In ICJR REWIND, we give you a second chance to access articles, clinical reports, surgical videos, and meeting presentations you may have missed when they were originally published on ICJR.net.
ICJR REWIND: Stem Selection in Cementless Primary THA
Most total hip arthroplasty patients in the US undergo a cementless procedure. So, the issue for their surgeons isn’t which type of fixation – cemented or cementless – but rather which type of stem they’re going to use. In most cases, the answer will be a proximally porous coated stem, Wayne G. Paprosky, MD, said…
Posted 07 Jan 2020
ICJR REWIND: Considering a BMI Cutoff for TKA Patients
When a patient has a body mass index (BMI) of 40 or above, should the surgeon withhold total knee arthroplasty (TKA) until the patient loses weight to avoid the possible increased risk of complications? It’s not a bad idea, according to a 2013 statement from a work group of the American Association of Hip &…
Posted 27 Nov 2019
ICJR REWIND: Busting Myths about Postop Management of TJA Patients
With his kids providing inspiration through their love of the television show Myth Busters, James A. Browne, MD, has taken a scientific approach to evaluating various practices followed in the postoperative period and determining if they are myths, plausible but need more evidence, or confirmed. He shared his conclusions at ICJR’s 10th Annual Winter Hip…
Posted 05 Nov 2019
ICJR REWIND: Outpatient Primary Direct Anterior THA – an ICJR Featured Surgery
E. Matthew Heinrich, MD, performs a direct anterior approach total hip arthroplasty (THA) on the right hip of a 51-year-old male patient with rheumatoid arthritis who has been experiencing hip pain for 5 years. The procedure was broadcast live to attendees at ICJR’s 7th Annual Direct Anterior Approach Hip Course from Dr. Heinrich’s OR at…
Posted 28 Oct 2019
ICJR REWIND: The Current State of Biologics for Augmenting Rotator Cuff Repairs
Dr. Raffy Mirzayan answers questions from ICJR about the biologic options surgeons can consider to help reduce re-tears in patients with rotator cuff tears, in an article originally published on January 15, 2018. ICJR: What biologics are currently available to augment rotator cuff repair, and what does the literature say about them? Raffy Mirzayan, MD:…
By Raffy Mirzayan MD - Posted 08 Oct 2019
ICJR REWIND: Differential Diagnosis of the Painful Total Hip Arthroplasty
In a presentation at ICJR’s 3rd Annual Revision Hip & Knee Course, Thomas K. Fehring, MD, from OrthoCarolina Hip & Knee Center in Charlotte, North Carolina, reviewed a stepwise approach to determining the reason for pain after total hip arthroplasty, with a focus on the history, physical examination, and radiographs. RELATED: Register for the 8th…
Posted 23 Sep 2019
ICJR REWIND: Why Did These TKAs Fail?
Understanding the variety of failure modes for total knee arthroplasty (TKA) will help the orthopaedic surgeon diagnose and recommend appropriate treatment when a patient complains of pain or other issues following a primary procedure. It can also help the surgeon avoid complications in the future. At ICJR’s 10th Annual Winter Hip & Knee Course, Bryan…
Posted 09 Sep 2019
ICJR REWIND: Minimally Invasive Direct Anterior Approach THA – an ICJR Featured Surgery
Tyler D. Goldberg, MD, from Texas Orthopedics in Austin, Texas, performs a direct anterior approach total hip arthroplasty (THA) on the left hip of a 65-year-old male patient whose femoral head has moved proximally and laterally, similar to a dysplastic hip, in a procedure broadcast live to attendees at ICJR's 7th Annual Direct Anterior Approach…
Posted 12 Aug 2019
ICJR REWIND: Are Smoking Cessation Programs Effective for Total Joint Arthroplasty Patients?
The authors examine the literature on the effects of smoking on primary and revision hip and knee replacement and discuss research on the potential health and cost benefits of implementing a smoking cessation program, in an article originally published on November 29, 2018.
By Fernando Nussenbaum MD, Charity Jacobs MD, Ran Schwarzkopf MD, Jonathan Vigdorchik MD - Posted 05 Aug 2019
ICJR REWIND: Evaluating and Managing Flexion Instability after TKA
Dr. Arlen Hanssen reviews the presenting symptoms, physical examination, and stepwise surgical plan for correcting flexion instability in total knee arthroplasty patients, in an article originally published on October 8, 2018. In 1993, Arlen D. Hanssen, MD, and David G. Lewallen, MD, noticed a phenomenon among total knee arthroplasty (TKA) patients who were being referred…
Posted 22 Jul 2019
ICJR REWIND: 10 Simple Rules for THA After Hip Fracture Fixation
In an article originally published on November 15, 2018, Dr. Ronald Delanois shares the principles he follows to improve outcomes in his hip fracture patients who are converted from open reduction and internal fixation to a total hip arthroplasty. Between 8% and 11% of patients who undergo open reduction and internal fixation (ORIF) for a…
Posted 08 Jul 2019
ICJR REWIND: How I Do a Primary THA
William J. Long, MD, FRCSC, from NYU Langone Health and the Insall Scott Kelly Institute in New York, leads a panel discussion on foundational issues in primary total hip arthroplasty, such as intra-articular injections, smoking cessation, and obesity. Panel members include Bryan D. Springer, MD; John L. Masonis, MD; R. Michael Meneghini, MD; and James…
Posted 18 Jun 2019
ICJR REWIND: For Stiffness after TKA, Prevention Is the Best Medicine
All total knee arthroplasty patients are potentially at risk for stiffness after surgery. The problem is, it is difficult to predict which ones will develop stiffness and which ones won’t, says Dr. Raj Sinha in an article originally published on September 18, 2018. Stiffness is one of the primary reasons for patient dissatisfaction with their…
Posted 04 Jun 2019
ICJR REWIND: TKA Utilizing New Technology for the Bone Cuts – an ICJR Featured Surgery
At the ICJR South Hip & Knee Course, Tomas Nemickas, MD, demonstrated a recently introduced hybrid technology (ExactechGPS TKA Plus System; Exactech, Inc., Gainesville, Florida) that combines the benefits of traditional jigs and full computer navigation for the 2 most critical bone cuts in total knee arthroplasty. RELATED: Register for the 7th Annual ICJR South…
Posted 23 May 2019
ICJR REWIND: Antibiotics for Perioperative Prophylaxis in TJA Patients
The authors review what’s known – and unknown – about issues with the use of antibiotics to prevent surgical site infections in patients undergoing total hip and total knee arthroplasty, including current standards, recent recommendations, and dental prophylaxis, in an article originally published on July 17, 2018.
By Lewis Moss MD, Andrew M. Pepper MD, Jonathan M. Vigdorchik MD - Posted 06 May 2019
ICJR REWIND: Helping Patient Reduce Their Risks Before Total Joint Arthroplasty
Dr. Bryan Springer reviews 7 modifiable risk factors for complications in patients undergoing total hip and total knee arthroplasty, including malnutrition, smoking, and vitamin D deficiency, in an article originally published on October 1, 2018. Patients scheduled for total joint arthroplasty can have dozens of risk factors for complications after surgery. In his presentation at…
Posted 23 Apr 2019
ICJR REWIND: Techniques for Optimizing Acetabular Component Positioning in THA
In an article originally published on June 7, 2018, the authors review techniques and tools available to improve surgical competency and reduce the risk for component malpositioning, as well as provide expert recommendations for surgeons who perform total hip arthroplasty.
By Ran Schwarzkopf MD MSc, Afshin A. Anoushiravani MD, Nima Eftekhary MD, James E. Feng MD, Jonathan Vigdorchik MD - Posted 09 Apr 2019
ICJR REWIND: An Update on DVT Prophylaxis for Total Joint Arthroplasty Patients
A patient-specific approach to preventing deep vein thrombosis should balance safety and efficacy, taking into account patient and surgical factors, says Dr. Michael Taunton in an article originally published on August 2, 2108. Orthopaedic surgeons have known since the earliest days of arthroplasty that patients undergoing elective joint replacement surgery are at risk for deep…
Posted 26 Mar 2019
ICJR REWIND: What Should Be in the Mix for Perioperative Pain Management in TJA?
Adequate pain control has been correlated with faster rehabilitation following joint replacement surgery and improved measures of patient satisfaction. This article, originally published on March 22, 2018, reviews the evidence for multimodal therapy in the preoperative, intraoperative, and postoperative periods.
By John J. Mercuri MD MA, MD, Omar A. Behery MD MPH, Jonathan M. Vigdorchik, Andrew M. Pepper MD - Posted 05 Mar 2019
ICJR REWIND: Surgical Technique for Static and Articulating Spacers in 2-Stage Revision TKA
In an article originally published on July 3, 2018, Dr. Tad Mabry and Dr. Michael Taunton review indications and contraindications for the 2 types of spacers used in patients undergoing a 2-stage revision for an infected total knee arthroplasty, as well as demonstrate how the spacers are implanted. A 2-stage revision total knee arthroplasty (TKA)…
Posted 28 Feb 2019
ICJR REWIND: Reducing Tourniquet Use in TKA as a Pain Management Strategy
In an article originally published on April 8, 2018, researchers from NYU Langone Health ask the question: If we eliminate or reduce tourniquet use in our primary total knee arthroplasty patients, will we reduce postoperative pain and the need for opioids? Orthopaedic surgeons have been identified one of the top prescribers of opioids.  So…
By Susan Doan-Johnson - Posted 05 Feb 2019
ICJR REWIND: What Are the Top Considerations for the Table Used in a DAA THA?
In an article originally published on February 5, 2018, Dr. Stephen J. Nelson and Dr. Lee E. Rubin of Yale University answer ICJR’s questions about the debate over the use of an orthopaedic traction table versus a regular OR table when performing a direct anterior approach total hip arthroplasty. ICJR: Surgeons continue to debate the…
By Stephen J. Nelson MD, Lee E. Rubin MD - Posted 29 Jan 2019
ICJR REWIND: Povidone-Iodine Irrigation as a Safe and Effective Measure to Prevent SSIs
In ICJR REWIND, we will periodically republish past articles that were of great interest to the orthopaedic community. This article, originally published on July 12, 2018, describes research from The Rothman Institute that examined the effectiveness of 3 intraoperative interventions implemented to reduce the incidence of surgical site infections in total knee arthroplasty patients. Dr.…
By Susan Doan-Johnson - Posted 08 Jan 2019