New Advances in Hip and Knee Reconstructive Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: 31 October 2024 | Viewed by 768

Special Issue Editor


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Guest Editor
1. Department of Orthopedics, VA North Texas Health Care System, Dallas, TX 75216, USA
2. Department of Orthopedics, University of Texas Southwestern, Dallas, TX 75390, USA
Interests: orthopaedic surgery; arthroplasty; knee; hip; ankle; trauma
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Special Issue Information

Dear Colleagues,

Today, knee and hip surgery are among the most successful surgical procedures. Nonetheless, the number and severity of associated complications are still of clinical concern, with periprosthetic joint infection (PJI) being a disastrous complication after hip and knee replacement surgery.

The design and implementation of surgery, as well as the overall diagnosis and treatment of postoperative infectious complications, material failure, prosthetic loosening, and joint instability, etc., have been the subject of intensive research to understand, prevent and treat the diseases associated therewith. Rehabilitation training also has very important clinical significance for the postoperative functional recovery of patients.

This Special Issue aims to invite authors to submit original papers or review articles on specific and novel approaches to knee and hip problems, providing readers with the latest research results.

Dr. Senthil Sambandam
Guest Editor

Manuscript Submission Information

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Keywords

  • knee
  • hip
  • joint function
  • revision arthroplasty
  • periprosthetic joint infection
  • muscle damage
  • alignment
  • surgical advances
  • osteotomies
  • fracture
  • robotic surgery

Published Papers (1 paper)

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Research

12 pages, 3415 KiB  
Article
Simultaneous Evaluation of Bone Cut and Implant Placement Accuracy in Robotic-Assisted Total Knee Arthroplasty
by Killian Cosendey, Julien Stanovici, Hugues Cadas, Patrick Omoumi, Brigitte M. Jolles and Julien Favre
J. Clin. Med. 2024, 13(5), 1293; https://doi.org/10.3390/jcm13051293 - 25 Feb 2024
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Abstract
Background: This study aimed to evaluate the accuracy of bone cuts and implant placements, simultaneously, for total knee arthroplasty (TKA) performed using a system with an active robotic arm. Methods: Two experienced orthopaedic surgeons performed TKA on ten cadaveric legs. Computed tomography scans [...] Read more.
Background: This study aimed to evaluate the accuracy of bone cuts and implant placements, simultaneously, for total knee arthroplasty (TKA) performed using a system with an active robotic arm. Methods: Two experienced orthopaedic surgeons performed TKA on ten cadaveric legs. Computed tomography scans were performed to compare the bone cuts and implant placements with the preoperative planning. The differences between the planned and actual bone cuts and implant placements were assessed using positional and angular errors in the three anatomical planes. Additionally, the cut–implant deviations were calculated. Statistical analysis was performed to detect systematic errors in the bone cuts and implant placements and to quantify the correlations between these errors. Results: The root-mean-square (RMS) errors of the bone cuts (with respect to the planning) were between 0.7–1.5 mm and 0.6–1.7°. The RMS implant placement errors (with respect to the planning) varied between 0.6–1.6 mm and 0.4–1.5°, except for the femur and tibia in the sagittal plane (2.9°). Systematic errors in the bone cuts and implant placements were observed, respectively, in three and two degrees of freedom. For cut–implant deviations, the RMS values ranged between 0.3–2.0 mm and 0.6–1.9°. The bone cut and implant placement errors were significantly correlated in eight degrees-of-freedom (ρ ≥ 0.67, p < 0.05). Conclusions: With most of the errors below 2 mm or 2°, this study supported the value of active robotic TKA in achieving accurate bone cuts and implant placements. The findings also highlighted the need for both accurate bone cuts and proper implantation technique to achieve accurate implant placements. Full article
(This article belongs to the Special Issue New Advances in Hip and Knee Reconstructive Surgery)
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