Thomas K Fehring

Summary

Affiliation: OrthoCarolina Hip and Knee Center
Country: USA

Publications

  1. ncbi request reprint Catastrophic complications of minimally invasive hip surgery. A series of three cases
    Thomas K Fehring
    Charlotte Hip and Knee Center, 1915 Randolph Road, Charlotte, NC 28207, USA
    J Bone Joint Surg Am 87:711-4. 2005
  2. pmc High frequency of adverse local tissue reactions in asymptomatic patients with metal-on-metal THA
    Thomas K Fehring
    Hip and Knee Center, OrthoCarolina, PA, 2001 Vail Avenue, Suite 200 A, Charlotte, NC, 28207, USA
    Clin Orthop Relat Res 472:517-22. 2014
  3. pmc Failure of irrigation and d├ębridement for early postoperative periprosthetic infection
    Thomas K Fehring
    OrthoCarolina, PA, Hip and Knee Center, 2001 Vail Avenue, Suite 200 A, Charlotte, NC 28207, USA
    Clin Orthop Relat Res 471:250-7. 2013
  4. doi request reprint Comparative analysis of periarticular osteolysis in modern total hip bearings: a minimum 5-year study
    Thomas K Fehring
    OrthoCarolina Hip and Knee Center, Charlotte, NC 28207, USA
    Orthop Clin North Am 43:e14-6. 2012
  5. ncbi request reprint When computer-assisted knee replacement is the best alternative
    Thomas K Fehring
    OrthoCarolina Hip and Knee Center, Charlotte, NC 28207, USA
    Clin Orthop Relat Res 452:132-6. 2006
  6. doi request reprint Differences between the sexes in the anatomy of the anterior condyle of the knee
    Thomas K Fehring
    OrthoCarolina Hip and Knee Center, 1915 Randolph Road, Charlotte, NC 28207, USA
    J Bone Joint Surg Am 91:2335-41. 2009
  7. doi request reprint Early failures in unicondylar arthroplasty
    Thomas K Fehring
    OrthoCarolina, Charlotte, North Carolina, USA
    Orthopedics 33:11. 2010
  8. doi request reprint Are metal ion levels a useful trigger for surgical intervention?
    William L Griffin
    OrthoCarolina Hip and Knee Center, Charlotte, North Carolina 28207, USA
    J Arthroplasty 27:32-6. 2012
  9. ncbi request reprint Early morbidity of modular exchange for polyethylene wear and osteolysis
    William L Griffin
    Charlotte Orthopedic Hip and Knee Center and Charlotte Orthopedic Research Institute, Charlotte, North Carolina, USA
    J Arthroplasty 19:61-6. 2004
  10. doi request reprint Cementless femoral components in young patients: review and meta-analysis of total hip arthroplasty and hip resurfacing
    Bryan D Springer
    OrthoCarolina Hip and Knee Center, Charlotte, North Carolina 28207, USA
    J Arthroplasty 24:2-8. 2009

Collaborators

Detail Information

Publications40

  1. ncbi request reprint Catastrophic complications of minimally invasive hip surgery. A series of three cases
    Thomas K Fehring
    Charlotte Hip and Knee Center, 1915 Randolph Road, Charlotte, NC 28207, USA
    J Bone Joint Surg Am 87:711-4. 2005
  2. pmc High frequency of adverse local tissue reactions in asymptomatic patients with metal-on-metal THA
    Thomas K Fehring
    Hip and Knee Center, OrthoCarolina, PA, 2001 Vail Avenue, Suite 200 A, Charlotte, NC, 28207, USA
    Clin Orthop Relat Res 472:517-22. 2014
    ..ALTRs have been described in asymptomatic patients with resurfacing arthroplasties. Whether this concerning finding applies to modular MOM THAs is unknown...
  3. pmc Failure of irrigation and d├ębridement for early postoperative periprosthetic infection
    Thomas K Fehring
    OrthoCarolina, PA, Hip and Knee Center, 2001 Vail Avenue, Suite 200 A, Charlotte, NC 28207, USA
    Clin Orthop Relat Res 471:250-7. 2013
    ..Mitigating factors include organism type, host factors, and timing of intervention. While the influence of organism type and host factors has been clarified, the timing of intervention remains unclear...
  4. doi request reprint Comparative analysis of periarticular osteolysis in modern total hip bearings: a minimum 5-year study
    Thomas K Fehring
    OrthoCarolina Hip and Knee Center, Charlotte, NC 28207, USA
    Orthop Clin North Am 43:e14-6. 2012
    ..This article compares the prevalence of periacetabular osteolysis using computerized tomography in patients with metal-on-metal, ceramic-on-ceramic, and metal-on-cross-linked bearings at a minimum 5-year follow-up...
  5. ncbi request reprint When computer-assisted knee replacement is the best alternative
    Thomas K Fehring
    OrthoCarolina Hip and Knee Center, Charlotte, NC 28207, USA
    Clin Orthop Relat Res 452:132-6. 2006
    ..Computer-assisted navigation seemed helpful in difficult situations where accurate alignment remains crucial, yet traditional instrumentation is not applicable...
  6. doi request reprint Differences between the sexes in the anatomy of the anterior condyle of the knee
    Thomas K Fehring
    OrthoCarolina Hip and Knee Center, 1915 Randolph Road, Charlotte, NC 28207, USA
    J Bone Joint Surg Am 91:2335-41. 2009
    ..Because of this observed variability, we sought to determine if differences in anterior condylar anatomy between the sexes actually exist...
  7. doi request reprint Early failures in unicondylar arthroplasty
    Thomas K Fehring
    OrthoCarolina, Charlotte, North Carolina, USA
    Orthopedics 33:11. 2010
    ..Patients should be apprised of the possibility of early revision with this procedure...
  8. doi request reprint Are metal ion levels a useful trigger for surgical intervention?
    William L Griffin
    OrthoCarolina Hip and Knee Center, Charlotte, North Carolina 28207, USA
    J Arthroplasty 27:32-6. 2012
    ..The length of time to revision significantly correlated with tissue damage (P = .001). Ion levels are unreliable predictors of periarticular soft tissue damage and should not be used in isolation as surgical intervention triggers...
  9. ncbi request reprint Early morbidity of modular exchange for polyethylene wear and osteolysis
    William L Griffin
    Charlotte Orthopedic Hip and Knee Center and Charlotte Orthopedic Research Institute, Charlotte, North Carolina, USA
    J Arthroplasty 19:61-6. 2004
    ..As such, we believe that more stable constructs should be emphasized, possibly at the expense of polyethylene thickness...
  10. doi request reprint Cementless femoral components in young patients: review and meta-analysis of total hip arthroplasty and hip resurfacing
    Bryan D Springer
    OrthoCarolina Hip and Knee Center, Charlotte, North Carolina 28207, USA
    J Arthroplasty 24:2-8. 2009
    ..6% (95% CI, 2.0-3.4). In conclusion, the enthusiasm for hip resurfacing should be tempered by these data. Longer follow-up and direct comparison trials are required to confirm these findings...
  11. ncbi request reprint Cementless revision total hip arthroplasty without allograft in severe proximal femoral defects
    Matthew C Nadaud
    Charlotte Orthopedic Hip and Knee Center and Charlotte Orthopedic Research Institute, Charlotte, North Carolina, USA
    J Arthroplasty 20:738-44. 2005
    ..Mean Harris hip score was 77 at last follow-up. There were 6 intraoperative femur fractures, 9 dislocations, 10 cases of severe stress shielding, and no infections...
  12. doi request reprint Early failure of articular surface replacement XL total hip arthroplasty
    Garen D Steele
    OrthoCarolina, PA, Charlotte, North Carolina 28207, USA
    J Arthroplasty 26:14-8. 2011
    ..The ASR XL with a revision rate of 12% is the second reported 1 piece metal-on-metal system with a significant failure rate at early follow-up. This particular class of implants has inherent design flaws that lead to early failure...
  13. ncbi request reprint Hip instability in 2-stage reimplantation without an articulating spacer
    Thomas K Fehring
    OrthoCarolina Hip and Knee Center, Charlotte, North Carolina 28207, USA
    J Arthroplasty 22:156-61. 2007
    ..The 25% (14/56) dislocation rate reported here is unacceptable. Interim articulating spacers, postoperative bracing, large head technology, and constrained liners are treatment methods that should be considered in this group of patients...
  14. pmc Why revision total hip arthroplasty fails
    Bryan D Springer
    OrthoCarolina, PA, Charlotte, NC 28207, USA
    Clin Orthop Relat Res 467:166-73. 2009
    ..Aseptic loosening and instability accounted for 65% of these failures. Level of Evidence: Level IV, therapeutic (retrospective) study. See the Guidelines for Authors for a complete description of levels of evidence...
  15. doi request reprint Irrigation and debridement for periprosthetic infections: does the organism matter?
    Susan M Odum
    OrthoCarolina Research Institute, Inc, Charlotte, North Carolina 28207, USA
    J Arthroplasty 26:114-8. 2011
    ..Irrigation and debridement should play a limited role in the PJI treatment algorithm regardless of organism type...
  16. pmc Reduced articular surface of one-piece cups: a cause of runaway wear and early failure
    William L Griffin
    The OrthoCarolina Hip and Knee Center, The OrthoCarolina Research Institute, Charlotte, NC
    Clin Orthop Relat Res 468:2328-32. 2010
    ..A recent study suggests a reduced functional articular arc is associated with increased ion release and the arc is a function of component design, size, and the abduction angle...
  17. ncbi request reprint Surgical treatment of flexion contractures after total knee arthroplasty
    Thomas K Fehring
    OrthoCarolina Hip and Knee Center, Charlotte, North Carolina, USA
    J Arthroplasty 22:62-6. 2007
    ..66). Revision surgery for symptomatic flexion contractures can improve range of motion and diminish pain. The best form of treatment is avoidance through careful flexion and extension gap balancing during primary surgery...
  18. ncbi request reprint Success rate of modular component exchange for the treatment of an unstable total hip arthroplasty
    Mark D Earll
    Charlotte Orthopedic Research Institute and Charlotte Orthopedic Specialists Hip and Knee Center, Charlotte, North Carolina, USA
    J Arthroplasty 17:864-9. 2002
    ..Modular component exchange is an unpredictable procedure in definitively solving hip stability problems. The limitations of this procedure in treating this complex multifactorial problem must be understood by patient and surgeon alike...
  19. doi request reprint Mortality following revision joint arthroplasty: is age a factor?
    Thomas K Fehring
    OrthoCarolina Hip and Knee Center, Charlotte, North Carolina 28207, USA thomas fehring orthocarolina com
    Orthopedics 33:715. 2010
    ..As limited resources exert pressure on an already overburdened healthcare system, rationing of care for certain procedures may ensue using age as a specific criteria. This study should add clarity to this issue...
  20. doi request reprint Incomplete seating of press-fit porous-coated acetabular components: the fate of zone 2 lucencies
    Bryan D Springer
    OrthoCarolina Hip and Knee Center, Charlotte, NC 28207, USA
    J Arthroplasty 23:121-6. 2008
    ..Zone 2 lucencies when present initially are not associated with increased failure risks. Vigorous attempts to completely seat the acetabular component appear to be unwarranted...
  21. ncbi request reprint Bipolar reconstruction for recurrent instability of the hip
    Matthew C Nadaud
    Charlotte Orthopedic Specialists Hip and Knee Center and Charlotte Orthopedic Research Institute, Charlotte, NC, USA
    Orthopedics 27:746-51. 2004
    ..All patients who underwent revision to a bipolar prosthesis had no further instability. Acetabular revision to a bipolar prosthesis provides stability in recurrent prosthetic hip instability...
  22. doi request reprint Abductor dysfunction and related sciatic nerve palsy, a new complication of metal-on-metal arthroplasty
    Walter B Beaver
    Ortho Carolina Hip and Knee Center, Charlotte, NC 28207, USA
    J Arthroplasty 27:1414.e13-5. 2012
    ..This fact has made this bearing an attractive option for surgeons and patients alike. This case report will illustrate a severe adverse reaction to metal debris with necrosis of soft tissues and subsequent damage to the sciatic nerve...
  23. ncbi request reprint Importance of a balanced-gap technique in rotating-platform knees
    John Chiavetta
    Raleigh Orthopaedic Clinic, NC, USA
    Orthopedics 29:S45-8. 2006
    ..This implantation technique provides the potential wear benefits of the rotating platform design with a nominal bearing spin-out rate...
  24. ncbi request reprint Sterilization and wear-related failure in first- and second-generation press-fit condylar total knee arthroplasty
    William L Griffin
    Orthocarolina Hip and Knee Center and Orthocarolina Research Institute, Charlotte, NC, USA
    Clin Orthop Relat Res 464:16-20. 2007
    ..These data emphasize the dramatic effect improvements in polyethylene manufacturing, specifically sterilization methods, can have on implant survivorship...
  25. ncbi request reprint The use of extensively coated stems in femoral revision surgery
    Thomas K Fehring
    Charlotte Orthopaedic Specialists, Charlotte, NC 28207, USA
    Orthopedics 26:935-6. 2003
  26. ncbi request reprint Revision total knee arthroplasty: planning, management, and controversies
    Thomas K Fehring
    Ortho Carolina Hip and Knee Center, Ortho Carolina, Charlotte, North Carolina, USA
    Instr Course Lect 57:341-63. 2008
    ..Commonly encountered mechanisms of failure are identified and a stepwise approach to the surgical management of these conditions is presented...
  27. ncbi request reprint Outcome comparison of partial and full component revision TKA
    Thomas K Fehring
    OrthoCarolina Hip and Knee Center, Charlotte, NC 28207, USA
    Clin Orthop Relat Res 440:131-4. 2005
    ..Care should be taken when considering partial revision for instability or wear-related problems...
  28. ncbi request reprint Removing well-fixed total knee arthroplasty implants
    J Bohannon Mason
    OrthoCarolina Hip and Knee Center, Charlotte, NC 28207, USA
    Clin Orthop Relat Res 446:76-82. 2006
    ..We review our empiric bias regarding the individual applicability of these techniques. Level of Evidence: Therapeutic studies, Level V (expert opinion). See Guidelines for Authors for a complete description of Levels of Evidence...
  29. ncbi request reprint Ligamentous balancing in rotating-platform knees
    Thomas K Fehring
    OrthoCarolina Hip and Knee Center Charlotte, NC, USA
    Orthopedics 29:S56-9. 2006
    ..Strategies to ensure proper alignment and ligamentous balancing intraoperatively are discussed...
  30. ncbi request reprint Underestimation of osteolysis in posterior stabilized total knee arthroplasty
    Matthew C Nadaud
    Charlotte Orthopedic Research Institute, NC, USA
    J Arthroplasty 19:110-5. 2004
    ..The oblique radiographs described can help with the early recognition of retrofemoral osteolysis about a posterior-stabilized implant...
  31. ncbi request reprint The value of white blood cell counts before revision total knee arthroplasty
    J Bohannon Mason
    Charlotte Orthopedic Specialists, Charlotte Hip and Knee Center, Charlotte, North Carolina, USA
    J Arthroplasty 18:1038-43. 2003
    ..Aspirates with a WBC count of 2500 per milliliter and 60% PMNCs are highly suggestive of infection...
  32. ncbi request reprint The obesity epidemic: its effect on total joint arthroplasty
    Thomas K Fehring
    OrthoCarolina, P A, Hip and Knee Center, Charlotte, North Carolina 28207, USA
    J Arthroplasty 22:71-6. 2007
    ..Patients and health policy forecasters must understand the interrelationship between obesity and the need for arthroplasty...
  33. doi request reprint National obesity trends in total knee arthroplasty
    Susan M Odum
    OrthoCarolina Research Institute, Charlotte, North Carolina
    J Arthroplasty 28:148-51. 2013
    ..With greater complication risks, the increasing TKA utilization in obese patients is concerning and warrants increased attention. ..
  34. ncbi request reprint Two-stage reimplantation for periprosthetic knee infection involving resistant organisms
    Yogesh Mittal
    OrthoCarolina Hip and Knee Center, Charlotte, North Carolina 28270, USA
    J Bone Joint Surg Am 89:1227-31. 2007
    ....
  35. ncbi request reprint Patella inversion method for exposure in revision total knee arthroplasty
    Thomas K Fehring
    Charlotte Orthopedic Research Institute and Charlotte Orthopedic Specialists Hip and Knee Center, Charlotte, North Carolina, USA
    J Arthroplasty 17:101-4. 2002
    ..Extensile techniques violate the extensor mechanism. For most patients, these methods were unnecessary. The patella inversion method afforded adequate exposure in most patients without violating the extensor mechanism...
  36. doi request reprint Physical therapy mandates by Medicare administrative contractors: effective or wasteful?
    Thomas K Fehring
    OrthoCarolina Hip and Knee Center, Charlotte, North Carolina
    J Arthroplasty 28:1459-62. 2013
    ..Physical therapy mandates by administrative contractors are not only ineffective but are costly without patient benefit. Medical necessity documentation should be driven by orthopedists not retroactively by Medicare contractors. ..
  37. doi request reprint Joint replacement access in 2016: a supply side crisis
    Thomas K Fehring
    OrthoCarolina Hip and Knee Center, Charlotte, North Carolina 28207, USA
    J Arthroplasty 25:1175-81. 2010
    ..4%) using baseline retirement assumptions (age, 59 years). This economic model predicts a supply side crisis that threatens patient access to specialty care. Immediate steps to stimulate supply must be taken...
  38. ncbi request reprint Meta-analysis of alignment outcomes in computer-assisted total knee arthroplasty surgery
    J Bohannon Mason
    OrthoCarolina, Charlotte, North Carolina 28207, USA
    J Arthroplasty 22:1097-106. 2007
    ..Meta-analysis of alignment outcomes for CAS vs conventional TKA indicates significant improvement in component orientation and mechanical axis when CAS is used...
  39. ncbi request reprint Early failure in total hip arthroplasty
    Matthew Dobzyniak
    Tuckahoe Orthopaedic Associates, Ltd, Richmond, VA, USA
    Clin Orthop Relat Res 447:76-8. 2006
    ..Although improved fixation methods decreased early revisions for loosening, early revisions for instability increased substantially during the same time. Steps to avoid short-term failure must be taken...
  40. ncbi request reprint Functional advantage of articulating versus static spacers in 2-stage revision for total knee arthroplasty infection
    Mark G Freeman
    Orthopaedic Institute of Chattanooga, Chattanooga, Tennessee, USA
    J Arthroplasty 22:1116-21. 2007
    ..05). Interim use of an articulating spacer maintains excellent infection eradication rates and may improve function over the use of static spacers...