Evaluating XPERIENCE™ Advanced Surgical Irrigation

Inclusion Criteria:

1. Male and female patients aged 18 years or older

2. Diagnosis of osteoarthritis, inflammatory arthritis, osteonecrosis, orpost-traumatic arthritis to the affected joint.

3. Primary TKA, THA, and HR

4. Subjects receiving both cemented or uncemented orthopaedic implants

5. Willing and able to sign written consent, follow study protocol and attend follow-up

Exclusion Criteria:

1. Inability or refusal to sign informed consent form

2. Non-English or French speaking, and no licensed translator, family member orsubstitute decision maker available.

3. Prior arthroplasty procedure to the affected joint

4. Procedures involving solid HA implants

5. Oncologic diagnosis to the affected joint.

6. Non-TKA, THA or HR prosthesis (i.e., hemiarthroplasty, unicompartmental arthroplastyetc.)

7. Allergy to any of the components of XP Advanced Surgical Irrigation

8. Allergy to iodine

9. Presence of concurrent active infection, primary immunodeficiency, history ofuncontrolled HIV (CD4 count <200 cells/uL), treatment with immunomodulatorymedications for malignancy or autoimmune disease (with exception to inflammatoryarthritis), chronic glucocorticosteroid use (≥20 mg of prednisone daily for at least 1 month with another cause of immunosuppression), and solid organ and/or bone marrowtransplantation.

10. History of septic arthritis to the affected joint within two years of surgery(1).

11. History of steroid injection to the affected joint within the three months precedingsurgery.

12. Simultaneous bilateral total joint arthroplasty