We will present latest results of NHS study on genetics metal ion levels in painful knees @ personalized arthroplasty meeting next month, Chicago. We have 4 UK sites and 2 international actively recruiting, study in set up at 4 others. @markbowditch65 would yr unit be interested?
Some nice early results from our Arthrogenex study. Titanium concentrations in patients with nexgen LPS TKRs attending review clinics at 4 to 10 year follow up. Correlation coefficient-0.7, p=0.002
Funding in place for 1750 patients, outcome scores, blood metal ions and genetics.
This will be a really interesting event. @lathamhips will be talking too. Some of the talks will be dynamite. Surgeon, patient, engineering, legal aspects all to be discussed, everyone welcome.
And Newcastle is a great place to visit.
Our colleagues @NHSIAS have their first annual conference on 25th November - great keynote speakers and venue. To register visit: tickets.nthsolutions.co.uk/s…
Our @innovateuk funded @nhs study is showing some important results for patients with #jointreplacements.
The “Arthrogenex”study examines #arthroplasty#genetics and explants.
It is clear that metal release in TKRs is important.
Get in touch if you would like to take part.
We’ve got a ton of results to write up for submission to peer reviewed journals- high impact material. Are there any #arthroplasty research focused trainees or fellows out there who would be interested in helping us out? @AAHKS@bota_uk@BritOrthopaedic @baskonline
We identified HLA allele which places pts at greater risk of painful inflamm responses to CoCr in joint replacements. Image below shows the freq of the allele in populations across the world.
Darker the colour=greater frequency, white no data.
Green = 10-20%
Interesting?
Ref for chart allelefrequenies.net
Ref for stats: The influence of HLA genotype on the development of metal hypersensitivity following joint replacement.
Nature Commun Med. 2022 Jun 24;2:73.
#Unicompartmental knee analysis looking good now.
Key findings so far:
1. Volumetric poly wear of explanted unis is 1.5 > than in total #kneearthroplasty (why?!)
2. Backside surfaces show wear (red), rather than the deformation we tend to see with contemporary #TKR
Ahead of our talk next week @BritishHipSoc , we would like to rerun a poll from last year. #arthroplasty surgeons do you measure blood metal levels in NON MoM arthroplasty patients? @EdinburghKnee@KneeUnit@ExeterHipUnit would you consider resharing to your wide audiences?
We’ve just had an #arthroplasty paper put online in @TheKneeJournal, official journal of @baskonline
“Aseptic Loosening of the Option Stemmed Tibial Tray in the Zimmer NexGen LPS Total Knee Arthroplasty System.” Below is link for temporary free access
authors.elsevier.com/c/1iMP8…
Great example of material loss from tibial tray. The poly insert has even managed to imprint its catalogue number....
Just to emphasise - this is not material/device specific.
Do consider ARMD in #totalkneereplacements#arthroplasty with unexplained pain
explantlab.com/orthotype-tes…