Henri Migaud, MD, told attendees at the recent World Arthroplasty Congress that abandoning all metal-on-metal implants for total hip arthroplasty without considering which ones could be safely used is a mistake. The right implant with the right patient can still produce a good outcome.
Many patients who underwent total knee arthroplasty did not experience improvement in their gait relative to preoperative patients by 12 months postoperatively; however, use of routine gait analysis was helpful for guiding patients’ postoperative rehabilitation and may be useful for developing strategies for mobility improvement, according to researchers’ findings.
According to study results, a median of 10 exercise sessions before total knee replacement demonstrated a small yet non- significant improvement in functional assessments compared with patient education only; however, benefits were not sustained after surgery, demonstrating inconclusive results regarding whether preoperative exercise was beneficial for postoperative functional outcomes.
Results of a prospective study showed patients who had an intraoperative platelet-rich plasma injection at the end of hip arthroscopy for labral treatment trended toward higher pain scores and lower modified Harris Hip Scores at 2-years compared with patients who received bupivacaine.
Postoperative urinary retention is a common complication after major orthopedic procedures of the lower limb. In total hip arthroplasty and total knee arthroplasty, the incidence ranges from 7% to 84%. In this study, the incidence and risk factors for postoperative urinary retention were described in a cohort of 376 men undergoing total hip arthroplasty.