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.

Publications

  • Friedman A, Levine BR, Zuckerman JD. Using Organizational Science to Improve the Resident Selection Process: An outsider’s perspective.” Am J Med Quality. Accepted for publication.
  • Hamilton JL, Nagao M, Levine BR, Chen D, Olsen BR, Im HJ. Targeting VEGF and its Receptors in the Treatment of Osteoarthritis and Associated Pain. J Bone Min Res. 8 APR 2016, published online.
  • Goldstein ZH, Estrera KA, Levine BR. Taper Failure after Large-Diameter Metal-on-Metal Total Hip Arthroplasty: A case report of femoral head dissociation. Accepted Orthopedics, December 2015.
  • Rao AJ, Kempton SJ, Erickson BJ, Levine BR. Rao VK. Soft Tissue Reconstruction and Flap Coverage for Revision Total Knee Arthroplasty. J Arthroplasty. 2016 March 31 Published online.
  • American Academy of Orthopaedic Surgeons. Appropriate Use Criteria for Postoperative Rehabilitation of Low Energy Hip Fractures in the Elderly.
    www.aaos.org/hipfracturesrehabauc.aspx. Published December 4, 2015.
  • American Academy of Orthopaedic Surgeons. Appropriate Use Criteria for the Treatment of Hip Fractures in the Elderly. www.aaos.org/hipfracturestreatmentauc.aspx. Published December 4, 2015.
  • Bohl DD, Samuel AM, Basques BA, Della Valle CJ, Levine BR. Grauer JN. How Much Do Adverse Event Rates Differ Between Primary and Revision Total Joint Arthroplasty? J Arthroplasty. 2015 Sep 28. pii: S0883-5403(15)00847-5. [Epub ahead of print]
  • Haughom BD, Schairer WW, Hellman MD, Nwachukwu BU, Levine BR. An Analysis of Risk Factors for Short-Term Complication Rates and Increased Length of Stay Following Unicompartmental Knee Arthroplasty. HSS J. 2015 Jul;11(2):112-6. PMID: 26140029
  • Goldstein ZH, Yi PH, Haughom BD, Hellman MD, Levine BR. Bilateral Extensor Mechanism Disruption after Total Knee Arthroplasty in Two Morbidly Obese Patients. Orthopedics. 2015 May;38(5):e443-6. PMID: 25970375
  • Chalmers PN, Walton D, Sporer SM, Levine BR. Evaluation of the Role of Synovial Aspiration in the Diagnosis of Aseptic Loosening After Total Knee Arthroplasty. J Bone Joint Surg Am. 2015 Oct 7;97(19):1597-603. PMID: 26446968
  • Levy D, Wetters N, Levine BR. Prevention of Periprosthetic Joint Infections of the Hip and Knee. Accepted Am J Ortho April 2015.
  • Rosenthal B, Haughom B, Levine BR. A Retrospective Analysis of Hemostatic Techniques in Primary Total Knee Arthroplasty—Electrocautery, Bipolar Sealer, and Argon Beam Coagulation. Accepted Orthopedics April 2015.
  • Levine BR. CORR Insights: Is There an Advantage to Knotless Barbed Suture in TKA Wound Closure? A Randomized Trial in Simultaneous Bilateral TKAs. Accepted Clin Orthop Rel Res. 2015 Jun;473(6):2028-30. PMID: 25690173
  • Bosco JA, Bookman J, Slover J, Edusei E, Levine BR. Principles of Antibiotic Prophylaxis in Total Joint Arthroplasty: Current Concepts. J Am Acad Orthop Surg. 2015 Aug;23(8):e27-35. PMID:26209148
  • Ross J, Brown N, Levine BR. Chronic Knee Dislocation After Total Knee Arthroplasty. Orthopedics. 2015 Dec 1;38(12):e1155-9. PMID:26652339
  • Brown NM, Bell JA, Jung EK, Sporer SM, Paprosky WG, Levine BR. The Use of Trabecular Metal Cones in Complex Primary and Revision Total Knee Arthroplasty. J Arthroplasty. 2015 Feb;473(2):498-505. PMID: 25171935
  • Haughom BD, Schairer WW, Nwachukwu BU, Hellman MD, Levine BR. Does Neuraxial Anesthesia Decrease Transfusion Rates Following Total Hip Arthroplasty? J Arthroplasty. 2015 Sep:30(9Suppl):116-20. PMID: 26077150
  • Anand A, Frank RM, Haughom BD, Strong B, Hellman MD, Levine BR. Blood Mangement in Total Knee Arthroplasty: Author’s reply. J Am Acad Orthop Surg. 2014 Nov;22(11):681-2.
  • KC Ranjan, Levine BR, Im H-J. PKCδ Null Mutations In A Mouse Model Of Osteoarthritis Alter Osteoarthritic Pain Independently of Joint Pathology By Augmenting NGF/TrkA-Induced Axonal Outgro. Accepted to Annals Rheumatoid Disese 2015.
  • Erickson BJ, Nwachukwu BU, Kiriakopoulos E, Frank RM, Levine BR, Villaroel L, McCormick FM. In-hospital Mortality Risk for Femoral Neck Fractures Among Patients Receiving Medicare. Orthopedics. 2015 Jul 1;38(7):e593-6. PMID: 26186321
  • Yi P, Della Valle CJ, Cross M, Moric M, Paprosky WG, Levine BR, Sporer SM. Do Serologic and Synovial Tests Help Diagnose of Infection in Revision Hip Arthroplasty with Metal-on-Metal Bearings or Corrosion? Clin Orthop Rel Res. 2014 Jul;29(7):1482-4. PMID:24612736
  • Haughom BD, Schairer WW, Hellman MD, Yi PH,Levine BR. Resident Involvement Does Not Influence Complication After Primary Total Hip Arthroplasty – An Analysis of 13,109 Cases. J Arthroplasty. 2014 Oct;29(10): 1919-24.
  • Levine BR and Rosenberg AG. The Simple Unicondylar Knee: Extramedullary technique. Clin Sports Med. 2014 jan;33(1):77-85.
  • Ghanem E, Heppert V, Spangehl M, Abraham J, Azzam K, Barnes L, Burgo FJ, Ebeid W, Goyal N, Guerra E, Hitt K, Kallel S, Klein G, Kosashvili Y, Levine BR,, Matsen L, Morris MJ, Purtill JJ, Ranawat C, Shrakey PF, Sierra R, Stefansdottir A. Wound Management. J Orthop Res. 2014 Jan;32 Suppl 1:S108-19.
  • Ghanem E, Heppert V, Spangehl M, Abraham J, Azzam K, Barnes L, Burgo FJ, Ebeid W, Goyal N, Guerra E, Hitt K, Kallel S, Klein G, Kosashvili Y, Levine BR, Matsen L, Morris MJ, Purtill JJ, Ranawat C, Shrakey PF, Sierra R, Stefansdottir A. Wound Management. J Arthroplasty. 2014 Feb:29(2Suppl):84-92.
  • Rosenthal BD, Hulst JB, Moric M, Levine BR, Sporer SM. The Effect of Payer Type on Clinical Outcomes in Total Knee Arthroplasty. J Arthroplasty. 2014 Feb;29(2):295-8.
  • Chalmers PN, Sporer SM, Levine BR. Author Reply: “Correlation of Aspiration Results with Periprosthetic Sepsis in Revision Total Hip Arthroplasty.” J Arthroplasty. 2014 Jun;29(6):1329-30. PMID: 24439752
  • Haughom BD, Goldstein Z, Yi PH, Frank RM, Levine BR. An Analysis of References Used for the Orthopedic In-Training Examination. Clin Orthop Rel Res, 2014 Dec;472(12):4024-32.
  • Haughom BD, Schairer WW, Hellman MD, Yi PH, Levine BR. Does Resident Involvement Impact Post-Operative Complications Following Primary Total Knee Arthroplasty – An Analysis of 24,529 Cases. J Arthroplasty. 2014 Jul;29(7):1468-1472.e2.
  • Brown N, Sporer SM, Levine BR, Foran J, Della Valle C, Moric M, Paprosky WG. The Inter- and Intra-Observer Reliability of the Paprosky Femoral Bone Loss Classification System. J Arthoplasty. 2014 Jul;29(7): 1482-4.
  • Levine BR, Belkin M, Goldstein Z, Haughom BD. Weighted versus Uniform Dose of Tranexamic Acid in Patients Undergoing Primary, Elective Knee Arthroplasty: A Prospective Randomized Controlled Trial. J Arthroplasty. 2014 Sep;29(9 Suppl):186-8.
  • Haughom BD, Wetters NG, Scully RD, Hellman MD, Levine BR. Perioperative Management of Common Complications of Total Knee Arthroplasty. Accepted Minerva Ortopedica e Traumatologica, 2013 Oct;64(5):473-90.
  • Levine BR. Interviewing: Residency Select-A New Pilot Program. CORD Report, January 2014.
  • Levine BR. Interviewing: How do I select which students to interview? CORD Report, October 2013.
  • Chalmers PN, Sporer SM, Levine BR. Correlation of Aspiration Results with Aseptic Loosening in Total Hip Arthroplasty. J Arthroplasty. 2013 Oct;28(9):1671-6.
  • Chalmers PN, Sporer SM, Levine BR. Correlation of Aspiration Results with Periprosthetic Sepsis in Revision Total Hip Arthroplasty. J Arthroplasty. 2014 Feb;29(2):438-42.
  • Levine BR, Haughom B, Strong B, Hellman M, Frank R. Blood Management Strategies in TKA. J Amer Acad Orthop Surg. 2014 Jun;22(6):361-371.
  • Foran J, Brown NM, Sporer SM, Della Valle CJ, Levine BR, Paprosky WG. Prevalence, Risk Factors, and Management of Proximal Femoral Remodeling in Revision Hip Arthroplasty. J Arthroplasty. 2013 May;28(5)877-81.
  • Saltzman BM, Oni J, Haughom BD, Levine BR. Chronic infection leading to failure of a composite femoral stem: A report of two cases. HSS J. 2014 Jul;10(2):180-185.
    Publications continued
  • Frank RM, Biswas D, Levine BR. Fracture of a dual modular femoral component at the stem-sleeve junction in a metal-on-metal total hip arthroplasty. Amer J Orthop. 2014 Mar;43(3):E57-60.
  • Levine BR, Hsu AR, Skipor AK, Hallab NJ, Paprosky WG, Galante J, Jacobs JJ. Ten-Year Outcome of Serum Metal Ion Levels after Primary Total Hip Arthroplasty. J Bone Joint Surg Am. 2013;95(6):512-518.
  • Foran J, Brown NM, Sporer SM, Della Valle CJ, Levine BR, Paprosky WG. Proximal Femoral Remodeling in Revision Total Hip Arthroplasty. Accepted J Arthroplasty 2012.
  • Saltzman BM, Biswas D, Oni J, Haughom B, Levine BR. Chronic infection leading to failure of a composite femoral stem: A report of two cases. Submitted to Amer J Orthop, November 2012.
  • Frank RM, Biswas D, Levine BR. Fracture of a dual modular femoral component in a metal-on-metal total hip arthroplasty. Submitted to Orthopedics, December 2012.
  • Levine BR, Hsu AR, Skipor AK, Hallab NJ, Paprosky WG, Galante J, Jacobs JJ. Ten-Year Outcome of Serum Metal Ion Levels after Primary Total Hip Arthroplasty. Accepted J Bone Joint Surg 2012.
  • Amanatullah DF, Burrus MT, Sathappan SS, Levine BR, DiCesare PE. The Application of Minimally Invasive Surgical Techniques. Part I: Total Hip Arthroplasty. Amer J Orthop. 2012;41(10):e134-e139.
  • Amanatullah DF, Burrus MT, Sathappan SS, Levine BR, DiCesare PE. The Application of Minimally Invasive Surgical Techniques Part II: Total Knee Arthroplasty. Amer J Orthop. 2012;41(10):e140-e144.
  • Ting N, Moric M, Della Valle CJ, Levine BR. Use of Knotless Suture for Closure of Total Hip and Knee Arthroplasties: A prospective-randomized clinical trial. J Arthroplasty. 2012;27(10):1783-1788.
  • Hsu AR, Gross CE, Bhatia S, Levine BR. Template-directed instrumentation in total knee arthroplasty: Cost savings analysis. Orthopedics. 2012 Nov 1;35(11):e1596-1600.
  • Fabi D, Sporer SS, Della Valle CJ, Klein G, Levine HB, Hartzband M, Paprosky WG, Levine BR. Metal-on-Metal Total Hip Revisions: Causes and High Incidence of Early Failure. Orthopedics. 2012;35(7):21009-e1016.
  • Hsu AR, Gross CE, Levine BR. Pseudotumor from modular neck corrosion after ceramic-on-polyethylene total hip arthroplasty. Am J Orthop. 2012;41(9):422-426.
  • Hsu AR, Kim JD, Bhatia S, Levine BR. Effect of training level on accuracy of digital templating in primary total hip and knee arthroplasty. Orthopedics. 2012; 17;35(2):e179-83.
  • Levine BR, Ellman MB. In reply: Fracture of the modular femoral neck component in total hip arthroplasty. J Arthroplasty. 2012; 27(3):495-6.
  • Hagedorn J, Levine BR. Revision surgery for a dislocated constrained total knee arthroplasty: A report of two cases and literature review. Orthopedics. 2012;1;35(7):e1099-1103.
  • Srinivasan A, Jung E, Levine BR. Modularity in Total Hip Arthroplasty. J Am Acad Orthop Surg. 2012; 20(4):214-222.
  • Weller W, Levine BR, Patel R. Osteogenesis Imperfecta of the Spine. Submitted to Orthopedics August 2011.
  • Levine BR, Ting N, Della Valle, CJ. Use of a Barbed-Suture in the closure of hip and knee arthroplasty wounds. Orthopedics. 2011; 34(9):1-3.
  • Ellman MB, Levine BR. Fracture of the modular femoral neck component in total hip arthroplasty. J Arthroplasty. 2011 Jul 26 [Epub ahead of print].
  • Hsu A, Kim JD, Fabi D, Levine BR. Adverse reaction in metal-on-metal total hip Arthroplasty: two cases presenting as pseudo-septic acetabular component loosening. Am J Orthop. 2011;40(10):509-13.
  • Srinivasan A, Levine BR, Jacobs JJ. Metal-on-metal articulation in total hip Arthroplasty: update. Curr Orthop Pract. 2011; 22(3):231-235.
  • Foran J, Sheth N, Sporer SM, Della Valle CJ, Levine BR, Paprosky WG. Patient Perception of Physician Reimbursement in Elective Total Hip and Knee Arthroplasty. J Arthroplasty.2012;27(5):703-709.
  • Amanatullah DF, Burrus MT, Sathappan SS, Levine BR, DiCesare PE. Applying computer-assisted navigation techniques to total hip and knee arthroplasty. Am J Orthop. 2011 Aug;40(8):419-26.
  • Fabi D, Majoras N, Levine BR. Chronic Renal Failure Associated with Catastrophic Failure of an Acetabular Component: A case report. J Bone Joint Surg AM. 2011;93(12):e681-684.
  • Levine BR, Fabi DW. Porous metals in orthopedic applications: A review. Materials Sci and Engineering Tech. 2010; Vol 41(12);1001-1010.
  • Levine BR. American Academy of Orthopaedic Surgeons Annual Meeting 2010. Adv Orthopaedics. 2010; 2(2):62-64.
  • Levine BR, Troyer J, Deirmengian C. Digital templating in primary hip and knee arthroplasty. Orthopedics. 2010; Vol 33(11):797.
  • He-Jeong I, Kim J, Li X, Kotwal N, Sumner DR, van Wijnen A, Davis FJ, Yan D, Levine B, Henry JL, Desevre J, Kroin JS. Alteration of sensory neurons and spinal response to an experimental osteoarthritis pain model.Arthritis Rheum. 2010; Oct:62(10):2955-3005.
  • Ting NT, Wera GD, Levine BR, Della Valle CJ. Early experience with a novel nonmetallic cable in reconstructive hip surgery. Clin Orthop Rel Res. 2010; Sep;468(9):2382-6.
  • Levine BR. Medical Device Entry: Porous Tantalum Coating. ASM International Handbook. 2009.
  • Troyer J, Levine BR. Proximal tibia reconstruction with a porous tantalum cone in a patient with charcot arthropathy: a case report. Orthopedics. 2009; Vol 32(5):358.
  • Levine BR, Kaplanek B, Jaffe WL. Pilates training for use in rehabilitation after total hip and knee arthroplasty: A preliminary report. Clin Orthop Rel Res. 2009;Vol 467(6):1468.
  • Levine BR. Orthopaedic Review Questions: Pediatric Trauma. Hospital Physician 2009; Jul-Aug;45(5):17, 20.
  • Levine BR. Partial Knee Replacements: An increasingly popular alternative to total knee arthroplasty. Orthopaedic Excellence MOR Publication. 4(8);2008:6-7.
  • Levine BR. Orthopaedic Oncology: Review questions. Hospital Physician 44(3);March, 2008:40-42.
  • Miyamoto RG, Kaplan KM, Levine BR, Egol KA, Zuckerman JD. Surgical management of hip fractures. An evidence-based review of the literature. II: Intertrochanteric Hip Fractures. J Amer Acad Orthop Surg 16(11):2008:665-673.
  • Levine BR. A New Era in Porous Metals: Applications in orthopaedics. Adv Eng Mater 10(9);2008:788-792.
  • Levine BR, Della Valle CJ, Hamming M, Sporer S, Berger RA, Paprosky WG. Use of the Extended Trochanteric Osteotomy in Treating Periprosthetic Infection. J Arthroplasty 24(1);2009:49-55.
  • Levine BR, Della Valle CJ, Deirmengian C, Breien KM, Sporer S, Weeden S, Paprosky WG. The use of a Tripolar Articulation in Revision Total Hip Arthroplasty: A minimum of 24 months follow-up. J Arthroplasty 23(8);2008:1182-1188.
  • Levine BR, Lewis P, Della Valle CJ, Sporer S, Berger RA, Paprosky WG. Extended Trochanteric Osteotomy for the Treatment of Vancouver B2/B3 Periprosthetic Fractures of the Femur. J Arthroplasty 24(3);2008:527-533.
  • Levine BR, Kaplanek B, Scarfura D, Jaffe WL. Rehabilitation after total hip and knee arthroplasty: A new regimen using pilates training. Bull NYU Hosp Jt Dis 65(2);2007:120-125.
  • Levine BR, Della Valle CJ, Sporer S, Jacobs JJ, Paprosky WG. The use of Porous Tantalum in Reconstructive Knee Surgery. J Knee Surgery 20(3);2007:185-194.
  • Iofin I, Levine BR, Badlani N, Klein G, Jaffe WL. Psoriatic Arthritis and Arthroplasty. A review of the literature. Bull NYU Hosp Jt Dis 66(1);2008:41-48.
  • Levine BR, Klein G, DiCesare P. Surgical approaches in THA: Review of MIS and mini-incision exposures. Bull NYU Hosp Jt Dis. 65(1);2007:5-18.
  • Miyamoto RG, Kaplan KM, Levine BR, Egol KA, Zuckerman JD. Surgical management of hip fractures. An evidence-based review of the literature. I: Femoral Neck Fractures. J Amer Acad Orthop Surg 16(10):2008:596-607.
  • Levine BR. Correspondence: Applications of porous tantalum in total hip arthroplasty. J Amer Acad Orthop Surg 15;2007:137-138.
  • Levine BR. Disorders of the Hip: Review questions. Hospital Physician 43(3);March, 2007:40-42.
  • Levine BR, Klein G, Hozack, W, Strauss EJ, D’Antonio JA, Macaulay W, DiCesare PE. Return to Athletic Activity After THA: Consensus guidelines based on a survey of AAHKS and the Hip Society. J Arthroplasty 22(2);2007:171-175.
  • Levine BR, Eglseder WA. Heterotopic ossification after excision of a palmar wrist ganglion. A case report. Am J Ortho 35(12);2006:575-577.
  • Levine BR, Della Valle CJ, Jacobs JJ. Applications of porous tantalum in total hip arthroplasty. J Amer Acad Orthop Surg 14(12);2006:646-655.
  • Pereira GC, Kubiak EN, Levine BR, Chen F, DiCesare PE. Cavitary acetabular defects treated with morselized cancellous bone graft and cementless cups. Int Orthop 31(4);2007:445-450.
  • Levine BR, Della Valle C, Sporer S, Poggie RA, Jacobs JJ. Leading Opinion: Experimental and clinical performance of porous tantalum in orthopaedic surgery. Biomaterials 27;2006:4671-4681.
  • Lazar M, Levine BR, Jaffe W. Bilateral total hip arthroplasty in a patient with Waldenstrom’s macroglobulenemia. A case report and review of the literature. Orthopedics 30(5);2007:401-402.
  • Levine BR, Weisz R, Kubiak EN, Testa N. Long term radiographic evaluation of trilock press-fit acetabular components in primary total hip arthroplasty. HJD Bulletin 62(3&4);2005:115-120.
  • Levine BR, Rosen J, Periera D. Lesser tuberosity fractures in adolescents: A case report and review of the literature. J Orthop Trauma 19(5):2005:349-352.
  • Levine BR, Jaffe W: Osteonecrosis of the femoral head. MedGenMed. 2003 May 7; 5(2)29.
  • Levine BR, Evans B: Use of blood culture vial specimens in intraoperative detection of infection. Clin Orthop. 382;2001:222-231.
  • Horton D, Levine BR, Norris P, Luck RL, Silverton JV. 5-Deoxy-5-C-(5-ethoxycarbonyl-1,2,3-triazol-1-yl)-1,2-O-isopropylidene-∝-D-xylofuranose. Acta Crystallographica. C53, 1997. 120-122.
  • Norris P, Horton D, Levine BR. Cycloaddition of acetylenes with 5-Azido-5-deoxy-D-aldopentose derivatives: Synthesis of triazole reversed nucleoside. Heterocycles. 43, 1996. 2643-2655.
  • Norris P, Horton D, Levine BR. Synthesis of 1,5-dideoxy-1,5-imino-D-xylonolactam via acid-catalyzed intramolecular Schmidt rearrangement. Tetrahedron Letters. 36(43), 1995. 7811-7814.
  • Levine BR, Kaplanek B, Jaffe W: Pilates in the Rehabilitation of Total Hip Arthroplasty. In Magnifi, edited by Michael Mont, MD.
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