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A Protocol For A Randomized Controlled Trial Investigating The Safety And Cost-Effectiveness Of Outpatient Total Hip Arthroplasty, Bryn O. Zomar, Jacquelyn D. Marsh, Brent A. Lanting, Dianne M. Bryant
A Protocol For A Randomized Controlled Trial Investigating The Safety And Cost-Effectiveness Of Outpatient Total Hip Arthroplasty, Bryn O. Zomar, Jacquelyn D. Marsh, Brent A. Lanting, Dianne M. Bryant
Bone and Joint Institute
© 2020 The Author(s). Background: A significant proportion of the overall cost of total hip arthroplasty (THA) results from the inpatient hospital stay following the procedure. Considering the substantial and increasing number of these procedures performed annually, shifting to an outpatient model of care where the patient is discharged home the same day as their surgery represents a potential for significant cost savings. The potential significant impact of an outpatient care model on constrained healthcare budgets and lack of high-quality evidence regarding its effectiveness warrants a rigorous comparative trial. The purpose of this prospective, randomized controlled trial is to evaluate …
A Large-Scale Fifteen-Year Minimum Survivorship Of A Cementless Triple Tapered Femoral Stem, Evangelos Tyrpenou, Amir Khoshbin, Shoaib Mohammad, Emil H. Schemitsch, James P. Waddell, Amit Atrey
A Large-Scale Fifteen-Year Minimum Survivorship Of A Cementless Triple Tapered Femoral Stem, Evangelos Tyrpenou, Amir Khoshbin, Shoaib Mohammad, Emil H. Schemitsch, James P. Waddell, Amit Atrey
Bone and Joint Institute
© 2020 Elsevier Inc. Background: This study reports the long-term outcomes of a metaphyseal fit-and-fill cementless femoral component in total hip arthroplasty (THA) with a follow-up of 15-19 years. Methods: We conducted a retrospective review of 376 consecutive THAs (345 patients), using a triple tapered stem performed between 2000 and 2003 with a view to assessing survivorship and radiological and functional outcomes. Images were assessed for initial alignment, terminal osteolysis, or subsidence, while clinical outcomes were assessed using the St Michael's Hip Score. Results: Forty-five (11.9%) hips were lost to follow-up, 20 (5.31%) had died before our 15-year cutoff follow-up, …
Three Femoral Stem Designs Without Corrosion: A Review Of 2095 Stems, Douglas D.R. Naudie, Silvio Ndoja, Thomas J. Wood, Lyndsay E. Somerville, James L. Howard, Richard W. Mccalden, Steven J. Macdonald, Brent A. Lanting
Three Femoral Stem Designs Without Corrosion: A Review Of 2095 Stems, Douglas D.R. Naudie, Silvio Ndoja, Thomas J. Wood, Lyndsay E. Somerville, James L. Howard, Richard W. Mccalden, Steven J. Macdonald, Brent A. Lanting
Bone and Joint Institute
© 2020 Naudie et al. Introduction: Corrosion at the head–neck interface of modular components in total hip arthroplasty (THA) has been reported as a cause of failure of modern total hip replacement implants. While this method of failure has been well described, it remains poorly understood. The purpose of this study is to review the three most commonly used uncemented femoral stems at our institution over the last fifteen years and to correlate any established risk factors with rates of revision, particularly corrosion. Methods: We reviewed 2095 patients from March 2000 to September 2015 who underwent total hip arthroplasty with …
Implementation Of Outpatient Total Joint Arthroplasty In Canada: Where We Are And Where We Need To Go, Bryn O. Zomar, Shannon L. Sibbald, Doug Bickford, James L. Howard, Dianne M. Bryant, Jacquelyn D. Marsh, Brent A. Lanting
Implementation Of Outpatient Total Joint Arthroplasty In Canada: Where We Are And Where We Need To Go, Bryn O. Zomar, Shannon L. Sibbald, Doug Bickford, James L. Howard, Dianne M. Bryant, Jacquelyn D. Marsh, Brent A. Lanting
Bone and Joint Institute
© 2020 Zomar et al. Total joint arthroplasties (TJA) are successful procedures for the treatment of end-stage hip and knee arthritis. Length of stay in hospitals after these procedures has been steadily decreasing over time, with outpatient procedures (discharge on the same day as surgery) introduced in the US within the last 20 years. Reducing length of stay after TJA can provide cost savings. Centres in Canada have started to utilize outpatient TJA procedures, but we have identified some barriers that may have limited their implementation. We have summarized the current literature for outpatient TJA and discussed potential solutions for …