Articles

Short-term results of a novel management of supracondylar fracture with coexisting osteoarthritis with bifold fixation and total knee arthroplasty

Presence of supracondylar and periarticular femoral fracture with associated arthritis of knee poses a challenging situation to the orthopaedic surgeon. The results of fixation of fracture in osteoporosis are ...

Authors: Nicholas A. Antao, Sanjay Londhe, Rajan Toor, Rajesh Shirishkar and Siddharth Aiyer

Equivalent VTE rates after total joint arthroplasty using thromboprophylaxis with aspirin versus potent anticoagulants: retrospective analysis of 4562 cases across a diverse healthcare system

Guidelines support aspirin thromboprophylaxis for primary total hip and knee arthroplasty (THA and TKA) but supporting evidence has come from high volume centers and the practice remains controversial.

Authors: Chelsea Matzko, Zachary P. Berliner, Gregg Husk, Bushra Mina, Barton Nisonson and Matthew S. Hepinstall

Coxiella burnetti prosthetic joint infection in an immunocompromised woman: iterative surgeries, prolonged ofloxacin-rifampin treatment and complex reconstruction were needed for the cure

Q fever is a zoonotic disease caused by the bacterium Coxiella burnetii, a strictly intracellular pathogen that can cause acute and chronic infection. Chronic Q fever can occur in immunocompetent as well as in im...

Authors: Patrick Miailhes, Anne Conrad, Chantal Sobas, Frederic Laurent, Sebastien Lustig and Tristan Ferry

The mildly decreased preoperative bilirubin level is a risk factor for periprosthetic joint infection after total hip and knee arthroplasty

Many serologic markers are routinely tested prior to joint arthroplasty, but only few are commonly used to guide surgeons in determining patients most at risk of periprosthetic joint infection (PJI). The objec...

Authors: Jun Fu, Xiyue Chen, Ming Ni, Xiang Li, Libo Hao, Guoqiang Zhang and Jiying Chen

After 25 years of computer-navigated total knee arthroplasty, where do we stand today?

Limb and implant alignment along with soft tissue balance plays a vital role in the outcomes after total knee arthroplasty (TKA). Computer navigation for TKA was first introduced in 1997 with the aim of implan...

Authors: Siddharth M. Shah

The application of close incisional negative pressure wound therapy in revision arthroplasty among asian patients: a comparative study

Peri-prosthetic joint infection (PJI) was one of the main causes of revision of arthroplasty. In order to reduce wound complications and surgical site infections, close incisional negative pressure wound thera...

Authors: Ping Keung Chan, Wing Chiu Fung, Kar Hei Lam, Winnie Chan, Vincent Wai Kwan Chan, Henry Fu, Amy Cheung, Man Hong Cheung, Chun Hoi Yan and Kwong Yuen Chiu

Artificial intelligence in arthroplasty

Artificial intelligence (AI) is altering the world of medicine. Given the rapid advances in technology, computers are now able to learn and improve, imitating humanoid cognitive function. AI applications curre...

Authors: Glen Purnomo, Seng-Jin Yeo and Ming Han Lincoln Liow

Updates in biomaterials of bearing surfaces in total hip arthroplasty

Total hip arthroplasty (THA) is one of the most successful surgical procedures. It entails replacement of the damaged or diseased joint surface with artificial materials. Various materials had been developed a...

Authors: Ahmed A. Khalifa and Hatem M. Bakr

Mid-term outcomes of tantalum cup– a single centre study

The cementless acetabular implants are commonly used in primary and revision hip arthroplasty. Reconstruction of acetabulum in case of bone defects can be challenging. The aims of this single center study are ...

Authors: Rajesh Bawale, Baseem Choudhry and Srinivasa Samsani

Horror of three synergistic factors in THA: high mechanical stress, dissimilar metals, low elasticity stem: a case report

A large-diameter femoral head is effective in preventing dislocation after total hip arthroplasty. However, although rare, catastrophic stem tribocorrosion may occur at the head-stem junction.

Authors: Seiya Ishii, Yasuhiro Homma, Takehisa Matsukawa, Tomonori Baba, Ayano Kubota, Kazuhito Yokoyama, Kazuo Kaneko and Muneaki Ishijima

Does dehydration prior to primary total joint arthroplasty increase risk of perioperative complications?

Prior studies have suggested that preoperative dehydration increases odds of perioperative complications in several areas of orthopedic surgery. This study aimed to evaluate whether preoperative hydration stat...

Authors: Harold G. Moore, Marissa A. Justen, David S. Kirwin, Patrick J. Burroughs, Lee E. Rubin and Jonathan N. Grauer

Osteosynthesis and outcomes of traumatic periprosthetic femoral fractures after total hip arthroplasty

The aim of this retrospective study was to investigate the treatment of traumatic periprosthetic femoral fractures with open reduction and internal fixation. The outcomes with the use of the surgical technique...

Authors: Ali Taha, ElZaher Hassan ElZaher, Ibrahim ElGanzoury, Mostafa Ashoub and Amr Khairy

Lessons learnt from the impact of COVID-19 on arthroplasty services in Hong Kong: how to prepare for the next pandemic?

Arthroplasty services worldwide have been significantly disrupted by the pandemic of coronavirus disease 2019 (COVID-19). This retrospective comparative study aimed to characterize its impact on arthroplasty s...

Authors: Lok Sze Lee, Ping Keung Chan, Wing Chiu Fung, Amy Cheung, Vincent Wai Kwan Chan, Man Hong Cheung, Henry Fu, Chun Hoi Yan and Kwong Yuen Chiu

Does intraoperative mechanical prophylaxis prevent venous thromboembolism in total knee arthroplasty? – effectiveness of passive-assisted ankle motion in surgical/non-surgical side

Gradual compression stocking (GCS) and intermittent pneumatic compression device (IPCD) are used for intraoperative mechanical prophylaxis against venous thromboembolism (VTE) during total knee arthroplasty (T...

Authors: Toshiyuki Tateiwa, Tsunehito Ishida, Toshinori Masaoka, Takaaki Shishido, Yasuhito Takahashi, Jun Nishida and Kengo Yamamoto

Development and internal validation of machine learning algorithms to predict patient satisfaction after total hip arthroplasty

Patient satisfaction is a unique and important measure of success after total hip arthroplasty (THA). Our study aimed to evaluate the use of machine learning (ML) algorithms to predict patient satisfaction aft...

Authors: Siyuan Zhang, Jerry Yongqiang Chen, Hee Nee Pang, Ngai Nung Lo, Seng Jin Yeo and Ming Han Lincoln Liow

Clinically relevant results of reverse total shoulder arthroplasty for patients younger than 65 years compared to the older patients

Reverse total shoulder arthroplasty was originally designed for older patients with rotator cuff arthropathy and produces good results. The main objective of this retrospective study was to compare the patient...

Authors: Klaus Hanisch, Michael Boelstoft Holte, Inge Hvass and Niels Wedderkopp

Effect of tourniquet application on cement penetration in primary total knee arthroplasty: a meta-analysis

Tourniquet application is expected to improve surgery exposure and cementation process in total knee arthroplasty (TKA) but its effectiveness remains controversial and needs to be further explored. The aim of ...

Authors: Shuxin Yao, Weijie Zhang, Jianbing Ma and Jianpeng Wang

Reliability and validity of the Hebrew version of the forgotten joint score for assessing the outcomes of total knee arthroplasty

This prospective study aimed to assess the reliability and validity of the Hebrew version of the forgotten joint score-12 in patients undergoing total knee arthroplasty, because it is going to be used in the H...

Authors: Amit Pansky, Yaron Bar-Ziv, Eran Tamir, Aharon Finestone, Gabriel Agar and Noam Shohat

The posterior tibial slope does not influence the flexion angle in posterior-stabilized mobile-bearing total knee arthroplasty

It remains uncertain whether an increase in the tibial slope leads to better flexion in posterior-stabilized (PS) total knee prostheses.

Authors: Susumu Takemura, Tessyu Ikawa, Yohei Ohyama, Mitsunari Kim, Kunio Takaoka, Yukihide Minoda and Yoshinori Kadoya

Multicup reconstruction technique for the management of severe protrusio acetabular defects

In revision hip arthroplasty, managing the large protrusio acetabular defects remains a challenge. The report described a novel technique which employs a trabecular metal revision shell as a super-augment to b...

Authors: Baochao Ji, Guoqing Li, Xiaogang Zhang, Yang Wang, Wenbo Mu and Li Cao

Do bicortical diaphyseal array pins create the risk of periprosthetic fracture in robotic-assisted knee arthroplasties?

Optical array placement for robotic-assisted knee replacement introduces the rare, but real risk of periprosthetic fracture. The purpose of this retrospective study was to review the incidence of fracture with...

Authors: Andrew G. Yun, Marilena Qutami and Kory B. Dylan Pasko

Effect of chronic kidney disease on total knee arthroplasty outcomes: a meta-analysis of matched control studies

The purpose of this meta-analysis was to review the current evidence in the literature to find out whether the coexisting chronic kidney disease affected infection, revision, transfusion, readmission, mortalit...

Authors: Chongjie Cheng, Yan Yan, Qidong Zhang and Wanshou Guo

The relationship between mental health/physical activity and pain/dysfunction in working-age patients with knee osteoarthritis being considered for total knee arthroplasty: a retrospective study

Increasing total knee arthroplasty (TKA) surgeries are being performed on working-age patients with prominent manifestations of pain and dysfunction. But few studies have explored the risk factors for pain and...

Authors: Juyang Jiao, Haozheng Tang, Shutao Zhang, Xinhua Qu and Bing Yue

Review of patient-reported outcomes in periprosthetic distal femur fractures after total knee arthroplasty: a plate or intramedullary nail?

This study reviewed the literature regarding the patient-reported treatment outcomes of using either open reduction and internal fixation (ORIF) with a plate and screw system or intramedullary nail (IMN) fixat...

Authors: Dustin Rinehart, Tyler Youngman, Junho Ahn and Michael Huo

Patient-related outcomes of patellofemoral arthroplasty: experience of a single center

The purpose of this prospective study was to present the experience of a single center on patellofemoral arthroplasty, in terms of patient-related outcomes.

Authors: W. Y. M. Abeysekera and W. Schenk

Bearing failure in a mobile bearing unicompartmental knee arthroplasty: an uncommon presentation of an implant-specific complication

We present two cases of unicompartmental knee arthroplasty (UKA) bearing failure in this report—one case of bearing dislocation and one case of bearing fracture. The causes of failure in both cases are evaluat...

Authors: Sravya P. Vajapey, Paul M. Alvarez and Douglas Chonko

Correction to: Total knee replacement in Osteogenesis Imperfecta: a case report and review of the literature

Authors: Allan Roy Sekeitto, Kaeriann van der Jagt, Nkhodiseni Sikhauli and Dick Ronald van der Jagt

Use of a modular hip dual-mobility articulation in patients with high risk of dislocation: a relatively small-sized acetabulum in Asian patients may limit its use

Dual-mobility hip component is widely used in Europe and North America, because it effectively reduces hip dislocation in primary and revision total hip arthroplasties. However, reports were limited on the use...

Authors: Ping Keung Chan, Sum Lik Cheung, Kar Hei Lam, Wing Chiu Fung, Vincent Wai Kwan Chan, Amy Cheung, Man Hong Cheung, Henry Fu, Chun Hoi Yan and Kwong Yuen Chiu

Robotic-assisted unicompartmental knee arthroplasty: a review

Presented here is an up-to-date review concerning robotic-assisted unicompartmental knee arthroplasty (rUKA), including its rationale, operative system, pros and cons.

Authors: Pei Liu, Fei-fan Lu, Guo-jie Liu, Xiao-hong Mu, Yong-qiang Sun, Qi-dong Zhang, Wei-guo Wang and Wan-shou Guo

Quantification of assembly forces during creation of head-neck taper junction considering soft tissue bearing: a biomechanical study

All current total hip arthroplasty (THA) systems are modular in design. Only during the operation femoral head and stem get connected by a Morse taper junction. The junction is realized by hammer blows from th...

Authors: Toni Wendler, Torsten Prietzel, Robert Möbius, Jean-Pierre Fischer, Andreas Roth and Dirk Zajonz

Denosumab might prevent periprosthetic bone loss after total hip and knee arthroplasties: a review

Total hip arthroplasty and total knee arthroplasty are extensively used for the treatment of the end-stage degenerative joint diseases. Currently, periprosthetic bone loss is still the major cause of aseptic l...

Authors: Jianda Xu, Huan Li, Yuxing Qu, Chong Zheng, Bin Wang, Pengfei Shen, Zikang Xie, Kang Wei, Yan Wang and Jianning Zhao

Effects of posterior tibial slope on the mid-term results of medial unicompartmental knee arthroplasty

To evaluate the effect of medial posterior tibial slope (PTS) on mid-term postoperative range of motion (ROM) and functional improvement of the knee after medial unicompartmental knee arthroplasty (UKA).

Authors: Zhijie Chen, Kaizhe Chen, Yufei Yan, Jianmin Feng, Yi Wang, Zhihong Liu, Qingming Yang and Chuan He

Accuracy of total knee arthroplasty using the modified gap technique based on the bone gap: an evaluation of the bone gap with a distal femoral trial component

In total knee arthroplasty (TKA) using the modified gap technique, the soft-tissue balance is measured after osteotomy of the distal femur and proximal tibia (conventional bone gap). However, after osteotomy, ...

Authors: Goki Kamei, Shigeki Ishibashi, Koki Yoshioka, Satoru Sakurai, Hiroyuki Inoue, Masakazu Ishikawa, Yu Mochizuki and Nobuo Adachi

Total knee replacement in Osteogenesis Imperfecta: a case report and review of the literature

A review of the literature revealed that only 9 total knee replacements were performed on patients with osteogenesis imperfecta (OI), with one being a revision procedure of a periprosthetic fracture. Of the 9 ...

Authors: Allan Roy Sekeitto, Kaeriann van der Jagt, Nkhodiseni Sikhauli and Dick Ronald van der Jagt

Understanding the apprehension and concern haunting patients before a total knee arthroplasty

The aim of this prospective study was to understand the fear and apprehension factors that play on patient’s mind before total knee arthroplasty.

Authors: Sanjay Bhalchandra Londhe, Ravi Vinod Shah, Meghana Patwardhan, Amit Pankaj Doshi, Shubhankar Sanjay Londhe and Kavita Subhedar

Retraction Note: Patelloplasty in total knee arthroplasty with circumpatellar denervation versus without denervation – a randomized prospective study

This article has been retracted. Please see the Retraction Notice for more detail: https://doi.org/10.1186/s42836-021-00076-6.

Authors: S. R. K. Deekshith, K. J. Reddy and R. Raviteja

Home physiotherapy with vs. without supervision of physiotherapist for assessing manipulation under anaesthesia after total knee arthroplasty

The aim of this retrospective cohort study was to compare home physiotherapy with or without supervision of physiotherapist for assessing manipulation under anaesthesia after total knee arthroplasty.

Authors: Sanjay Bhalchandra Londhe, Ravi Vinod Shah, Amit Pankaj Doshi, Shubhankar Sanjay Londhe, Kavita Subhedar, Krishnan Iyengar and Prashant Mukkannavar

Physiotherapeutic assistance verse home care assistance in the early rehabilitation of total knee arthroplasty during COVID-19 lockdown

The aim of this retrospective comparison study was to assess early functional recovery of total knee arthroplasty with home care assistance during COVID-19 lockdown.

Authors: Lavindra Tomar, Gaurav Govil and Pawan Dhawan

High expression of NDRG3 in osteoarthritis patients

Osteoarthritis (OA), as a common disease, seriously affects the quality of life of the victims, but its pathogenesis remains unclear. It has been confirmed that hypoxia-induced factor (HIF)-mediated hypoxia re...

Authors: Long Chen, Yuanzheng Wang, Senlei Li, Wei Zhou and Li Sun

Application of unicompartmental knee arthroplasty in the treatment of knee osteoarthritis

For the treatment of medial compartment knee osteoarthritis, unicompartmental knee arthroplasty was chosen on the basis of the clinical effects and the rate of prosthesis survival. A retrospective analysis was...

Authors: Bing Wang, Haining Sun, Zhihou Fu, Jian Kang and Xiuchun Yu

Is methylmethacrylate toxic during pregnancy and breastfeeding?--- a systematic review

Methyl methacrylate (MMA) is commonly used in the fields of dentistry and orthopaedic surgery. However, there remain concerns for the occupational hazards of MMA, particularly during pregnancy and breastfeeding.

Authors: James S. Lin, Janice A. Townsend, Casey Humbyrd and Julie Balch Samora

Infected hip prosthesis in patient with suspected Covid-19 infection

Infections following arthroplasty are one of the major risks during this type of surgery. Moreover, the outbreak of coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2 (Severe Acute Respiratory Syndrome ...

Authors: A. Cosentino, G. Odorizzi and W. Berger

Does total hip arthroplasty via the direct anterior approach using dual mobility increase leg length discrepancy compared with single mobility?

Total hip arthroplasty (THA) via the direct anterior approach (DAA) using dual mobility cup (DMC) is considered to effectively prevent postoperative dislocation. However, the dislocation and reduction procedur...

Authors: Seiya Ishii, Yasuhiro Homma, Tomonori Baba, Yuta Jinnai, Xu Zhuang, Hiroki Tanabe, Sammy Banno, Mikio Matsumoto, Taiji Watari, Yu Ozaki, Hironori Ochi and Kazuo Kaneko

Long-term result of a second or third two-stage revision total knee arthroplasty for infected total knee arthroplasty

Persistent or recurrent infection after two-stage revision total knee arthroplasty (TKA) for the treatment of an infected TKA is a dreaded complication. The purpose of the current study was to determine the ab...

Authors: Young-Hoo Kim, Jang-Won Park and Young-Soo Jang

Bilateral severe heterotopic ossification following primary total knee arthroplasty: a case report in Pakistan

The incidence of unilateral minor heterotopic ossification after primary total knee arthroplasty is still unknown, but bilateral severe heterotopic ossification is rare and has not been reported before. Presen...

Authors: Faizan Iqbal, Nouman Memon, Syed Shahid Noor, Nasir Ahmed, Muhammad Farhan Sozera and Arsalan Abro

Risk factors affect success rate of debridement, antibiotics and implant retention (DAIR) in periprosthetic joint infection

Periprosthetic joint infection (PJI) is the most devastating complication of joint replacement that seriously affects the quality of life and causes a heavy burden to the families and society. Due to shorter h...

Authors: Yihong Xu, Liping Wang and Weidong Xu

The accuracy of femoral component rotational measurements using computed tomography—a cadaveric study

CT scans can be used to assess the rotational alignment of the femoral component following total knee arthroplasty (TKA). This is done by calculating the posterior condylar angle (PCA).

Authors: Onyedikachi Eseonu, Calum Cree, Martin Sambrook, Mark Blyth and Bryn Jones

Preventing postoperative prosthetic joint dislocation by repairing obturator externus in total hip arthroplasty performed via the posterior approach

In total hip arthroplasty performed via the posterior approach, repairing the posterior soft tissues is a conventional method for preventing postoperative prosthetic joint dislocation. The aim of this study wa...

Authors: Hideki Fujii, Takuya Otani, Yasuhiko Kawaguchi, Tetsuo Hayama, Toshiomi Abe, Motoi Takahashi and Mitsuru Saito

Peri-prosthetic trans-patellar fractures after Total knee Arthroplasty: a case series and review of literature

Peri-prosthetic patella fracture is the second most common peri-prosthetic fracture after total knee arthroplasty. This report presented the treatment results in 6 patients with peri-prosthetic patella fractur...

Authors: Gaurav Govil, Lavindra Tomar and Pawan Dhawan

A comparison of leg length discrepancy between direct anterior and anterolateral approaches in total hip arthroplasty

Leg length discrepancy (LLD) after total hip arthroplasty (THA) is a known source of complications and a leading cause of litigation (J Bone Joint Surg Br 87:155–157, 2005). There are limited studies investiga...

Authors: Henry Dunn, Geoff Rohlfing and Robert Kollmorgen