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Innovation in Joint Replacement

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

Deadline for manuscript submissions: closed (25 November 2023) | Viewed by 3017

Special Issue Editor


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Guest Editor
1. Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128 Rome, Italy
2. Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128 Rome, Italy
Interests: reverse shoulder arthroplasty (RSA); total shoulder arthroplasty (TSA); rotator cuff arthropathy; osteoarthritis; proximal humeral fractures
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Special Issue Information

Dear Colleagues,

The present Special Issue on "Innovation in Joint Replacement" brings together a diverse group of experts to explore the latest advancements and cutting-edge innovations in the field of joint replacement surgery. From new implant designs to advanced surgical techniques, this Issue will delve into the exciting progress being made in the field and highlight the opportunities and challenges ahead. The integration of digital technologies and personalized medicine is transforming the way joint replacement is performed, leading to improved patient outcomes and a better quality of life. Whether you are a researcher or surgeon, this Special Issue will provide valuable insights into the current state and future direction of joint replacement. I am honored to serve as the Guest Editor of this Issue and I believe it will serve as a valuable resource for anyone interested in the exciting future of joint replacement.

Prof. Dr. Umile Giuseppe Longo
Guest Editor

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Keywords

  • joint replacement
  • navigation
  • computer assisted
  • personalized
  • knee
  • shoulder
  • hip

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Published Papers (2 papers)

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Research

13 pages, 502 KiB  
Article
Outcomes Vary by Pre-Operative Physical Activity Levels in Total Knee Arthroplasty Patients
by Roberta E. Redfern, David A. Crawford, Adolph V. Lombardi, Jr., Krishna R. Tripuraneni, David C. Van Andel, Mike B. Anderson and Jason M. Cholewa
J. Clin. Med. 2024, 13(1), 125; https://doi.org/10.3390/jcm13010125 - 25 Dec 2023
Cited by 4 | Viewed by 1382
Abstract
Physical activity (PA) is suggested to reduce osteoarthritis pain; however, it may be avoided by patients requiring arthroplasty. Our goal was to investigate objective and patient-reported outcomes as a function of pre-operative PA levels in patients undergoing total knee arthroplasty (TKA). A total [...] Read more.
Physical activity (PA) is suggested to reduce osteoarthritis pain; however, it may be avoided by patients requiring arthroplasty. Our goal was to investigate objective and patient-reported outcomes as a function of pre-operative PA levels in patients undergoing total knee arthroplasty (TKA). A total of 1941 patients enrolled in a multicenter prospective cohort study investigating a smartphone-based care management platform for self-directed rehabilitation underwent TKA and were included in the analysis. Activity was categorized based on the cohort’s step count quartiles into low, moderate, and high pre-operative PA. Pre-operative and post-operative pain, EQ5D5L, KOOS JR, and step counts were compared by ANOVA according to activity group. Pre-operative pain scores increased with the decreasing activity level (all, p < 0.05) and were most improved post-operatively in the low PA group. High PA patients demonstrated the smallest improvements in EQ-5D-5L and KOOS JR. Low and moderate PA patients increased physical activity by three months, reaching 176% and 104% of pre-operative steps; high PA patients did not return to full step counts by one year post-operatively. Patients undergoing TKA who present with higher levels of physical activity report lower levels of pain and higher function pre-operatively but appreciate less improvement up to one year post-operatively. These results may be helpful in appropriate counseling of patient expectations before TKA. Full article
(This article belongs to the Special Issue Innovation in Joint Replacement)
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16 pages, 6526 KiB  
Article
Performance of the Aptis Distal Radioulnar Joint Implant: A Clinical Case Series Including Four-Dimensional Computed Tomography Kinematic Analysis
by Shirley D. Stougie, Margriet H. M. van Doesburg, Joris G. M. Oonk, Lara Plugge, Geert J. Streekstra, Johannes G. G. Dobbe and Jan Henk Coert
J. Clin. Med. 2023, 12(18), 5815; https://doi.org/10.3390/jcm12185815 - 7 Sep 2023
Cited by 2 | Viewed by 1096
Abstract
High complication rates and surgical revision rates following Aptis implant placement have been reported in the literature. This study evaluates the performance of the Aptis implant of twelve patients using four-dimensional kinematic analysis. The (mean) follow-up was 58 months. Wrist motion, grip strength, [...] Read more.
High complication rates and surgical revision rates following Aptis implant placement have been reported in the literature. This study evaluates the performance of the Aptis implant of twelve patients using four-dimensional kinematic analysis. The (mean) follow-up was 58 months. Wrist motion, grip strength, and kinematic analysis of both arms were used to investigate possible causes of the reported complications. In nine cases (75%), the proximal to distal translation of the distal radius along the ulnar axis in the affected forearm was too little or absent. Significant correlations were found between postoperative extension and translation of the distal radius along the ulnar axis and between the radial deviation and combined error. The four-dimensional kinematic analysis suggests that the current design of the implant could lead to limited restoration of the position of the forearm rotation axis and the translation of the radius along the ulnar axis. Full article
(This article belongs to the Special Issue Innovation in Joint Replacement)
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