Featured Publications
What 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 replacementAnatomic 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 zoneExposureAcetabulumTotal Hip and Knee Arthroplasty in Patients Older Than Age 80 Years
Rubin LE, Blood TD, Defillo-Draiby JC. Total Hip and Knee Arthroplasty in Patients Older Than Age 80 Years. Journal Of The American Academy Of Orthopaedic Surgeons 2016, 24: 683-690. PMID: 27579814, DOI: 10.5435/jaaos-d-15-00278.Peer-Reviewed Original ResearchConceptsTotal hipKnee arthroplastyOlder patientsLength of hospitalRisk of morbidityAge 80 yearsTotal knee arthroplastyPain reliefElderly patientsMinor complicationsPerioperative safetyYounger patientsClinical outcomesFunctional outcomePatient satisfactionRevision surgeryAdvanced ageMortality ratePatientsOrthopaedic surgeonsArthroplastyHipMorbidityDemographic profileSurgeons
2023
Emergency Department Visits Following Patellofemoral Arthroplasty
Ratnasamy P, Halperin S, Dhodapkar M, Rubin L, Grauer J. Emergency Department Visits Following Patellofemoral Arthroplasty. JAAOS Global Research And Reviews 2023, 7: e23.00054. PMID: 37947430, PMCID: PMC10635600, DOI: 10.5435/jaaosglobal-d-23-00054.Peer-Reviewed Original ResearchConceptsPatellofemoral arthroplastyED utilizationPFA patientsPostoperative painED visitsPredictive factorsHigher Elixhauser comorbidity indexPerioperative pain managementElixhauser Comorbidity IndexEmergency department utilizationPostoperative metricsComorbidity indexIndependent predictorsPain managementMedicaid insuranceEmergency departmentOrthopedic patientsPayer typePatient carePatientsYounger ageVisitsPainArthroplastyDaysManagement of Bilateral Synchronous Knee Prosthetic Joint Infection in a Patient with Infected Heart Transplant
Jeong S, Yang A, Rubin L, Arsoy D. Management of Bilateral Synchronous Knee Prosthetic Joint Infection in a Patient with Infected Heart Transplant. JBJS Case Connector 2023, 13: e23.00182. PMID: 37506219, DOI: 10.2106/jbjs.cc.23.00182.Peer-Reviewed Original ResearchConceptsHeart transplantKnee prosthetic joint infectionProsthetic knee infectionProsthetic joint infectionResection arthroplastyKnee infectionRadical debridementSeptic shockEnterococcal endocarditisJoint infectionProsthetic knee jointRegular implantsKnee jointTransplantInfectionPatientsFirst reportEndocarditisDebridementArthroplastyPlacementManaging Native Hip Protrusio: Simplified Classification and Surgical Recommendations
Ani L, Radford Z, Rubin L. Managing Native Hip Protrusio: Simplified Classification and Surgical Recommendations. Osteology 2023, 3: 33-46. DOI: 10.3390/osteology3010005.Peer-Reviewed Original ResearchTotal hip arthroplastyHip arthroplastyProtrusio acetabuliRisk of complicationsSoft tissue releasePatient populationClassification systemNovel classification systemSurgical recommendationsTissue releaseSurgical complexityModern total hip arthroplastyBone graftFemoral headIliopectineal lineProtrusioTechnical pearlsArthroplasty
2022
Adverse Events After Total Hip Arthroplasty are not Sufficiently Characterized by 30-Day Follow-Up: A Database Study
Maloy GC, Kammien AJ, Rubin LE, Grauer JN. Adverse Events After Total Hip Arthroplasty are not Sufficiently Characterized by 30-Day Follow-Up: A Database Study. The Journal Of Arthroplasty 2022, 38: 525-529. PMID: 36272511, DOI: 10.1016/j.arth.2022.10.020.Peer-Reviewed Original ResearchConceptsTotal hip arthroplastyPostoperative adverse eventsAdverse eventsDay of surgeryHip arthroplastyDays of THAHigher Elixhauser-Comorbidity Index scoresElixhauser comorbidity index scoreComorbidity Index scoreLate adverse eventsTime of diagnosisPostoperative day 31THA patientsPredictive factorsPatient counselingPatient riskDatabase studyPrevention strategiesIndex scoreDay 31SurgeryInterquartile rangeAdministrative datasetsPatientsArthroplasty
2021
Total 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
2018
Total knee arthroplasty in osteogenesis imperfecta
Brand J, Tyagi V, Rubin L. Total knee arthroplasty in osteogenesis imperfecta. Arthroplasty Today 2018, 5: 176-180. PMID: 31286040, PMCID: PMC6588802, DOI: 10.1016/j.artd.2018.09.006.Peer-Reviewed Original ResearchTotal knee arthroplastyKnee arthroplastyPrimary total knee arthroplastyOsteogenesis imperfectaMultiple clinical manifestationsAbnormal collagen formationSurgical treatmentClinical manifestationsSevere osteoarthritisPatient populationExtramedullary guideRare caseOrthopaedic surgeonsPatientsArthroplastyCollagen formationLife expectancyBone defectsImperfectaSpecial considerationGenetic diseasesFrequent basisOsteoarthritisAbnormalitiesDiseaseUnderweight Patients Are the Highest-Risk BMI Group for Perioperative Adverse Events after Total Shoulder Arthroplasty
Ottesen T, Hsiang W, Malpani R, Varthi A, Rubin L, Grauer J. Underweight Patients Are the Highest-Risk BMI Group for Perioperative Adverse Events after Total Shoulder Arthroplasty. Journal Of The American College Of Surgeons 2018, 227: s191. DOI: 10.1016/j.jamcollsurg.2018.07.412.Peer-Reviewed Original Research
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 paymentVerdictSearchCasesThe 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 defects
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 knee arthroplasty in a patient with hypofibrinogenemia
Nacca CR, Shah KN, Truntzer JN, Rubin LE. Total knee arthroplasty in a patient with hypofibrinogenemia. Arthroplasty Today 2015, 2: 177-182. PMID: 28326424, PMCID: PMC5247511, DOI: 10.1016/j.artd.2015.10.004.Peer-Reviewed Original ResearchTotal knee arthroplastyFibrinogen levelsKnee arthroplastyElective total knee arthroplastyAcute joint effusionEarly perioperative periodPatient's fibrinogen levelPerioperative windowBleeding complicationsPerioperative periodJoint effusionHigh riskArthroplasty surgeonsPatientsInitial operationHypofibrinogenemiaTarget rangeArthroplastyAvailable literatureWeeksKey contributorComplicationsEffusionLevelsUnique challengesTotal 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
2014
Cost Benefit Analysis of Topical Tranexamic Acid in Primary Total Hip and Knee Arthroplasty
Tuttle JR, Ritterman SA, Cassidy DB, Anazonwu WA, Froehlich JA, Rubin LE. Cost Benefit Analysis of Topical Tranexamic Acid in Primary Total Hip and Knee Arthroplasty. The Journal Of Arthroplasty 2014, 29: 1512-1515. PMID: 24630599, DOI: 10.1016/j.arth.2014.01.031.Peer-Reviewed Original ResearchConceptsTopical tranexamic acidPrimary total hipTranexamic acidTotal hipKnee arthroplastyTopical TXAPostoperative hemoglobinTransfusion rateAdverse eventsRetrospective cohortConsecutive patientsHospital dispositionArthroplasty patientsPrimary hipDelta hemoglobinTransfusion costsHome dispositionNursing facilitiesPatientsHipArthroplastyHemoglobinCohort
2013
Broach Handle Offset and Impact Acceleration During Femoral Preparation for Total Hip Arthroplasty
Kayiaros S, Rubin L, Biercevicz A, Limbird R, Paller D. Broach Handle Offset and Impact Acceleration During Femoral Preparation for Total Hip Arthroplasty. Reconstructive Review 2013, 3 DOI: 10.15438/rr.v3i2.37.Peer-Reviewed Original ResearchTotal hip arthroplastyHip arthroplastyFemoral canalInvasive total hip arthroplastyDirect anterior approachBroach handlesOperative legAnterior approachOperative timeCapsular releaseFemoral preparationSingle incisionProximal femurExternal rotationOrthopedic surgeryFemoral broachFemurArthroplastyWarren Alpert Medical SchoolAlpert Medical SchoolCanalRehabilitation 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