The hip joint is the largest weight-bearing
joint in the human body. It is also referred to
as a ball and socket joint and is surrounded
by muscles, ligaments, and tendons. The
thigh bone or femur and the pelvis join to
form the hip joint.
Hip replacement has become necessary
for your arthritic hip: this is one of the
most effective operations known and
should give you many years of
freedom from pain.
This means that part or all of your previous hip replacement needs to be revised. This operation varies from very minor adjustments to massive operations replacing significant amounts of bone and hence is difficult to describe in full.
The knee is a complex joint which consists of bone, cartilage, ligaments and tendons that make joint movements easy and at the same time more susceptible to various kinds of injuries.
A Total Knee Replacement (TKR) or
Total Knee Arthroplasty is a surgery
that replaces an arthritic knee joint with
artificial metal or plastic replacement
parts called the ‘prostheses’.
Revision Knee Replacement means that part or all of your previous knee replacement needs to be revised. This operation varies from very minor adjustments to massive operations replacing significant amounts of bone.
Unicondylar Knee Replacement simply means that only a part of the knee joint is replaced through a smaller incision than would normally be used for a total knee replacement.

Presentations

  • “Which Adverse Events are Associated with Revision Versus Primary Total Joint Arthroplasty?” DD Bohl, AM Samuel, AM Lukasiewicz, ML Webb, BA Basques, CJ Della Valle, BR Levine, JN Grauer. 2016 Annual Meeting of the American Academy of Orthopaedic Surgeons, Orlando, FL, March 1-5, 2016.
  • “Timing of Complications Following Total Joint Arthroplasty.” DD Bohl, AM Samuel, ML Webb, AM Lukasiewicz, BA Basques, BR Levine, JN Grauer. 2016 Annual Meeting of the American Academy of Orthopaedic Surgeons, Orlando, FL, March 1-5, 2016.
  • “The Modern Day Audition Rotation Application Process—Building a Curriculum.” BR Levine. CORD Meeting at the AAOS, Orlando, FL, March 1-5, 2016.
  • “Periprosthetic Acetabular Fractures.” BR Levine. Instructional Course Lecture at 2016 Annual Meeting of the American Academy of Orthopaedic Surgeons, Orlando, FL, March 1-5, 2016.
  • “Antibiotic Stewardship in Orthopaedic Surgery: Principles and Practice—Building an AS Program.” BR Levine. Instructional Course Lecture at 2016 Annual Meeting of the American Academy of Orthopaedic Surgeons, Orlando, FL, March 1-5, 2016.
  • “Blood Management and Conservation in Total Knee Arthroplasty.” Levine. Moderator for: Instructional Course Lecture at 2016 Annual Meeting of the American Academy of Orthopaedic Surgeons, Orlando, FL, March 1-5, 2016.
  • “How do Patients Determine Physician Satisfaction Rates: A prospective Survey Study.” Petersen KA, Sporer SM, Della Valle C, BR Levine. 34th Mid-America Orthopaedic Association Annual Meeting, Bonita Springs, FL, April 13-17th, 2016.
  • “Radiographic Predictors of Clinical Outcomes Following Total Knee Arthroplasty.” Alosh H, BR Levine. 34th Mid-America Orthopaedic Association Annual Meeting, Bonita Springs, FL, April 13-17th, 2016.
  • “Patient Perceptions of Sleep Quality Before and After Primary Total Joint Replacement.” Kearns S, Manning B, BR Levine. 34th Mid-America Orthopaedic Association Annual Meeting, Bonita Springs, FL, April 13-17th, 2016.
  • “Periprosthetic Fractures of the Distal Femur: Is ORIF or Distal Femoral Replacement Superior?” Karadsheh M, Sporer SM, Della Valle C, Berger RA, BR Levine. 34th Mid-America Orthopaedic Association Annual Meeting, Bonita Springs, FL, April 13-17th, 2016.
  • “Investigating the Role of Personality-Based Behavioural Assessments in Orthopedic Residency Match Process.” Bartels DW, Friedman A, BR Levine, JD Zuckerman. 34th Mid-America Orthopaedic Association Annual Meeting, Bonita Springs, FL, April 13-17th, 2016.
  • “Femoral Bone Defects in Revision Total Hip Arthroplasty.” BR Levine. Grand Rounds—Michigan State University/Grand Rapids Orthopaedic Surgery Residency, Grand Rapids, MI, February 24, 2016.
  • “The Effect of Simulation Training on Fluoroscopy Attempts Needed for Accurate K-Wire Placement: A RCT.” Frank RM, Al-Shihabi L, Erickson B, Wysocki RW, BR Levine. 2015 AOA Annual Meeting, Providence, RI, Jun 24-27, 2015.
  • “Does Prior Cartilage Restoration Negatively Impact Outcomes of Knee Arthroplasty?” Frank RM, Plummer DR, Chalmers PN, Sporer SM, BR Levine, Cole BJ, Della Valle CJ. 2015 AOA Annual Meeting, Providence, RI, Jun 24-27, 2015.
  • “Does Prior Cartilage Restoration Negatively Impact Outcomes of Knee Arthroplasty?” Frank RM, Plummer DR, Chalmers PN, Sporer SM, BR Levine, Cole BJ, Della Valle CJ. 33rd Mid-America Orthopaedic Association Annual Meeting, Hilton Head, SC, April 22-26, 2015.
  • “Do Corticosteroid Injections Increase the Risk of Early Postoperative Complications after THA?” Hellman MD, Haughom BD, Saltzman BM, Wiegmann AL, Ibrahim I, Gross CE, BR Levine. 33rd Mid-America Orthopaedic Association Annual Meeting, Hilton Head, SC, April 22-26, 2015.
  • “Rivaroxaban vs. Warfarin vs. Aspirin for Venous Thromboembolism Prophylaxis after Hip and Knee Arthroplasty.” Manning BT, Medairos RA, Sutariya SI, Kang V, Erickson BJ, Moric M, Sporer SM, Berger RA, Levine BR. 33rd Mid-America Orthopaedic Association Annual Meeting, Hilton Head, SC, April 22-26, 2015.
  • “Periprosthetic Acetabular Fractures.” BR Levine. Instructional Course Lecture at 2015 Annual Meeting of the American Academy of Orthopaedic Surgeons, Las Vegas, NV, March 24-28, 2015.
  • “Antibiotic Stewardship in Orthopaedic Surgery: Principles and Practice—Building an AS Program.” BR Levine. Instructional Course Lecture at 2015 Annual Meeting of the American Academy of Orthopaedic Surgeons, Las Vegas, NV, March 24-28, 2015.
  • “Blood Management and Conservation in Total Knee Arthroplasty.” BR Levine. Instructional Course Lecture at 2015 Annual Meeting of the American Academy of Orthopaedic Surgeons, Las Vegas, NV, March 24-28, 2015.
  • “Research and Recommendations on the Diagnosis of PJI have Failed to Reach a Cross-section of Arthroplasty Surgeons.” BR Levine, Deirmengian C. 2015 Annual Meeting of the American Academy of Orthopaedic Surgeons, Las Vegas, NV, March 25-28, 2015.
  • “Does Obesity Affect Short Term Complication Rates and Length of Stay Following Unicompartmental Knee Arthroplasty?” BR Levine, Haughom BD, Schairer WW, Nwachukwu BU, Hellman MD. 2015 Annual Meeting of the American Academy of Orthopaedic Surgeons, Las Vegas, NV, March 25-28, 2015.
  • “Does Neuraxial Anesthesia Decrease the Rate of Postoperative Complications and Blood Transfusions.” BR Levine, Haughom BD, Schairer WW, Nwachukwu BU, Hellman MD. 2015 Annual Meeting of the American Academy of Orthopaedic Surgeons, Las Vegas, NV, March 25-28, 2015.
  • “The Use of Trabecular Metal Cones in Complex Primary and Revision Total Knee Arthroplasty.” Brown N, Cooper HJ, Jung E, Sporer SM, Paprosky WG, BR Levine. 24th Annual Meeting of The American Association of Hip and Knee Surgeons, Dallas, TX, Nov 7-9, 2014.
  • “Diagnosing Infection in the Setting of Periprosthetic Fractures.” Shah R, Plummer D, Moric M, Sporer SM, Della Valle CJ, BR Levine. 24th Annual Meeting of The American Association of Hip and Knee Surgeons, Dallas, TX, Nov 7-9, 2014.
  • “Does Neuraxial Anesthesia Decrease the Rate of Postoperative Complications and Blood Transfusions? an Analysis of 29,452 Primary Total Hip.” BR Levine, Haughom BD, Schairer WW, Hellman MD. 24th Annual Meeting of The American Association of Hip and Knee Surgeons, Dallas, TX, Nov 7-9, 2014.
  • “Does Prior Cartilage Restoration Negatively Impact Outcomes of Knee Arthroplasty?” Frank RM, Plummer D. Chalmers PC, Sporer S, Levine BR, Cole BJ, Della Valle CJ. Members Meeting of the Knee Society. Oct 16-18, 2014. Charlotte, North Carolina.
  • “Bearing Surfaces in Total Joint Arthroplasty: The good, the bad, the ugly.” BR Levine. 2014 STLE Tribology Frontiers, October 26-28, 2014, Chicago, IL.
  • “JAAOS Plus Blood Management Strategies for Total Knee Arthroplasty: Intra-operative and Post-operative Strategies.” Callaghan J, Leiberman J, Levine BR. JAAOS Webinar, July 23, 2014.
  • “Diagnosis of Periprosthetic Joint Infection in Revision Hip Arthroplasty with a Metal-on-Metal Bearing or Corrosion.” Yi PH, Cross MB, Moric MM, Levine BR, Sporer SM, Paprosky WG, Jacobs JJ, Della Valle CJ. 32nd Annual Mid-America Orthopaedic Association Meeting, San Antonio, TX, April 23-27, 2014.
  • “The Effect of Payer Type on Clinical Outcomes in Total Knee Arthroplasty.” Rosenthal BD, Hulst JB, Moric MM, Levine BR, Sporer SM. 32nd Annual Mid-America Orthopaedic Association Meeting, San Antonio, TX, April 23-27, 2014.
  • “Perceived Leg Length Discrepancy Following Primary Total Knee Arthroplasty.” Levine BR, Goldstein Z, Yi PH, Tetreault MW, Della Valle CJ, Sporer SM. 32nd Annual Mid-America Orthopaedic Association Meeting, San Antonio, TX, April 23-27, 2014.
  • “An Analysis of References Used for the Orthopedic In-Training Examination.” Haughom BD, Goldstein Z, Yi PH, Frank RM, Levine BR. 32nd Annual Mid-America Orthopaedic Association Meeting, San Antonio, TX, April 23-27, 2014.
  • “Influence of Taper and Trunion Surface Topography on the Initial Stability of Modular Hip Junctions.” Lundberg HJ, Hall D, Urban R, Levine BR, Pourzal R. 2014 Orthopaedic Research Society Meeting, New Orleans, LA, March 17, 2014.
  • “Weighted Versus Uniform Dose of Tranexamic Acid in Total Knee Arthroplasty: A Randomized Controlled Trial.” BR Levine, Belkin MN, Goldstein ZH. 2014 Annual Meeting of the American Academy of Orthopaedic Surgeons, New Orleans, LA, March 19-23, 2014.
  • “Periprosthetic Acetabular Fractures.” BR Levine. Instructional Course Lecture at 2014 Annual Meeting of the American Academy of Orthopaedic Surgeons, New Orleans, LA, March 19-23, 2014.
  • “Antibiotic Stewardship in Orthopaedic Surgery: Principles and Practice—Building an AS Program.” BR Levine. Instructional Course Lecture at 2014 Annual Meeting of the American Academy of Orthopaedic Surgeons, New Orleans, LA, March 19-23, 2014.
  • “Blood Management and Conservation in Total Knee Arthroplasty.” BR Levine. Instructional Course Lecture at 2013 Annual Meeting of the American Academy of Orthopaedic Surgeons, New Orleans, LA, March 19-23, 2014.
  • “Milestone Data Aggregation: How do I do it?” BR Levine. CORD Meeting at 2014 Annual Meeting of the American Academy of Orthopaedic Surgeons, New Orleans, LA, March 19-23, 2014.
  • “Weighted Versus Uniform Dose of Tranexamic Acid in Patients Undergoing Primary, Elective Knee Arthroplasty: A Prospective Randomized Controlled Trial.” BR Levine, Belkin MN, Goldstein ZH. 23rd Annual Meeting of The American Association of Hip and Knee Surgeons, Dallas, TX, Nov 7-9, 2013.
  • “Ten-Year Outcome of Serum Metal Ion Levels after Primary Total Hip Arthroplasty.” AR Hsu, BR Levine, AK Skipor, NJ Hallab, WG Paprosky, J Galante, JJ Jacobs. 31st Annual Meeting of The Mid-America Orthopaedic Association, Amelia Island, FL, April 17-21, 2013.
  • “Correlation of Aspiration Results with the Etiology of Aseptic Failure in Total Hip Arthroplasty.” PN Chalmers, K Hudak, S Sporer, BR Levine. 31st Annual Meeting of the Mid-America Orthopaedic Association, Amelia Island, FL, April 17-21, 2013.
  • “Blood Management and Conservation in Total Knee Arthroplasty.” BR Levine. Instructional Course Lecture at 2013 Annual Meeting of the American Academy of Orthopaedic Surgeons, Chicago, IL, March 19-23, 2013.
  • “Orthopedic Surgery Residency Application Process: Survey of Graduating Medical Students.” D Biswas, N Verma, W Virkus, BR Levine. 2013 Annual Meeting of the American Academy of Orthopaedic Surgeons, Chicago, IL, March 19-23, 2013.
  • “Correlation of Aspiration Results with the Etiology of Aseptic Failure in Total Hip Arthroplasty.” PN Chalmers, K Hudak, S Sporer, BR Levine. 2013 Annual Meeting of the American Academy of Orthopaedic Surgeons, Chicago, IL, March 19-23, 2013.
  • “Ten-Year Outcome of Serum Metal Ion Levels after Primary Total Hip Arthroplasty.” BR Levine, AR Hsu, AK Skipor, NJ Hallab, WG Paprosky, J Galante, JJ Jacobs. 22nd Annual Meeting of The American Association of Hip and Knee Surgeons, Dallas, TX, Nov 2-4, 2012.
  • “Current Management of Hip and Knee Osteoarthritis.” BR Levine. Orthopaedics 2012, Munster, IN, September 22, 2012.
  • “Template-Directed Instrumentation in Total Knee Arthroplasty: A Cost Savings Analysis.” BR Levine. NYU/HJD Alumni Meeting, May 18, 2012, New York, NY.
  • “Metal Ion Levels after a Second Total Joint Arthroplasty.” Hsu A, Skipor A, Urban R, Jacobs JJ, Levine BR. 30th Annual Meeting of the Mid-America Orthopaedic Association, Bonita Springs, FL, April 18-22, 2012.
  • “Use of a Cementless Tibia in Primary TKA.” BR Levine. 14th Annual Meeting of the Brazilian Knee Society, Bhahia State, Brazil, March 29, 2012.
  • “Digital Templating in TKA: Use of templating to direct intro-operative instrumentation.” BR Levine. 14th Annual Meeting of the Brazilian Knee Society, Bhahia State, Brazil, March 29, 2012.
  • “Porous Cones to Trat Bone Defects in Revision TKA.” BR Levine. 14th Annual Meeting of the Brazilian Knee Society, Bhahia State, Brazil, March 29, 2012.
  • “Use of Antibiotic Spacers in Treated Infected TKA” BR Levine. 14th Annual Meeting of the Brazilian Knee Society, Bhahia State, Brazil, March 29, 2012.
  • “Indications/Options for Hip Surgery in Young Patients.” BR Levine. Rush University Rheumatology Grand Rounds, Chicago, IL October 20, 2011.
  • “Porous Tantalum in Primary Total Hip Arthroplasty.” BR Levine. 38th Japanese Hip Society Meeting, Kagoshima, Japan October 2011.
  • “Bearing Surfaces in Total Hip Arthroplasty—Current Concepts.” BR Levine. PAOS 2011 Conference, Chicago, IL, August 16, 2011.
  • “Achieving the Right Fit: Pearls for Balancing and Sizing in Total Knee Arthroplasty.” BR Levine. PAOS 2011 Conference, Chicago, IL, August 16, 2011.
  • “Template-Directed Instrumentation in Total Knee Arthroplasty: A Cost Savings Analysis.” BR Levine. 29th Annual Meeting of the Mid-America Orthopaedic Association, Tucson, AZ, April 6-10, 2011.
  • “Metal-on-Metal Revisions: A Review of Causes and a High Incidence of Early Failure.” DW Fabi, G Klein, HB Levine, SM Sporer, M Hartzband, WG Paprosky, BR Levine. 29th Annual Meeting of the Mid-America Orthopaedic Association, Tucson, AZ, April 6-10, 2011.
  • “Porous Tantalum Cones for Large Bony Defects in Total Knee Arthroplasty.” E Jung, SM Sporer, CJ Della Valle, WG Paprosky, BR Levine. 29th Annual Meeting of the Mid-America Orthopaedic Association, Tucson, AZ, April 6-10, 2011.
  • “The Science and Metallurgy of New Ingrowth Surfaces.” JJ Jacobs, BR Levine. 2011 American Academy of Orthopaedic Surgeons—Specialty Day, San Diego CA February 19, 2011.
  • “Varus Remodeling of the Femur in Revision Total Hip Arthroplasty.” J Foran, SM Sporer, CJ Della Valle, BR Levine, WG Paprosky. 2011 American Academy of Orthopaedic Surgeons Meeting, San Diego, CA, February 16, 2011.
  • “Patients Feel that Orthopaedic Surgeons are Undercompensated for Total Hip and Knee Replacement.” J Foran, N Sheth, SM Sporer, CJ Della Valle, BR Levine, WG Paprosky. 2011 American Academy of Orthopaedic Surgeons Meeting, San Diego, CA, February 16, 2011.
  • “Patients Feel that Orthopaedic Surgeons are Undercompensated for Total Hip and Knee Replacement.” J Foran, N Sheth, SM Sporer, CJ Della Valle, BR Levine, WG Paprosky. 2010 American Association of Hip and Knee Surgeons Annual Meeting, Dallas, TX, November 5-7, 2010.
  • “Varus Remodeling of the Femur in Revision Total Hip Arthroplasty.” J Foran, SM Sporer, CJ Della Valle, BR Levine, WG Paprosky. 2010 American Association of Hip and Knee Surgeons Annual Meeting, Dallas, TX, November 5-7, 2010.
  • “Fretting Corrosion and Fracture of Modular Neck-Body Junctions in Dual-Modular Total Hip Arthroplasty.” BR Levine, RM Urban, JL Gilbert, DL Hall, SM Sporer, JO Galante, JJ Jacobs. 2010 NYU/HJD Alumni Association Meeting, New York, NY, May 14, 2010.
  • “Use of Knotless Suture for Closure of Total Hip and Knee Arthroplasty: A Prospective-Randomized Clinical Trial.” BR Levine, N Ting, Mario, CJ Dell Valle. 28th Annual Meeting of the Mid-America Orthopaedic Association, Lost Pines, TX, April 21-24, 2010.
  • “Fretting Corrosion and Fracture of Modular Neck-Body Junctions in Hip Replacement Femoral Components.” RM Urban, JL Gilbert, DL Hall, BR Levine, SM Sporer, JO Galante, JJ Jacobs. 2010 American Academy of Orthopaedic Surgeons Meeting, New Orleans, LA, March 9-13, 2010.
  • “The Accuracy of Digital Templating in Total Hip and Knee Arthroplasty.” BR Levine, J Troyer, C Deirmengian. 2009 HYU/HJD Alumni Association Meeting, New York, NY May 9, 2009.
  • “The Science of Highly Porous Metals.” BR Levine and JJ Jacobs. AAHKS/AAOS Cutting Edge Developments and Controversies in Total Joint Arthroplasty, Rosemont, IL, May 1, 2009.
  • “Porous Metals in Orthopedic Applications.” BR Levine. 11th Symposium on Biomaterials and Biomechanics, Essen, Germany, March 7, 2009.
  • “Porous Tantalum in Revision Hip and Knee Arthroplasty: Indications, Techniques, and Clinical Outcomes.” BR Levine. Louisville Orthopedic Society, Louisville, KY, August 18, 2008.
  • “Closure of Hip Fracture Wounds Using a Topical Adhesive Without a Surgical Dressing: Reduction in Post-operative Tape Blisters.” BR Levine, C Deirmengian, G Evangelista. 2008 NYU/HJD Alumni Association Meeting, New York, NY, May 9, 2008.
  • “The Accuracy of Preoperative Digital Templating in Primary Total Hip and Knee Arthroplasty.” BR Levine, C Deirmengian, T Mulvey. 26th Annual Meeting of the Mid-America Orthopaedic Association, Champions Gate, FL, April 19, 2008.
  • “Use of the Extended Trochanteric Osteotomy in Treating Periprosthetic Infection: A 3.5 year follow-up study.” BR Levine, CJ Della Valle, SM Sporer, AG Rosenberg, WG Paprosky. 26th Annual Meeting of the Mid-America Orthopaedic Association, Champions Gate, FL, April 19, 2008.
  • “A New Era in Porous Metals: Biomaterial properties and applications of porous tantalum in Orthopaedic Surgery.” BR Levine. 5th International Conference on Porous Metals and Metallic Foams, Montreal, Canada, September 6, 2007.
  • “The Use of an Unconstrained Tripolar Articulation for Revision Total Hip Arthroplasty.” BR Levine, C Deirmengian, CJ Della Valle, SM Sporer, SH Weeden, WG Paprosky. 25th Annual Meeting of the Mid-America Orthopaedic Association, Boca Raton, FL, April 15, 2007.
  • “The Use of the Extended Trochanteric Osteotomy in Treating Vancouver B2/3 Periprosthetic Femur Fractures.” BR Levine, P Lewis, CJ Della Valle, SM Sporer, RA Berger, WG Paprosky. 25th Annual Meeting of the Mid-America Orthopaedic Association, Boca Raton, FL, April 15, 2007.
  • “The Use of the Extended Trochanteric Osteotomy in Treating Periprosthetic Infection.” BR Levine, M Hamming, CJ Della Valle, SM Sporer, RA Berger, WG Paprosky. Rush University Thesis Day, Chicago, IL, June 30, 2006.
  • “Return to Sports after Total Hip Arthroplasty: The impact of alternative bearings and MIS.” BR Levine, E Strauss, G Klein, P DiCesare, and J D’Antonio. NYU/HJD Research Presentation, NY, NY May 15, 2005.
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