Thomas Hickernell, MD
Assistant Professor of Orthopaedics & RehabilitationCards
About
Research
Publications
2024
Optimizing Total Hip and Knee Arthroplasty Among an Underserved Population: Lessons Learned From a Quality-Improvement Initiative
El-Othmani M, McCormick K, Xu W, Hickernell T, Sarpong N, Tyler W, Herndon C. Optimizing Total Hip and Knee Arthroplasty Among an Underserved Population: Lessons Learned From a Quality-Improvement Initiative. Arthroplasty Today 2024, 28: 101443. PMID: 38983938, PMCID: PMC11231561, DOI: 10.1016/j.artd.2024.101443.Peer-Reviewed Original ResearchTotal joint arthroplastyAmerican Society of Anesthesiologists scoreUnderserved populationsPreoperative optimization protocolElective total joint arthroplastyQuality improvement initiativesQuality-improvement initiativesContemporary control cohortPostoperative complicationsReoperation ratePostoperative outcomesAnesthesiologists scorePatient demographicsClinical group patientsRetrospective analysisGroup patientsMedical comorbiditiesControl cohortHealth equityOffice patientsPatient populationMedicaid clinicComplicationsQuality-improvementImprovement initiativesACE Inhibitor Use Does Not Significantly Affect Occurrence of Manipulation Under Anesthesia Following Total Knee Arthroplasty
Frederick J, Gazgalis A, Peterson J, Hickernell T, Cooper H, Shah R, Geller J, Neuwirth A. ACE Inhibitor Use Does Not Significantly Affect Occurrence of Manipulation Under Anesthesia Following Total Knee Arthroplasty. Journal Of Orthopaedic Experience & Innovation 2024, 5 DOI: 10.60118/001c.89993.Peer-Reviewed Original ResearchAngiotensin-converting enzyme inhibitorsAngiotensin converting enzyme inhibitor medicationRange of motionPost-operative stiffnessTotal knee arthroplastyAmerican Society of Anesthesiologists classACE inhibitor useConverting enzyme inhibitorsStudent's t-testAttenuated fibroblast proliferationKnee arthroplastyChi-square testScar tissue formationInhibitor useNo significant differenceCohort patientsChart reviewControl patientsPost-operativelyFollow-upControl cohortCommon medicationsOdds ratioPatientsEnzyme inhibitorsUse of The Risk Assessment and Prediction Tool to Predict Same-day Discharge After Primary Hip and Knee Arthroplasty
Dupont M, Held M, Shah R, Cooper H, Neuwirth A, Hickernell T. Use of The Risk Assessment and Prediction Tool to Predict Same-day Discharge After Primary Hip and Knee Arthroplasty. JAAOS Global Research And Reviews 2024, 8: e22.00269. PMID: 38456719, PMCID: PMC10923310, DOI: 10.5435/jaaosglobal-d-22-00269.Peer-Reviewed Original ResearchConceptsSame-day dischargeTotal knee arthroplastyTotal hip arthroplastyTertiary care centerPreoperative screening toolReceiver operating characteristic curveRAPT scoreScreening toolLogistic regression analysisAssociated with same-day dischargeKnee arthroplastyCutoff valuePreoperative notesPredictive valueCare centerPatientsCharacteristic curveSame-dayDischarge dispositionDischarge planningRegression analysisArthroplastyPositive associationScoresCutoffA Rare Complication of Intraprosthetic Dissociation of Cemented Bipolar Hemiarthroplasty during Closed Hip Reduction: Case Report and Literature Review
Mitchell A, Belkin N, Sarpong N, Herndon C, Hickernell T. A Rare Complication of Intraprosthetic Dissociation of Cemented Bipolar Hemiarthroplasty during Closed Hip Reduction: Case Report and Literature Review. The Journal Of Hip Surgery 2024 DOI: 10.1055/s-0043-1777061.Peer-Reviewed Original ResearchHip hemiarthroplastyBipolar HAElderly male patientsFemoral neck fracturesClosed hip reductionLow-demand patientsRare complicationSurgical complicationsPredominant etiologyMale patientsCase reportClosed reductionNeck fracturesIncreased riskBipolar hemiarthroplastyHip reductionComplicationsReduction attemptsRare phenomenonDemand patientsRevision of componentsHip dislocationImplant componentsPatientsHA implants
2023
Patient-reported outcomes measurement information system instruments in knee arthroplasty patients: a systematic review of the literature
Czerwonka N, Gupta P, Desai S, Hickernell T, Neuwirth A, Trofa D. Patient-reported outcomes measurement information system instruments in knee arthroplasty patients: a systematic review of the literature. Knee Surgery & Related Research 2023, 35: 27. PMID: 38041197, PMCID: PMC10690965, DOI: 10.1186/s43019-023-00201-6.Peer-Reviewed Original ResearchTotal knee arthroplasty patientsKnee arthroplasty patientsGlobal physical healthPatient-reported outcome measurementsArthroplasty patientsPain interferencePhysical functionSystematic reviewPROMIS domainsOutcome measurementsPatient-reported outcome measurement instrumentsGlobal mental healthOutcomes Measurement Information System (PROMIS) instrumentsPROMIS Global Physical HealthCeiling effectsPhysical healthAchievement of MCIDPROMIS Pain InterferencePercentage of patientsMeta-Analyses (PRISMA) guidelinesOutcome measurement instrumentsPubMed/MEDLINEPreferred Reporting ItemsPROMIS outcomesFirst systematic reviewTotal Joint Arthroplasty Time-of-Day Start Time Has Minimal Effect on Intraoperative Efficiency
Hammoor B, Kaidi A, Hickernell T, Cooper H. Total Joint Arthroplasty Time-of-Day Start Time Has Minimal Effect on Intraoperative Efficiency. Journal Of Orthopaedic Experience & Innovation 2023, 4 DOI: 10.60118/001c.72786.Peer-Reviewed Original ResearchSurgical start timeTotal hip arthroplastyTotal joint arthroplastyOperative durationPatient demographicsMultivariate linear regressionOperative lengthIntraoperative efficiencySingle academic medical centerPrimary TJA patientsCommon elective proceduresAcademic medical centerChi-squared testTJA patientsLater operationOperative dayRetrospective studyTotal hipElective proceduresTotal kneeJoint arthroplastyInclusion criteriaHip arthroplastyMedical CenterFirst-start casesThe Bikini Approach is Safe and Effective for Direct Anterior Approach THA
Weiner T, Neuwirth A, Geller J, Shah R, Hickernell T, Cooper H. The Bikini Approach is Safe and Effective for Direct Anterior Approach THA. The Journal Of Hip Surgery 2023, 07: 081-085. DOI: 10.1055/s-0043-1769085.Peer-Reviewed Original ResearchSurgical site complicationsDirect anterior approachBikini incisionMechanical complicationsNonobese patientsObese patientsLongitudinal incisionIncision orientationRate of reoperationTensor fasciae lataeChi-square testDAA-THAChart reviewAnterior approachSingle surgeonSite complicationsEntire cohortPrimary THAHip arthroplastyStudy groupComplicationsPatientsFasciae lataeReoperationIncisionIs There an Implicit Racial Bias in the Case Order of Elective Total Joint Arthroplasty?
Kaidi A, Hammoor B, Tyler W, Geller J, Cooper H, Hickernell T. Is There an Implicit Racial Bias in the Case Order of Elective Total Joint Arthroplasty? Journal Of Racial And Ethnic Health Disparities 2023, 11: 1-6. PMID: 37095288, DOI: 10.1007/s40615-022-01492-3.Peer-Reviewed Original ResearchConceptsSurgical start timeTotal joint arthroplastyTotal hip arthroplastyMultivariable logistic regressionOdds ratioJoint arthroplastyArthroplasty fellowship-trained surgeonsElective total joint arthroplastyNon-Hispanic black patientsElective total hip arthroplastyPrimary total joint arthroplastySurgical case orderLarge academic medical centerFellowship-trained surgeonsAcademic medical centerSelf-reported raceTKA patientsBlack patientsAdverse outcomesSurgical typePatient raceTotal kneeInclusion criteriaHip arthroplastyMedical Center
2022
Perioperative Intravenous Glucocorticoids in Total Joint Arthroplasty: A Systematic Review
Ruberto R, Farah O, Lopez C, Hickernell T. Perioperative Intravenous Glucocorticoids in Total Joint Arthroplasty: A Systematic Review. Journal Of The American Academy Of Orthopaedic Surgeons 2022, 31: e94-e106. PMID: 36580055, DOI: 10.5435/jaaos-d-22-00232.Peer-Reviewed Original ResearchConceptsTotal joint arthroplastyPostoperative surgical complicationsPostoperative painSystematic reviewPerioperative glucocorticoidsPerioperative steroidsPostoperative nauseaSurgical complicationsGlucocorticoid administrationJoint arthroplastyMultimodal pain controlPerioperative glucocorticoid administrationPerioperative steroid administrationPostoperative opioid utilizationRescue medication useAdditional randomized trialsCommon orthopaedic proceduresNotable adverse effectsRange of motionIntravenous glucocorticoidsHospital lengthOpioid utilizationPain controlPain scoresPostoperative length
2021
Machine Learning Model Developed to Aid in Patient Selection for Outpatient Total Joint Arthroplasty
Lopez C, Ding J, Trofa D, Cooper H, Geller J, Hickernell T. Machine Learning Model Developed to Aid in Patient Selection for Outpatient Total Joint Arthroplasty. Arthroplasty Today 2021, 13: 13-23. PMID: 34917716, PMCID: PMC8666332, DOI: 10.1016/j.artd.2021.11.001.Peer-Reviewed Original ResearchOutpatient total joint arthroplastyShorter LOSLength of stayTotal joint arthroplastySame-day dischargeTotal knee arthroplastyPatient selectionJoint arthroplastySurgeons National Surgical Quality Improvement ProgramNational Surgical Quality Improvement ProgramElective total knee arthroplastySurgical Quality Improvement ProgramTotal hip arthroplasty casesPreoperative patient selectionHip arthroplasty casesBroader patient populationLogistic regression analysisQuality Improvement ProgramElectronic medical recordsMedical comorbiditiesSurgical candidatesTKA casesKnee arthroplastyPatient populationTHA cases
Clinical Care
Overview
Thomas Hickernell, MD, is an orthopaedic surgeon who offers patients a variety of services and procedures related to orthopaedic and degenerative conditions of the hip and knee.
He specializes in minimally invasive, muscle-sparing anterior hip replacement, total and partial knee replacement, and complex revision surgery on previously replaced and problematic joint replacements or patients with hip or knee infections.
Dr. Hickernell says he was drawn to orthopaedics because of the idea that people “wheel in and walk out.”
“There’s an immediate gratification for myself and the patient when we can help them return to their quality of life,” he says. “Especially when it comes to hip and knee replacement surgery, I find it rewarding to restore someone’s ability to walk and enjoy the things they like to do. The ability to walk is something we take for granted until we lose it.”
Dr. Hickernell says he makes a point to listen to his patients to understand their goals. “There is no one-size-fits-all approach. I’m a surgeon, but most patients I treat don’t have surgery as I provide a whole range of nonoperative treatments,” he says.
For joint replacement patients who meet the criteria, Dr. Hickernell uses Enhanced Recovery After Surgery (ERAS) protocols to facilitate same-day discharges. He also utilizes opioid-sparing methods for pain control, a subject he is also studying. Dr. Hickernell’s research is regularly published in journals including the Journal of Arthroplasty and the Journal of the American Association of Orthopedic Surgeons.
Clinical Specialties
Fact Sheets
Hip Labral Tears
Learn More on Yale MedicineAvascular Necrosis of the Hip
Learn More on Yale MedicinePeriacetabular Osteotomy (PAO)
Learn More on Yale MedicineOsteoarthritis
Learn More on Yale Medicine
Board Certifications
Orthopaedic Surgery
- Certification Organization
- AB of Orthopaedic Surgery
- Original Certification Date
- 2021
Yale Medicine News
News
News
- October 27, 2023Source: Yale Medicine
Revision Surgery: Why Some Patients Need a ‘Redo’ Surgery
- September 18, 2023
Yale Orthopaedics Hosts Japanese Hip Society Traveling Fellow
- September 05, 2023Source: Greenwich Free Press
First Robotic-Assisted Joint Replacement Performed at Greenwich Hospital
- May 03, 2023Source: Forbes Health
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