Joel R. Politi

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Controlling postoperative pain and nausea after total joint arthroplasty remains an important challenge. We conducted a prospective, randomized controlled trial with 120 patients to determine if the addition of perioperative dexamethasone to a multimodal regimen improves antiemetic and analgesic control, enhances mobility, and shortens hospital length of(More)
UNLABELLED Although the published studies on the outcomes of total hip arthroplasty (THA) performed with currently available ceramic components show high survivorship and low bearing wear at midterm followup, concern over ceramic fracture and squeaking persist. For these reasons, the use of ceramic is limited. Recently, a new alumina matrix composite(More)
Fever and leukocytosis are common after joint arthroplasty, often resulting in additional studies. This study was conducted to determine the incidence of fever and leukocytosis after joint arthroplasty and the use of tests. We retrospectively reviewed records (n = 426) of patients who underwent knee or hip arthroplasty between February 2006 and April 2008(More)
Although use of modular femoral components in revision total hip arthroplasty (THA) is widely accepted, many still question the need for modular versatility in primary THA. This study examined a large cohort of primary THA patients implanted with a modular S-ROM femoral component (DePuy Orthopaedics, Warsaw, Indiana) to determine the percentage of hips in(More)
Intraoperative midsubstance lacerations of the medial collateral ligament (MCL) must be addressed during surgery, and failure to obtain coronal plane stability could affect patient outcomes and satisfaction. This article reports our results of a series of patients who sustained an intraoperative MCL injury during a primary total knee arthroplasty and were(More)
We report the technique and results of a cruciform lateral release performed on 35 consecutive knees having > or =15 degrees of valgus with minimum 2-year follow-up. The posterior cruciate ligament (PCL) was preserved in all knees. Preoperative valgus averaged 17 degrees, and range of motion averaged 10 degrees to 107 degrees. Postoperative valgus averaged(More)
The purpose of this study is to determine whether operative time for primary total knee arthroplasty can be decreased with the use of a continuous barbed suture. Five hundred patients were retrospectively reviewed and divided into groups based on whether incision closure utilized a continuous barbed suture or an interrupted biodegradable suture. We(More)
BACKGROUND First metatarsal phalangeal joint (MTP) arthrodesis is a commonly performed procedure for the treatment of hallux rigidus, severe and recurrent bunion deformities, rheumatoid arthritis and other less common disorders of the joint. There are different techniques of fixation of the joint to promote arthrodesis including oblique lag screw fixation,(More)
This retrospective study evaluated the results of 55 S-ROM femoral components (45 patients) at 10 to 14 years postoperatively. Twelve patients (15 hips) were lost to follow-up. Survivorship of the prosthesis was determined in the remaining 33 patients (40 hips). Harris hip scores and radiographic analyses were performed. Thirty-four hips were performed in a(More)
Many long-term studies of total hip arthroplasty (THA) show excellent results. This long-term success depends on many factors, including implant fixation and bearing surface wear. As THA is commonly performed on patients with a steadily increasing life span and activity level, the issue of wear has become critical. Advances in the wear properties of(More)