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Weekly News, Analysis, and Commentary

Large Joints Features & News

Image created by RRY Publications, LLC

Berend v. Meneghini: Liposomal Bupivacaine Injectables: Game Changers in Pain Management

The #1 game changer in large joint arthroplasty has been the shift from inpatient surgery to better pain control and outpatient surgery. Liposomal bupivacaine is the poster child of this shift, but is it worth the extra $300? Michael Berend and Michael Meneghini debate this question in an absolutely stellar review of the latest data.


Surprising # of Median Nerve Harvest Mistakes; Outpatient vs Inpatient THA; Warfarin NO barrier to Fast Fracture Repair?

Source: Wikimedia Commons and Henry Gray (1918) Anatomy of the Human Body

Research suggests that surgeons who do an upper extremity fellowship are less likely to inadvertently harvest the median nerve. A new Rothman study finds that patients undergoing THA outpatient or inpatient should have equivalent results…if certain guidelines are followed. And HSS researchers recently looked at hip fractures in patients on warfarin and time to surgery.

LaPrade Wins Cabaud Award; Smoking, Drinking American Men Don’t Follow-Up; Gait Pattern More Important for Wear Than Component Positioning

Robert LaPrade, M.D., Ph.D. and Matthew Provencher, M.D. / Courtesy of AOSSM

Dr. Robert LaPrade has received a prestigious award from AOSSM for his PRP work. Study: research follow-up especially difficult with American males who smoke and drink lots of alcohol. In metal-on-poly, gait pattern is more critical for wear than component positioning.


Education As a Competitive Weapon

Courtesy of Medacta

Swiss-based Medacta is probably the fastest growing large joint implant supplier in the world. Their secret? An unusually comprehensive education and training program. We gowned up to experience it ourselves. Our reaction? This is exceptional by traditional orthopedics training standards.

More TKA Outcomes and Race; 3D Modeling for Graft Placement; 10-Year Follow-up Arthroscopy Data From Steadman

Source: Pixabay

Cleveland Clinic study finds black men are most likely to undergo above AKA after TKA. Want normal knee motion? Achieve anatomic graft placement, says new research. A study from the Steadman Philippon Research Institute finds good results for FAI patients at 10 years following hip arthroscopy.


University Chairs Publish Less?!; Joint Registry Wins Best Poster; New Study: Patient Selection Boosts Outcomes

Photo creation RRY Publications, LLC ©

New research shows that orthopedic chairs decrease publication productivity while non-university chairs maintain it. The AJRR has won the ISAR “Best Poster Presentation,” for its research on joint infection in THA and TKA. And a new study indicates that screening criteria can identify patients who may only achieve minimal improvements after TJA.


Trousdale v. MacDonald: The Cemented All Poly Tibia in the Active <60 Patient

Image created by RRY Publications, LLC

Would you use an all poly tibia in the active patient under 60 years old? Of course you should, says Robert Trousdale from the Mayo Clinic. No way! Says Steven MacDonald from the University of Western Ontario. Younger patients have higher revision rates with an all poly tibia. Who wins this great debate? You be the judge.