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hospital stay, increased postoperative complications, and overall worse postsurgical outcomes.6,8-11 Lower levels of musculoskeletal health literacy have also been associated with decreased Western Ontario and McMaster Universities Osteoarthritis Index outcome scores after TKA as well as decreased postoperative satisfaction.8 Miscommunication and distrust between patients and physicians

American College of Rheumatology/American Association of Hip and Knee Surgeons guideline for the perioperative management of antirheumatic medication in patients with rheumatic diseases undergoing elective total hip or total knee arthroplasty. Arthritis Care Res (Hoboken). 2022;74(9):1399–1408. The role of genetic susceptibility has also been

American College of Rheumatology/American Association of Hip and Knee Surgeons guideline for the perioperative management of antirheumatic medication in patients with rheumatic diseases undergoing elective total hip or total knee arthroplasty. Arthritis Care Res (Hoboken). 2022;74(9)1399-1408. In addition to DMARDs, patients who have been

American Association of Hip and Knee Surgeons (AAHKS).19 However, with the increase in outpatient THA, consideration is being given either to not administering additional postoperative doses or to extended oral antibiotic prophylaxis.20 Antiemetics Antiemetics are often ordered by the anesthesiologist for PACU care. A recent study

hospital complications.68 Another study utilizing the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database compared outcomes, including mortality, major and minor complication rates, and discharge disposition of patients receiving spinal versus general anesthesia (GA).69 Patients receiving GA were more likely to have major

hospital stays in this population following TJA are thought to be related to pain catastrophizing.8,14,40,41 One way to address this issue of postoperative pain control is with a patient-centered multidisciplinary approach.14 This appoach includes CBT in conjunction with medications managed by psychiatrists.42 Undergoing preoperative

American College of Rheumatology (ACR) have published guidelines recommending that patients with rheumatoid arthritis should discontinue biologic medications prior to THA until evidence of wound healing is observed, typically around 14 days postoperatively.89 In addition, these guidelines recommend continuation of nonbiologic disease modifying agents in the pre- and postoperative

hospitalization, osteoporosis is associated with significant morbidity and mortality. As the geriatric population (defined as those 65 years and older) of the world increases, so does the prevalence of this disease. When comparing data from 2007–08 and 2017–18, the age-adjusted prevalence of osteoporosis

associated with a satisfaction rate of only 80%.1 Many, if not all, of the great technical debates in the knee arthroplasty literature (kinematic versus mechanical alignment, cruciate retaining [CR]) versus posterior stabilized ([PS] implants, cemented versus press-fit systems, patellar resurfacing versus nonresurfacing, robotic and/or computer navigated versus

American Academy of Orthopaedic Surgeons (AAOS) Clinical Practice Guideline Summary: Management of Osteoarthritis of the Knee (Nonarthroplasty) recommends exercises, weight loss, and activity modification to reduce symptoms from knee OA.32 There is a lack of direct evidence to provide strong recommendations to decrease symptoms of hip OA; however, less