UCSF Ortho Arthroplasty Core

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

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

Faculty Contributor:
Dr. Jeff Barry

Recorded Lecture

Evaluation of a Knee Patient - Dr. Barry

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External Videos

Link to Orthobullets Knee Examination

Link to Vumedi Knee Examination

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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.

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External Video

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

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

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External Video

Link to a Hip Radiographic Examination Geared Towards Scope/FAI

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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

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Link to PubMed

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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. 

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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

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External Videos

Link to Osteoarthritis Overview (causes, pathophysiology, investigations, treatment)

Link to Rheumatoid Arthritis Pathophysiology (signs and symptoms)

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External Video

Link to Osteonecrosis of the Hip Stages and Treatment

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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

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External Videos 

Link to Nonop Treatment Hip OA

Link to Ortho AUC for Hip OA

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Link to Vumedi Preoperative Planning and Templating in THA

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

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External Videos 

Link to Posterior Approach

Link to Lateral Approaches

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Link to Anterior Approach On Table

Link to Anterior Hip Capsule Anatomy and Releases

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Link to Vumedi "The Sexy Cemented Hip"

Link to Vumedi How to Cement a Femur

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

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

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Link to PubMed

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External Videos

Link to Vumedi Crowe I/II Hip Pearls

Link to Della Valle Crowe III/IV Hips

 

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

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External Video

Link to the Effect of Pelvic Mobility on THA

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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). 

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Periprosthetic Joint Infection - Dr. Ward

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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.

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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.

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External Video

Link to Vumedi preoperative planning

Additional Reading

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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.

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External Video

Link to ligaments and landmarks

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External Video

Link to Vumedi gap balancing

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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. 

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External Videos

Link to pro-mechanical video

Link to pro-kinematic video

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External Videos

Link to Vumedi Balancing Varus Knee

Link to Vumedi Balancing Valgus Knee

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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. 

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Unicondylar Knee Arthroplasty - Dr. Barry

Kinematic Alignment - Dr. Bini

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External Video

Link to Vumedi Evaluation Painful THA 

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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.

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Recorded Lecture

Rev THA Core Curriculum 2020

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External Videos

Link to Vumedi THA Exposure and Implant Removal

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

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

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

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

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External Videos

Link to Vumedi Femoral Reconstruction Overview

Link to Vumedi Acetabular Reconstruction Overview

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External Video

Link to Vumedi How to Prevent Dislocation

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

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External Video

Link to Vumedi ALTR/Trunionosis

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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.

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External Video

Link to Vumedi Hip PPx Fx

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Additional Reading

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

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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.

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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.

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Recorded Lecture

Total Knee Arthroplasty Revision - Dr. Hansen

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External Videos

Link to Exposure in Revision Total Knee Arthroscopy

Link to Vumedi Revision Total Knee Arthroplasty Exposures

Recorded Lecture

Instability, Stiffness, EM Issues - Dr. Tan

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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.

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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.

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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.

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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.

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External Video

Link to Biomechanics of THA

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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.

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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.

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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.

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Recorded Lecture

Biomaterials, Wear, Osteolysis

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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.

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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.

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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.

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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.

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External Videos

Link to UKA Tips and Tricks

Link to Medial UKA Techniques

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External Video

Link to Vumedi Revision TKA: An Algorithm for Success

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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. 

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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. 

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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.

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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.

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External Video

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

Recorded Lecture

Digital Orthopaedics DIGITAL Solutions to Practical ANALOG Problems