meta-analysis and report from the Australian Orthopaedic Association National Joint Registry. Bone Joint J 96-B(2):181–187

    CAS  PubMed  Google Scholar 

  20. Brown TE, Larson B, Shen F, Moskal JT (2002) Thigh pain after cementless total hip arthroplasty: evaluation and management. J Am Acad Orthop Surg 10(6):385–392

    PubMed  Google Scholar 

  21. Mistry JB, Jauregui JJ, Lerner AL, Chughtai M, Elmallah RK, Mont MA (2016) An assessment of the comprehensiveness of various hip outcome scores. Surg Technol Int 28:267–274

    PubMed  Google Scholar 

  22. Lacny S, Bohm E, Hawker G, Powell J, Marshall DA (2016) Assessing the comparability of hip arthroplasty registries in order to improve the recording and monitoring of outcome. Bone Joint J 98-B(4):442–451

    CAS  PubMed  Google Scholar 

  23. Smith EJ, Maru M, Siegmeth A (2015) Thirty-day mortality after elective hip and knee arthroplasty. Surgeon 13(1):5–8

    CAS  PubMed  Google Scholar 

  24. Budhiparama NC, Abdel MP, Ifran NN, Parratte S (2014) Venous Thromboembolism (VTE) prophylaxis for hip and knee arthroplasty: changing trends. Curr Rev Musculoskelet Med 7(2):108–116

    PubMed  PubMed Central  Google Scholar 

  25. Kini SG, Gabr A, Das R, Sukeik M, Haddad FS (2016) Two-stage revision for periprosthetic hip and knee joint infections. Open Orthop J 10:579–588

    PubMed  PubMed Central  Google Scholar 

  26. American Academy of Orthopaedic S (2013) Treatment of osteoarthritis of the knee: evidence-based guideline, 2nd edn. American Academy of Orthopaedic Surgeons, Rosemont, IL

    Google Scholar 

  27. Felts E, Parratte S, Pauly V, Aubaniac JM, Argenson JN (2010) Function and quality of life following medial unicompartmental knee arthroplasty in patients 60 years of age or younger. Orthop Traumatol Surg Res 96(8):861–867

    CAS  PubMed  Google Scholar 

  28. Gromov K, Korchi M, Thomsen MG, Husted H, Troelsen A (2014) What is the optimal alignment of the tibial and femoral components in knee arthroplasty? Acta Orthop 85(5):480–487

    PubMed  PubMed Central  Google Scholar 

  29. Young SW, Walker ML, Bayan A, Briant-Evans T, Pavlou P, Farrington B (2017) The Chitranjan S. Ranawat Award: no difference in 2-year functional outcomes using kinematic versus mechanical alignment in TKA: a randomized controlled clinical trial. Clin Orthop Relat Res 475(1):9–20

    PubMed  Google Scholar 

  30. Moon YW, Kim HJ, Ahn HS, Park CD, Lee DH (2016) Comparison of soft tissue balancing, femoral component rotation, and joint line change between the gap balancing and measured resection techniques in primary total knee arthroplasty: a meta-analysis. Medicine (Baltimore) 95(39):e5006

    Google Scholar 

  31. Nakama GY, Peccin MS, Almeida GJ, Lira Neto Ode A, Queiroz AA, Navarro RD (2012) Cemented, cementless or hybrid fixation options in total knee arthroplasty for osteoarthritis and other non-traumatic diseases. Cochrane Database Syst Rev 10:CD006193

    PubMed  Google Scholar 

  32. Meneghini RM (2008) Should the patella be resurfaced in primary total knee arthroplasty? An evidence-based analysis. J Arthroplast 23(7 Suppl):11–14

    Google Scholar 

  33. Dion NT, Bragdon C, Muratoglu O, Freiberg AA (2015) Durability of highly cross-linked polyethylene in total hip and total knee arthroplasty. Orthop Clin North Am 46(3):321–327, ix

    PubMed  Google Scholar 

  34. Verra WC, van den Boom LG, Jacobs W, Clement DJ, Wymenga AA, Nelissen RG (2013) Retention versus sacrifice of the posterior cruciate ligament in total knee arthroplasty for treating osteoarthritis. Cochrane Database Syst Rev 10:CD004803

    Google Scholar 

  35. Bourne RB, Chesworth BM, Davis AM, Mahomed NN, Charron KD (2010) Patient satisfaction after total knee arthroplasty: who is satisfied and who is not? Clin Orthop Relat Res 468(1):57–63

    PubMed  Google Scholar 

  36. Ayers DC, Zheng H, Franklin PD (2013) Integrating patient-reported outcomes into orthopaedic clinical practice: proof of concept from FORCE-TJR. Clin Orthop Relat Res 471(11):3419–3425

    PubMed  PubMed Central  Google Scholar 

  37. Cheuy VA, Foran JRH, Paxton RJ, Bade MJ, Zeni JA, Stevens-Lapsley JE (2017) Arthrofibrosis associated with total knee arthroplasty. J Arthroplast 32(8):2604–2611. https://doi.org/10.1016/j.arth.2017.02.005. Epub 2017 Feb 14

  38. Vanlommel L, Luyckx T, Vercruysse G, Bellemans J, Vandenneucker H (2016) Predictors of outcome after manipulation under anaesthesia in patients with a stiff total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 25(11):3637–3643. https://doi.org/10.1007/s00167-016-4413-6. Epub 2016 Dec 29

  39. Le DH, Goodman SB, Maloney WJ, Huddleston JI (2014) Current modes of failure in TKA: infection, instability, and stiffness predominate. Clin Orthop Relat Res 472(7):2197–2200

    PubMed  PubMed Central  Google Scholar 

  40. Konan S, Sandiford N, Unno F, Masri BS, Garbuz DS, Duncan CP (2016) Periprosthetic fractures associated with total knee arthroplasty: an update. Bone Joint J 98-B(11):1489–1496

    CAS  PubMed  Google Scholar 

  41. Cottino U, Sculco PK, Sierra RJ, Abdel MP (2016) Instability after total knee arthroplasty. Orthop Clin North Am 47(2):311–316

    PubMed  Google Scholar 

  42. Ponnusamy KE, Kim TJ, Khanuja HS (2014) Perioperative blood transfusions in orthopaedic surgery. J Bone Joint Surg Am 96(21):1836–1844

    PubMed  Google Scholar 

  43. Edwards PK, Mears SC, Barnes CL (2017) BPCI: everyone wins, including the patient. J Arthroplast 32(6):1728–1731

    Google Scholar 

  44. Siddiqi A, White PB, Mistry JB, Gwam CU, Nace J, Mont MA, et al (2017) Effect of bundled payments and health care reform as alternative payment models in total joint arthroplasty: a clinical review. J Arthroplast 32(8):2590–2597. https://doi.org/10.1016/j.arth.2017.03.027. Epub 2017 Mar 20

  45. Boraiah S, Joo L, Inneh IA, Rathod P, Meftah M, Band P et al (2015) Management of modifiable risk factors prior to primary hip and knee arthroplasty: a readmission risk assessment tool. J Bone Joint Surg Am 97(23):1921–1928

    PubMed  Google Scholar 

  46. Smith SR, Bido J, Collins JE, Yang H, Katz JN, Losina E (2017) Impact of preoperative opioid use on total knee arthroplasty outcomes. J Bone Joint Surg Am 99(10):803–808

    PubMed  PubMed Central  Google Scholar 

  47. Nguyen LC, Sing DC, Bozic KJ (2016) Preoperative reduction of opioid use before total joint arthroplasty. J Arthroplast 31(9 Suppl):282–287

    Google Scholar 

  48. Fu MC, Samuel AM, Sculco PK, MacLean CH, Padgett DE, McLawhorn AS (2017) Discharge to inpatient facilities after total hip arthroplasty is associated with increased postdischarge morbidity. J Arthroplast 32(9S):S144–S149.e1. https://doi.org/10.1016/j.arth.2017.03.044. Epub 2017 Mar 27

  49. Austin MS, Urbani BT, Fleischman AN, Fernando ND, Purtill JJ, Hozack WJ et al (2017) Formal physical therapy after total hip arthroplasty is not required: a randomized controlled trial. J Bone Joint Surg Am 99(8):648–655

    PubMed  Google Scholar 

  50. Edwards PK, Levine M, Cullinan K, Newbern G, Barnes CL (2015) Avoiding readmissions-support systems required after discharge to continue rapid recovery? J Arthroplast 30(4):527–530

    Google Scholar 

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Author information

Authors and Affiliations

  1. University of Arkansas for Medical Sciences, Little Rock, AR, USA

    Nicole M. Sullivan

  2. Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA

    Simon C. Mears

Authors
  1. Simon C. Mears
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  2. Nicole M. Sullivan
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Corresponding author

Correspondence to Simon C. Mears .

Editor information

Editors and Affiliations

  1. VA Connecticut Health Care System, Yale University School of Medicine, West Haven, CT, USA

    Ronnie A. Rosenthal

  2. Weill Cornell Medicine, Department of Surgery, New York Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY, USA

    Michael E. Zenilman

  3. Department of Surgery, Sinai Center for Geriatric Surgery, Sinai Hospital, Baltimore, MD, USA

    Mark R. Katlic

Section Editor information

  1. Department of Surgery, University of Nebraska Medical Center, Omaha, NE, USA

    Jason Johanning

  2. Duke Medicine, Durham, NC, USA

    Sandhya Lagoo-Deenadayalan

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Mears, S.C., Sullivan, N.M. (2020). Total Joint Replacement. In: Rosenthal, R., Zenilman, M., Katlic, M. (eds) Principles and Practice of Geriatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-47771-8_77

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  • DOI: https://doi.org/10.1007/978-3-319-47771-8_77

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-47770-1

  • Online ISBN: 978-3-319-47771-8

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