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increasingly ageing population. 3 The most common indication for TKR is osteoarthritis (OA). 1 In 2018, 96.2% of primary knee replacements were conducted solely due to osteoarthritis. 2 TKR helps to improve quality of life and function in end
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Luxembourg Institute of Research in Orthopaedics, Sports Medicine and Science (LIROMS), Luxembourg, Luxembourg
Department of Orthopaedic Surgery, Centre Hospitalier Luxembourg-Clinique d’Eich, Luxembourg, Luxembourg
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Orthopaedic Surgery Service, University Hospital of Geneva, Geneva, Switzerland
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functional demands ( 2 , 3 , 4 ). Osteotomies around the knee redistribute the load to the compartment which is unaffected by osteoarthritis, aiming to alleviate symptoms and delay or avoid the need for later arthroplasty. Historically, osteotomies were
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that, in some specific patients, TKA could be the primary procedure. Age > 65 years, local osteopaenia, corticoid use and pre-existing osteoarthritis are identified as the main reasons indicating a primary arthroplasty. What outcomes can be
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the anatomic tibiofemoral angle does not reproduce a correct estimation of the mechanical tibiofemoral angle. The anatomic tibiofemoral angle is valgus with an offset of 4–6° for healthy individuals. In patients with knee osteoarthritis, the anatomic
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osteoarthritis (OA) and is known to disproportionally increase and accelerate knee arthrosis ( 4 , 5 , 6 , 7 ). Aging as well is correlated with OA ( 8 , 9 , 10 ), and since the world’s population is getting older, this further increases the demand for
Department of Orthopaedics, University Hospital of Ghent, Ghent, Belgium
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Department of Electromechanics, InViLab research group, University of Antwerp, Antwerp, Belgium
Department of Trauma and Orthopedics, Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
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, osteoarthritis; RCS, retrospective cohort study. Table 2 Study details of clinical and radiographical outcomes, correlations and conclusions. Study Biomechanical outcome Clinical outcome Conclusion Subjective measures
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cartilage damage; insufficient reduction induces limb malalignment. These three consequences of trauma lead to the development of osteoarthritis. 7 Following a tibial plateau fracture, the incidence of arthritis is higher 8 , 9 than with distal
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literature to elucidate the correct clinical indications and the precise radiological criteria, and the main causes of UKA failure. Indications for UKA Current indications for UKA implantation are: unicondylar osteoarthritis (OA) or osteonecrosis
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Department of Orthopaedic Surgery, St Vincent’s Hospital, Fitzroy, Australia
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Department of Orthopaedic Surgery, St Vincent’s Hospital, Fitzroy, Australia
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Introduction The growing burden of knee osteoarthritis presents a significant challenge facing many communities. 1 Total knee replacement (TKR) remains the only definitive treatment option available for advanced arthritis, and this has
Academic Department of Trauma and Orthopaedics, LGI, University of Leeds, Leeds, UK
Leeds Teaching Hospitals Trust, UK
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The Lister Hospital, Chelsea Bridge, London, UK
Centre de l’Arthrose - Clinique du Sport, Bordeaux-Mérignac, France
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Leeds Teaching Hospitals Trust, UK
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Introduction Over 100,000 total knee replacements (TKR) are performed annually for painful end-stage osteoarthritis (OA) in the UK. 1 The main reason for undertaking a TKR is to provide pain relief as well as improving function and
