Special Issue "New Trends for Arthroplasty in Personalized Treatment"

Dear Colleagues,

In recent years, the concept of personalized treatment has been increasingly introduced into the field of joint surgery. In order to improve the accuracy of treatment and the curative effect and prognosis of joint surgery, it is necessary to further our comprehensive understanding of joint surgery. Starting before the new millennium, the volume of primary total joint arthroplasty procedures has risen at almost exponential rates. All the major joints can be replaced with a high chance of marked longevity.

Hip and knee arthroplasties are the oldest and most commonly performed joint replacements, but arthroplasty of other joints, including ankle, wrist, shoulder and elbow, has become increasingly more common and deserves more attention.

The choice of the right patient to prevent complications and failures is the single most important issue to always keep in mind.

This Special Issue aims to highlight new trends in total joint arthroplasty from different points of view.

No surgical procedure will fare well if the indications are not correct. In the present climate, several topics are 'hot' in this field: mini-invasive surgical approaches, custom-made primary total arthroplasty, robotic and artificial intelligence-aided surgery, fast-track and enhanced recovery surgery, and aggressive rehabilitation protocols.

This Special Issue will paint the present picture in personalized treatment and form the basis for the future of arthroplasty.

Prof. Dr. Francesco Oliva
Prof. Dr. Cesare Faldini
Guest Editors

Manuscript Submission Information

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Personalized Medicine is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

• arthroplasty
• surgical procedures
• new technologies
• hip
• knee
• shoulder
• elbow
• ankle

Title: Chronological changes in sagittal femoral bowing after primary cementless total hip arthroplasty: a 3D CT study.
Authors: Francesco Castagnini
Affiliation: Orthopaedic-Traumatology and Prosthetic Surgery and Revisions of Hip and Knee, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy
Abstract: Little is known about dynamic changes of femoral anatomy after total hip arthroplasty (THA), in particular about sagittal femoral bowing (SFB). A 3D CT study was designed to evaluate the chronological changes of SFB after cementless femoral stem implantation for primary THA. Ten patients who underwent unilateral primary THA with cementless femoral stem, with 2 consecutive CT scans extending from the fourth lumbar vertebra to the tibial plateaus, performed before THA and at least 3 years after THA, were enrolled. A 3D model of femurs was created using an image segmentation software. In the two CT scans, SFB of the proximal and middle thirds were calculated on the replaced and native sides, by two different observers. Seven anatomical stems and 3 conical stems were involved. The post-operative CT was performed at an average follow-up of 6.5 years after THA (range: 3-12.5). The measurements performed by the two observers were not different in the proximal and middle regions (p>0.3). A significant difference between the pre-operative and post-operative SFB compared to the native side was found in the proximal femur segment (p<0.005). Cementless stem in THA induced chronological changes in SFB of the proximal femur, after a minimum timespan of 3 years.