Surgeons participating in the Insall Scott Kelly Adult Reconstruction Fellowship at NYU Langone Health in New York review the evidence for various aspects of total hip and total knee arthroplasty management, summarizing what is known – and what still need to be known – about these practices.

Current Articles

Infection Prevention for Total Joint Arthroplasty: Pros and Cons
The authors closely examine the evidence for measures that can be taken to reduce the risk of infection during the preoperative, intraoperative, and postoperative periods.
By Ran Schwarzkopf MD MSc, Kevin Chen MA, Samir Nayyar MD, Ameer Elbuluk BA, Duke Hasson MD, Jonathan Vigdorchik MD - Posted 13 Apr 2017

What Is the Role of Robotics and Navigation in THA?
Navigation and robotics systems are intended to help improve accuracy of component positioning and reduce outliers in total hip arthroplasty. The authors review the evidence for and against using these systems.
By Amy S. Wasterlain MD, Jonathan M. Vigdorchik MD - Posted 15 Dec 2016

Does Computer-Assisted Surgery Improve Outcomes of TKA?
A review of the evidence for using computer-assisted navigation, handheld navigation, robotic surgery, and patient-specific instrumentation in total knee arthroplasty.
By John Buza MD, Jonathan Vigdorchik MD - Posted 05 Oct 2016

Osteonecrosis: Is Conservative Management an Option?
In this Evidence-Based Controversies article, the authors examine the literature on the viability of pharmacologic and biophysical modalities for non-operative treatment of patients with osteonecrosis of the hip or knee.
By Savyasachi Thakkar MD, Feroz Osmani BS, Jonathan Vigdorchik MD - Posted 03 Aug 2016

The Hip-Spine Relationship: What Hip Surgeons Need to Know
Spinal deformities such as excessive kyphosis and degenerative lumbar spine disease and even prior lumbar fusion can have an impact on the success of a total hip arthroplasty. Here’s what surgeons need to keep in mind when planning and performing hip replacement in patients with spinal pathology.
Posted 06 Jun 2016

Examining Orthopaedic Applications for 3D Printing
As the technology of 3D printing improves, it has the potential to revolutionize the practice of orthopaedic surgery. An institution's investment in this technology, the authors say, can allow its surgeons to preoperatively plan complex cases, develop implant designs, and enhance education of residents and fellows.
By Jonathan Vigdorchik - Posted 07 Apr 2016

Is Simultaneous Bilateral TKA as Safe as Staged Bilateral TKA?
The authors examine the literature on VTEs and other complications following bilateral total knee arthroplasty, with the goal of establishing an institution-wide set of criteria for performing simultaneous bilateral procedures.
Posted 06 Aug 2015