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Author

Rafael J. Sierra

5 papers indexed here

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Sep 2026

Increased Risk of Periprosthetic Joint Infection Following Aseptic Revision Hip and Knee Arthroplasty With the Use of Non-Cefazolin Alternative Antibiotics.

BACKGROUND Although perioperative cefazolin antibiotic prophylaxis is associated with a reduced risk of periprosthetic joint infection (PJI) in primary total joint arthroplasty (TJA) compared to non-cefazolin alternatives, its relative efficacy in the aseptic revision setting is less defined. Furthermore, the roles of...

Joseph A. Panos, Benjamin D. Mallinger, Abinash Virk et al. · 0 citations
Sep 2026

Five-year survival and complications of more than 300 articulating high-dose antibiotic spacers in two-stage revision total hip arthroplasties for infection.

Aims Two-stage exchange arthroplasty with an antibiotic-eluting cement spacer remains the predominant strategy in the USA for managing chronic periprosthetic joint infection (PJI) following total hip arthroplasty (THA). The aim of this study was to evaluate a commercially available, partially intraoperatively fabricate...

M. T. Weintraub, W. Midthun, M. Pagnano et al. · 0 citations
Open access Oct 2026

There Were No Differences in Total Knee Arthroplasty Function Following High Tibial Osteotomy or Unicompartmental Knee Arthroplasty: More Than 10 Years of Follow-Up.

BACKGROUND In the United States (U.S.), unicompartmental knee arthroplasty (UKA) is more widely adopted than high tibial osteotomy (HTO) as treatment for medial knee osteoarthritis. Both procedures may ultimately require conversion to total knee arthroplasty (TKA). However, outcomes of TKA following prior HTO or UKA re...

E. Bax, R. Ahmad, S. Clark et al. · 0 citations
Sep 2026

Cost Consequences of Enabling Technologies in Primary Total Hip Arthroplasty: A Propensity Matched Cohort Study.

Technology-assisted THA was associated with modest increases in index and 90-day episode-of-care costs compared with manual techniques, and further evaluation of cost-effectiveness and broader clinical benefits is warranted as the use of enabling technologies expands.

Jaques L. Williams, Adrián E. González-Bravo, James P. Moriarty et al. · 0 citations
Sep 2026

Revision Indication Is Associated with Early Mortality After Revision Total Hip Arthroplasty: A Population-Based Study.

Revision THA carries a low 30- and 90-day mortality risk that is not associated with the extent of revision, but is strongly impacted by the indication for revision, which faces a 3- and 4-fold higher risk of mortality within 90 days compared to aseptic loosening.

D. J. Restrepo, Adrián E. González-Bravo, S. G. Guarin Perez et al. · 0 citations

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