Nathanael D. Heckmann
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View article: Response to the Letter to the Editor Commenting on “Low-Level Evidence Used to Substantiate Insurance Coverage Policies for Knee and Hip Arthroplasty”
Response to the Letter to the Editor Commenting on “Low-Level Evidence Used to Substantiate Insurance Coverage Policies for Knee and Hip Arthroplasty” Open
View article: Spin and reporting bias in the use of platelet-rich plasma for the treatment of knee osteoarthritis
Spin and reporting bias in the use of platelet-rich plasma for the treatment of knee osteoarthritis Open
View article: Total Hip Arthroplasty Among Superobese Patients: Proceed With Caution
Total Hip Arthroplasty Among Superobese Patients: Proceed With Caution Open
Superobese patients face markedly increased risk for infection and surgical, medical, and thromboembolic complications following primary THA. Our findings emphasize the importance of preoperative risk stratification, optimization, and pati…
View article: Research productivity among orthopaedic surgery residents: A survey study of matched fellows
Research productivity among orthopaedic surgery residents: A survey study of matched fellows Open
View article: The Impact of Contemporary Glucagon-like Peptide-1 Receptor Agonists on the Onset, Severity, and Conversion to Arthroplasty in Hip and Knee Osteoarthritis
The Impact of Contemporary Glucagon-like Peptide-1 Receptor Agonists on the Onset, Severity, and Conversion to Arthroplasty in Hip and Knee Osteoarthritis Open
Background: The growing popularity of glucagon-like peptide-1 receptor agonists (GLP-1-RAs) for weight loss could significantly impact joint preservation and arthroplasty. While this will in part be driven by the association between obesit…
View article: Endocrinologic Abnormalities Observed Among Total Joint Arthroplasty Patients Using “Artri King” and Related Over-the-Counter Supplements: A Cautionary Tale from a Safety Net Hospital
Endocrinologic Abnormalities Observed Among Total Joint Arthroplasty Patients Using “Artri King” and Related Over-the-Counter Supplements: A Cautionary Tale from a Safety Net Hospital Open
Background/Objectives: Artri King is an over-the-counter supplement previously marketed to treat joint pain and arthritis. In 2022, the Food and Drug Administration (FDA) issued a product warning after it discovered Artri King contained hi…
View article: Are Activity Restrictions Necessary After Total Hip Arthroplasty: A Systematic Review
Are Activity Restrictions Necessary After Total Hip Arthroplasty: A Systematic Review Open
The current arthroplasty literature demonstrates that patients engaging in high-activity levels after THA exhibit similar or improved implant survivorship rates compared to patients participating in low-activity levels. However, high-quali…
View article: Perioperative Tranexamic Acid Should Be Considered for Total Joint Arthroplasty Patients Receiving Apixaban for Thromboprophylaxis
Perioperative Tranexamic Acid Should Be Considered for Total Joint Arthroplasty Patients Receiving Apixaban for Thromboprophylaxis Open
View article: Spinal Anesthesia in Total Hip Arthroplasty is Associated With Improved Outcomes in the American Joint Replacement Registry Population
Spinal Anesthesia in Total Hip Arthroplasty is Associated With Improved Outcomes in the American Joint Replacement Registry Population Open
View article: The change in lumbar lordosis from the standing to the lateral position: implications for lateral interbody fusion
The change in lumbar lordosis from the standing to the lateral position: implications for lateral interbody fusion Open
Purpose The purpose of this cross-sectional, observational study was to establish the relationship between standing lumbar lordosis (LL) and lateral decubitus LL. Methods Forty-nine subjects, 24 male and 25 female, were prospectively enrol…
View article: International medical graduates (IMGs) matching into US orthopaedic surgery residency: a fifteen year analysis of trends in applications and geographical distribution
International medical graduates (IMGs) matching into US orthopaedic surgery residency: a fifteen year analysis of trends in applications and geographical distribution Open
View article: Cemented Constrained Liners Used as an Articulating Hip Spacer for the Treatment of Chronic Prosthetic Joint Infection
Cemented Constrained Liners Used as an Articulating Hip Spacer for the Treatment of Chronic Prosthetic Joint Infection Open
Utilization of a constrained liner as an articulating spacer is a viable option for patients at high risk of instability. Meticulous cement technique, appropriate component position, and implant selection are crucial in achieving successfu…
View article: Fracture of the Proximal Body of a Modern Cementless Modular Fluted Tapered Stem
Fracture of the Proximal Body of a Modern Cementless Modular Fluted Tapered Stem Open
Previous reports have described failures of modular fluted tapered femoral stems secondary to fatigue failure at the modular junction. However, the present study is the first reported case of modular fluted tapered femoral component failur…
View article: Glucagon-Like Peptide Receptor-1 Agonists Used for Medically-Supervised Weight Loss in Patients With Hip and Knee Osteoarthritis: Critical Considerations for the Arthroplasty Surgeon
Glucagon-Like Peptide Receptor-1 Agonists Used for Medically-Supervised Weight Loss in Patients With Hip and Knee Osteoarthritis: Critical Considerations for the Arthroplasty Surgeon Open
Patients with morbid obesity and concomitant hip or knee osteoarthritis represent a challenging patient demographic to treat as these patients often present earlier in life, have more severe symptoms, and have worse surgical outcomes follo…
View article: Trabecular Metal Augments During Complex Primary Total Hip Arthroplasty
Trabecular Metal Augments During Complex Primary Total Hip Arthroplasty Open
View article: Risk Factors for Peripheral Nerve Injury Following Revision Total Hip Arthroplasty in 112,310 Patients
Risk Factors for Peripheral Nerve Injury Following Revision Total Hip Arthroplasty in 112,310 Patients Open
Background: Peripheral nerve injury (PNI) following revision total hip arthroplasty (rTHA) can be a devastating complication. This study assessed the frequency of and risk factors for postoperative PNI following rTHA. Methods: Patients who…
View article: An Updated Estimate of Total Hip and Total Knee Arthroplasty Inpatient Case Volume During the 2020 COVID-19 Pandemic in the United States
An Updated Estimate of Total Hip and Total Knee Arthroplasty Inpatient Case Volume During the 2020 COVID-19 Pandemic in the United States Open
View article: Robotic-Assisted Total Knee Arthroplasty in Obese Patients
Robotic-Assisted Total Knee Arthroplasty in Obese Patients Open
View article: Characteristics of Very Young Patients Undergoing Total Hip Arthroplasty: A Contemporary Assessment
Characteristics of Very Young Patients Undergoing Total Hip Arthroplasty: A Contemporary Assessment Open
Younger patients undergoing THA differed significantly in indication, patient characteristics, and hospital factors compared to the older population on univariate analysis. Despite differences in indications, the cohorts did not differ mar…
View article: Postoperative Complications Associated with Non-Steroidal Anti-Inflammatory Combinations Used Status-Post Total Hip and Knee Arthroplasty
Postoperative Complications Associated with Non-Steroidal Anti-Inflammatory Combinations Used Status-Post Total Hip and Knee Arthroplasty Open
Non-steroidal anti-inflammatory drugs (NSAIDs) are commonly used in multimodal pain control following total joint arthroplasty (TJA). However, few studies have assessed the complications associated with the combinations of NSAIDs in this p…
View article: Medicare Advantage in Soft Tissue Sarcoma May Be Associated with Worse Patient Outcomes
Medicare Advantage in Soft Tissue Sarcoma May Be Associated with Worse Patient Outcomes Open
Medicare Advantage healthcare plans may present undue impediments that result in disparities in patient outcomes. This study aims to compare the outcomes of patients who underwent STS resection based on enrollment in either traditional Med…
View article: Table of Contents
Table of Contents Open
View article: Standard versus low-dose computed tomography for assessment of acetabular fracture reduction using novel step and gap measurement technique
Standard versus low-dose computed tomography for assessment of acetabular fracture reduction using novel step and gap measurement technique Open
Purpose Quality of reduction is of paramount importance after acetabular fracture and is best assessed on computed tomography (CT). A recently proposed measurement technique for assessment of step and gap displacement is reproducible but h…
View article: Cemented versus Cementless Femoral Fixation for Elective Primary Total Hip Arthroplasty: A Nationwide Analysis of Short-Term Complication and Readmission Rates
Cemented versus Cementless Femoral Fixation for Elective Primary Total Hip Arthroplasty: A Nationwide Analysis of Short-Term Complication and Readmission Rates Open
Cementless fixation during total hip arthroplasty (THA) is the predominant mode of fixation utilized for both acetabular and femoral components during elective primary THAs performed in the United States. This study aims to compare early c…
View article: Prevalence of primary malignant tumours, rates of pathological fracture, and mortality in the setting of metastatic bone disease
Prevalence of primary malignant tumours, rates of pathological fracture, and mortality in the setting of metastatic bone disease Open
Aims The modern prevalence of primary tumours causing metastatic bone disease is ill-defined in the oncological literature. Therefore, the purpose of this study is to identify the prevalence of primary tumours in the setting of metastatic …
View article: Dual Mobility Articulation in Revision Total Hip Arthroplasty: An American Joint Replacement Registry Analysis of Patients Aged 65 Years and Older
Dual Mobility Articulation in Revision Total Hip Arthroplasty: An American Joint Replacement Registry Analysis of Patients Aged 65 Years and Older Open
View article: Positive COVID-19 Diagnosis Following Primary Elective Total Joint Arthroplasty: Increased Complication and Mortality Rates
Positive COVID-19 Diagnosis Following Primary Elective Total Joint Arthroplasty: Increased Complication and Mortality Rates Open
View article: Clinical outcomes of cemented distal femur replacements with all-polyethylene tibial components for oncologic indications
Clinical outcomes of cemented distal femur replacements with all-polyethylene tibial components for oncologic indications Open
This study demonstrates modest short-term survivorship following cemented DFR with APT components for oncologic indications. Soft tissue failure and endoprosthetic infection were the most common postoperative complications in our cohort.
View article: A double-blinded, placebo-controlled, randomized study to evaluate the efficacy of perioperative dextromethorphan compared to placebo for the treatment of postoperative pain: a study protocol
A double-blinded, placebo-controlled, randomized study to evaluate the efficacy of perioperative dextromethorphan compared to placebo for the treatment of postoperative pain: a study protocol Open
Background Pain management is a critical component of comprehensive postsurgical care, as it influences patient safety and outcomes, and inadequate control has been associated with the development of chronic pain syndromes. Despite recent …
View article: Postoperative Complication and Reoperation Rates Following Resection of Soft Tissue vs. Bone Malignancies Based on Anatomic Location in the Inpatient Setting
Postoperative Complication and Reoperation Rates Following Resection of Soft Tissue vs. Bone Malignancies Based on Anatomic Location in the Inpatient Setting Open
Introduction. Surgical excisions of upper and lower extremity malignancies are increasing annually, due in part to the rising incidence of sarcomas. The purpose of this study is to compare readmissions, reoperation rate, and complications …