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Arthroplasty Today
Scopus
ISSN 2352-3441 · Elsevier · 1.966 artikel di indeks
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Artikel Jurnal
Robotic-Assisted Medial Epicondylar Osteotomy and Dual Fixation Technique During Total Knee Arthroplasty for Severe Varus Deformity
We report a robotic-assisted sliding medial epicondylar osteotomy along with a transosseous dual-fixation technique to balance severe varus deformities that are not amenable to medial release during total knee arthroplasty. A 60-year-old woman with bilateral knee osteoarthritis and a varus…
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Artikel Jurnal
Combined Patellofemoral Arthroplasty With Patellar Realignment: Surgical Technique and Clinical Outcomes in a Retrospective Case Series
Background: Isolated patellofemoral joint arthritis with patellar malalignment in young patients presents a unique challenge, as these patients typically wish to avoid early total knee arthroplasty. The purpose of this retrospective case series is to describe a standardized dual-surgeon technique…
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Artikel Jurnal
Alignment Philosophies in Total Knee Arthroplasty: A Comprehensive Narrative Review
For many years, providing patients with a total knee arthroplasty (TKA) prosthesis which is stable with a neutrally aligned lower limb using a mechanical alignment philosophy has represented the primary technical goal of TKA. However, it has previously been reported that only 50% of patients have…
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Artikel Jurnal
Managing Knee Arthrodesis Conversion to Arthroplasty in a Young Patient: Surgical Strategy, Challenges, and Functional Recovery After 1 Year
Conversion of knee arthrodesis to total knee arthroplasty is a technically demanding procedure, particularly in young patients with a history of trauma and infection. This report outlines the surgical strategy and 1-year functional outcome of a 24-year-old patient who underwent total knee…
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Artikel Jurnal
Divergent Sign: a Case Series Describing a Novel Radiographic Finding of Posteromedial Hip Osteoarthritis
While hip osteoarthritis (OA) is often diagnosed by plain films, posteromedial hip OA is harder to visualize, thus risking underdiagnosis among patients with symptomatic posteromedial hip OA but unremarkable plain hip and pelvis radiographs. The divergent sign, or apparent asymmetric widening of…
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Artikel Jurnal
Primary Versus Salvage Distal Femoral Endoprosthetic Replacement Following Native Distal Femur Fracture: A Systematic Review and Meta-Analysis
Background: Surgical management of native distal femoral fractures (DFFs) in elderly patients includes open reduction and internal fixation (ORIF) or distal femoral endoprosthetic replacement (DFR). When ORIF is complicated by nonunion or fixation failure, salvage DFR (sDFR) may be required. The…
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Artikel Jurnal
Complications and Reoperation Rates of Total Knee Arthroplasty After High Tibial Osteotomy: A Matched Cohort Analysis From a Nationwide Database
Background: Arthritic progression after high tibial osteotomy (HTO) can require total knee arthroplasty (TKA). While primary TKA results are reliably favorable, there remains uncertainty regarding outcomes of TKA after HTO. We aimed to compare perioperative complication and revision rates for…
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Artikel Jurnal
Improved Perioperative Outcomes in Robotic-Assisted Revision Total Knee Arthroplasty
Background: This study compares short-term outcomes of robotic-assisted revision total knee arthroplasty (RA-rTKA) to conventional rTKA. We hypothesize that RA-rTKA will accelerate gains in range of motion and time to ambulation postoperatively. Methods: This is a retrospective case-control study…
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Artikel Jurnal
Stabilizing the Unstable: Cone Hemiarthroplasty in Geriatric Intertrochanteric Fractures
Background: Unstable intertrochanteric fractures in the elderly pose a significant treatment challenge due to poor bone quality, comminution, and associated comorbidities. Bipolar hemiarthroplasty offers the advantage of early mobilization and reduced fixation-related complications. This study…
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Artikel Jurnal
Patellar Clunk Syndrome: A Systematic Review of Risk Factors and Treatment
Background: Patellar Clunk Syndrome (PCS) is a known complication of total knee arthroplasty (TKA). Prior studies have identified multiple risk factors for PCS, including male sex, patellar size, and implant design. Previous literature suggests surgical intervention as the preferred treatment for…
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Artikel Jurnal
Tendency of Tibial Component Placement and Short-Term Outcomes in ROSA-Assisted Unicompartmental Knee Arthroplasty Using the Persona Partial Knee System
Background: Robot-assisted unicompartmental knee arthroplasty (UKA) has been introduced to improve component positioning. The ROSA Knee System and Persona Partial Knee (Zimmer Biomet, Warsaw, IN, USA) constitute a relatively new robotic platform with limited data. We aimed to quantify tibial and…
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Artikel Jurnal
Switching From a 6° to a 20° Valgus Prosthetic Trochlear Groove Improved the Forgotten Joint and Oxford Knee Scores After Kinematically Aligned Total Knee Arthroplasty
Background: In kinematically aligned (KA) total knee arthroplasty (TKA) using a femoral component with the traditional 6° valgus prosthetic trochlear groove (PTG), patients reported a lower Forgotten Joint Score (FJS) when the quadriceps line of pull was laterally misaligned to the groove, with an…
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Artikel Jurnal
The Effect of Subcutaneous Fat Tissue Length and Area on Postoperative Wound Drainage in Patients Undergoing Hemiarthroplasty for Femoral Neck Fracture
Background: The aim of this study was to investigate whether subcutaneous adipose tissue (SAT) length by radiograph and SAT area by computed tomography (CT) before femoral neck fracture surgery are associated with surgical wound drainage (SWD) in elderly female patients. Methods: We prospectively…
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Artikel Jurnal
Effects of Very Early versus Early Mobilization and Walking on Functional and Psychosocial Outcomes in Acute Phase After Total Hip Arthroplasty: A Prospective Observational Study
Background: Mobilization and walking after total hip arthroplasty (THA) are delivered as early as patients are able, but heterogeneity in administration timing has been reported. The study aimed to investigate the effects of very early (within 8 hours from surgery) vs early (between 12 and 24 hours…
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Artikel Jurnal
Mid-Term Outcomes of Cement-In-Cement Revision for Aseptic Loosening Versus Infection: A Comparative Study in a Small Retrospective Cohort
Background: The cement-in-cement technique, which preserves the original cement mantle, has become a widely used surgical method in hip revision surgeries due to its ability to significantly simplify the procedure. Currently, no studies have directly compared the mid-term outcomes of using the…
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Artikel Jurnal
Identification of Combined Anteversion Targets to Optimize Impingement-free Range of Motion Across Femoral Head Sizes: A Simulation Study
Background: Dislocation remains a risk following total hip arthroplasty (THA). While prior studies have proposed optimal combined anteversion (CA) ranges to maximize impingement-free range of motion (IFROM), the influence of bony impingement and femoral head size remains underexplored. This study…
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Artikel Jurnal
Can’t Stop the Music? Musical Hallucinations From Postoperative Tramadol Use: Case Report and Literature Review
Tramadol is an overall safe and increasingly used alternative to traditional opioid medications for pain relief in the acute postoperative period. However, it does have a set of common and rarer, possibly life altering, side effects including severe hallucinations, and more specifically, discrete…
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Artikel Jurnal
Intraoperative Wound Irrigation in Orthopaedic Surgery: A Survey of Current Understanding and Practice Across the United States
Background: Periprosthetic joint infections remain a serious complication following arthroplasty surgery, causing significant patient morbidity and economic burden to health-care systems. While surgical site infection (SSI) preventive measures have shown effectiveness, there remains a significant…
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Artikel Jurnal
Intraoperative Genicular Nerve Infiltration Offers Comparable Pain Control to Traditional Periarticular Injection After Total Knee Arthroplasty: A Randomized Controlled Trial
Background: Postoperative pain in total knee arthroplasty (TKA) can hinder rehabilitation and impair functional outcomes. Periarticular injection (PAI) is commonly used method to mitigate postoperative pain. However, the optimal injection sites and volumes remain inconclusive. Genicular nerve…
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