Featured Publications
Total 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 navigation
2023
Urgent Care Visits Sought After Primary Total Hip Arthroplasty: A Potentially Overlooked Resource
Dhodapkar M, Gouzoulis M, Halperin S, Radford Z, Rubin L, Grauer J. Urgent Care Visits Sought After Primary Total Hip Arthroplasty: A Potentially Overlooked Resource. The Journal Of Arthroplasty 2023, 38: 2361-2365. PMID: 37196730, DOI: 10.1016/j.arth.2023.05.012.Peer-Reviewed Original ResearchConceptsUrgent care visitsTotal hip arthroplastyPrimary total hip arthroplastyUrgent care utilizationCare visitsED utilizationCare utilizationUrgent careHip arthroplastyLess comorbidity burdenEmergency department visitsLarge national databaseLow-acuity diagnosesComorbidity burdenPostoperative EDED visitsDepartment visitsIndependent predictorsTHA patientsMultivariable analysisPostoperative weekUrgent evaluationSurgical sitePatient needsGreater incidence
2022
Incidence, Timing, and Predictors of Hip Dislocation After Primary Total Hip Arthroplasty for Osteoarthritis
Gillinov SM, Joo PY, Zhu JR, Moran J, Rubin LE, Grauer JN. Incidence, Timing, and Predictors of Hip Dislocation After Primary Total Hip Arthroplasty for Osteoarthritis. Journal Of The American Academy Of Orthopaedic Surgeons 2022, 30: 1047-1053. PMID: 35947825, PMCID: PMC9588560, DOI: 10.5435/jaaos-d-22-00150.Peer-Reviewed Original ResearchConceptsPrimary total hip arthroplastyTotal hip arthroplastyElixhauser Comorbidity IndexBody mass indexComorbidity indexMass indexHip dislocationRevision surgeryRisk factorsHip arthroplastyIndex total hip arthroplastyHigher Elixhauser comorbidity indexPrimary THA patientsFirst-time dislocationCumulative incidenceMost patientsPostoperative dataTHA patientsRecurrent episodesControl subjectsFemale sexLarge cohortPatientsMultivariate analysisYounger ageTotal Hip Arthroplasty in Patients With Classic Hemophilia: A Matched Comparison of 90-Day Outcomes and 5-Year Implant Survival
Gillinov SM, Burroughs PJ, Moore HG, Rubin LE, Frumberg DB, Grauer JN. Total Hip Arthroplasty in Patients With Classic Hemophilia: A Matched Comparison of 90-Day Outcomes and 5-Year Implant Survival. The Journal Of Arthroplasty 2022, 37: 1333-1337. PMID: 35257821, PMCID: PMC9177736, DOI: 10.1016/j.arth.2022.02.107.Peer-Reviewed Original ResearchConceptsTotal hip arthroplastyNon-hemophilia patientsMinor adverse eventsSerious adverse eventsAdverse eventsClassic hemophiliaHaemophilia patientsImplant survivalHip arthroplastyGreater oddsMultivariate analysisFive-year implant survivalPrimary total hip arthroplastyAcute kidney injuryVenous thromboembolism prophylaxisElixhauser Comorbidity IndexKaplan-Meier analysisEvidence-based guidelinesThromboembolism prophylaxisVTE prophylaxisComorbidity indexKidney injuryTHA patientsFactor replacementRetrospective study
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 ScoresPatient Factors and Perioperative Outcomes Affect Hospital Consumer Assessment of Healthcare Providers and Systems Survey Response Rates After Primary Total Hip Replacement.
Mercier MR, Pathak N, Adrados M, Galivanche AR, Malpani R, Hilibrand AS, Rubin LE, Grauer JN. Patient Factors and Perioperative Outcomes Affect Hospital Consumer Assessment of Healthcare Providers and Systems Survey Response Rates After Primary Total Hip Replacement. JAAOS Global Research And Reviews 2021, 5 PMID: 33798127, DOI: 10.5435/jaaosglobal-d-21-00052.Peer-Reviewed Original ResearchConceptsTotal hip arthroplastyHospital Consumer AssessmentSurvey response rateAdverse eventsHCAHPS surveyElective primary total hip arthroplastyResponse rateHealthcare providersPrimary total hip replacementPrimary total hip arthroplastyPatient satisfaction survey resultsConsumer AssessmentHigher American SocietyMajor adverse eventsMinority of patientsSurgical patient populationHCAHPS survey resultsTotal hip replacementMultivariate regression analysisHospital reimbursement ratesAnesthesia scorePerioperative outcomesPerioperative variablesAdult patientsPatient characteristics
2020
Coagulopathies Are a Risk Factor for Adverse Events Following Total Hip and Total Knee Arthroplasty.
Malpani R, Mclynn RP, Bovonratwet P, Bagi PS, Yurter A, Mercier MR, Rubin LE, Grauer JN. Coagulopathies Are a Risk Factor for Adverse Events Following Total Hip and Total Knee Arthroplasty. Orthopedics 2020, 43: 233-238. PMID: 32674174, DOI: 10.3928/01477447-20200624-02.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overArthroplasty, Replacement, HipArthroplasty, Replacement, KneeBlood Coagulation DisordersDatabases, FactualFemaleHumansMaleMiddle AgedMultivariate AnalysisOutcome Assessment, Health CarePatient ReadmissionPostoperative ComplicationsRetrospective StudiesRisk FactorsYoung AdultConceptsHigher international normalized ratioInternational normalized ratioMajor adverse eventsTotal hip arthroplastyPartial thromboplastin timeHigher partial thromboplastin timeMinor adverse eventsAdverse eventsLow plateletsHematological conditionsSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseTotal knee arthroplasty (TKA) populationQuality Improvement Program databasePrimary total hip arthroplastyDependent functional statusImprovement Program databasePostsurgical adverse eventsTotal knee arthroplastyMultiple adverse eventsPreoperative coagulopathyTHA cohortTKA groupTKA patientsHospital readmissionGeographic Variations and Trends in Primary and Revision Knee and Total Hip Arthroplasties in the United States
Hilibrand AS, Rubin LE, Grauer JN. Geographic Variations and Trends in Primary and Revision Knee and Total Hip Arthroplasties in the United States. JBJS Open Access 2020, 5: e0051. PMID: 33123661, PMCID: PMC7418922, DOI: 10.2106/jbjs.oa.19.00051.Peer-Reviewed Original ResearchTotal hip arthroplastyPrimary knee arthroplastyRevision knee arthroplastyRevision total hip arthroplastyRevision ratioUnderwent revision proceduresMore chronic conditionsKnee arthroplastyMean ageLonger hospitalizationTHA cohortMale patientsArthroplasty cohortChronic conditionsPrimary procedureHip arthroplastyRevision proceduresPrimary total hip arthroplastyPrimary THA cohortPrognostic Level IIIRatio of revisionRevision THA cohortNational Inpatient SampleOlder mean ageYounger mean agePreoperative Risk Factor Optimization Lowers Hospital Length of Stay and Postoperative Emergency Department Visits in Primary Total Hip and Knee Arthroplasty Patients
Dlott CC, Moore A, Nelson C, Stone D, Xu Y, Morris JC, Gibson DH, Rubin LE, O'Connor MI. Preoperative Risk Factor Optimization Lowers Hospital Length of Stay and Postoperative Emergency Department Visits in Primary Total Hip and Knee Arthroplasty Patients. The Journal Of Arthroplasty 2020, 35: 1508-1515.e2. PMID: 32113812, DOI: 10.1016/j.arth.2020.01.083.Peer-Reviewed Original ResearchConceptsED visitsContemporary cohortHistorical cohortHospital lengthRisk factorsSignificant decreaseElective primary total hip arthroplastyPostoperative emergency department visitsPrimary total hip arthroplastyLower hospital lengthPostoperative emergency departmentRisk factor optimizationPrimary total hipModifiable risk factorsPercentage of patientsTotal joint replacement programEmergency department visitsKnee arthroplasty patientsSurgical site infectionOptimization of patientsTotal knee arthroplastyJoint replacement programTotal hip arthroplastyPatient-centered approachRisk factor identification
2017
The direct anterior approach for acetabular augmentation in primary total hip arthroplasty
Honcharuk E, Kayiaros S, Rubin LE. The direct anterior approach for acetabular augmentation in primary total hip arthroplasty. Arthroplasty Today 2017, 4: 33-39. PMID: 29560393, PMCID: PMC5859514, DOI: 10.1016/j.artd.2017.03.007.Peer-Reviewed Original ResearchPrimary total hip arthroplastyDirect anterior approachTotal hip arthroplastyHip arthroplastyAnterior approachAcetabular augmentationComplete pain reliefSatisfactory clinical outcomesExcellent clinical resultsPosterolateral surgical approachRevision hip arthroplastyComplex acetabular deficienciesAcetabular bone defectsPain reliefClinical outcomesBone lossSurgical approachClinical resultsAcetabular augmentsAcetabular deficiencyAcetabular boneArthroplastyCup placementAppropriate trainingBone defectsLeg and Femoral Neck Length Evaluation Using an Anterior Capsule Preservation Technique in Primary Direct Anterior Approach Total Hip Arthroplasty
Nelson S, Adrados M, Gala R, Geiger E, Webb M, Rubin L, Keggi K. Leg and Femoral Neck Length Evaluation Using an Anterior Capsule Preservation Technique in Primary Direct Anterior Approach Total Hip Arthroplasty. Reconstructive Review 2017, 7 DOI: 10.15438/rr.7.1.153.Peer-Reviewed Original ResearchTotal hip arthroplastyFemoral neck lengthNonoperative legOperative legHip arthroplastyDirect anterior approach (DAA) THADirect anterior approach total hip arthroplastyAnterior approach total hip arthroplastyDAA total hip arthroplastyConsecutive primary total hip arthroplastiesPrimary total hip arthroplastyNeck lengthAnterior capsule tissueAnterior hip capsuleHip joint capsuleLeg lengthSupine positioningIntraoperative evaluationJoint capsuleLongitudinal incisionHip capsuleCapsular insertionIntertrochanteric lineJoint replacementTrial components
2015
Subgroup 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
Total Hip Arthroplasty Followed by Traction and Delayed Reduction for Crowe IV Developmental Dysplasia of the Hip
Flanagin BA, Dushey CH, Rubin LE, Keggi KJ. Total Hip Arthroplasty Followed by Traction and Delayed Reduction for Crowe IV Developmental Dysplasia of the Hip. The Journal Of Arthroplasty 2013, 28: 1052-1054. PMID: 23498873, DOI: 10.1016/j.arth.2012.11.019.Peer-Reviewed Original ResearchConceptsTotal hip arthroplastyHip arthroplastyDevelopmental dysplasiaNerve palsyDysplastic hipsCrowe IV developmental dysplasiaPrimary total hip arthroplastyPostoperative nerve palsySciatic nerve palsyLeg length discrepancyPotential catastrophic complicationsNerve dysfunctionAnterior approachCatastrophic complicationHip dislocationLength discrepancySelect populationGeneral populationUnreported techniqueHip dysplasiaArthroplastyDysplasiaDelayed reductionJoint functionHip