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.

12/06/2025

Prior BMT does not increase prosthetic complications in multiple myeloma patients undergoing TJA but is associated with higher risks of thromboembolic events and pathological fractures within 90d, warranting careful perioperative management.

https://www.arthroplastyjournal.org/article/S0883-5403(25)01371-3/fulltext

12/05/2025

Gloves should be changed: after draping, bone prep, trialing, and arthrotomy in revision cases for PJI; before implantation, after cementation, and before closing. Replace 1x every 40-60min or when they become entangled in surgical equipment.

https://www.arthroplastyjournal.org/article/S0883-5403(25)01413-5/fulltext

12/04/2025

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

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

12/03/2025

Flexion laxity after TKA may be difficult to diagnose. The clinical complaint of pain correlated with a radiographic flexion gap difference of >4mm. The hanging lateral radiograph may assist in identifying isolated flexion laxity after TKA.

https://www.arthroplastyjournal.org/article/S0883-5403(25)01415-9/fulltext

12/02/2025

86.1% of primaries and 71.4% of revisions that received a double DAIR for acute PJI were infection-free at the latest follow-up. Revision arthroplasty, acute hematogenous PJI, and a +cx at 2nd debridement were independent predictors of treatment failure.

https://www.arthroplastyjournal.org/article/S0883-5403(25)00587-X/fulltext

12/01/2025

Utilization of cup-cage constructs with cementless titanium fibermesh cups is a viable and cost-effective construct in rTHA. Success of the cup-cage construct may be attributable to its fundamental concept rather than the specific use of tantalum cups.

https://www.arthroplastyjournal.org/article/S0883-5403(25)01426-3/fulltext

11/30/2025

Conversion TKA is associated with significantly more physiologic stress for a surgeon. The increased energy expenditure mimics the increase seen in conversion THA, which does have a conversion procedural code.

https://www.arthroplastyjournal.org/article/S0883-5403(25)01428-7/fulltext

11/29/2025

Administration of COX-2 NSAIDs in chronically anticoagulated patients undergoing TKA was not associated with increased transfusions or readmissions. They had a lower risk of MUA and reduced opioid consumption at 90d postop.

https://www.arthroplastyjournal.org/article/S0883-5403(25)01418-4/fulltext

11/28/2025

This study found that flowable gelatin effectively reduces perioperative blood loss and transfusion rates in both TKA and THA, without increasing the risk of lower limb thrombosis or other postop complications.

https://www.arthroplastyjournal.org/article/S0883-5403(25)01425-1/fulltext

11/27/2025

Arthroscopic iliopsoas tenotomy is a minimally invasive option for symptomatic Iliopsoas impingement, providing high patient satisfaction through reliable pain relief. Hip flexor weakness may persist and should be discussed during preop counseling.

https://www.arthroplastyjournal.org/article/S0883-5403(25)01421-4/fulltext

11/26/2025

Overall, patients had similar PROs and physical activity metrics following THA or TKA regardless of whether they had stairs at home. This information may be of utility when counseling patients regarding discharge disposition and recovery expectations.

https://www.arthroplastyjournal.org/article/S0883-5403(25)01433-0/fulltext

11/25/2025

Postop joint line obliquity was associated with high survival rates following TKA at a mean follow-up of 12.7yr. Outlier alignment in combination with non-parallel JLO, particularly lateral inclination, demonstrated the poorest survival rate.

https://www.arthroplastyjournal.org/article/S0883-5403(25)01417-2/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.