Paul F Lachiewicz

Summary

Publications

  1. ncbi request reprint Liner exchange in total knee arthroplasty
    Paul F Lachiewicz
    Chapel Hill Orthopedics Surgery and Sports Medicine, 101 Conner Drive, Suite 200, Chapel Hill, NC 27514, USA
    J Surg Orthop Adv 22:152-6. 2013
  2. doi request reprint The role of intravenous acetaminophen in multimodal pain protocols for perioperative orthopedic patients
    Paul F Lachiewicz
    Chapel Hill Orthopedics Surgery and Sports Medicine, 101 Conner Drive, Chapel Hill, NC 27514, USA
    Orthopedics 36:15-9. 2013
  3. pmc Low early and late dislocation rates with 36- and 40-mm heads in patients at high risk for dislocation
    Paul F Lachiewicz
    Chapel Hill Orthopedics Surgery and Sports Medicine, 101 Conner Drive, Suite 200, Chapel Hill, NC 27514, USA
    Clin Orthop Relat Res 471:439-43. 2013
  4. pmc Second-generation modular acetabular components provide fixation at 10 to 16 years
    Paul F Lachiewicz
    Chapel Hill Orthopedics Surgery and Sports Medicine, 101 Conner Drive, Suite 200, Chapel Hill, NC 27514, USA
    Clin Orthop Relat Res 470:366-72. 2012
  5. pmc How to treat a tibial post fracture in total knee arthroplasty? A systematic review
    Paul F Lachiewicz
    Department of Surgery, Durham VA Medical Center, Durham, NC, USA
    Clin Orthop Relat Res 469:1709-15. 2011
  6. pmc Can tantalum cones provide fixation in complex revision knee arthroplasty?
    Paul F Lachiewicz
    Durham VA Medical Center, Durham, NC, USA
    Clin Orthop Relat Res 470:199-204. 2012
  7. pmc Tantalum components in difficult acetabular revisions
    Paul F Lachiewicz
    Chapel Hill Orthopedics Surgery and Sports Medicine, 101 Conner Drive, Suite 200, Chapel Hill, NC 27514, USA
    Clin Orthop Relat Res 468:454-8. 2010
  8. doi request reprint Fifteen-year survival and osteolysis associated with a modular posterior stabilized knee replacement. A concise follow-up of a previous report
    Paul F Lachiewicz
    Department of Orthopaedic Surgery, University of North Carolina, Chapel Hill, NC 27514, USA
    J Bone Joint Surg Am 91:1419-23. 2009
  9. doi request reprint The use of dual-mobility components in total hip arthroplasty
    Paul F Lachiewicz
    Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC, USA
    J Am Acad Orthop Surg 20:481-6. 2012
  10. ncbi request reprint Second-generation proximally coated titanium femoral component: minimum 7-year results
    Paul F Lachiewicz
    Department of Orthopaedics, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
    Clin Orthop Relat Res 465:117-21. 2007

Collaborators

Detail Information

Publications45

  1. ncbi request reprint Liner exchange in total knee arthroplasty
    Paul F Lachiewicz
    Chapel Hill Orthopedics Surgery and Sports Medicine, 101 Conner Drive, Suite 200, Chapel Hill, NC 27514, USA
    J Surg Orthop Adv 22:152-6. 2013
    ..With the use of six criteria, these observations suggest that liner exchange for wear is successful...
  2. doi request reprint The role of intravenous acetaminophen in multimodal pain protocols for perioperative orthopedic patients
    Paul F Lachiewicz
    Chapel Hill Orthopedics Surgery and Sports Medicine, 101 Conner Drive, Chapel Hill, NC 27514, USA
    Orthopedics 36:15-9. 2013
    ..Clinical studies have demonstrated the efficacy and safety of intravenous acetaminophen in elective total hip and knee arthroplasty, knee arthroscopy, lumbar spine surgery, and for acute traumatic limb pain...
  3. pmc Low early and late dislocation rates with 36- and 40-mm heads in patients at high risk for dislocation
    Paul F Lachiewicz
    Chapel Hill Orthopedics Surgery and Sports Medicine, 101 Conner Drive, Suite 200, Chapel Hill, NC 27514, USA
    Clin Orthop Relat Res 471:439-43. 2013
    ....
  4. pmc Second-generation modular acetabular components provide fixation at 10 to 16 years
    Paul F Lachiewicz
    Chapel Hill Orthopedics Surgery and Sports Medicine, 101 Conner Drive, Suite 200, Chapel Hill, NC 27514, USA
    Clin Orthop Relat Res 470:366-72. 2012
    ..Second-generation components were designed to reduce the incidence of these problems but it is unclear whether the changes achieved these goals...
  5. pmc How to treat a tibial post fracture in total knee arthroplasty? A systematic review
    Paul F Lachiewicz
    Department of Surgery, Durham VA Medical Center, Durham, NC, USA
    Clin Orthop Relat Res 469:1709-15. 2011
    ..Fracture of the tibial post is an uncommon but disabling complication after posterior-stabilized TKA that requires operative treatment...
  6. pmc Can tantalum cones provide fixation in complex revision knee arthroplasty?
    Paul F Lachiewicz
    Durham VA Medical Center, Durham, NC, USA
    Clin Orthop Relat Res 470:199-204. 2012
    ..Metaphyseal fixation using porous tantalum cones has been proposed for severe bone loss. Whether this approach achieves osseointegration with low complication rates is unclear...
  7. pmc Tantalum components in difficult acetabular revisions
    Paul F Lachiewicz
    Chapel Hill Orthopedics Surgery and Sports Medicine, 101 Conner Drive, Suite 200, Chapel Hill, NC 27514, USA
    Clin Orthop Relat Res 468:454-8. 2010
    ..Tantalum acetabular components provide stable fixation in difficult acetabular revisions. Level of Evidence: Level IV, case series. See Guidelines for Authors for a complete description of levels of evidence...
  8. doi request reprint Fifteen-year survival and osteolysis associated with a modular posterior stabilized knee replacement. A concise follow-up of a previous report
    Paul F Lachiewicz
    Department of Orthopaedic Surgery, University of North Carolina, Chapel Hill, NC 27514, USA
    J Bone Joint Surg Am 91:1419-23. 2009
    ..A significant association was identified between younger patient age and osteolysis. We continue to routinely implant a similar modular posterior stabilized total knee prosthesis...
  9. doi request reprint The use of dual-mobility components in total hip arthroplasty
    Paul F Lachiewicz
    Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC, USA
    J Am Acad Orthop Surg 20:481-6. 2012
    ..Polyethylene wear and intraprosthetic dislocation are concerns, as is the lack of long-term data. Caution is thus advised in the routine use of dual-mobility components in primary and revision total hip arthroplasty...
  10. ncbi request reprint Second-generation proximally coated titanium femoral component: minimum 7-year results
    Paul F Lachiewicz
    Department of Orthopaedics, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
    Clin Orthop Relat Res 465:117-21. 2007
    ..Even with an articulating surface with considerable polyethylene wear debris, these second-generation proximally coated titanium fiber-metal femoral components had a survival rate of 100% at a mean 10.5-year followup...
  11. ncbi request reprint The rates of osteolysis and loosening associated with a modular posterior stabilized knee replacement. Results at five to fourteen years
    Paul F Lachiewicz
    Department of Orthopaedics, University of North Carolina, Chapel Hill, 242 Burnett Womack Building, CB 7055, Chapel Hill, NC 27599, USA
    J Bone Joint Surg Am 86:525-30. 2004
    ..The purpose of the present study was to evaluate a modular posterior stabilized prosthesis to determine its clinical performance as well as the rates of component loosening and osteolysis...
  12. pmc Femoral head size and wear of highly cross-linked polyethylene at 5 to 8 years
    Paul F Lachiewicz
    Chapel Hill Orthopedic Surgery and Sports Medicine, 101 Conner Drive, Suite 200, Chapel Hill, NC 27514, USA
    Clin Orthop Relat Res 467:3290-6. 2009
    ..LEVEL OF EVIDENCE: Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence...
  13. doi request reprint Polyethylene wear and osteolysis with a new modular titanium acetabular component: results at 7 to 13 years
    Paul F Lachiewicz
    Department of Orthopaedic Surgery, University of North Carolina at Chapel Hill, School of Medicine, Chapel Hill, North Carolina 27599 7055, USA
    J Arthroplasty 23:971-6. 2008
    ..0001). The high rate of success and low rate of polyethylene wear and pelvic osteolysis at this length of follow-up may be related to the new design features of this modular acetabular component...
  14. doi request reprint Fixation, survival, and dislocation of jumbo acetabular components in revision hip arthroplasty
    Paul F Lachiewicz
    Chapel Hill Orthopedic Surgery and Sports Medicine, 101 Conner Drive, Suite 200, Chapel Hill, NC 27514, USA
    J Bone Joint Surg Am 95:543-8. 2013
    ..However, there are little data on the long-term survival and complications associated with use of these components...
  15. ncbi request reprint Precoated femoral component with proximal and distal centralizers: results at 5 to 12 years
    Samuel D Jarrett
    Department of Orthopaedics, University of North Carolina, Chapel Hill, NC 27599, USA
    J Arthroplasty 20:309-15. 2005
    ..The rate of radiographic failure and revision of this component implanted with conventional polyethylene and cobalt chrome heads is similar to that reported with other "modern" femoral components...
  16. ncbi request reprint Polyethylene liner exchange of the Harris-Galante porous I and II acetabular components without cement: results and complications
    Paul F Lachiewicz
    Department of Orthopaedics, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 7055, USA
    J Arthroplasty 21:992-7. 2006
    ..1 years (range, 2-11 years). However, there have been 7 patients (20%) with recurrent dislocation and all required reoperation. Dislocation was significantly lower when an elevated rim liner was used...
  17. ncbi request reprint Metal-on-metal hip resurfacing: a skeptic's view
    Paul F Lachiewicz
    Department of Orthopaedics, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 7055, USA
    Clin Orthop Relat Res 465:86-91. 2007
    ..Metal-on-metal hip resurfacing should only be used by a limited number of hip surgeons. The risks and complications of metal-on-metal hip resurfacing outweigh any possible advantages...
  18. ncbi request reprint Changing indications for revision total hip arthroplasty
    Paul F Lachiewicz
    Department of Orthopaedics, University of North Carolina at Chapel Hill, 3151 Bioinformatics Bldg, CB 7055, Chapel Hill, NC 27599 7055, USA
    J Surg Orthop Adv 14:82-4. 2005
    ..There has been a change in the indications for revision hip arthroplasty compared with 10 years ago, with a statistically significant increase in revisions for dislocation, wear-osteolysis, and loosening of the femoral component only...
  19. doi request reprint Results of a second-generation constrained condylar prosthesis in primary total knee arthroplasty
    Paul F Lachiewicz
    Chapel Hill Orthopedics Surgery and Sports Medicine, ChapelHill, North Carolina, USA
    J Arthroplasty 26:1228-31. 2011
    ..4%). Constrained condylar knees are used infrequently now but are successful for the treatment of the unstable primary knee that cannot be balanced. These results may be design specific...
  20. ncbi request reprint Factors influencing the longer-term survival of uncemented acetabular components used in total hip revisions
    Carroll P Jones
    Department of Orthopaedics, University of North Carolina Chapel Hill, 3151 Bioinformatics, CB 7055, Chapel Hill, NC 27599 7055, USA
    J Bone Joint Surg Am 86:342-7. 2004
    ..In this study, we analyzed the clinical and radiographic results to determine the factors that affect longer-term survival of titanium-fiber-metal-coated acetabular components...
  21. ncbi request reprint The use of constrained components in total hip arthroplasty
    Paul F Lachiewicz
    Department of Orthopaedics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
    J Am Acad Orthop Surg 10:233-8. 2002
    ..These forces may eventually contribute to failure of the component due to loosening, dissociation, breakage, or recurrent dislocation. Studies of these components show a failure rate of 4% to 29% at relatively short-term follow-up...
  22. ncbi request reprint The use of highly cross-linked polyethylene in total knee arthroplasty
    Paul F Lachiewicz
    Duke University Medical Center, Chapel Hill, NC, USA
    J Am Acad Orthop Surg 19:143-51. 2011
    ..However, until additional clinical results are available, a cautious approach is warranted to the widespread use of highly cross-linked polyethylene in total knee arthroplasty...
  23. ncbi request reprint Fracture of highly cross-linked all-polyethylene patella after total knee arthroplasty
    Dustin S Hambright
    Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina 27710, USA
    J Knee Surg 23:237-40. 2010
    ..The authors report a case of a highly cross-linked all-polyethylene patellar component that failed as a result of fracture in vivo in a patient 3 years after TKA...
  24. doi request reprint Survival of polished compared with precoated roughened cemented femoral components. A prospective, randomized study
    Paul F Lachiewicz
    Department of Orthopaedics, University of North Carolina at Chapel Hill, 3151 Bioinformatics Building, CB 7055, 130 Mason Farm Road, Chapel Hill, NC 27514, USA
    J Bone Joint Surg Am 90:1457-63. 2008
    ..The purpose of this randomized clinical trial was to compare the survival of two femoral components with similar geometry but substantially different surface finishes...
  25. ncbi request reprint Ten-year survival and clinical results of constrained components in primary total knee arthroplasty
    Paul F Lachiewicz
    Department of Orthopaedics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599 7055, USA
    J Arthroplasty 21:803-8. 2006
    ..The constrained condylar TKA remains indicated for knees with severe valgus deformity, incompetent medial collateral ligament, or severe flexion contracture in which the knee cannot be properly balanced...
  26. ncbi request reprint Patella maltracking in posterior-stabilized total knee arthroplasty
    Paul F Lachiewicz
    Department of Orthopaedics, University of North Carolina, Chapel Hill, NC 27599 7055, USA
    Clin Orthop Relat Res 452:155-8. 2006
    ..We found a low incidence of lateral retinacular release and patella complications using these components and this protocol for the patellofemoral articulation...
  27. ncbi request reprint Value of preoperative templating for primary total knee arthroplasty
    Daniel Del Gaizo
    Department of Orthopaedics, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
    J Knee Surg 22:284-93. 2009
    ..5%) knees, respectively. The accuracy of component sizing in this study is greater than previously reported. The prevalence of alignment outliers in this study is less than previously reported for conventional techniques...
  28. ncbi request reprint Dislocation of primary total hip arthroplasty with 36 and 40-mm femoral heads
    Paul F Lachiewicz
    University of North Carolina at Chapel Hill, Department of Orthopaedics, 3151 Bioinformatics Bldg, CB 7055, Chapel Hill, NC 27599 7055, USA
    Clin Orthop Relat Res 453:153-5. 2006
    ..We identified no complications related to the larger femoral heads. The use of larger femoral heads did not notably reduce the prevalence of early dislocation after primary THA in high risk patients compared to historical controls...
  29. ncbi request reprint Case report: a thigh mass resulting from polyethylene wear of a revision total hip arthroplasty
    Paul F Lachiewicz
    Department of Orthopaedics, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 7055, USA
    Clin Orthop Relat Res 455:274-6. 2007
    ..At the time of reoperation, the components appeared well fixed and a linerhead exchange was performed. One year after surgery, the mass had not recurred and the patient had minimal symptoms...
  30. ncbi request reprint Cement fixation of the femoral component in older patients
    Paul F Lachiewicz
    Department of Orthopaedics, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA
    Instr Course Lect 57:261-5. 2008
    ..Antibiotic cement may be used in patients at higher risk for infection. The 10-year results of cemented femoral components in these patient populations are excellent...
  31. ncbi request reprint Treatment of a neglected displaced transverse patella fracture
    Paul F Lachiewicz
    Department of Orthopedics, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 7055, USA
    J Knee Surg 21:58-61. 2008
    ..The lateral retinaculum was left open to provide for better motion. At 1 year postoperatively, she ambulated with a cane, with range of motion examination revealing 5 degrees flexion contracture and 80 degrees flexion...
  32. ncbi request reprint Implant design and techniques for patellar resurfacing in total knee arthroplasty
    Paul F Lachiewicz
    Department of Orthopaedics, University of North Carolina Chapel Hill, Chapel Hill, North Carolina, USA
    Instr Course Lect 53:187-91. 2004
    ..Attention to detail during surgery is likely the most critical factor to the success of patellar resurfacing in total knee arthroplasty...
  33. ncbi request reprint Are the relative indications for revision total knee arthroplasty changing?
    Mark P Lachiewicz
    Department of Orthopaedics, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 7055, USA
    J Surg Orthop Adv 18:74-6. 2009
    ..The relative indications for revision total knee arthroplasty have changed over the past decade. Greater emphasis may be needed on improved balancing techniques to prevent instability and new bearing surfaces to decrease wear...
  34. doi request reprint Symptomatic hyponatremia in patients undergoing total hip and knee arthroplasty. A report of three cases
    George S Gluck
    Department of Orthopaedics, University of North Carolina at Chapel Hill, 3151 Bioinformatics Building, CB 7055, Chapel Hill, NC 27599 7055, USA
    J Bone Joint Surg Am 90:634-6. 2008
  35. doi request reprint Comparison of ACCP and AAOS guidelines for VTE prophylaxis after total hip and total knee arthroplasty
    Paul F Lachiewicz
    Department of Surgery, Section of Orthopaedic Surgery, Duke University Medical Center and Durham VA Medical Center, Durham, USA
    Orthopedics 32:74-8. 2009
    ..These guidelines are reviewed here...
  36. ncbi request reprint Comparing and contrasting current guidelines for venous thromboembolism prophylaxis after total hip and total knee arthroplasty
    Paul F Lachiewicz
    Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC, USA
    Instr Course Lect 60:301-7. 2011
    ..The three guidelines all have advantages and disadvantages...
  37. ncbi request reprint Hip arthroplasty after extracapsular hip fracture: a matched pair cohort analysis
    Jeffrey R Lyman
    Department of Orthopaedics, University of North Carolina Chapel Hill, Chapel Hill, NC 27599, USA
    J Surg Orthop Adv 13:38-41. 2004
    ....
  38. ncbi request reprint Precoated femoral component in primary hybrid total hip arthroplasty: results at a mean 10-year follow-up
    Paul F Lachiewicz
    Department of Orthopaedics, University of North Carolina, Chapel Hill, Chapel Hill, North Carolina 27599, USA
    J Arthroplasty 18:1-5. 2003
    ..3%), and minor femoral osteolysis was seen in 3 hips (4%). Used in this manner in this patient population, precoating is not detrimental to successful fixation at 10 years' mean follow-up of primary hybrid THA...
  39. ncbi request reprint Periprosthetic fracture between a constrained total knee arthroplasty and a long-stem total hip arthroplasty: treatment with a novel device
    Paul F Lachiewicz
    Department of Orthopaedics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
    J Arthroplasty 22:449-52. 2007
    ..The result was good at 5 years, with healed fracture and no loosening or osteolysis of either component...
  40. ncbi request reprint Anterior iliopsoas impingement and tendinitis after total hip arthroplasty
    Paul F Lachiewicz
    Department of Orthopaedic Surgery, University of North Carolina, Chapel Hill, Chapel Hill, NC, USA
    J Am Acad Orthop Surg 17:337-44. 2009
    ..Surgical treatment, consisting of release or resection of the iliopsoas tendon, alone or in combination with acetabular revision for an anterior overhanging component, usually provides permanent pain relief...
  41. ncbi request reprint Removal of a well-fixed metal-metal hip resurfacing acetabular component
    Paul F Lachiewicz
    Department of Orthopaedic Surgery, University of North Carolina, 3151 Bioinformatics Building, CB 7055, 130 Mason Farm Road, Chapel Hill, NC 27514, USA
    J Surg Orthop Adv 18:51-3. 2009
    ..Well-fixed metal-metal hip resurfacing components are removed for infection, instability, or hypersensitivity reactions. This article presents a technique for removal of a porous resurfacing acetabular component with minimal bone loss...
  42. ncbi request reprint Prevention of symptomatic pulmonary embolism in patients undergoing total hip and knee arthroplasty: clinical guideline of the American Academy of Orthopaedic Surgeons
    Paul F Lachiewicz
    Department of Orthopaedics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
    Instr Course Lect 58:795-804. 2009
    ..The choice of a specific medication postoperatively should be based on an individual risk-benefit analysis of pulmonary embolism and major bleeding complications...
  43. ncbi request reprint Abductor tendon tears of the hip: evaluation and management
    Paul F Lachiewicz
    Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA
    J Am Acad Orthop Surg 19:385-91. 2011
    ..Abductor tendon repair has had inconsistent results in persons with avulsion following THA. Reconstruction with a gluteus maximus muscle flap or Achilles tendon allograft has provided promising short-term results in small series...
  44. ncbi request reprint Multimodal prophylaxis for THA with mechanical compression
    Paul F Lachiewicz
    Department of Orthopaedics, University of North Carolina, Chapel 3151 Bioinformatics Bldg, CB 7055, Chapel Hill, NC 27599 7055, USA
    Clin Orthop Relat Res 453:225-30. 2006
    ..The data confirm the efficacy of a multimodal protocol with thigh-calf mechanical prophylaxis for almost all patients undergoing primary or revision total hip arthroplasty...
  45. doi request reprint An unusual cause of late pain and effusion after total knee arthroplasty: pulmonary hypertrophic osteoarthropathy. A case report
    James Meeker
    Department of Orthopaedics, University of North Carolina at Chapel Hill, 130 Mason Farm Road, 3rd Floor Bioinformatics Building, CB 7055, Chapel Hill, NC 27599 7055, USA
    J Bone Joint Surg Am 90:390-2. 2008