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Bio-Occlusive Gauze with Tegaderm: A Dressing for Surgical Wounds in Primary THA and TKA

10, 2017 Reviewed December 15 , 2017 Revised December 20 , 2017 Accepted December 21, 2017 Published December 31 , 2017 1 Madhav Chowdhry , Matthew Dipane, Edward J . McPherson LA Orthopedic Institute

Incision Length in Small Incision Total Knee Arthroplasty: How Long of an Incision Is Needed?

This prospective review studied incision length with a small incision TKA technique and compared measured incision lengths to various anatomic and clinical parameters. We prospectively reviewed 357 cases of primary total knee arthroplasty using a small paramedial incision and utilizing small incision instrumentation. By using linear regression analysis, we found that incision...

Massive Pseudotumor in a 28mm Ceramic-Polyethylene Revision THA: A Case Report

This report reviews the findings of a massive pseudotumor detected pre-operatively in a 13-year-old revision total hip arthroplasty. The case is unique in that the bearing involved was a 28mm zirconia ceramic head on a polyethylene liner. We propose that the pseudotumor arose from ultrafine titanium particles liberated from the proximal porous coating of the femoral stem. We...

The Fate of the PCL in Cruciate Retaining TKA A Critical Review of Surgical Technique

This study prospectively reviews 368 consecutive primary TKA’s, documenting the status of the PCL during 3 stages of the TKA procedure: 1) at initial arthrotomy, 2) after all bone cuts were made, and 3) after final balancing with all components in place. We found at initial presentation that 94% of PCL’s were intact. After the bone cuts were made only 51% of PCL’s remained intact...

Improving Pre-Operative Flexion in Primary TKA: A Surgical Technique Emphasizing Knee Flexion with 5-Year Follow-Up

This study prospectively reviews a consecutive series of 228 primary total knee arthroplasty (TKA) procedures utilizing a technique to optimize knee flexion.  The main features include: (1)the use of a “patellar friendly” femoral component and reduced thickness patellar components, (2) patient individualized adjustment of the femoral component rotation set strictly to the...

Dissolvable Antibiotic Beads in Treatment of Periprosthetic Joint Infection and Revision Arthroplasty - The Use of Synthetic Pure Calcium Sulfate (Stimulan®) Impregnated with Vancomycin & Tobramycin

This study reviews the clinical results using commercially pure, synthetic antibiotic-loaded Calcium Sulfate dissolvable beads (Stimulan, Biocomposites, Ltd., Keele, UK) in 250 cases of aseptic and septic revision total hip and total knee arthroplasty. A set protocol of Vancomycin and Tobramycin antibiotic was used in all cases. The rate of wound drainage in this series was 3.2...