Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Dec 2024
Multicenter StudyTotal hip arthroplasty was found to be safe in Jehovah's Witness patients: a multi-centered matched study.
Jehovah's Witness patients refuse blood transfusion because of their religious beliefs making total hip arthroplasty (THA) challenging. This study aims to determine the safety of THA in Jehovah's Witness patients using standard perioperative protocols as well as evaluate the effectiveness of tranexamic acid (TXA) in controlling blood loss. ⋯ Level III Evidence.
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Arch Orthop Trauma Surg · Dec 2024
Coronal plane deformity in total knee arthroplasty is associated with increased operative time and disposition to skilled nursing facility.
Studies demonstrate similar long-term Total Knee Arthroplasty (TKA) outcomes in patients with significant versus minimal preoperative coronal plane deformity. Limited short-term outcomes data, which determine costs of care, exist. ⋯ Greater preoperative coronal deformity is associated with increased operative time and odds of discharge to SNF in TKA.
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Arch Orthop Trauma Surg · Dec 2024
ReviewCementless fixation in total knee arthroplasty: current evidence and future perspective.
Cementless fixation plays an increasing role in total knee arthroplasty (TKA). The objective of this review article is to analyze functional outcomes and survivorship of cementless TKA. ⋯ With improvement in manufacturing, and surgical tools for more precise delivery, such as robotic assisted TKA and 3D-printed implants, one can expect increase in usage of cementless TKA, due to a more biological fixation, better survivorship, and outcomes.
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Arch Orthop Trauma Surg · Dec 2024
Comparative StudyComparing supine CT scanogram and standing long-leg radiograph for postoperative alignment in total knee arthroplasty: a prospective study.
Achieving precise postoperative alignment is critical for the long-term success of total knee arthroplasty (TKA). Long-leg standing radiograph (LLR) at 6 weeks post-op is the gold standard for assessing alignment, but its reliance on weight-bearing and positioning makes it less practical in the early postoperative period. Supine computed tomography scanogram (CTS) offers a potential alternative. This study compares CTS and LLR in patients undergoing TKA with patient-specific valgus correction angles (VCA). ⋯ Level II, Prospective Comparative Study.
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Arch Orthop Trauma Surg · Dec 2024
Comparative StudyDistinct knee phenotype variation: a comparative analysis of medial and lateral unicompartmental knee arthroplasty.
Lateral unicompartmental knee arthroplasty (UKA) is relatively less common than medial UKA. There has been no comparative analysis of the constitutional phenotypes of knees that underwent medial and lateral UKA. Therefore, this study aimed to compare the Coronal Plane Alignment of the Knee (CPAK) classification of knees that underwent medial and lateral UKA. Furthermore, the study analyzed whether CPAK phenotypes were maintained or altered after medial or lateral UKA. ⋯ Level III.