Douglas E Padgett

Summary

Affiliation: Hospital for Special Surgery
Country: USA

Publications

  1. ncbi request reprint The unstable total hip replacement
    Douglas E Padgett
    The Hospital for Special Surgery, Weill Cornell Medical Center, 535 East 70th Street, New York, NY, USA
    Clin Orthop Relat Res . 2004
  2. pmc Effectiveness of an acetabular positioning device in primary total hip arthroplasty
    Douglas E Padgett
    Hip and Knee Service, Hospital for Special Surgery, 535 East 70 Street, New York, NY 10021, USA
    HSS J 1:64-7. 2005
  3. doi request reprint Retrieval analysis of nonmodular constrained tibial inserts after primary total knee replacement
    Douglas E Padgett
    Division of Adult Reconstruction and Joint Replacement, Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA
    Orthop Clin North Am 43:e39-43. 2012
  4. ncbi request reprint Influence of total hip design on dislocation: a computer model and clinical analysis
    Douglas E Padgett
    Hospital for Special Surgery, Weill Cornell Medical College, New York, NY, USA
    Clin Orthop Relat Res 447:48-52. 2006
  5. doi request reprint Cancellous impaction grafting in femoral revision THA
    Douglas E Padgett
    Hospital for Special Surgery, Adult Reconstruction and Joint Replacement Service, 535 E 70 St, New York, NY 10021, USA
    Orthopedics 34:e482-4. 2011
  6. pmc What causes unexplained pain in patients with metal-on metal hip devices? A retrieval, histologic, and imaging analysis
    Danyal H Nawabi
    Adult Reconstruction and Joint Replacement Service, Department of Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA
    Clin Orthop Relat Res 472:543-54. 2014
  7. pmc Otto Aufranc Award: Large Heads Do Not Increase Damage at the Head-neck Taper of Metal-on-polyethylene Total Hip Arthroplasties
    Georgios K Triantafyllopoulos
    Department of Biomechanics, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA
    Clin Orthop Relat Res 474:330-8. 2016
  8. pmc Wear damage in mobile-bearing TKA is as severe as that in fixed-bearing TKA
    Natalie H Kelly
    Department of Biomechanics, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA
    Clin Orthop Relat Res 469:123-30. 2011
  9. pmc Is changing hospitals for revision total joint arthroplasty associated with more complications?
    Christopher J Dy
    Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA
    Clin Orthop Relat Res 472:2006-15. 2014
  10. pmc Taper design affects failure of large-head metal-on-metal total hip replacements
    Nader A Nassif
    Department of Orthopedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA
    Clin Orthop Relat Res 472:564-71. 2014

Collaborators

Detail Information

Publications46

  1. ncbi request reprint The unstable total hip replacement
    Douglas E Padgett
    The Hospital for Special Surgery, Weill Cornell Medical Center, 535 East 70th Street, New York, NY, USA
    Clin Orthop Relat Res . 2004
    ..The use of larger articulating bearing surfaces used with the newer cross-linked polyethylene may provide the solution to instability minimizing the concerns related to constrained components...
  2. pmc Effectiveness of an acetabular positioning device in primary total hip arthroplasty
    Douglas E Padgett
    Hip and Knee Service, Hospital for Special Surgery, 535 East 70 Street, New York, NY 10021, USA
    HSS J 1:64-7. 2005
    ..Identification of bone landmarks and determination of superolateral implant coverage noted on preoperative templating is advocated to improve the precision of component position...
  3. doi request reprint Retrieval analysis of nonmodular constrained tibial inserts after primary total knee replacement
    Douglas E Padgett
    Division of Adult Reconstruction and Joint Replacement, Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA
    Orthop Clin North Am 43:e39-43. 2012
    ..Reliance on the polyethylene post for implant stability was associated with post and articular surface damage and may be a potential source of failure. Attempts to achieve implant stability using soft tissue techniques seem justified...
  4. ncbi request reprint Influence of total hip design on dislocation: a computer model and clinical analysis
    Douglas E Padgett
    Hospital for Special Surgery, Weill Cornell Medical College, New York, NY, USA
    Clin Orthop Relat Res 447:48-52. 2006
    ..8% for 22 mm bearings. These findings support the notion that computer aided design modeling of implant systems is useful in evaluating range of motion and this technique could be employed during the design of any new implant system...
  5. doi request reprint Cancellous impaction grafting in femoral revision THA
    Douglas E Padgett
    Hospital for Special Surgery, Adult Reconstruction and Joint Replacement Service, 535 E 70 St, New York, NY 10021, USA
    Orthopedics 34:e482-4. 2011
    ..We believe that impaction grafting remains a viable option for the management of the severely deficient femur in whom cementless fixation methods are questionable...
  6. pmc What causes unexplained pain in patients with metal-on metal hip devices? A retrieval, histologic, and imaging analysis
    Danyal H Nawabi
    Adult Reconstruction and Joint Replacement Service, Department of Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA
    Clin Orthop Relat Res 472:543-54. 2014
    ..Adverse tissue reactions associated with metal-on-metal (MOM) hips are common in resurfacing and total hip arthroplasty (THA) designs. The etiology of these reactions in painful, well-positioned arthroplasties is inconsistently described...
  7. pmc Otto Aufranc Award: Large Heads Do Not Increase Damage at the Head-neck Taper of Metal-on-polyethylene Total Hip Arthroplasties
    Georgios K Triantafyllopoulos
    Department of Biomechanics, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA
    Clin Orthop Relat Res 474:330-8. 2016
    ..Femoral head size contributes to the severity of fretting and corrosion in large-diameter MoM THAs, but its impact on such damage in MoP THAs remains unknown...
  8. pmc Wear damage in mobile-bearing TKA is as severe as that in fixed-bearing TKA
    Natalie H Kelly
    Department of Biomechanics, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA
    Clin Orthop Relat Res 469:123-30. 2011
    ..Mobile-bearing TKAs reportedly have no clinical superiority over fixed-bearing TKAs, but a potential benefit is improved polyethylene wear behavior...
  9. pmc Is changing hospitals for revision total joint arthroplasty associated with more complications?
    Christopher J Dy
    Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA
    Clin Orthop Relat Res 472:2006-15. 2014
    ..Many patients change hospitals for revision total joint arthroplasty (TJA). The implications of changing hospitals must be better understood to inform appropriate utilization strategies...
  10. pmc Taper design affects failure of large-head metal-on-metal total hip replacements
    Nader A Nassif
    Department of Orthopedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA
    Clin Orthop Relat Res 472:564-71. 2014
    ..Large-head metal-on-metal (MoM) hip arthroplasties have demonstrated poor survival. Damage at the taper-trunnion junction is a contributing factor; however, the influence of junction design is not well understood...
  11. doi request reprint Laser scanning as a useful tool in implant retrieval analysis: a demonstration using rotating platform and fixed bearing tibial inserts
    Kirsten E Stoner
    Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York
    J Arthroplasty 28:152-6. 2013
    ..Seven different deviation patterns were present between the RP and FB inserts and were a function of design. In conclusion laser scanning was found to be a useful objective tool for analyzing arthroplasty retrievals. ..
  12. doi request reprint Retrieval analysis of failed constrained acetabular liners
    Steven N Shah
    Hip and Knee Service, Hospital for Special Surgery, New York, New York, USA
    J Arthroplasty 24:54-7. 2009
    ..No association was found between liner damage and clinical and radiographic variables...
  13. pmc Risk factors for early revision after total hip arthroplasty
    Christopher J Dy
    Hospital for Special Surgery, New York, New York
    Arthritis Care Res (Hoboken) 66:907-15. 2014
    ..A better understanding of the risk factors for early revision is needed to inform strategies to optimize patient outcomes...
  14. doi request reprint Ceramic liner fractures presenting as squeaking after primary total hip arthroplasty
    Matthew P Abdel
    Adult Reconstruction and Joint Replacement Division M P A, T J H, D J M, E P S, P M P, and D E P and Department of Biomechanics M E E and T M W, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021 E mail address for D E Pa
    J Bone Joint Surg Am 96:27-31. 2014
    ..The purpose of this investigation was to report on four patients who presented with hip pain and squeaking due to fractured ceramic liners after ceramic-on-ceramic total hip arthroplasty...
  15. ncbi request reprint Impingement contributes to backside wear and screw-metallic shell fretting in modular acetabular cups
    Mordechai Kligman
    Laboratory for Biomedical Mechanics and Materials, Hospital for Special Surgery, New York, New York, USA
    J Arthroplasty 22:258-64. 2007
    ..Our results suggest that impingement in a modular acetabular component correlated with increased backside wear and screw-metallic shell corrosion and fretting...
  16. pmc Ceramic-on-ceramic total hip arthroplasty: incidence of instability and noise
    David Schroder
    Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY10021, USA
    Clin Orthop Relat Res 469:437-42. 2011
    ..Alumina-on-alumina bearings exhibit extremely low wear rates in vitro, but concerns exist regarding component impingement with the potential for dislocation and the occurrence of noise...
  17. pmc Rotating-platform has no surface damage advantage over fixed-bearing TKA
    Kirsten Stoner
    Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA
    Clin Orthop Relat Res 471:76-85. 2013
    ..Our design-matched retrieval study aimed to investigate if differences in bearing wear damage exist between fixed- and mobile-bearing TKAs with similar condylar geometry...
  18. pmc Incidence of ceramic liner malseating in Trident acetabular shell
    Anna N Miller
    Department of Orthopedic Surgery, Hospital for Special Surgery, 535 E 70th Street, New York, NY 10021, USA
    Clin Orthop Relat Res 467:1552-6. 2009
    ....
  19. ncbi request reprint Remelting of highly cross-linked polyethylene worn under laboratory conditions
    Adam M Lazzarini
    Biomechanics Laboratory, Hospital for Special Surgery, New York, NY 10021, USA
    Clin Orthop Relat Res 465:128-32. 2007
    ..Our experiments represent a severe wear case but demonstrate removal of material from the surface through measurable wear prevents the return of identifiable machining marks despite remelting...
  20. ncbi request reprint Integrity of repaired posterior structures after THA
    Edwin P Su
    Hospital for Special Surgery, New York, NY 10021, USA
    Clin Orthop Relat Res 447:43-7. 2006
    ..15). Ultrasonography can be used to effectively assess the integrity of the posterior repair after total hip arthroplasty. The posterior structures were intact in the majority of patients 3 months after total hip arthroplasty...
  21. pmc Validation of the KOOS, JR: A Short-form Knee Arthroplasty Outcomes Survey
    Stephen Lyman
    Healthcare Research Institute, Hospital for Special Surgery, 530 East 70th Street, New York, NY, 10021, USA
    Clin Orthop Relat Res 474:1461-71. 2016
    ..The Knee injury and Osteoarthritis Outcome (KOOS) physical function short-form (KOOS-PS), while shorter, ignores pain, which is a primary concern of patients with advanced knee OA...
  22. pmc MRI predicts ALVAL and tissue damage in metal-on-metal hip arthroplasty
    Danyal H Nawabi
    Adult Reconstruction and Joint Replacement Division Surgery, Hospital for Special Surgery, New York, NY, USA
    Clin Orthop Relat Res 472:471-81. 2014
    ..Although MRI can identify ALTR in MOM hips, it is unclear whether the MRI findings predict those at revision surgery...
  23. doi request reprint MRI, Retrieval Analysis, and Histologic Evaluation of Adverse Local Tissue Reaction in Metal-on-Polyethylene Total Hip Arthroplasty
    Scott R Nodzo
    Department of Orthopaedics, Hospital for Special Surgery, New York, New York
    J Arthroplasty . 2016
    ..The severity and location of adverse local tissue reaction (ALTR) seen in metal-on-polyethylene total hip arthroplasty (THA) is not well described...
  24. pmc Does Degenerative Lumbar Spine Disease Influence Femoroacetabular Flexion in Patients Undergoing Total Hip Arthroplasty?
    Christina I Esposito
    Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA
    Clin Orthop Relat Res 474:1788-97. 2016
    ..Therefore, we measured standing and sitting lumbar-pelvic-femoral alignment in patients with radiographic signs of DDD and in patients with no radiographic signs of spine arthrosis...
  25. doi request reprint Duloxetine and Subacute Pain after Knee Arthroplasty when Added to a Multimodal Analgesic Regimen: A Randomized, Placebo-controlled, Triple-blinded Trial
    Jacques T YaDeau
    From the Departments of Anesthesiology J T Y, Y L, E A G, R L K, K M J E, A K G, Y G, Orthopaedic Surgery D J M, M M A, and Orthopaedics D E P, G W, Hospital for Special Surgery, Weill Cornell Medical College, New York, New York Pain Medicine, University of Michigan Health System, Ann Arbor, Michigan C M B and Healthcare Research Institute, Hospital for Special Surgery, New York, New York K G F
    Anesthesiology 125:561-72. 2016
    ..The authors hypothesized that administration of duloxetine for 15 days would reduce pain with ambulation at 2 weeks after total knee arthroplasty...
  26. doi request reprint Increased complication rate following conversion total hip arthroplasty after cephalomedullary fixation for intertrochanteric hip fractures: a multi-center study
    Christine M Pui
    Adult Reconstruction and Joint Replacement Division, Hospital for Special Surgery, New York, New York
    J Arthroplasty 28:45-7. 2013
    ..9% compared with 11.7% (P=0.001) in converted SHS patients. Prior fixation with CMN may be associated with significantly higher complication rates during conversion. ..
  27. pmc Validation of the HOOS, JR: A Short-form Hip Replacement Survey
    Stephen Lyman
    Healthcare Research Institute, Hospital for Special Surgery, 530 East 70th Street, New York, NY, 10021, USA
    Clin Orthop Relat Res 474:1472-82. 2016
    ..However, assessing total hip arthroplasty (THA) through such instruments is challenging because most existing measures of hip health are lengthy and/or proprietary...
  28. doi request reprint MRI of Polyethylene Tibial Inserts in Total Knee Arthroplasty: Normal and Abnormal Appearances
    Angela E Li
    1 Department of Radiology and Imaging, Hospital for Special Surgery, 535 E 70th St, New York, NY 10021
    AJR Am J Roentgenol 206:1264-71. 2016
    ..Subjects who underwent MRI before revision total knee arthroplasty were identified. The polyethylene tibial insert's shape was categorized on MRI, and the presence of abnormalities was noted...
  29. doi request reprint Risk for Complication after Total Joint Arthroplasty at a Center of Excellence: The Impact of Patient Travel Distance
    Benedict U Nwachukwu
    Hospital for Special Surgery, New York, New York
    J Arthroplasty 30:1058-61. 2015
    ..Regional centers of excellence appear to be a viable model in healthcare reorganization however continued attention should be paid to attenuating the individual patient factors associated with complication at these institutions. ..
  30. pmc Hip dislocation increases roughness of oxidized zirconium femoral heads in total hip arthroplasty: an analysis of 59 retrievals
    Mohamed E Moussa
    Hospital for Special Surgery, New York, New York
    J Arthroplasty 30:713-7. 2015
    ..052μm for undamaged OxZr (P<0.001). This may be of clinical concern because increased surface roughness has the potential to increase the wear of polyethylene liners articulating against these OxZr heads in THA. ..
  31. pmc Patient-controlled epidural analgesia or multimodal pain regimen with periarticular injection after total hip arthroplasty: a randomized, double-blind, placebo-controlled study
    Kethy M Jules-Elysee
    Departments of Anesthesiology K M J E, A K G, Y L, R L K, D D B, E A G, S C R, J C, J T Y and Orthopedic Surgery G H W, D E P, D J M, A S R, C S R, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021 E mail address for K M Jules Elysee
    J Bone Joint Surg Am 97:789-98. 2015
    ..We hypothesized that PAI would lead to earlier readiness for discharge, decreased opioid consumption, and lower pain scores...
  32. pmc Cup position alone does not predict risk of dislocation after hip arthroplasty
    Christina I Esposito
    Hospital for Special Surgery, New York, New York
    J Arthroplasty 30:109-13. 2015
    ..Dislocators <50 years old were less active preoperatively than nondislocators (P=0.006). Acetabular component position alone is not protective against instability...
  33. pmc Pelvic tilt in patients undergoing total hip arthroplasty: when does it matter?
    Joseph D Maratt
    Hospital for Special Surgery, New York, NY
    J Arthroplasty 30:387-91. 2015
    ..Based on the study results, tilt-adjustment of the acetabular component position based on standing pre-operative imaging will likely improve functional component position in most patients undergoing THA. ..
  34. pmc Risk factors for revision within 10 years of total knee arthroplasty
    Christopher J Dy
    Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA
    Clin Orthop Relat Res 472:1198-207. 2014
    ..Previous studies indicate that hospital and community characteristics may influence outcomes after TKA, but a detailed investigation in a diverse population is warranted to identify opportunities for quality improvement...
  35. ncbi request reprint Impingement of acetabular cups in a hip simulator: comparison of highly cross-linked and conventional polyethylene
    Keith G Holley
    Hospital for Special Surgery, Laboratory for Biomedical Mechanics and Materials, New York, USA
    J Arthroplasty 20:77-86. 2005
    ..Wear rates and damage of highly cross-linked polyethylene cups were significantly higher in an impingement wear test than in previous simulator studies...
  36. doi request reprint Malnutrition Increases With Obesity and Is a Stronger Independent Risk Factor for Postoperative Complications: A Propensity-Adjusted Analysis of Total Hip Arthroplasty Patients
    Michael C Fu
    Hospital for Special Surgery, Adult Reconstruction and Joint Replacement Service, New York, New York
    J Arthroplasty 31:2415-2421. 2016
    ..The purpose of this study was to investigate the independent morbidity risk of malnutrition relative to obesity...
  37. pmc The Frank Stinchfield Award : Total Hip Arthroplasty for Femoral Neck Fracture Is Not a Typical DRG 470: A Propensity-matched Cohort Study
    William W Schairer
    Department of Orthopaedic Surgery, Hospital for Special Surgery, 535 E 70th Street, New York, NY, 10021, USA
    Clin Orthop Relat Res 475:353-360. 2017
    ....
  38. doi request reprint The Effect of Perioperative Corticosteroids in Total Hip Arthroplasty: A Prospective Double-Blind Placebo Controlled Pilot Study
    Peter K Sculco
    Department of Orthopedic Surgery, Hospital for Special Surgery, New York, New York
    J Arthroplasty 31:1208-12. 2016
    ..This study evaluates the effects of a perioperative corticosteroid regimen on IL-6 formation, thrombogenesis, fibrinolysis, and clinical outcomes in patients undergoing unilateral, uncemented, total hip arthroplasty...
  39. pmc Current status of cost utility analyses in total joint arthroplasty: a systematic review
    Benedict U Nwachukwu
    Department of Academic Training, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA
    Clin Orthop Relat Res 473:1815-27. 2015
    ..Relatively little is known about the overall cost utility analysis evidence base in TJA...
  40. doi request reprint Zirconia phase transformation, metal transfer, and surface roughness in retrieved ceramic composite femoral heads in total hip arthroplasty
    Marcella Elpers
    Department of Biomechanics, Hospital for Special Surgery, New York, New York
    J Arthroplasty 29:2219-23. 2014
    ..No correlation between extent of zirconia phase transformation and the surface roughness was found. These short-term results suggest that the use of an alumina-zirconia composite ceramic is a viable option for femoral heads in THA...
  41. doi request reprint The Cemented Unipolar Prosthesis for the Management of Displaced Femoral Neck Fractures in the Dependent Osteopenic Elderly
    Matthew G Grosso
    Center for Hip and Knee Replacement, Department of Orthopaedic Surgery, New York Presbyterian Hospital Columbia University Medical Center, New York, New York
    J Arthroplasty 31:1040-6. 2016
    ..The surgeon's goals should be to restore mobility while eliminating pain and need for reoperation...
  42. doi request reprint Flexural Rigidity, Taper Angle, and Contact Length Affect Fretting of the Femoral Stem Trunnion in Total Hip Arthroplasty
    Ying Ying J Kao
    Adult Reconstruction and Joint Replacement Division, Department of Orthopaedic Surgery Hospital for Special Surgery, New York, NY 10021
    J Arthroplasty 31:254-8. 2016
    ..We determined how flexural rigidity, taper angle, contact length, and lever arm affect fretting and corrosion at this junction...
  43. ncbi request reprint Haptically guided robotic technology in total hip arthroplasty: a cadaveric investigation
    Danyal H Nawabi
    Adult Reconstruction and Joint Replacement Division, Hospital for Special Surgery, New York 10021, USA
    Proc Inst Mech Eng H 227:302-9. 2013
    ..01). Robotic-assistance is more accurate than manual implantation in achieving optimal cup orientation. It has the ability to eliminate human error from THA and should be considered in light of THA failures due to component malposition...
  44. ncbi request reprint The efficacy of 500 CentiGray radiation in the prevention of heterotopic ossification after total hip arthroplasty: a prospective, randomized, pilot study
    Douglas E Padgett
    Hip and Knee Service, The Hospital for Special Surgery, New York, New York, USA
    J Arthroplasty 18:677-86. 2003
    ..As a result of this pilot study, 500 cGy radiation treatment appears to be effective in the prevention of clinically significant heterotopic ossification after total hip arthroplasty...
  45. ncbi request reprint The use of a constrained acetabular component for recurrent dislocation
    Gary S Shapiro
    Illinois Bone and Joint Institute, 2401 Ravine Way, Glenview, IL 60025, USA
    J Arthroplasty 18:250-8. 2003
    ..4% represents a significant improvement over other methods reported. Repeat dislocation was only seen in dissociation of cemented liners into well-fixed shells. We do not recommend this mode of fixation...
  46. ncbi request reprint Arthroscopic versus open osteoplasty of the head-neck junction: a cadaveric investigation
    Patrick S Sussmann
    Schulthess Klinik, Zurich, Switzerland
    Arthroscopy 23:1257-64. 2007
    ..Femoroacetabular impingement can be successfully treated by open osteoplasty, although arthroscopic osteoplasty is growing in popularity. We compared the precision and accuracy of arthroscopic versus open osteoplasty...