Abstract Purpose When planning and delivering total knee arthroplasty (TKA), there are multiple coronal alignment strategies such as functional (FA), kinematic (KA), mechanical adjusted (MA, aMA). Recent three‐dimensional robotic‐assisted surgery (RAS) studies have demonstrated that KA potentially better restores the trochlear anatomy than MA. The purpose of this study was to compare restoration native orientation in patients undergoing RAS TKA using four different strategies. It...

The purpose of this study was to investigate the learning curve associated with robotic assisted knee arthroplasty (RAS KA). Therefore, evaluation influence an experienced surgeon on overall team performance three surgeons regarding in RAS KA investigated. It hypothesized that presence flattens and there no inflection point for surgical team.Fifty-five cases consisting 31 total arthroplasties (TKA) 24 unicompartmental (UKA) performed by during 2021 were prospectively Single operation time...

Periprosthetic joint infection (PJI) following total knee arthroplasty (TKA) is a severe complication causing significant burden. The study aims were to establish the epidemiology of microorganisms in TKA PJI, rate persistent requiring further surgery, and risk factors for this. Microbiological specimens between June 2002 March 2017 at five regional hospital sites identified with revision procedures National Joint Replacement Registry. time procedures, type strategy, any subsequent...

For a successful return to sport (RTS) after an anterior cruciate ligament reconstruction (ACLR), patients are recommended attend comprehensive rehabilitation program, followed by RTS assessment, that is combination of tests. The purpose this study was predict using the results assessment and self-reported questionnaires at minimum 2 years ACLR.A total 123 consecutive ACLR undertook intensive program included established balance strength tests, ACL-return Injury scale (ACL-RSI) questionnaire...

Despite new technologies for total knee arthroplasty (TKA), approximately 20% of patients are dissatisfied. A major reason dissatisfaction and revision surgery after TKA is persistent pain. The radiological grade osteoarthritis (OA) preoperatively has been investigated as a predictor the outcome TKA, with conflicting results. aim this study was to determine if there difference in intensity pain 12 months relation preoperative OA alone, combination OA.The data 300 who underwent primary were...

Abstract Purpose The aim of this study was to analyse the functional outcome and conversion rate total knee arthroplasty (TKA) after surgically treated tibial plateau fractures (TPF). Methods All patients undergoing surgical treatment TPF at a single institution between January 2003 December 2019 were retrospectively reviewed. Knee injury Osteoarthritis Outcome Score (KOOS) Tegner activity scale (TAS) collected. TKA examined 2, 5, 7 10 years TPF. Results Ninety‐four patients, with mean...

The direct anterior approach (DAA) has gained popularity in total hip arthroplasty (THA) over the past decade. A large number of studies have compared DAA to other approaches with inclusion a learning curve phase. aim this study was compare complication rate and bleeding between anterolateral after phase.For retrospective, single-institutional study, propensity score matching performed, from an initial cohort 1408 patients receiving elective THA. Two groups were created, comprising 396 each....

The combined influence of anatomic and operative factors affecting graft healing after anterior cruciate ligament (ACL) reconstruction within the femoral notch is not well understood.To determine size orientation in relation to anatomy, with signal/noise quotient (SNQ) used as a measure primary single-bundle ACL reconstruction.Case series; Level evidence, 4.A total 98 patients minimum 2-year follow-up hamstring tendon autografts were included. Graft was evaluated at 1 year on magnetic...

Background: Isolated medial patellofemoral ligament reconstruction (iMPFLR) is increasingly used for the surgical treatment of recurrent instability. Purpose: The purpose this study was to identify clinical and radiological predictors that can significantly influence functional outcomes after an iMPFLR. Study Design: Case series; Level evidence, 4. Methods: A total 107 patients (112 reconstructions) who underwent iMPFLR were evaluated with a mean ± SD follow-up 59 33 months (range, 12-123...

Background: There is currently no analysis of 1-year postoperative magnetic resonance imaging (MRI) that reproducibly evaluates the graft a hamstring autograft anterior cruciate ligament reconstruction (ACLR) and helps to identify who at higher risk rupture upon return pivoting sports. Purpose: To ascertain whether novel MRI ACLR 1 year postoperatively can be used predict rupture, sporting level, clinical outcome minimum 2-year follow-up. Study Design: Case-control study; Level evidence, 3....

(1) Background: Magnesium-based implants use has become a research focus in recent years. Radiolucent areas around inserted screws are still worrisome. The objective of this study was to investigate the first 18 patients treated using MAGNEZIX® CS screws. (2) Methods: This retrospective case series included all consecutive at our Level-1 trauma center. Radiographs were taken 3-, 6- and 9-month follow-ups. Osteolysis, radiolucency material failure assessed, as infection revision surgery. (3)...

Background: Proximal femoral fractures (PrFF) are one of the most common causes emergency admission in elderly population. The majority patients have pre-existing conditions that get worsened by unplanned surgery. Objective: Purpose this article was to evaluate if a is single shot dexamethasone with levobupivacaine administered intrathecally reduces postoperative pain and cognitive complications proximal fractures. Methods: study performed at level II trauma center which part teaching...

The Oxford Knee Score (OKS) has been designed for patients with knee osteoarthritis and a widespread use. It 12 questions, each question having the same weight overall score. Some authors have observed significant ceiling effect, especially when distinguishing slight postoperative differences. We hypothesized that questions' will depend significantly on patient's sociodemographic data lifestyle.In this international multicentric prospective study, we included attending specialist outpatient...

The role of local infiltration anesthesia (LIA) in knee surgery is significant. LIA can be more potent than a nerve block, but without the downsides. A wide range agents are used for LIA, including some off-label medications such as dexmedetomidine and ropivacaine. Dexmedetomidine has recently received attention decreasing demand anesthetic prolonged effect anesthesia. purpose this study was to demonstrate safety ropivacaine LIA.