UCSF Ortho Arthroplasty Core

UCSF Arthroplasty
Overview

About This Course

The UCSF Ortho Arthroplasty Core provides educational content related to orthopaedic surgery for arthroplasty specialty.

Requirements

The UCSF Ortho Arthroplasty Core is meant to be an educational resource for orthopaedic trainees. Learners should be practicing surgeons or surgeons in training.

Course Staff

Faculty Contributor:
Dr. Jeff Barry

Image
Jeff Barry
Evaluation of the Hip and Knee Patient

Knee Examination

Recorded Lecture

Evaluation of a Knee Patient - Dr. Barry

 

Additional Readings

Additional Resources

External Videos

Link to Orthobullets Knee Examination

Link to Vumedi Knee Examination

 

Hip Examination

 

Additional Reading

Additional Resources

External Videos

Link to Hip Examination 

Additional Reading

1. Wilson JJ, Furukawa M. Evaluation of the patient with hip pain. American Family Physician. 2014;89(1):27-37.

Full-Text Link

PubMed Link

 

Knee Radiographic Evaluation

Additional Reading

Additional Resources

External Video

Link to the Examination and Imaging on the Knee and Leg (start at 22 min)

Additional Reading

1. Kellgren JH, Lawrence JS. Radiological assessment of osteo-arthrosis. Annals of  the Rheumatic Diseases. 1957;16:494. 

Full-Text Link

PubMed Link

 

Hip Radiographic Evaluation

 

Additional Reading

Additional Resources

External Video

Link to a Hip Radiographic Examination Geared Towards Scope/FAI

Additional Reading

1. Weber MA, Merle C, Rehnitz C, Gotterbarm T. Modern radiological imaging of osteoarthritis of the hip joint with consideration of predisposing conditions. Rofo. 2016;188(7):635-651. doi: 10.1055/s-0042-104511

Link to Full-Text

Link to PubMed

 

Radiographic Severity and Outcome - Natural History

 

Additional Reading

Additional Resources

Additional Readings

1. Keurentjes JC, Fiocco M, So-Osman C, Onstenk R, Koopman-Van Gemert AWMM, Poll RG, Kroon HM, et al. Patients with severe radiographic osteoarthritis have a better prognosis in physical functioning after hip and knee replacement: A cohort study. PLoS ONE. 2013;8(4): 1-8. 

Full-Text Link

PubMed Link

2. Leyland KM, Hart DJ, Javaid MK, Judge A, Kiran A, Soni A, et al. The natural history of radiographic knee osteoarthritis: A fourteen-year population-based cohort study. Arthritis and Rheumatism. 2012;64(7):22422251. doi: 10.1002/art.34415

Full-Text Link

PubMed Link

 

Osteoarthritis and Rheumatoid Basic Science

Hip OA AVN Overview

Additional Reading

Additional Resources

External Video

Link to Osteonecrosis of the Hip Stages and Treatment

Additional Reading

1. Murphy NJ, Eyles JP, Hunter DJ. Hip osteoarthritis: Etiopathogenesis and implications for management. Advances in Therapy. 2016;33:1921-1946. doi: 10.1007/s12325-016-0409-3

Full-Text Link

PubMed Link

 

Primary Hip

Nonoperative Hip

 

Additional Reading

Additional Resources

External Videos 

Link to Nonop Treatment Hip OA

Link to Ortho AUC for Hip OA

 

Hip Templating and Importance of Offset

 

Additional Reading

Additional Resources

External Videos 

Link to Vumedi Preoperative Planning and Templating in THA

Additional Readings 

1. Charles, M.N., Bourne, R., et al., Soft-Tissue Balancing of the Hip. (2004). Journal of Bone & Joint Surgery, 86A(5). 

Full-Text Link

PubMed Link

 

Posterior and Lateral Approaches

 

Additional Reading

Additional Resources

External Videos 

Link to Posterior Approach

Link to Lateral Approaches

 

Anterior Hip

 

Additional Reading

Additional Resources

External Videos

Link to Anterior Approach On Table

Link to Anterior Hip Capsule Anatomy and Releases

 

Cemented Hip

 

Additional Reading

Additional Resources

External Videos

Link to Vumedi "The Sexy Cemented Hip"

Link to Vumedi How to Cement a Femur

Additional Reading 

Dorr, LD., Faugere, MC., et al. Structural and Cellular Assessment of Bone Quality of Proximal Femur. (1993). Bone, 14 (231-242).

Link to Full-Text 
Link to PubMed Scanelli, JA., Reiser, GR., et al. Cemented Femoral Component. (2019). The American Academy of Orthopaedic Surgeons, 27(4).

Link to Full-Text 
Link to PubMed

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Adult DDH

 

Additional Reading

External Videos

Link to Vumedi Crowe I/II Hip Pearls

Link to Della Valle Crowe III/IV Hips

 

Additional Reading

Karachalios, T., Hartofilakidis, G. Congenital Hip Disease in Adults. (2010) The Journal of Bone and Joint Surgery.

Full-Text Link
PubMed Link

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Hip-Spine Interactions

External Video

Link to the Effect of Pelvic Mobility on THA

 

Additional Reading

Additional Reading 

Buckland, A.J., Miyamoto, R., et al. Differentiating Hip Pathology from Lumbar Spine Pathology: Key Points of Evaluation and Management. (2017). J Am Acad Orthop Surg, 25 (2). 

Full-Text Link
PubMed Link

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Total Joint Arthroplasty

Periprosthetic Joint Infection - Dr. Ward

Primary Knee

Nonoperative Treatment Knee OA 

 

Additional Reading

Additional Readings

1. McAlindon TE, Bannurur RR, Sullivan MC, Arden NK, Berenaum F,Bierma-Zeinstra SM, et al. OARSI guidelines for the non-surgical management of knee osteoarthritis. Osetoarthritis and Cartilage. 2014:363-388.

Full-Text Link

PubMed Link

2. Jevsevar DS. Treatment of osteoarthritis of the knee: evidence-based guideline, 2nd edition. Journal of the American Academy of Orthopaedic Surgeons. 2013;21(9):571-576.

Full-Text Link

PubMed Link

 

TKA Planning

External Video

Link to Vumedi preoperative planning

 

Additional Reading

Additional Reading

1. Tanzer M, Makhdom AM. Preoperative planning in primary Total Knee Arthroplasty. Journal of the American Academy of Orthopaedic Surgeons. 2016;24(4):220-230.

Full-Text Link

PubMed Link

 

Knee Surgical Anatomy

Additional Resources

External Video

Link to ligaments and landmarks

Gap Balancing vs. Measure Resection

Additional Resources

External Video

Link to Vumedi gap balancing

 

Additional Reading

Additional Reading

1. Sheth NP, Husain A, Nelson CL. Surgical techniques for Total Knee Arthroplasty: Measured resection, gap balancing, and hybrid. Journal of the American Academy of Orthopaedic Surgeons. 2017;25(7):499-508. doi: 10.5435/JAAOS-D-14-00320. 

Full-Text Link

PubMed Link

 

Kinematic Alignment Debate

Additional Resources

External Videos

Link to pro-mechanical video

Link to pro-kinematic video

Balancing Knees

Additional Resources

External Videos

Link to Vumedi Balancing Varus Knee

Link to Vumedi Balancing Valgus Knee

CR and PS TKA

Additional Resources

External Video

Link to Vumedi Balancing the PCL

 

Additional Reading

Additional Reading

1. Jiang C, Liu Z, Wang Y, Bian Y, Feng B, Weng x. Posterior cruciate ligament retention vs posterior stabilization for Total Knee Arthroplasty: A meta-analysis. PLoS One. 2016;11(1):e0147865. doi: 10.1371/journal.pone.0147865. 

Full-Text Link

PubMed Link

 

Partial Knee Replacement

Unicondylar Knee Arthroplasty - Dr. Barry

Total Knee Arthroplasty

Kinematic Alignment - Dr. Bini

Revision Hip

Epidemiology and Evaluation

Additional Resources

External Video

Link to Vumedi Evaluation Painful THA 

 

Additional Reading

Additional Reading

Gwam, CU., Mistry, JB., et al. Current Epidemiology of Revision Total Hip Arthroplasty in the UnitedStates: National Inpatient Sample 2009 to 2013. (2017). Journal of Arthroplasty.

Full-Text Link
Pubmed Link

 

Revision THA Exposure

Recorded Lecture

Rev THA Core Curriculum 2020

 

Additional Resources

Additional Resources

External Videos

Link to Vumedi THA Exposure and Implant Removal

Additional Reading

Mardones, R., Gonzalez, C., et al. Extended Femoral Osteotomy for Revision of Hip Arthroplasty. (2005). The Journal of Arthroplasty 20(1).

Full-Text Link
PubMed Link

 

Bone Loss and Loosening Classifications

 

 

Additional Reading

Paprosky, WG., Perona, PG., et al. Acetabular Defect Classification and Surgical Reconstruction in Revision Arthroplasty. (1994). Journal of Arthroplasty, 9(1). 

Full-Text Link
PubMed Link

Ibrahim, DA., and Fernando, ND. Classifications in Brief: The Paprosky Classification of Femoral Bone Loss. (2017). Clin Orthop Relat Res, 475:917-921. 

Full-Text Link
PubMed Link

Gruen, T.A., McNeice, G.M., et al. Modes of Failure of Cemented Stem-Type Femoral Components. (1978). Clinical Orthopaedics and Related Research. 

Full-Text Link
PubMed Link

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THA Bone Loss Management

Additional Resources

External Videos

Link to Vumedi Femoral Reconstruction Overview

Link to Vumedi Acetabular Reconstruction Overview

THA Instability

Additional Resources

External Video

Link to Vumedi How to Prevent Dislocation

 

Additional Reading

Additional Reading

Rowan, F.E., Pietrak, J.R. Prevention of Dislocation After Total Hip Arthroplasty. (2018). The Journal of Arthroplasty, 33:1316-1324.

Full-Text Link
PubMed Link

 

Metal on Metal THA

Additional Resources

External Video

Link to Vumedi ALTR/Trunionosis

 

Additional Reading

Additional Reading

Van Lingen, C.P., Zara, L.M., et al. Sequelae of Large-Head Metal-On-Metal Hip Arthroplasties: Current Status and Future Prospects. (2016). EFFORT Open.

Full-Text Link
PubMed Link

 

THA Periprosthetic Fractures

Additional Resources

External Video

Link to Vumedi Hip PPx Fx

 

Additional Reading

Additional Reading

Masri, B.A., Meek, R.M.D., Duncan, C.P. Periprosthetic Fractures Evaluation and Treatment. (2003). Clin Orthop, 420.

Full-Text Link
PubMed Link

 

Revision Knee

Epidemiology and Evaluation

Additional Resources

External Video

Link to the Management of Common TKA Complications

 

Additional Reading

Additional Readings

1. Delanois RE, Mistry JB, Gwam CU, Mohamed NS, Choksi US, Mont MA. Current epidemiology of revision total knee arthroplasty in the United States. The Journal of Arthroplasty. 2017;32:2663-2668.

Full-Text Link

PubMed Link

2. Flierl MA, Sobha AH, Culp BM, Baker EA, Sporer SM. Evaluation of the painful Total Knee Arthroplasty. Journal of American Academy of Orthopaedic Surgeons. 2019;27(20):743-751.

Full-Text Link

PubMed Link

 

Revision TKA Exposures

Recorded Lecture

Total Knee Arthroplasty Revision - Dr. Hansen

 

Additional Resources

Additional Resources

External Videos

Link to Exposure in Revision Total Knee Arthroscopy

Link to Vumedi Revision Total Knee Arthroplasty Exposures

 

TKA Instability

Recorded Lecture

Instability, Stiffness, EM Issues - Dr. Tan

 

Additional Resources

Additional Resources

External Video

Link to Managing Instability

Additional Reading

1. Sheth NP, Bonadio MK. Bone loss in revision Total Knee Arthroscopy: Evaluation and management. Journal of American Association of Orthopaedic Surgeons. 2017;25:347-357.

Full-Text Link

PubMed Link

 

Arthrofibrosis

 

Additional Resources

Additional Resources

External Video

Link to Management of Arthrofibrosis

Additional Reading

1. Cheuy VA, Foran JRH, Paxton RJ, Bade MJ, Zeni JA, Stevens-Lapsley JE. Antifibrosis associated with Total Knee Arthroplasty. The Journal of Arthroplasty. 2017;32(8):2604-2611.

Full-Text Link

PubMed Link

 

TKA - Periprosthetic Fracture

 

Additional Resources

Additional Resources

External Video

Link to Total Knee Arthroplasty Periprosthetic Fracture and Distal Femur Fractures

Additional Reading

1. Hart GP, Kneisl JS, Springer BD, Patt JC, Karunakar MA. Open reduction vs distal femoral replacement arthroplasty for comminuted distal femur fractures in the patients 70 years and older. The Journal of Arthroplasty. 2017;32:202.206.

Full-Link Text

PubMed Link

 

TKA - Extensor Mechanism

 

Additional Resources

Additional Resources

External Videos

Link to Vumedi Extensor Mechanism Deficiency: A Synthetic Mesh Approach

Link to Vumedi Evaluation and Management of Extensor Mechanism Dysfunction

Additional Reading

1. Abdel MP, Salib CG, Mara KC, Pagnano MW, Perry KI, Hanssen AD. Extensor mechanism reconstruction with use of marlex mesh: A series study of 77 Total Knee Arthroplasties. The Journal of Bone and Joint Surgery. 2018;100-A(15):1309-1318.

Full-Text Link

PubMed Link

 

PJI, Biomechanics and Wear

THA Biomechanics and Basic Principles

 

Additional Resources

Additional Resources

External Video

Link to Biomechanics of THA

 

PJI Overview

 

Additional Resources

Additional Resources

External Video

Link to Vumedi Overview PJI Treatment

Additional Reading

Parvizi, J., Tan, T.L., et al. The 2018 Definition of Periprosthetic Hip and Knee Infection: An Evidence-Based and Validated Criteria. (2018). Journal of Arthroplasty, 33:1309-1314.

Full-Text Link
PubMed Link

 

I and D - DAIR - for Acute PJI

 

Additional Resources

Additional Resources

External Videos

Link to Vumedi I&D for Acute Infection

Additional Reading

Chung, A.S., Niesen, M.C., Graber, T.J., et al. Two-stage Debridement with Prosthesis Retention for Actue Periprosthetic Joint Infections. (2019). The Journal of Arthroplasty, 14: 1207-1213.

Full-Text Link
PubMed Link

 

2 Stage exchange for PJI

 

Additional Resources

Additional Resources

External Video 

Link to Vumedi Two Stage Exchange in Chronic PJI

Additional Reading

Petis, S.M., Abdel, M.P., et al. Long-Term Results of a 2-Stage Exchange Protocol forPeriprosthetic Joint Infection Following Total Hip Arthroplasty in 164 Hips. (2019). Journal of Bone and Joint Surgery, 101(1):74-84.

Full-Text Link
PubMed Link

 

Basic Science of Osteolysis - Wear Particles in THA

Recorded Lecture

Biomaterials, Wear, Osteolysis

 

Additional Resources

Additional Resources

External Videos

Link to Vumedi Wear Particles of THA

Additional Reading

Olivere, B., Wimhurst, J.A., et al.Instructional Review: General Orthopaedics Current Concepts in Osteolysis. (2012).The Journal of Bone and Joint Surgery, 94:10-15.

Full-Text Link
PubMed Link

 

Acetabular Osteolysis

 

Additional Resources

Additional Resources

External Video

Link to Vumedi When to Keep the Socket

Additional Reading

Narkbunnam, R., Amanatullah, D.F., et al. Outcome of 4 Surgical Treatments for Wear and Osteolysis of Cementless Acetabular Components. (2017). Journal of Arthroplasty, 32: 2799-2805.

Full-Text Link
PubMed Link

 

Heterotopic Ossification

 

Additional Resources

Additional Resources

Additional Reading

Legosz, P., Otworowski, M., et al. Heterotopic Ossification: A Challenging Complication of Total Hip Arthroplasty: Risk Factors, Diagnosis, Prophylaxis, and Treatment. (2019). BioMed Research International.

Full-Text Link
PubMed Link

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Miscellaneous

TXA - Management of DMARDs

 

Additional Resources

Additional Resources

External Video

Link to Use of Tranexamic Acid

Additional Reading

1. Goodman SM, Springer B, Guyatt G, Abdel MP, Dasa V, George M, et al. 2017 American College of Rheumatology/ American Association of Hip and Knee Surgeons guideline for the perioperative management of anti-rheumatic medication in patients with rheumatic diseases undergoing elective Total Hip or Total Knee Arthroplasty. Arthritis Care and Research. 2017;69(8):1111-1124. doi: 10.1002/acr.23274.

Full-Text Link

PubMed Link

 

UKA Tips

 

Additional Resources

Additional Resources

External Videos

Link to UKA Tips and Tricks

Link to Medial UKA Techniques

 

Revision TKA Principles and Workflow

 

Additional Resources

Additional Resources

External Video

Link to Vumedi Revision TKA: An Algorithm for Success

 

Femoral Neck Fractures

 

Additional Resources

Additional Resources

External Video

Link to Femoral Neck Fractures

Additional Readings

1. Lewis DP, Waever D, Thorninger R, Donnelley WJ. Hemiarthroplasty vs Total Hip Arthoplasty for the management of displaced neck of femur fractures: A systematic review and meta-analysis. The Journal of Arthroplasty. 2019;34(8): 1837-1843. 

Full-Text Link

PubMed Link

2. Langslet E, Frihagen F, Opland F, Madsen JE, Nordsletten L, Figved W. Cemented vs uncemented hemiarthroplasty for displaced femoral neck fractures: 5-year followup of a randomized trial. Clinical Orthopaedics and Related Research. 2014;472(4):1291-1299. doi:10.1007/s11999-013-3308-9. 

Full-Text Link

PubMed Link

 

Robotics

 

Additional Resources

Additional Resources

External Videos

Link to Pro-Conventional Instruments

Link to Pro-Robot

Additional Reading

1. Lonner JH, Fillingham YA. Pros and cons: A balanced view of robotics in knee arthroplasty. The Journal of Arthroplasty. 2018;33(7):2007-2013. doi: 10.1016/j.arth.2018.03.056.

Full-Text Link

PubMed Link

 

Preoperative Optimization

 

Additional Resources

Additional Resources

External Video

Link to Vumedi Prevention of Infection: Pre-Operative Patient Optimization

Additional Reading

1. Alamanda VK, Springer BD. Perioperative and modifiable risk factors for Periprosthetic Joint Infections (PJI) and recommended guidelines. Current Reviews in Musculoskeletal Medicine. 2018;11(3):325-331. doi: 10.1007/s12178-018-9494-z.

Full-Text Link

PubMed Link

 

Outpatient Total Joints

 

Additional Resources

Additional Resources

External Video

Link to Outpatient Total Joint Arthroplasty: Patient Selection and Other Considerations

 

Digital Orthopaedics

Recorded Lecture

Digital Orthopaedics DIGITAL Solutions to Practical ANALOG Problems

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UCSF Ortho Arthroplasty Core Course Outline