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Arthroplasty
Scopus
ISSN 2524-7948 · BMC · 417 artikel di indeks
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Artikel Jurnal
Clinical outcomes following mobile-bearing unicompartmental knee arthroplasty in patients with varying degrees of perioperative alignment change
Abstract Background Although favorable survival and good outcomes have been reported with Oxford unicompartmental knee arthroplasty (UKA), the effect of perioperative alignment change on patient-reported outcome measures (PROMs) remains controversial. In this study, we investigated the impact on…
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Artikel Jurnal
Exploring the optimal age for total knee arthroplasty to minimize risk of adverse outcomes: machine learning analysis of a statewide cohort
Abstract Background Rates of total knee arthroplasty (TKA) in the United States have risen in patients of a wide age range. Although rates of postoperative TKA complications have decreased, they remain a significant concern. In this study, we aim to determine how the risk of adverse TKA outcomes…
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Artikel Jurnal
Restricted kinematic alignment total knee arthroplasty using augmented reality technology to maintain limb alignment within targeted boundaries
Abstract Background An augmented reality (AR)-aided navigation system that utilizes a standard smartphone enables accurate alignment of femoral and tibial components in total knee arthroplasty (TKA) and provides real-time intraoperative quantification of joint gaps. This study aimed to integrate…
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Artikel Jurnal
The transepicondylar axis or the posterior condylar axis: Which is the best reference for femoral component rotation in robotic-assisted total knee arthroplasty?
Abstract Background For robotic-assisted total knee arthroplasty (TKA), accurate identification of anatomical landmarks directly affects the displayed value for femoral component rotation. This study aimed to quantify the inter-surgeon consistency of the TEA-reference angle (the angle between the…
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Artikel Jurnal
National evidence linking robotic total knee arthroplasty to reduced 90-day readmissions, complications, and readmission costs
Abstract Purpose To compare 90-day readmissions, complications, and resource use after robotic-assisted versus conventional total knee arthroplasty (TKA) in a contemporary, nationally representative cohort. Methods Retrospective cohort study using the Nationwide Readmissions Database (NRD)…
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Artikel Jurnal
Anatomical relationship between the intertrochanteric line and femoral neck osteotomy level in direct anterior approach total hip arthroplasty: a 3D morphometric and cadaveric validation study
Abstract Aims Inaccurate femoral neck osteotomy is a recognized technical challenge in direct anterior approach total hip arthroplasty (DAA-THA), largely due to limited femoral exposure and the absence of a standardized intraoperative landmark. This study aimed to investigate whether the ITL is an…
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Artikel Jurnal
Risk analysis index demonstrates superior predictive performance compared to traditional frailty metrics in elderly female patients undergoing inpatient total shoulder arthroplasty
Abstract Background While frailty assessment has become integral to preoperative risk stratification, the optimal measurement tool remains unclear for elderly women undergoing total shoulder arthroplasty (TSA). This study compared the predictive performance of the Risk Analysis Index (RAI) against…
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Artikel Jurnal
Clinical outcomes of the single-stage revision technique in conversion total hip arthroplasty after failed femoral neck fractures: a two-year follow-up study
Abstract Background Conversion to total hip arthroplasty (THA) is associated with higher rates of infection. The purpose of this study is to determine whether applying the surgical technique of single-stage revision can effectively reduce the infection rate of conversion THA after failed femoral…
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Artikel Jurnal
Surgical accuracy of open platform image-based robotic-assisted total hip arthroplasty
Abstract Background Precise acetabular cup positioning is critical for the success and longevity of total hip arthroplasty (THA). Robotic-assisted systems enhance placement accuracy, with closed-platform systems being well-established. A pertinent question is whether newer open-platform systems…
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Artikel Jurnal
Assessing the accuracy of 3D assistive technologies for surgical guidance of osteosarcoma resections: a comparative laboratory study of mixed reality, patient-specific instruments and freehand approaches
Abstract Background The survival rate after surgical osteosarcoma resection is low, particularly when the sarcoma is not fully removed. Therefore, wide surgical margins are used in surgery, limiting how much bone can be salvaged. Patient-specific instrumentation (PSI) enables smaller margins, but…
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Artikel Jurnal
Chinese expert consensus on the surgical treatment of femoral neck fracture by direct anterior approach hip arthroplasty for elderly patients (2025 edition)
Abstract Geriatric femoral neck fracture (FNF) represents a pressing global health challenge, imposing substantial burdens on medical resources while being associated with high complication rates and suboptimal clinical outcomes. In recent years, the direct anterior approach (DAA) has emerged as a…
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Artikel Jurnal
Non-selective enhanced recovery pathway in primary hip and knee arthroplasty: a propensity score matched analysis on safety and efficacy
Abstract Background Enhanced Recovery After Surgery (ERAS) was introduced in hip and knee arthroplasty to expedite recovery, shorten inpatient stay, and reduce costs. This study aims to investigate the safety and efficacy of implementing a universal standardized non-selective ERAS service for all…
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Artikel Jurnal
Evaluating the methodological suitability of partial dependence plots and Shapley additive explanations for population-level interpretation of machine learning models in total joint arthroplasty
Abstract Background Total joint arthroplasty (TJA) complications necessitate the development of accurate risk prediction models; however, interpretability in machine learning remains a challenge. While Shapley Additive Explanations (SHAP) offers insights at the individual level, partial dependence…
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Artikel Jurnal
Clinical outcomes and perioperative safety of primary total knee arthroplasty for hemophilic arthropathy versus osteoarthritis: a retrospective cohort study
Abstract Background Hemophilic arthropathy (HAr) frequently progresses to end-stage joint disease requiring total knee arthroplasty (TKA), but coagulation dysfunction raises concerns about perioperative bleeding and complications. We aim to analyze the clinical outcomes and safety associated with…
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Artikel Jurnal
Key determinants for lowering the risk of joint replacement in weight-bearing joints: a population-based cohort study
Abstract Background Hip and knee replacement (arthroplasty) is used to treat advanced joint disease by reducing pain and restoring joint function. This study aimed to identify determinants associated with a lower risk of joint replacement (JR). Methods Longitudinal data from the Geelong…
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Artikel Jurnal
Comparison of transdermal and oral anti-inflammatory drugs on immediate post-operative pain control in total knee arthroplasty: a randomized controlled trial
Abstract Background Oral nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used as multimodal pain-control medications in total knee arthroplasty (TKA), while topical NSAIDs are commonly used for chronic pain conditions. There is limited evidence on whether topical NSAIDs could provide…
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Artikel Jurnal
Generalized joint hypermobility and functional recovery after THA for unilateral Hartofilakidis type C developmental dysplasia of the hip: a retrospective cohort study
Abstract Background Generalized joint hypermobility (GJH) is common in developmental dysplasia of the hip (DDH) and may affect recovery after total hip arthroplasty (THA) for Hartofilakidis type C, but its impact on the trajectory of postoperative functional recovery in this severe subgroup has not…
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Artikel Jurnal
Iatrogenic coronal-sagittal coupling driven by a 12.4° rotational mismatch in manual total knee arthroplasty and precise decoupling with robotic assistance: a radiographic retrospective cohort study
Abstract Background Achieving precise reconstruction of both the coronal and sagittal planes is pivotal in total knee arthroplasty (TKA). However, conventional manual TKA (M-TKA) may induce an unintended “coronal-sagittal coupling” effect, where adjustments in one plane inadvertently alter the…
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Artikel Jurnal
Comparative clinical efficacy and safety of perioperative systemic glucocorticoids in primary unilateral total hip arthroplasty: a GRADE-assessed meta-analysis of randomized controlled trials
Abstract Background Recovery from primary unilateral total hip arthroplasty (THA) is frequently impeded by pain and postoperative nausea and vomiting (PONV), which hinder Enhanced Recovery After Surgery (ERAS) goals. Although perioperative glucocorticoids offer a multimodal strategy to address…
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Artikel Jurnal
Full-flexion gap balancing-driven personalized preoperative planning for TKA: biomechanical evidence of improved load symmetry in an in vitro model
Abstract Purpose Conventional morphology-based planning (MB) in total knee arthroplasty (TKA) often results in imbalanced medial–lateral loading, which is a major risk factor for prosthesis loosening. This study aimed to evaluate a full-flexion gap balance planning (GB) approach and compare its…