Total Knee Arthroplasty Archives

Chronic insult to the joints from RA inflammation may cause secondary osteoarthritis (OA), which can lead to the need for total knee or hip replacement.1 Although RA is characterized by erosive disease, secondary OA is characterized by the formation of osteophytes and subchondral bone.10 Subchondral sclerosis is a thickening of the bone where it ends at the joint space. Bone repair (sclerosis) is suppressed in RA, but the detection of osteophytes and bone thickening in patients with RA suggests anabolic activity occurs in response to erosive damage. A recent study of 202 anti-citrullinated protein antibody-positive patients with RA found a positive correlation between bone erosion and the number and size of osteophytes, which increased with age and longer RA duration.10 Osteophyte formation increased with use of DMARDs and low-dose glucocorticoids, possibly because they inhibit cytokines that prevent sclerosis.10

Younger Patients Have Greater Need for Total Knee Arthroplasty

March 7, 2022

Younger individuals have greater need for total knee arthroplasty and are as willing to undergo surgery as older individuals.

Osteoarthritis

Same-Day Discharge Increasing for Hip, Knee Arthroplasty

January 25, 2022

Same-day discharge is becoming more common for both total hip arthroplasty (THA) and total knee arthroplasty.

Osteoarthritis

Preoperative Neuropathic Pain Linked to Persistent Post-TKA Pain

By

Brandon May

December 8, 2021

Preoperative neuropathic pain may be associated with the development of persistent postoperative pain after arthroplasty.

General Rheumatology

Physical Therapy Before and After TKA Linked to Lower Odds of Long-Term Opioid Use

By

Brandon May

December 1, 2021

Physical therapy prior to and after total knee replacement may reduce long-term opioid use after surgery

General Rheumatology

Use of Technology Assistance Rising for Total Knee Arthroplasties

November 23, 2021

Use of technology-assisted elective total knee arthroplasties increased from 2010 to 2018 and is associated with reduced odds of short-term complications.

General Rheumatology, Pain Management

Intraoperative Acupuncture May Decrease Opioid Use After Total Knee Arthroplasty

October 15, 2021

Integrating intraoperative electroauricular acupuncture is feasible for minimizing postoperative opioid usage among patients undergoing total knee arthroplasty.

General Rheumatology

Knee Replacement Readmissions Higher Among Marijuana Users

September 8, 2021

Rates for readmission and some short-term complications associated with total knee arthroplasty are higher among patients reporting preoperative marijuana use.

General Rheumatology

Abelacimab Prevents VTE After Total Knee Arthroplasty

August 2, 2021

For patients undergoing total knee arthroplasty, abelacimab, a monoclonal antibody that binds to factor XI and locks it in the zymogen conformation, is effective for preventing venous thromboembolism without increasing the risk for bleeding.