Clinical Research & Education
Research is a key element of the Institute's goal to increase the quality
of care of joint replacement patients. Using research, the Institute's
physicians study how to improve the surgery process itself with the least
possible invasive surgical approach, to examine which types of implants
produce the best results, and to evaluate best practices for rehabilitation
to decrease the patient's time in the hospital and in outpatient rehabilitation.
The medical treatment provided by the Institute for Joint Restoration and
Research has always been grounded in evidence-based practices published
in medical literature. However, because the program developed its own
innovative surgical and therapeutic approaches, the staff now draws heavily
on the joint registry, a computerized database used within the Institute.
Several departments contribute critical information into this joint registry
and the data is updated continually. The analysis of the outcomes from
various therapeutic approaches directly informs and guides patient care
on a daily basis.
The Institute’s extensive clinical research program monitors the
results of less invasive surgical techniques, evaluates various blood-conservation
methodologies to minimize the use of blood transfusion, and assesses the
outcomes associated with new implants that preserve bone and are gender specific.
Our providers are active in the design of new joint replacement implants,
with the intent of extending their longevity. The physicians and their
Institute teams use the joint registry to monitor the function of thousands
of implants to identify optimal materials, designs, and techniques.
As the influence of the Institute for Joint Restoration and Research grows,
the clinical database will serve as the foundation of an enhanced research
program. Coupled with increased teaching and the current, outstanding
surgical program, a robust research program will transform the Institute
into an internationally known orthopaedic institute, advancing knowledge
in joint replacement, training surgeons in minimally-invasive techniques,
and offering the best hip, knee and shoulder replacement surgery to patients
from all over the world.
Research Activities
- Tribocorrosion with adverse local tissue reaction in metal-on-polyethylene
total hip replacements – ongoing surveillance
- Incidence of tribocorrosion in patients presenting with a problematic hip
arthroplasty
- Role of metal-suppression MRI in the work-up of the painful metal-on-poly
total hip arthroplasty
- Why orthopaediresidents should still receive training in hybrid hip arthroplasty
- Medial congruent vs. posterior stabilized bearings in primary simultaneous
TKA: a randomized and blinded study
- Reliably safe and rapid recovery: why the mini-posterior hip approach remains
the gold standard for minimally invasive hip replacement
- The Avenir Complete Femoral component for primary uncemented THA: a prospective
study by the designing surgeons
- Safety of outpatient hip and knee replacement in a hospital setting vs.
freestanding ambulatory surgery center
- Prospective clinical follow-up study of the continuum TM metal on polyethylene
total hip system
- myMobility clinical study of Apple watch rehabilitation after total joint
replacement
- Evaluation of intraoperative soft-tissue balance and postoperative functional
recovery after total knee arthroplasty
- Evaluation of knee motion and activity in patients considering knee arthroplasty
- Personal partial knee replacement clinical evaluation
- Multicenter, randomized evaluation of iOvera cryoablation pain management
for minimizing pain and opioid use after knee replacement
- A prospective multi-center FDA clinical study of the easytech stemless
reverse total shoulder arthroplasty system