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broad spectrum of diseases with varying phenotypes. Patients usually have a family history of a relative with a formal diagnosis or a history of “double-jointedness.” Common clinical features include skin hyperextensibility, atrophic scarring, skin fragility, and easy bruising.8 These features frequently overlap with Marfan syndrome

ligament is frequently damaged and attenuated by the disease process.106,110 Infections remain one of the most concerning complications for patients with ADs who undergo THA and TKA. Multiple studies demonstrate higher rates of postoperative infections in patients with RA than in TJA for primary OA.111-113 Despite

ligamentously lax individuals. Femoral component malposition Femoral component position is also a critical element in THA stability. Combined version—the sum of anteversion of the acetabulum and femur—dictates the range of motion prior to impingement, with an optimal combined anteversion of 40 ± 10 degrees.45 In cases