Lee Eric Rubin, MD, FAAOS, FAOA
Associate Professor of Orthopaedics and RehabilitationCards
About
Research
Publications
Featured Publications
Incidence, Risk Factors, and Subsequent Complications of Postoperative Hematomas Requiring Reoperation After Primary Total Hip Arthroplasty
Pathak N, Bovonratwet P, Purtill J, Bernstein J, Golden M, Grauer J, Rubin L. Incidence, Risk Factors, and Subsequent Complications of Postoperative Hematomas Requiring Reoperation After Primary Total Hip Arthroplasty. Arthroplasty Today 2022, 19: 101015. PMID: 36845288, PMCID: PMC9947960, DOI: 10.1016/j.artd.2022.08.008.Peer-Reviewed Original ResearchTotal Hip Arthroplasty Imageless Navigation Does Not Reduce 90-Day Adverse Events or Five-Year Revisions in a Large National Cohort
Jayaram R, Gillinov S, Caruana D, Kammien A, Joo P, Rubin L, Grauer J. Total Hip Arthroplasty Imageless Navigation Does Not Reduce 90-Day Adverse Events or Five-Year Revisions in a Large National Cohort. The Journal Of Arthroplasty 2022, 38: 862-867. PMID: 36529197, DOI: 10.1016/j.arth.2022.12.012.Peer-Reviewed Original ResearchConceptsTotal hip arthroplastyAdverse eventsImageless navigationMultivariate analysisLarge national administrative databaseElixhauser comorbidity index scorePrimary total hip arthroplastyComorbidity Index scoreFive-year incidencePostoperative adverse eventsNational administrative databaseLarge national cohortLarge national databaseCause revisionTHA patientsWound dehiscenceNational cohortTHA casesAdministrative databasesDislocation rateHip arthroplastyHigher oddsNavigation groupIndex scoreComputer navigationPerineural Methylprednisolone Depot Formulation Decreases Opioid Consumption After Total Knee Arthroplasty
Del Toro-Pagán NM, Dai F, Banack T, Berlin J, Makadia SA, Rubin LE, Zhou B, Huynh P, Li J. Perineural Methylprednisolone Depot Formulation Decreases Opioid Consumption After Total Knee Arthroplasty. Journal Of Pain Research 2022, 15: 2537-2546. PMID: 36061486, PMCID: PMC9432382, DOI: 10.2147/jpr.s378243.Peer-Reviewed Original ResearchWhite blood cell countTotal knee arthroplastyActive pain scoresCumulative opioid consumptionOpioid consumptionPostoperative opioid consumptionMethylprednisolone acetateMPA groupPain scoresPostoperative dayNerve blockDEX groupKnee arthroplastySingle-injection nerve blocksConsecutive TKA patientsDaily opioid consumptionPosterior knee (IPACK) blockLocal anesthetic adjuvantBlood cell countLength of stayHigher restKnee blockHospital stayTKA patientsSecondary outcomesUnicompartmental Knee Arthroplasty in Octogenarians: A National Database Analysis Including Over 700 Octogenarians
Moore HG, Schneble CA, Kahan JB, Grauer JN, Rubin LE. Unicompartmental Knee Arthroplasty in Octogenarians: A National Database Analysis Including Over 700 Octogenarians. Arthroplasty Today 2022, 15: 55-60. PMID: 35399988, PMCID: PMC8991237, DOI: 10.1016/j.artd.2022.02.009.Peer-Reviewed Original ResearchUnicompartmental knee arthroplastyAdverse eventsMedical comorbiditiesKnee arthroplastyNational Surgical Quality Improvement Program databaseLarge national surgical databaseQuality Improvement Program databaseHigher comorbidity burdenMinor adverse eventsPostoperative adverse eventsSerious adverse eventsImprovement Program databaseProlonged hospital stayUrinary tract infectionDay of surgeryNational database analysisNational surgical databaseShort-term mortalityMultivariate regression analysisComorbidity burdenOctogenarian cohortHospital lengthHospital stayNonhome dischargeSelect patientsWhat Factors Affect Whether Patients Return to the Same Surgeon to Replace the Contralateral Joint? A Study of Over 200,000 Patients
Moore HG, Schneble CA, Kahan JB, Sculco PK, Grauer JN, Rubin LE. What Factors Affect Whether Patients Return to the Same Surgeon to Replace the Contralateral Joint? A Study of Over 200,000 Patients. The Journal Of Arthroplasty 2021, 37: 425-430. PMID: 34871749, DOI: 10.1016/j.arth.2021.11.036.Peer-Reviewed Original ResearchConceptsBilateral total hip arthroplastyTotal knee arthroplastyTotal hip arthroplastyContralateral total hip arthroplastySame surgeonDifferent surgeonsAdverse eventsContralateral jointGreater oddsSurgery-related adverse eventsBilateral total knee arthroplastyNational Provider Identifier numberFirst joint replacementFirst total hip arthroplastyPossible independent predictorsContralateral replacementIndependent predictorsSicker patientsKnee arthroplastyAdministrative databasesHip arthroplastyLower oddsPatientsArthroplastyJoint replacementAdult Reconstruction Fellowship Interviewee Perceptions of Virtual vs In-Person Interview Formats
Pathak N, Schneble CA, Petit LM, Kahan JB, Arsoy D, Rubin LE. Adult Reconstruction Fellowship Interviewee Perceptions of Virtual vs In-Person Interview Formats. Arthroplasty Today 2021, 10: 154-159. PMID: 34401419, PMCID: PMC8358093, DOI: 10.1016/j.artd.2021.04.011.Peer-Reviewed Original ResearchCenters for Medicare & Medicaid Services' 2018 Removal of Total Knee Arthroplasty From the Inpatient-only List Led to Broad Changes in Hospital Length of Stays
Rankin KA, Freedman IG, Rubin LE, Grauer JN. Centers for Medicare & Medicaid Services' 2018 Removal of Total Knee Arthroplasty From the Inpatient-only List Led to Broad Changes in Hospital Length of Stays. Journal Of The American Academy Of Orthopaedic Surgeons 2021, 29: 1061-1067. PMID: 33960970, DOI: 10.5435/jaaos-d-20-01228.Peer-Reviewed Original ResearchConceptsTotal knee arthroplastyHospital lengthKnee arthroplastyNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseMedicare eligibilityCategorical data comparisonsOverall practice patternsRetrospective cohort studyImprovement Program databaseSame dayRemoval of TKAPearson's chi-squared testChi-squared testMann-Whitney testLOS daysProlonged LOSMost patientsTKA patientsCohort studyMore patientsPractice patternsPatient characterizationProgram databaseActual LOSAnatomic Navigation Using the Transverse Acetabular Ligament for Acetabular Component Positioning in Total Hip Arthroplasty Through the Direct Anterior Approach
Molho DA, Kuether JP, Rubin LE. Anatomic Navigation Using the Transverse Acetabular Ligament for Acetabular Component Positioning in Total Hip Arthroplasty Through the Direct Anterior Approach. Journal Of The American Academy Of Orthopaedic Surgeons 2021, 30: 100-103. PMID: 35772088, DOI: 10.5435/jaaos-d-20-00839.Peer-Reviewed Original ResearchConceptsDirect anterior approachTotal hip arthroplastyTransverse acetabular ligamentAnterior approachHip arthroplastyImplant positioningSingle-surgeon case seriesAcetabular component positioningLewinnek safe zoneCase seriesComponent positioningAnatomic landmarksPreoperative planImplant positionArthroplastyPilot dataLigamentSafe zoneExposureAcetabulumEssential elements of an outpatient total joint replacement programme.
Li J, Rubin LE, Mariano ER. Essential elements of an outpatient total joint replacement programme. Current Opinion In Anaesthesiology 2019, 32: 643-648. PMID: 31356361, DOI: 10.1097/aco.0000000000000774.Peer-Reviewed Original ResearchMeSH KeywordsAmbulatory Surgical ProceduresArthroplasty, Replacement, HipArthroplasty, Replacement, KneeCritical PathwaysFeasibility StudiesHealth Plan ImplementationHumansLength of StayMedicaidMedicarePatient Education as TopicPatient ReadmissionPatient SatisfactionPatient SelectionPostoperative ComplicationsProgram EvaluationTreatment OutcomeUnited StatesConceptsTotal joint arthroplastyOutpatient total joint arthroplastyPatient satisfactionLong-term functional outcomePatient/family educationTotal knee arthroplasty patientsOpioid-sparing analgesiaShort-term complicationsTotal joint replacement programKnee arthroplasty patientsSubset of patientsStandardized clinical pathwayPositive surgical outcomesProper patient selectionJoint replacement programEvidence-based guidanceNew care paradigmPostdischarge planningAdverse eventsArthroplasty patientsPatient selectionSurgical outcomesFunctional outcomeOutpatient surgeryInpatient proceduresIncreased complications in geriatric patients with a fracture of the hip whose postoperative weight-bearing is restricted: an analysis of 4918 patients.
Ottesen TD, McLynn RP, Galivanche AR, Bagi PS, Zogg CK, Rubin LE, Grauer JN. Increased complications in geriatric patients with a fracture of the hip whose postoperative weight-bearing is restricted: an analysis of 4918 patients. The Bone & Joint Journal 2018, 100-B: 1377-1384. PMID: 30295535, DOI: 10.1302/0301-620x.100b10.bjj-2018-0489.r1.Peer-Reviewed Original ResearchConceptsWeight-bearing restrictionsLength of stayAdverse eventsPostoperative weight-bearing restrictionsMajor adverse eventsEvidence-based guidelinesBone Joint JOperating theatreMultivariate regression analysisMultivariate oddsFrail patientsThromboembolic eventsElderly patientsHip fractureGeriatric patientsProcedural characteristicsInclusion criteriaPatientsGreater riskProcedural factorsHipReadmissionDeliriumTransfusionSurgery
Clinical Trials
Current Trials
Opioid-Sparing Protocol Comparing With Opioid-based Protocol After Bilateral Total Knee Arthroplasty
HIC ID2000031881RoleSub InvestigatorPrimary Completion Date04/30/2024Recruiting ParticipantsGenderBothAge20 years - 90 years
Academic Achievements & Community Involvement
Clinical Care
Overview
Lee Eric Rubin, MD, is a fellowship-trained, board-certified orthopaedic surgeon who cares for people with hip and knee problems. He is skilled in joint preservation techniques, partial and total joint replacements, and revisions. He also cares for patients who have prosthetics such as artificial joints that may be failing or complicated by pain, a dislocation, or an infection.
Dr. Rubin is a leading expert in a minimally invasive approach to hip replacement called the direct anterior approach (DAA) which provides patients with a smoother surgery and more rapid early recovery. He was one of the few physicians in the United States to learn the DAA directly during a yearlong fellowship with Kristaps J. Keggi, MD, professor emeritus of orthopaedics and rehabilitation at Yale School of Medicine. Dr. Keggi pioneered the anterior hip approach at Yale in the 1970s, when it was considered revolutionary.
The DAA has significant advantages for patients over traditional total hip replacement. The traditional procedure requires a large incision along the side or back of the hip and involves cutting through or detaching muscles and tissues. With the far less invasive DAA, the surgeon makes a small incision on the front of the hip, moves muscles and tendons out of the way, and then returns them to their proper place once the new hip implants have been put in place.
Dr. Rubin says the DAA has driven the evolution of modern hip surgery. “As a result of these innovations, hip surgery has become a positively transformative experience for my patients,” he says. The DAA procedure virtually eliminates the need for therapy restrictions and blood transfusions after surgery, he says. It shortens hospital stays, reduces pain and narcotic use, and allows patients to recover at home with fewer complications. “In addition, the DAA has helped us to develop an Outpatient Total Joint Replacement program, empowering us to safely get patients home the same day of surgery to recover in the comfort of their own home,” says Dr. Rubin.
An associate professor of orthopaedics and rehabilitation at Yale School of Medicine, Dr. Rubin serves both as the section chief of Yale’s division of adult reconstruction and chief of the total joint replacement program at Yale New Haven Hospital. In these dual roles, he coordinates care for patients who have total joint surgery, streamlines the rehabilitation process for patients and their families, and provides oversight for ongoing quality improvement projects, in addition to other responsibilities. Dr. Rubin also serves as the program director for the Yale arthroplasty fellowship, a program that will educate one fellow each year in the advanced concepts of total joint reconstruction, beginning in August 2021.
In 2016, he and Dr. Keggi published the world’s first comprehensive book on anterior hip surgery, called “The Direct Anterior Approach to Hip Reconstruction.” The book is considered to be the definitive reference used by surgeons around the world; a second edition is planned for release in 2021. Dr. Rubin has also recently published two patient-facing education books on hip replacement and knee replacement, entitled, “Experts Answer Your Questions.”
In addition to performing hip and knee surgery for Yale Medicine patients, Dr. Rubin educates and trains medical students, residents, fellows and other practicing surgeons in use of the technique.
Clinical Specialties
Fact Sheets
Simultaneous Bilateral Total Hip Replacement
Learn More on Yale MedicineTotal Hip Replacement (Direct Anterior Approach)
Learn More on Yale MedicineHip Fracture
Learn More on Yale MedicinePeriacetabular Osteotomy (PAO)
Learn More on Yale Medicine
Board Certifications
Orthopaedic Surgery
- Certification Organization
- AB of Orthopaedic Surgery
- Original Certification Date
- 2013
Yale Medicine News
News & Links
News
- July 15, 2024Source: Becker's Orthopedic Review
Yale Ranks Among Top 50 Adult Reconstruction Fellowship Programs in U.S.
- May 02, 2024
2024 “Top Doctors” List Features 15 Orthopaedics & Rehabilitation Faculty
- April 10, 2024
Six Faculty Selected as Research All Stars by Avant Garde Health
- December 06, 2023Source: CBS News
Faulty hip implants took years to be recalled