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femoral and proximal tibial fractures are relatively common in young patients as a result of high-energy trauma, and in older patients as a result of low-energy trauma. These fractures may lead to malunion or nonunion, bone defects, limb malalignment
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prosthesis in position. Hamilton et al analysed the long-term results of a group of patients, some of whom had anterior knee pain and patellofemoral (PF) joint OA managed with UKA. 16 Severe impairment to the lateral facet of the PF joint with
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administration of antibiotics. Surgical technique Positioning After general or loco-regional anesthesia with the patient in dorsal decubitus, skin disinfection and draping are performed at the proximal femur level to recognize leg rotation and the
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posteromedial approach in the supine position with the leg externally rotated has the advantage of allowing the approach to the lateral plateau through a separate incision, when necessary, without moving the patient. With this approach, located in the
Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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-reported health state score, and preoperative KSS. This model demonstrated good discriminative ability in identifying patients at higher risk of dissatisfaction ( 13 ). Validity in the identification of optimal sagittal component position in TKA In 2021
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performed conventionally. All of the Acrobot UKA patients had coronal tibiofemoral alignment within 2 degrees of the planned position while only 40% of the conventional cohort achieved similar accuracy. • The authors also found a trend towards but not
Personalized Arthroplasty Society, Atlanta, Georgia, USA
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Nuffield Orthopaedic Centre, Headington, Oxford, UK
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Département de Chirurgie, Université de Montréal, Hôpital Maisonneuve-Rosemont, Montréal, Québec, Canada
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-disease position ( Fig. 1 , Supplementary Video). 1 , 2 Fig. 1 The kinematic alignment technique for total knee arthroplasty (TKA) has the aim of restoring the pre-arthritic tri-dimensional knee anatomy and to align components on the knee’s kinematic axes
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months. 13 Patient selection is critical for the success of IPE in the management of wear and osteolysis. The algorithm used in our institution is demonstrated in Figure 1 . IPE and bone grafting can be considered in patients with well-positioned
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Helmy N . Improved positioning of the tibial component in unicompartmental knee arthroplasty with patient-specific cutting blocks . Knee Surg Sports Traumatol Arthrosc 2015 ; 23 : 1993 – 1998 . 11. Fujisawa Y Masuhara K
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systems Robotic-assisted TKA uses computer software to generate a virtual three-dimensional (3D) model of the patient-specific bony anatomy. This is used by the surgeon to pre-plan bone cuts, component size and positioning. This surgical plan is