Research Topics
| Robert BourneSummaryAffiliation: University of Western Ontario Country: Canada Publications
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Detail Information
Publications
Arthroplasty options for the young patient: Oxinium on cross-linked polyethyleneRobert B Bourne
London Health Sciences Centre, University of Western Ontario, London, Ontario, Canada
Clin Orthop Relat Res 441:159-67. 2005..5/million cycles versus 38.4 mm/million). Against cross-linked polyethylene, a damaged Oxinium femoral head had minimal wear (1.5 mm cubed per Mc)...- The Harris Design-2 total hip replacement fixed with so-called second-generation cementing techniques. A ten to fifteen-year follow-upR B Bourne
London Health Sciences Centre, The University of Western Ontario, Canada
J Bone Joint Surg Am 80:1775-80. 1998..At a mean of twelve years, 186 (97 percent) of 191 Harris Design-2 implants were in situ or had been in situ at the time of the patient's death... - Influence of patient factors on TKA outcomes at 5 to 11 years followupRobert B Bourne
London Health Sciences Centre, University of Western Ontario, London, Ontario, Canada
Clin Orthop Relat Res 464:27-31. 2007..Diagnosis and obesity made no difference in postoperative increases. However, less improvement occurred in health-related quality-of-life outcomes scores with advancing age... - Role of obesity on the risk for total hip or knee arthroplastyRobert Bourne
University of Western Ontario, London, ON, Canada
Clin Orthop Relat Res 465:185-8. 2007..9 kg/m2); and 32.73- (TKA) and 8.56-fold (THA) higher for people in obese Class III group (body mass index > 40 kg/m2). Thus, our data support an association between obesity and subsequent THA and TKA... - An AOA critical issue. The outcome of the outcomes movementRobert B Bourne
Canadian Orthopaedic Association and the American Orthopaedic Association in Victoria, British Columbia, Canada
J Bone Joint Surg Am 86:633-40. 2004 
Measuring tools for functional outcomes in total knee arthroplastyRobert B Bourne
London Health Sciences Centre, University of Western Ontario, University Campus, London, ON, Canada
Clin Orthop Relat Res 466:2634-8. 2008..This analysis documents total knee arthroplasty is a highly efficacious procedure that competes favorably with all medical and surgical interventions...- Comparing patient outcomes after THA and TKA: is there a difference?Robert B Bourne
Division of Orthopaedic Surgery, University Hospital, London Health Sciences Centre, University of Western Ontario, 339 Windermere Road, London, ON, N6A 5A5, Canada
Clin Orthop Relat Res 468:542-6. 2010..Our data suggest primary THA offers superior short-term outcomes when compared with primary TKA. Level of Evidence: Level II, prognostic study. See Guidelines for Authors for a complete description of levels of evidence... - The Southwestern Ontario Joint Replacement Pilot Project: electronic point-of-care data collection. Southwestern Ontario Study GroupR B Bourne
London Health Sciences Centre, University of Western Ontario, London
Can J Surg 44:199-202. 2001..To pilot a provincial joint replacement registry using electronic point-of-care data collection... 
Cemented versus cementless stems: a verdict is inRobert B Bourne
Adult Reconstructive Unit, University Hospital, University of Western Ontario, London, Ontario, Canada
Orthopedics 33:638. 2010..Although this study has demonstrated the superiority of the cementless THR over its cemented counterpart, care must be taken in generalizing these results to other cemented and cementless THRs...- Patient satisfaction after total knee arthroplasty: who is satisfied and who is not?Robert B Bourne
University Hospital, London Health Sciences Centre, University of Western Ontario, 339 Windermere Road, London, ON N6A 5A5, Canada
Clin Orthop Relat Res 468:57-63. 2010..4x greater risk) and a postoperative complication requiring hospital readmission (1.9x greater risk). LEVEL OF EVIDENCE: Level II, prognostic study. See Guidelines for Authors for a complete description of levels of evidence... - Willingness to go through surgery again validated the WOMAC clinically important difference from THR/TKR surgeryBert M Chesworth
School of Physical Therapy, Faculty of Health Sciences, University of Western Ontario, Elborn College, 1201 Western Road, London, Ontario, Canada
J Clin Epidemiol 61:907-18. 2008..The objective was to determine the clinically important difference (CID) from primary total hip replacement (THR) and total knee replacement (TKR) surgeries using the Western Ontario McMaster University (WOMAC) osteoarthritis index... - Comparison of total hip arthroplasty performed with and without cement : a randomized trialAndreas Laupacis
Clinical Evaluative Sciences, Toronto, Ontario, Canada
J Bone Joint Surg Am 84:1823-8. 2002..This study was designed to compare the fixation of a Mallory-Head total hip prosthesis with and without cement... - Does bearing design influence midterm survivorship of unicompartmental arthroplasty?John Paul Whittaker
University Hospital, London Health Sciences Centre, London, Ontario, Canada
Clin Orthop Relat Res 468:73-81. 2010..LEVEL OF EVIDENCE: Level III, comparative study. See Guidelines for Authors for a complete description of levels of evidence... - The mid-term results of a dual offset uncemented stem for total hip arthroplastyTony Danesh Clough
London Health Sciences Centre, University of Western Ontario, London, Ontario, Canada North Shore Hospital, Waitemata DHB, Auckland, New Zealand
J Arthroplasty 22:195-203. 2007..3% of patients and were managed at the time with wiring, with no effect on outcome. Minor osteolysis was seen proximally in 10% of patients, but no osteolysis was seen distal to the porous coating... - Zirconia femoral head fractures: a clinical and retrieval analysisJohn L Masonis
London Health Sciences Center, University of Western Ontario, London, Canada
J Arthroplasty 19:898-905. 2004..Monoclinic phase transformation following implantation remains a potential mechanism of ceramic head failure. We recommend that patients with recalled zirconia heads be advised of a potential fracture risk... - No difference in gender-specific hip replacement outcomesTimothy Kostamo
Division of Orthopaedic Surgery, London Health Sciences Centre, University of Western Ontario, London, ON, Canada
Clin Orthop Relat Res 467:135-40. 2009..These data suggest there is no apparent need for a gender-designed THA system. LEVEL OF EVIDENCE: Level II, prognostic study. See the Guidelines for Authors for a complete description of levels of evidence... - A randomized controlled trial comparing "high-flex" vs "standard" posterior cruciate substituting polyethylene tibial inserts in total knee arthroplastyRichard W McCalden
London Health Sciences Center, London, Ontario, Canada
J Arthroplasty 24:33-8. 2009..Long-term evaluation will be required to comment on differences in polyethylene wear and implant longevity... - Local infiltration analgesiaSugantha Ganapathy
Department of Anesthesiology and Perioperative Medicine, University of Western Ontario, B3213, London Health Sciences Centre, University Hospital, 339 Windermere Road, London, Ontario N6A 5A5, Canada
Anesthesiol Clin 29:329-42. 2011..This article discusses the role and evidence for wound infiltration analgesia in general surgery, orthopedic surgery, neurosurgery, and thoracic surgery... - The role of polyethylene design on postoperative TKA flexion: an analysis of 1534 casesRichard W McCalden
Division of Orthopaedic Surgery, University Hospital, University of Western Ontario, London, ON, Canada
Clin Orthop Relat Res 468:108-14. 2010..0%; PS = 15.1%; CR = 4.5%). LEVEL OF EVIDENCE: Level II, prognostic study. See Guidelines for Authors for a complete description of levels of evidence... - Radiographic methods for the assessment of polyethylene wear after total hip arthroplastyRichard W McCalden
Division of Orthopaedic Surgery, London Health Sciences Centre, University Campus, 339 Windermere Road, London, Ontario, Canada N6A 5A5
J Bone Joint Surg Am 87:2323-34. 2005.... - The John Insall Award: gender-specific total knee replacement: prospectively collected clinical outcomesSteven J MacDonald
Division of Orthopaedic Surgery, University of Western Ontario and London Health Sciences Centre, University Campus, London, ON, Canada
Clin Orthop Relat Res 466:2612-6. 2008..LEVEL OF EVIDENCE: Level II, prognostic study. See the Guidelines for Authors for a complete description of levels of evidence... - Ten-year results of an inset biconvex patella prosthesis in primary knee arthroplastySani Erak
Division of Orthopaedic Surgery, London Health Sciences Centre, University Campus, University of Western Ontario, 339 Windermere Road, London, Ontario, Canada N6A 5A5
Clin Orthop Relat Res 467:1781-92. 2009..Survivorship and clinical and radiographic results are equivalent, but not clearly superior, to those reported for other forms of patella resurfacing. LEVEL OF EVIDENCE: Level IV, therapeutic study... - Wear rate of highly cross-linked polyethylene in total hip arthroplasty. A randomized controlled trialRichard W McCalden
University Hospital, University of Western Ontario, Division of Orthopaedic Surgery, London Health Sciences Centre, University Campus, 339 Windermere Road, London, ON N6A 5A5, Canada
J Bone Joint Surg Am 91:773-82. 2009.... - Tibial tubercle osteotomy in total knee arthroplasty surgeryClaire F Young
Department of Orthopaedic Surgery, London Health Sciences Centre University Hospital, London, Ontario, Canada
J Arthroplasty 23:371-5. 2008..Mean time for osteotomy union was 14 weeks. In this series, TTO performed to enhance surgical exposure did not adversely affect the outcome after total knee arthroplasty but resulted in serious complications in 5% of patients... - Proximally versus fully porous-coated femoral stems: a multicenter randomized trialSteven J MacDonald
London Health Sciences Centre, University of Western Ontario, 339 Windermere Road, London, ON, N6A 5A5, Canada
Clin Orthop Relat Res 468:424-32. 2010..Level of Evidence: Level I, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence... - A quantitative analysis of bone support comparing cementless tapered and distal fixation total hip replacementsJames L Howard
Division of Orthopaedic Surgery, London Health Sciences Centre-University Campus, Canada
J Arthroplasty 19:266-73. 2004..The tapered stem features proximal, cancellous bone contact and a 3-point fixation pattern. The cylindrical distal fixation stem demonstrates cortical support in the distal aspect of the stem... - Health-related quality of life and mobility of patients awaiting elective total hip arthroplasty: a prospective studyJeffrey L Mahon
Department of Epidemiology and Biostatistics, University of Western Ontario, London, ON
CMAJ 167:1115-21. 2002..These issues have not been examined from the time of referral for surgery. Our primary objective was to test whether a longer wait was associated with poorer postoperative HRQOL... - Porous coated femoral fixation: the long and short of it!Robert B Bourne
London Health Sciences Centre, University of Western Ontario, London, Ontario, Canada
Orthopedics 26:911-2. 2003..In addition, the use of cementless tapered stems simplifies the surgical procedure to ream, broach, trial, and insert... - The revision hip. Cemented stem revision: less we forget!Cecil H Rorabeck
Division of Orthopedics, University of Western Ontario, London, Canada
Orthopedics 26:933-4. 2003 - Soft-tissue balancing of the hip: the role of femoral offset restorationMark N Charles
Department of Orthopaedic Surgery, London Health Sciences Centre, University Campus, London, Ontario, Canada
Instr Course Lect 54:131-41. 2005.... - Cost effectiveness of revision total knee arthroplastyAlexander W R Burns
London Health Sciences Centre, University of Western Ontario, London, Ontario, Canada
Clin Orthop Relat Res 446:29-33. 2006..Level of Evidence: Prognostic study, level II-1 (prospective study). See Guidelines for Authors for complete description of levels of evidence... - Revision total hip arthroplasty with use of a cemented femoral component. Results at a mean of ten yearsChristopher M Haydon
Division of Orthopaedic Surgery, London Health Sciences Centre University Campus, London, Ontario, Canada
J Bone Joint Surg Am 86:1179-85. 2004..The purpose of the present study was to determine the long-term survival after revision of the femoral component with cement and to identify factors that were predictive of failure... - The cemented inset biconvex patella in revision knee arthroplastySani Erak
Division of Orthopaedic Surgery, London Health Sciences Centre, London, Ontario, Canada
Knee 16:211-5. 2009..We conclude that the cemented biconvex inset patellar component can give satisfactory results in revision of patellar components if avascular necrosis does not occur... - Midterm comparison of posterior cruciate-retaining versus -substituting total knee arthroplasty using the Genesis II prosthesis. A multicenter prospective randomized clinical trialKengo Harato
Division of Orthopaedic Surgery, London Health Sciences Centre, University of Western Ontario, London, ON, Canada
Knee 15:217-21. 2008.... - The role of rotating platform total knee replacements: design considerations, kinematics, and clinical resultsRobert B Bourne
Division of Orthopedic Surgery, London Health Sciences Centre, University of Western Ontario, Canada
J Knee Surg 15:247-53. 2002 - Soft tissue balancing: the hipRobert B Bourne
Division of Orthopaedic Surgery, London Health Sciences Centre, University of Western Ontario, London, Ontario, Canada
J Arthroplasty 17:17-22. 2002..Preoperative templating, intraoperative leg-length offset measurements, and the availability of high-offset femoral necks can improve the restoration of offset in 90% of patients... - The twenty to twenty-five-year outcomes of the Harris design-2 matte-finished cemented total hip replacement. A concise follow-up of a previous reportMichael Skutek
London Health Sciences Centre, 339 Windermere Road, London, Ontario N6A 5A5, Canada
J Bone Joint Surg Am 89:814-8. 2007..LEVEL OF EVIDENCE: Therapeutic Level IV. See Instructions to Authors for a complete description of levels of evidence... - Validation of two and three-dimensional radiographic techniques for measuring polyethylene wear after total hip arthroplastyAndrew J Hui
Division of Orthopaedic Surgery, London Health Sciences Centre University Campus, London, Ontario, Canada
J Bone Joint Surg Am 85:505-11. 2003..We are not aware of any published study examining the accuracy of these in vivo methods. Our objective was to validate two radiographic techniques by comparing their results with those obtained directly from retrieved specimens... - Preoperative evaluations in revision total knee arthroplastyJonathan Bare
Division of Orthopaedic Surgery, University of Western Ontario, London, Ontario, Canada
Clin Orthop Relat Res 446:40-4. 2006..Level of Evidence: Prognostic study, level II-1 (retrospective study). See the Guidelines for Authors for a complete description of levels of evidence... - Isolated liner exchange in revision total hip arthroplasty: clinical results using the direct lateral surgical approachR Stephen J Burnett
Department of Orthopaedic Surgery, University of Western Ontario, London Health Sciences Center, Canada
J Arthroplasty 19:414-23. 2004..Dislocation rates with revision may be reduced using a surgical approach that preserves an adequate capsular layer for closure in liner exchange surgery... - Medial unicompartmental knee arthroplasty with the Miller-Galante prosthesisDouglas Naudie
Division of Orthopaedic Surgery, London Health Sciences Centre University Campus, University of Western Ontario, 339 Windermere Road, London, Ontario, Canada N6A 5A5
J Bone Joint Surg Am 86:1931-5. 2004..The purpose of the present study was to report on our longer-term experience with the Miller-Galante medial unicompartmental knee implant... - Resurfacing versus not resurfacing the patella in total knee arthroplasty: 8- to 10-year resultsDavid Mayman
Queen's University, Kingston, Ontario, Canada
J Arthroplasty 18:541-5. 2003..When satisfied and extremely satisfied patients were grouped together, there was no difference between the 2 groups... - Femoral neck fractures: when to fix and when to bailRobert B Bourne
London Health Sciences Centre, University of Western Ontario, London, Ontario, Canada
Orthopedics 28:955-7. 2005 - The dislocating hip: what to do, what to doRobert B Bourne
London Health Sciences Centre, University of Western Ontario, London, Ontario, Canada
J Arthroplasty 19:111-4. 2004..This article discusses the results of various surgical interventions and presents a treatment algorithm... - Factors influencing range of motion after contemporary total knee arthroplastyAkihiro Kotani
Adult Reconstructive Surgery, London Health Science Centre, University of Western Ontario, Canada
J Arthroplasty 20:850-6. 2005..Sex, age, body mass index, femoral component size, posterior cruciate ligament status, or fixed vs mobile bearing design did not correlate with knee range of motion 2 years postoperatively... - Surface analysis of posterior stabilized femoral components used in total knee arthroplastyShannon K T Puloski
The University of Western Ontario, London Health Sciences Centre, Ontario, Canada
J Arthroplasty 18:822-6. 2003..05). Of note, the articular surface of the stabilizing cam was uniformly rougher than the condylar surface in all implants and significantly rougher (P <.05) in 6 of the 9 components... - Joint replacement recipients' post-surgery views about health information privacy and registry participationAmanda L Terry
Centre for Studies in Family Medicine, Department of Family Medicine, Schulich School of Medicine and Dentistry, The University of Western Ontario, London, Ontario, Canada
Health Policy 85:293-304. 2008..Researchers and policy-makers should consider the impact of encounters with the health care system when seeking to understand patients' privacy concerns and willingness to participate in registries... - The impact of morbid obesity on patient outcomes after total knee arthroplastyVaishnav Rajgopal
Faculty of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada
J Arthroplasty 23:795-800. 2008..05), they showed greater improvement in function compared with non-morbidly obese patients. Morbid obesity does not affect 1-year outcomes in patients who have had a total knee arthroplasty... - Indications for patellar resurfacing in total knee arthroplastyR Stephen Burnett
Department of Orthopedic Surgery, University of Western Ontario, London, Ontario, Canada
Instr Course Lect 53:167-86. 2004..The decision to resurface the patella in TKA remains controversial, and the results of longer-term randomized controlled trials will improve understanding of this complex issue in the future... - Press-fit versus cemented all-polyethylene patellar component: midterm resultsGonzalo G Valdivia
Division of Orthopaedic Surgery, London Health Sciences Center, University of Western Ontario, London, Ontario, Canada
J Arthroplasty 17:20-5. 2002..These results suggest that at midterm follow-up, press-fit implantation of this all-polyethylene patellar component may improve tracking and represents a viable alternative to cement fixation... - Comparison of total hip arthroplasty performed with and without cement: a randomized trial. A concise follow-up, at twenty years, of previous reportsKristoff Corten
London Health Sciences Centre, University Campus, 339 Windermere Road, London, ON N6A 5A5, Canada
J Bone Joint Surg Am 93:1335-8. 2011..Radiographs showed evidence of mild stress-shielding around 95% of the cemented stems and 88% of the cementless stems; stress-shielding of grade 3 or greater was seen around the remaining 12% of the cementless stems... - Resolving controversies in hip fracture care: the need for large collaborative trials in hip fracturesMohit Bhandari
Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada
J Orthop Trauma 23:479-84. 2009..This manuscript will describe the need, the information, the organization, and the accomplishments to date of the International Hip Fracture Research Collaborative... - Prophylactic use of antibiotic bone cement: an emerging standard--in the affirmativeRobert B Bourne
London Health Sciences Centre, University of Western Ontario, London, Ontario, Canada
J Arthroplasty 19:69-72. 2004..Allergic reactions, bacterial resistance, and cost represent barriers to the widespread use of antibiotic bone cement... - Efficacy of periarticular multimodal drug injection in total knee arthroplasty. A randomized trialConstant A Busch
Division of Orthopaedic Surgery, London Health Sciences Centre, London, Ontario, Canada
J Bone Joint Surg Am 88:959-63. 2006.... - Periprosthetic fractures of the tibia and patella in total knee arthroplastyR Stephen Burnett
Department of Orthopedic Surgery, University of Western Ontario, London, Ontario, Canada
Instr Course Lect 53:217-35. 2004..Several risk factors associated with both types of fractures have been identified, and addressing patient factors, surgical techniques, and implant designs that may contribute to increased risk is an important aspect of management... - Antibiotic bone cement approval: fuss-in at the Feds!Robert B Bourne
London Health Sciences Centre, University of Western Ontario, Canada
Orthopedics 25:913-4. 2002 - Development of an RSA calibration system with improved accuracy and precisionRongyi Cai
Imaging Research Laboratories, Robarts Research Institute, London, Ontario, Canada N6A 5K8
J Biomech 41:907-11. 2008..This new cage can be used with any skeletal joints, in either static or kinematic examination, which is helpful for the standardization of the RSA application... - Subtrochanteric shortening and derotational osteotomy in primary total hip arthroplasty for patients with severe hip dysplasia: 5-year follow-upJohn L Masonis
London Health Sciences Center, University of Western Ontario, London, Ontario, Canada
J Arthroplasty 18:68-73. 2003..However, the complication rate in these patients is higher than primary hip arthroplasty for osteoarthritis... - The dysplastic hipCecil H Rorabeck
University of Western Ontario, London, Ontario, Canada
Orthopedics 27:951-2. 2004 - Effect of cementless bowed stem distal surface contour and coronal slot on femoral bone strains and torsional stabilityMichael D Ries
Department of Orthopaedic Surgery, University of California, San Francisco, California 94143-0728, USA
J Arthroplasty 18:494-8. 2003..Our data demonstrate that a long bowed cementless stem with a distal coronal slot and flutes is associated with decreased bone strains and fracture risk during stem insertion compared to a fully porous-coated stem...