Featured Publications
Essential 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 procedures
2023
Patients With Down Syndrome and Total Hip and Total Knee Arthroplasty: Outcome Measures Show Increased Risk of Perioperative Complications
Halperin S, Dhodapkar M, Radford Z, Frumberg D, Rubin L, Grauer J. Patients With Down Syndrome and Total Hip and Total Knee Arthroplasty: Outcome Measures Show Increased Risk of Perioperative Complications. JAAOS Global Research And Reviews 2023, 7: e23.00108. PMID: 38054749, PMCID: PMC10697628, DOI: 10.5435/jaaosglobal-d-23-00108.Peer-Reviewed Original ResearchConceptsTotal knee arthroplastyTotal hip arthroplastyAcute kidney injuryUrinary tract infectionAdverse eventsDown syndromePostoperative eventsKnee arthroplastyRevision ratePerioperative risk assessmentMinor adverse eventsOutcomes of patientsMultivariable logistic regressionTotal joint arthroplastyPatient/family counselingKidney injuryPerioperative complicationsTKA patientsAdult patientsTract infectionsDS patientsIncreased riskTotal hipCare pathwayJoint arthroplasty
2021
Revision Total Hip and Knee Arthroplasty are Associated With Lower Hospital Consumer Assessment of Healthcare Providers and Systems Patient Satisfaction Scores Compared With Primary Arthroplasty
Mercier MR, Galivanche AR, Pathak N, Mets EJ, Molho DA, Elaydi AH, Grauer JN, Rubin LE. Revision Total Hip and Knee Arthroplasty are Associated With Lower Hospital Consumer Assessment of Healthcare Providers and Systems Patient Satisfaction Scores Compared With Primary Arthroplasty. Journal Of The American Academy Of Orthopaedic Surgeons 2021, 30: e336-e346. PMID: 34851861, DOI: 10.5435/jaaos-d-21-00839.Peer-Reviewed Original ResearchConceptsRevision total hip arthroplastyTotal knee arthroplastyTotal hip arthroplastyRevision THA patientsHospital Consumer AssessmentTHA patientsHCAHPS surveyHCAHPS scoresTKA patientsKnee arthroplastyRevision proceduresHealthcare providersPrimary total joint arthroplastyPrimary total knee arthroplastyPrimary total hip arthroplastyConsumer AssessmentLonger hospital lengthRevision TKA patientsHigher American SocietyPatient satisfaction outcomesPatient satisfaction scoresRate of revisionRevision total hipTotal joint arthroplastySystems Patient Satisfaction ScoresDoes dehydration prior to primary total joint arthroplasty increase risk of perioperative complications?
Moore HG, Justen MA, Kirwin DS, Burroughs PJ, Rubin LE, Grauer JN. Does dehydration prior to primary total joint arthroplasty increase risk of perioperative complications? Arthroplasty 2021, 3: 34. PMID: 35236481, PMCID: PMC8796573, DOI: 10.1186/s42836-021-00090-8.Peer-Reviewed Original ResearchPreoperative dehydrationPerioperative complicationsTotal joint arthroplastyTKA patientsTHA patientsJoint arthroplastyNational Surgical Quality Improvement Program databaseElective total joint arthroplastyQuality Improvement Program databasePrimary total joint arthroplastyTotal knee arthroplasty patientsImprovement Program databaseRisk of transfusionShort-term complicationsTHA/TKAKnee arthroplasty patientsMethodsThe 2012Perioperative outcomesBlood transfusionArthroplasty patientsSpecific complicationsTotal hipProgram databaseBackgroundPrior studiesIncrease riskTotal Joint Arthroplasty in Patients With Achondroplasia: Comparison of 90-Day Adverse Events and 5-Year Implant Survival
Moore HG, Schneble CA, Kahan JB, Polkowski GG, Rubin LE, Grauer JN. Total Joint Arthroplasty in Patients With Achondroplasia: Comparison of 90-Day Adverse Events and 5-Year Implant Survival. Arthroplasty Today 2021, 11: 151-156. PMID: 34584919, PMCID: PMC8452593, DOI: 10.1016/j.artd.2021.08.011.Peer-Reviewed Original ResearchTotal joint arthroplastyAdverse eventsImplant survivalJoint arthroplastyFive-year implant survivalShort-term adverse eventsPrimary total hipSurgical site infectionLong-term implant successMultivariate logistic regressionTotal knee arthroplastyCommon skeletal dysplasiaMedical comorbiditiesSite infectionTotal hipPatient populationKnee arthroplastyAdministrative databasesHigher oddsLarge cohortGreater oddsPatientsImplant successSurvival curvesArthroplasty
2020
Total knee arthroplasty in hemophilia A
Pathak N, Munger AM, Charifa A, Laskin WB, Bisson E, Kupfer GM, Rubin LE. Total knee arthroplasty in hemophilia A. Arthroplasty Today 2020, 6: 52-58.e1. PMID: 32211475, PMCID: PMC7083729, DOI: 10.1016/j.artd.2019.12.008.Peer-Reviewed Original ResearchTotal knee arthroplastyHemophilia AKnee arthroplastyCoagulation factor replacement therapyPrimary total knee arthroplastyVenous thromboembolic eventsFactor replacement therapySevere knee osteoarthritisTotal joint arthroplastyFactor VIII levelsAdult reconstructive surgeonsUnique clinical scenarioRare genetic disorderHemophilic arthropathyThromboembolic eventsKnee osteoarthritisRecurrent hemarthrosisReplacement therapyFactor infusionJoint arthroplastyVIII levelsRare caseClinical scenariosReconstructive surgeonFactor VIII
2019
Telerehabilitation for Total Hip and Knee Arthroplasty Patients: A Pilot Series with High Patient Satisfaction
Kuether J, Moore A, Kahan J, Martucci J, Messina T, Perreault R, Sembler R, Tarutis J, Zazulak B, Rubin LE, O’Connor M. Telerehabilitation for Total Hip and Knee Arthroplasty Patients: A Pilot Series with High Patient Satisfaction. HSS Journal ® 2019, 15: 221-225. PMID: 31624476, PMCID: PMC6778164, DOI: 10.1007/s11420-019-09715-w.Peer-Reviewed Original ResearchPrimary total hipTotal knee arthroplastyPatient-reported outcome scoresEmergency department visitsHigh patient satisfactionTotal hipKnee arthroplastyTelerehabilitation protocolDepartment visitsOutcome scoresKnee manipulationPatient satisfactionPhysical therapyPrimary total knee arthroplastyHigher patient satisfaction scoresConclusionOur early experienceFace physical therapyKnee arthroplasty patientsPatient satisfaction scoresTotal joint arthroplastyPatient satisfaction surveyVirtual physical therapyTelerehabilitation groupReadmission ratesArthroplasty patients
2018
The effect of a preoperative education class on the rate of manipulation under anesthesia after total knee arthroplasty in a veterans population
Tyagi V, Huez C, Henderson S, Lukasiewicz A, Gardner E, Rubin L, Weis L. The effect of a preoperative education class on the rate of manipulation under anesthesia after total knee arthroplasty in a veterans population. Arthroplasty Today 2018, 4: 359-362. PMID: 30186922, PMCID: PMC6123243, DOI: 10.1016/j.artd.2018.06.004.Peer-Reviewed Original ResearchTotal knee arthroplastyRate of manipulationPreoperative counselingKnee arthroplastySingle Veterans Affairs hospitalPrimary total knee arthroplastyPreoperative education classPrevious knee surgerySubset of patientsBody mass indexVeterans Affairs hospitalPreoperative knee rangeTotal joint arthroplastyCertain orthopedic proceduresEarly recovery periodHigher baseline ratesMUA ratesMedical comorbiditiesPreoperative coursePreoperative factorsPostoperative stiffnessCommon complicationKnee rangeOpioid dependenceMass index
2017
Reported Litigation Associated With Primary Hip and Knee Arthroplasty
Bokshan SL, Ruttiman RJ, DePasse JM, Eltorai AEM, Rubin LE, Palumbo MA, Daniels AH. Reported Litigation Associated With Primary Hip and Knee Arthroplasty. The Journal Of Arthroplasty 2017, 32: 3573-3577.e1. PMID: 28781019, DOI: 10.1016/j.arth.2017.07.001.Peer-Reviewed Original ResearchConceptsKnee arthroplastyNerve injuryCommon complicationTechnical complicationsPhysician lossTotal joint arthroplastyCauses of litigationMalpractice lawsuitsPrimary hipTotal hipLikely complicationsJoint arthroplastyRetrospective analysisHip arthroplastyComplicationsArthroplasty surgeonsArthroplastyPainPatientsInjuryHipSurgeonsAverage paymentVerdictSearchCases
2016
Total Joint Arthroplasty in Patients with Human Immunodeficiency Virus
Shah KN, Truntzer JN, Touzard Romo F, Rubin LE. Total Joint Arthroplasty in Patients with Human Immunodeficiency Virus. JBJS Reviews 2016, 4: &na;. PMID: 27922987, DOI: 10.2106/jbjs.rvw.15.00117.Peer-Reviewed Original ResearchConceptsHuman immunodeficiency virusTotal joint arthroplastyImmunodeficiency virusJoint arthroplastyDeep joint infectionActive antiretroviral therapyMajor postoperative complicationsDeep vein thrombosisHIV/AIDSLow CD4Standard prophylaxisAntiretroviral therapyPostoperative complicationsJoint infectionHigh-level studiesOperating surgeonPatientsEffective procedureArthroplastyVirusMost studiesProphylaxisCD4ThrombosisComplicationsModifiable Risk Factors in Total Joint Arthroplasty: A Pilot Study.
DeFroda SF, Rubin LE, Jenkins DR. Modifiable Risk Factors in Total Joint Arthroplasty: A Pilot Study. Rhode Island Medical Journal 2016, 99: 28-31. PMID: 27128514.Peer-Reviewed Original ResearchConceptsBody mass indexTotal joint arthroplastyRisk factorsJoint arthroplastyLevel III retrospective studiesModifiable risk factorsIndex surgeonMorbid obesityDiabetes mellitusHemoglobin A1cMass indexPoor outcomeRetrospective studyArthroplasty surgeonsRisk reduction strategiesTobacco productsPilot studyReplacement proceduresStudy periodPatientsSurgeryArthroplastySignificant proportionSurgeonsOutcomes
2015
Total joint arthroplasty in patients with chronic infectious liver disease
Truntzer JN, Shah KN, Jenkins DR, Rubin LE. Total joint arthroplasty in patients with chronic infectious liver disease. Arthroplasty Today 2015, 2: 69-76. PMID: 28326402, PMCID: PMC4957173, DOI: 10.1016/j.artd.2015.07.001.Peer-Reviewed Original ResearchTotal joint arthroplastyInfectious liver diseasesLiver diseaseJoint arthroplastyExtrahepatic clinical manifestationsAppropriate patient selectionChronic hepatitis patientsGroup of patientsAsymptomatic patientsPerioperative optimizationHepatitis patientsSubclinical changesClinical presentationPatient selectionClinical manifestationsSuperior survivalPatientsInfection riskArthroplastyDiseaseWound healingImplant technologyContinued improvementImprovement of techniquesRelevant literatureSubgroup Analysis of Topical Tranexamic Acid in Primary Total Hip Arthroplasty
Anazonwu W, Tuttle J, Rubin L. Subgroup Analysis of Topical Tranexamic Acid in Primary Total Hip Arthroplasty. Reconstructive Review 2015, 5 DOI: 10.15438/rr.5.1.80.Peer-Reviewed Original ResearchTotal hip arthroplastyPrimary total hip arthroplastyTopical tranexamic acidTranexamic acidTXA administrationBlood lossHip arthroplastyBlood product transfusionSpecific patient groupsTotal joint arthroplastyPreoperative hemoglobinTransfusion reductionProduct transfusionTHA patientsAntifibrinolytic agentsPatient groupSurgical approachIntraarticular injectionSubgroup analysisJoint arthroplastyArthroplastyPatientsAdministrationSubgroupsStudy model
2013
Rehabilitation for total joint arthroplasty.
Ritterman S, Rubin LE. Rehabilitation for total joint arthroplasty. Rhode Island Medical Journal 2013, 96: 19-22. PMID: 23641458.Peer-Reviewed Original ResearchConceptsPreoperative medical preparationSuccessful elective surgeryTotal joint arthroplastyPhysical deconditioningPostoperative therapyPostoperative rehabilitationElective surgeryTotal hipElective proceduresJoint arthroplastyKnee replacementTobacco useSpecific surgerySuccessful outcomeSurgeryMedical preparationsRehabilitationOutcomesObesityPatientsArthroplastyDeconditioningTherapyHipIndependent activity