Journal of Arthroplasty

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Journal of Arthroplasty

JOA is published by Elsevier and is the official journal of the American Association of Hip and Knee Surgeons.

11/02/2025

While core functional goals are largely met, cultural expectations often remain unfulfilled after TKA in Indian patients. Preoperative counseling that addresses realistic goals may enhance satisfaction and patient-centered care.

https://www.arthroplastyjournal.org/article/S0883-5403(25)01230-6/fulltext

11/01/2025

We identified 5 distinct opioid use trajectories among patients undergoing knee arthroplasty in Denmark using group-based trajectory modeling. The results highlight the importance of using alternative approaches when analyzing opioid use trajectories.

https://www.arthroplastyjournal.org/article/S0883-5403(25)01231-8/fulltext

10/31/2025

The GNRI score is an independent risk factor for extended LOS in THA patients. The application of a model for the early identification of high-risk patients who have eLOS may facilitate targeted interventions, optimize preop mgt, and improve outcomes.

https://www.arthroplastyjournal.org/article/S0883-5403(25)01235-5/fulltext

10/30/2025

Patients who have neuromuscular disorders and genu recurvatum can achieve favorable outcomes with rotating-hinge TKA, yielding good functional scores and acceptable complication and failure rates, considering the severity of the condition.

https://www.arthroplastyjournal.org/article/S0883-5403(25)01238-0/fulltext

10/29/2025

Metformin significantly reduces the risk of TJA, particularly in patients who have pre-existing OA and receive prolonged metformin therapy.

https://www.arthroplastyjournal.org/article/S0883-5403(25)01239-2/fulltext

10/28/2025

With geography, surgical setting, and insurance type significantly affecting OOPCs, understanding how these factors impact costs will allow physicians and policymakers to improve resource allocation and develop cost-saving strategies.

https://www.arthroplastyjournal.org/article/S0883-5403(25)01260-4/fulltext

10/27/2025

This study found clinically relevant differences between C. avidum and C. acnes positive rTHA. Cutibacterium avidum was more prone to cause PJI in obese patients who underwent primary DAA.

https://www.arthroplastyjournal.org/article/S0883-5403(25)01244-6/fulltext

10/26/2025

Psychiatric comorbidities, especially in TKA, adversely affect recovery and functional outcomes after arthroplasty. Preoperative mental health screening and tailored perioperative strategies may help optimize recovery.

https://www.arthroplastyjournal.org/article/S0883-5403(25)01259-8/fulltext

10/25/2025

There has been a major decline in Medicare reimbursements for knee arthroplasty procedures after adjusting for inflation. This may pressure healthcare providers to increase patient volumes, potentially leading to burnout and compromised patient care.

https://www.arthroplastyjournal.org/article/S0883-5403(25)01267-7/fulltext

10/23/2025

The revision rate was similar between high-viscosity cement and low-viscosity cement. The use of antibiotic cement does not seem to impact survival, as the all-cause revision rates were similar between cement with and without antibiotics.

https://www.arthroplastyjournal.org/article/S0883-5403(25)01216-1/fulltext

$Arthroplasty following pathologic acetabular fractures resulted in satisfactory outcomes in patients who had and did not...$

10/22/2025

Arthroplasty following pathologic acetabular fractures resulted in satisfactory outcomes in patients who had and did not have a pelvic discontinuity. Tantalum cup only and cup-cage constructs provide durable results with satisfactory revision rates.

https://www.arthroplastyjournal.org/article/S0883-5403(25)01224-0/fulltext

10/21/2025

There is no clinical advantage of routine patellar resurfacing at 5yr f/u. Resurfacing may reduce anterior knee pain, it also introduces risks such as fracture and maltracking. These findings support a more selective approach.

https://www.arthroplastyjournal.org/article/S0883-5403(25)01236-7/fulltext

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Official Journal of AAHKS

The Journal of Arthroplasty brings together the clinical and scientific foundations for joint replacement. This peer-reviewed journal publishes original research and manuscripts of the highest quality from all areas relating to joint replacement or the treatment of its complications, including those dealing with clinical series and experience, prosthetic design, biomechanics, biomaterials, metallurgy, biologic response to arthroplasty materials in vivo and in vitro.