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rotation using a bone nibbler or reciprocating saw. If a medial or a lateral peripherical bone defect is present a trial augment is added under the plastic tibia on the corresponding side and the varus-valgus alignment is re-checked. The use of a porous
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the flexion gap and avoid joint-line elevation. 28 Reconstruction of the tibia The use of stems to supplement component fixation in rTKA has been shown to improve outcomes and survival, 31 - 33 as they allow bone defects to be
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Harnly HW Rodeo SA Williams RJ III . Activity levels are higher after osteochondral autograft transfer mosaicplasty than after microfracture for articular cartilage defects of the knee: a retrospective comparative study . J Bone
Personalized Arthroplasty Society, Atlanta, Georgia, USA
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Nuffield Orthopaedic Centre, Headington, Oxford, UK
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Personalized Arthroplasty Society, Atlanta, Georgia, USA
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South-West London Elective Orthopaedic Centre, Epsom, UK
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Shamir Medical Center, Zriffin, Israel
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Département de Chirurgie, Université de Montréal, Hôpital Maisonneuve-Rosemont, Montréal, Québec, Canada
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right knee anatomy was used to plan the left knee TKA. Using computer navigation, the left femoral implant was aligned with 5° of valgus and the tibial component with 2° of varus. A 10 mm lateral femoral augment was used to fill the bone defect and a
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inflation osteoplasty, 21 , 22 has been described as a minimally-invasive technique. There are no clinical results available that can support the use of this technique. Once the articular surface is restored, the remaining underlying bone defect can be
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Department of Pharmacy Practice, Faculty of Pharmaceutical Sciences, Naresuan University, Phitsanulok, Thailand
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School of Pharmacy, University of Wisconsin, Madison, Wisconsin, USA
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. Characteristics and outcomes of included studies Author (year) No. of knees Mean age (yr.) Average follow-up (yr.) Cause of CNA Staging Ataxia Prosthetic constraint (knees) Bone defect Rx Re-surgery (episodes) Total complication
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metaphyseal sleeves to fill bone defects, as well as modular augmentation to preserve the joint line. Other options are an allograft–prosthesis composite, knee arthrodesis, or limb amputation. Fig. 3 Lateral radiograph of the right knee shows a rotating
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bone defects. 29 According to Efe et al (2012), this prosthesis must be indicated in selected cases of advanced primary OA associated with severe bone loss, ligamentous instability or comminuted fractures, and in revision situations. 30 In
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progression (1.4%), aseptic loosening (1.3%), bearing dislocation (0.58%), pain (0.57%), and infection (0.47%). 3 Proper patient selection is key for success; ideal candidates present with painful isolated bone-on-bone anteromedial osteoarthritis with a
IRCCS Humanitas Research Hospital, Milan, Italy
These authors contributed equally to the article and should both be considered first authors
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IRCCS Humanitas Research Hospital, Milan, Italy
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First Moscow State Medical University – Sechenov University, Moscow, Russia
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IRCCS Humanitas Research Hospital, Milan, Italy
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Introduction Osteoarthritis (OA) is a degenerative disease with a tendency to worsen over time, characterized by articular cartilage degradation, subchondral damage, and bone remodelling, most commonly affecting weight-bearing joints such as