Boomers Are Going Bionic, and They Want Joint Replacements to Let Them Do It All
For a generation that pounded its joints doing aerobics, running marathons, and carving up the ski slopes, it’s time to roll out the spare parts.
Take Elliott Francis, 64, who had his second hip replacement surgery in February. Growing up, he was “a jumper and a rebounder,” he said, scooping basketballs off the rim during Roxbury pickup games and later playing in high school and college.
“We thought we’d be young forever,” said Francis, who co-anchors a radio news program in Washington, D.C. “The big wake-up call is when our bodies wear down.”
Antibiotic Prophylaxis Prior to Dental Procedures in Patients With Orthopedic Implants
Over 1 million primary hip and knee arthroplasties are performed in the United States each year. The reported risk of periprosthetic and deep implant infections ranges from 0.3% to 8.3%. Although dental procedures may result in transient bacteremia, there is no controlled evidence to suggest an association between bacteremia following dental procedures and prosthetic joint infection. Lingering historical concerns have led to inconsistent practices in antibiotic prophylaxis in this population. In 2015, the American Dental Association (ADA) published guidelines that advised against the use of antibiotic prophylaxis prior to dental procedures in patients with orthopedic implants due to the lack of evidence associating dental procedures with prosthetic joint infections (PJIs) and the absence of data supporting a benefit of antibiotic prophylaxis.