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situations, either a through-knee amputation (TKA) or an above-knee amputation (AKA) may be considered. In our hospital, one major limb amputation is done per week. The Gritti–Stokes form of TKA is the first choice for patients not eligible for a BKA. This
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and neurological systems are not correctly assessed and treatment is deferred, resultant limb ischemia, soft tissue death, and the eventual need for amputation can occur. Standard orthogonal radiographic projections of the knee are sufficient in most
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focus on their indications. Should hinged implants be used only for lower-limb salvage surgery or should they be a regular choice for TKA revision surgery? Are their outcomes improving, or do they remain unsatisfactory? Implant constraints and the
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20, 21 Endo-Model rotating hinge prosthesis 22–36 Hinged Limb Preservation System (LPS) model 37 Custom-made rotating hinge model 38–41 NexGen rotating hinge knee model 42, 43 EnduRo model 44, 45 The
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resection arthroplasty, arthrodesis, and above-knee amputation. 1 Fig. 2 Overview of the surgical strategies with possible scenarios. Source : Reprinted Pocket Guide to Diagnosis & Treatment of PJI (version 9, October 2019) with permission of
Istituto Ortopedico Rizzoli, Laboratorio di Biomeccanica e Innovazione Tecnologica, Bologna (BO), Italy
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Istituto Ortopedico Rizzoli, Laboratorio di Biomeccanica e Innovazione Tecnologica, Bologna (BO), Italy
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Istituto Ortopedico Rizzoli, Laboratorio di Biomeccanica e Innovazione Tecnologica, Bologna (BO), Italy
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patellar tracking in the final stage of pregnancy as a vital condition to ensure normal anatomy. In fact, a foetus with space to kick and flex the lower limbs is believed to have a good prospect of developing an adequately deep femoral trochlea. Conversely
Osteoarticular Surgery Research, La Paz Hospital Health Research Institute – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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assessment of bone deficiency One of the main problems in rTKA is bone loss, which can affect the placement of the prosthesis, the limb’s alignment and the implant’s longevity. The bone deficiency in an rTKA is variable, and its treatment will therefore
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, which is more conducive to the functional recovery of the affected limb, reduces the occurrence of complications, overall cost and surgical trauma, and improves the level of patient satisfaction ( 9 ). Blom et al. highlighted that single-stage revision
