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variable and differently evaluated. The main points of debate are related to the surgical technique, radiological analysis, post-operative rehabilitation and assessment of clinical results. Surgical technique PIP joint surgery may be performed by a
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arthroscope in the posterior portal and the arm in a neutral position, the arm is then externally rotated to assess the stability of the repair. If the forearm externally rotates past 50 degrees, this is noted for the post-operative rehabilitation limits. The
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rehabilitation period, and is associated with moderately high financial costs. Stem cell transplantation Stem cells have the ability to divide and differentiate into many different cell types in the body. Mesenchymal stem cells are multipotent cells that
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isolated PCL tear return to activity with rehabilitation, achieving knee stability by enhancing muscles to compensate posterior tibial translation. 15 PCL bracing aims to compensate the tibial sag, applying an anterior counterforce, in an effort to
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Cold physical plasma (CPP) technology is of high promise for various medical applications.
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The interplay of specific components of physical plasma with living cells, tissues and organs on a structural and functional level is of paramount interest with the aim to induce therapeutic effects in a controlled and replicable fashion.
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In contrast to other medical disciplines such as dermatology and oromaxillofacial surgery, research reports on CPP application in orthopaedics are scarce.
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The present implementation of CPP in orthopaedics involves surface modifications of orthopaedic materials and biomaterials to optimize osseointegration. In addition, the influence of CPP on musculoskeletal cells and tissues is a focus of research, including possible adverse reactions and side effects. Its bactericidal aspects make CPP an attractive supplement to current treatment regimens in case of microbial inflammations such as periprosthetic joint infections. Attributed anticancerogenic and pro-apoptotic effects underline the clinical relevance of CPP as an additive in treating malignant bone lesions.
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The present review outlines ongoing research in orthopaedics involving CPP; it distinguishes considerations for safe application and the need for more evidence-based research to facilitate robust clinical implementation.
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performed without using a tourniquet. Post-operative rehabilitation Partial weight-bearing and early functional rehabilitation are recommended for at least six weeks in most cases after successful reduction and fixation with LCP have been performed
Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Plastic, Reconstructive and Hand Surgery, Nijmegen, The Netherlands
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Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
Department of Rehabilitation Medicine, Rotterdam, The Netherlands
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Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
Department of Rehabilitation Medicine, Rotterdam, The Netherlands
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Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
Department of Rehabilitation Medicine, Rotterdam, The Netherlands
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Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
Department of Rehabilitation Medicine, Rotterdam, The Netherlands
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Department of Rehabilitation Medicine, Rotterdam, The Netherlands
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Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Plastic, Reconstructive and Hand Surgery, Nijmegen, The Netherlands
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for discussing and evaluating the patient’s goals during rehabilitation. Based on the results of outcome measurements, therapy can be adjusted. For example, if strength is still clearly reduced compared to the preoperative situation, hand therapists
Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK
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Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK
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Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK
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Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK
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Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK
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Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK
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In symptomatic patients with moderate to high functional demands, ACL reconstruction (ACLR) is often recommended to enhance rehabilitation, facilitate early return to full sporting function and reduce the risk of long-term complications. The most
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exchange. Isolated polyethylene exchange (IPE) with retention of well-fixed components is an attractive option because of shorter operating time, less blood loss, preservation of bone stock and faster rehabilitation. 9 The most common type of revision
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functional result with a maximum limb length in combination with optimal wound healing to avoid multiple reoperations and prolonged hospitalization. The preservation of the knee joint is essential for successful rehabilitation in the elderly and cannot be
