Game changing porous metal augments 10yr survival 89-100% The Bone & Joint Journal #hipreplacement #revision buff.ly/9y3rbm6

46 #Revision THA B3 with insufficient isthmus Cone-in-cone + distal interlocking at 4yrs 42 bony + 4 fibrous ingrowth stem The Bone & Joint Journal #hipreplacement buff.ly/5BOGCp5

11,278 collared cementless v 47,835 cemented stems ⬇️revision ≥ 75 years after 6mths HR 0.78 (95% CI 0.64-0.96) The Bone & Joint Journal #hipreplacement buff.ly/KEZk3Ub

Intrawound Vancomycin in #kneereplacement (n=1022) No ⬇ #infection (0.66% overall) ⬆ wound complications (13 v 7%) The Journal of Arthroplasty via OrthoEvidence buff.ly/1CTsQ8u

Robotic #kneereplacement ⬇ length of stay (retrospective, n=8,492 in 7,746 pts, Hong Kong) Robotic 5.5d Navigated 6.3d Converntial 7.1d p < 0.001 @bonejointopen #kneereplacement #robot buff.ly/Uj4XYST

Gender v operative autonomy 🇬🇧🇮🇪 n=3,533,223 #training ♂ 30.5% vs 25.5% ♀ Bone & Joint Open buff.ly/oPa2Vdh

How many hip, knee, shoulder replacements? 🇳🇱@bonejointopen 800,000 people in 2022 1 in 12 Dutch ≥ 40 years #hipreplacement #kneereplacement buff.ly/GCJmESo

Both ⬇ + ⬆ acetabular coverage leads to.. ⬆ joint space narrowing (n=395) The optimal lateral centre-edge angle ~31.9° (stand or supine) Bone & Joint Open #osteoarthritis #hip buff.ly/uCvFClD

The Goal is #Health, not #Surgery 👏👏 CORR buff.ly/Ptabwn3

18F-fluoride PET/CT ⬆ uptake around loose (cf well-fixed components) in all but femoral TKA components (n=63) CORR #hipreplacement #kneereplacement #revision buff.ly/paDOyEK

Robot assisted #KneeReplacement No evidence of improved odds of revision at 2yrs (n=9222, AJRR) CORR buff.ly/2sZxaVe

Antibiotic elution + activity in vitro CORR 5-day period against 4x common PJI pathogens Palacos® R (high visc) + gent (PR+G) Same as.. Palacos (medium visc) + gent (PMV+G) Both better than.. Simplex™ P (low visc) + tobra (SP+T) #infection buff.ly/AWqiQue

Knee OA strength training RCT (n=377) High v Low-intensity No difference in knee pain at 18mths JAMA Network #kneepain #osteoarthritis buff.ly/9Aa56ff

Breast cancer pts after #hipreplacement #kneereplacement? No ⬆ mortality No ⬆ reoperation 2x complications after THA - intraop fracture - VTE The Bone & Joint Journal buff.ly/ooDqFcU

Trainees using immersive virtual reality demonstrated.. "..significant improvements in knowledge and procedural metrics" JAMA Network #training buff.ly/ooDqFcU

1,888 uncemented primary #hipreplacement Periprosthetic #fracture (PPF) Collarless => Collared 1.42% => 0.13% The Bone & Joint Journal buff.ly/2ZKrGqN

Psoas irritation after #hipreplacement '..reasonably linked to acetabular overhang if it exceeds 4 mm on a CT scan' Below this threshold.. look for another cause..' The Bone & Joint Journal #psoas buff.ly/YZoEsaF

MoM #hipreplacement ⬆ cobalt levels >13 µg/l (13 ppb, 221 nmol/l) '..may have impaired cardiac function' Consider echo, incl global longitudinal strain GLS The Bone & Joint Journal buff.ly/Aocbsfz

Enduron v Marathon (XLPE) liner at 20yrs RCT n=122 Wear = 0.181 v 0.034 mm/yr Revision = 28/37 v 9/37 3x times higher The Bone & Joint Journal #hipreplacement buff.ly/V0B3HTP

Weather-related pain (WRP) #hipreplacement Before 18% (61/331) After 12% (51/442) More likely: ⬆ Age + BMI Multiple joints Rh A, AS + AVN 9% (30/331) de novo post-op The Bone & Joint Journal #hippain buff.ly/zMrqfDA