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.

04/28/2026

Smoking within 30d of TKA was associated with greater postop pain and lower odds of achieving an acceptable pain state compared to former and never-smokers.

https://www.arthroplastyjournal.org/article/S0883-5403(26)00353-0/abstract

04/23/2026

Use of IO vancomycin has a significantly lower rate of AKI following primary TKA when compared to IV vancomycin.

https://www.arthroplastyjournal.org/article/S0883-5403(26)00217-2/fulltext

04/22/2026

Results suggest that, when PJI appears acute, DAIR should be completed. Although DAIR success may be low, it does not appear to substantially impact the success of subsequent 2-stage exchange arthroplasty.

https://www.arthroplastyjournal.org/article/S0883-5403(26)00225-1/fulltext

04/21/2026

Conversion of HRA to THA with retention of a well-fixed acetabular component and conversion to a dual-mobility construct provides durable survivorship up to 10yr. The rates of PJI and reoperation are more aligned with those seen in revision THA.

https://www.arthroplastyjournal.org/article/S0883-5403(26)00362-1/fulltext

04/09/2026

AI scribes can effectively enhance clinical efficiency and reduce administrative workload without compromising documentation quality or patient safety. Their implementation allows more focus on patient care and other critical tasks.

https://www.arthroplastyjournal.org/article/S0883-5403(26)00272-X/fulltext

04/08/2026

Joint line lowering of at least 2mm was associated with worse clinical outcomes and lower survival rates following UKA at a mean f/u of 10.8 years. This underscores the importance of restoring the joint line to achieve optimal outcomes and survival.

https://www.arthroplastyjournal.org/article/S0883-5403(26)00186-5/fulltext

04/07/2026

In varus knees, the MCL does not shorten and the LCL may elongate up to 2mm with increasing deformity. This study questions the need for releasing the MCL in knees with up to 15° varus, as anatomical contracture may not be the primary cause of tightness.

https://www.arthroplastyjournal.org/article/S0883-5403(26)00317-7/fulltext

04/06/2026

Extended postoperative oral antibiotics after primary THA and TKA have become increasingly common. However, this database study showed no reduction in one-year PJI rates or risk among those who received them, despite accounting for key risk factors.

https://www.arthroplastyjournal.org/article/S0883-5403(26)00314-1/fulltext

04/05/2026

Cemented fixation in primary TKA remains the standard among expert TKA surgeons, though cementless techniques are increasingly used in select patients. Patellar resurfacing practices remain highly variable, reflecting individualized decision-making.

https://www.arthroplastyjournal.org/article/S0883-5403(26)00302-5/fulltext

04/04/2026

Both reducing the tibial slope from 5 to 3° and upsizing the femoral component are effective in reducing AP laxity in flexion, but at the expense of elevated MCL tension and the inability to replace the role of the PCL in driving femoral rollback.

https://www.arthroplastyjournal.org/article/S0883-5403(26)00235-4/fulltext

04/03/2026

Patients who had a prior VTE episode and no oncologic history receiving aspirin thromboprophylaxis following primary TJA had comparable odds of developing DVT and lower odds of experiencing PE relative to patients receiving other types of anticoagulation.

https://www.arthroplastyjournal.org/article/S0883-5403(25)01372-5/fulltext

04/02/2026

High-risk patients comprise a significantly greater proportion of the TJA population at teaching hospitals compared to non-teaching hospitals, quantifying the increased burden of a sicker, more comorbid cohort at teaching hospitals.

https://www.arthroplastyjournal.org/article/S0883-5403(26)00263-9/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.