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Institute of Microengineering, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
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be positively associated with pain intensity. 19 Interestingly, beyond cross-sectional research, a few longitudinal studies have highlighted an association with disease progression, where OA progressed faster in patients with higher mid
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operation to optimize patellar tracking. Osteoarthritis Although the deepening or recession trochleoplasty is effective in reducing anterior knee pain, it does not halt the progression of patellofemoral arthritis, although the follow-up of the above
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complications. 31 The overall re-operation rate per 100 component years was comparable between mobile and fixed bearings. Nevertheless, the mobile bearings were more prone to re-operations in patients from aseptic loosening, progression of OA, and implant
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infiltration of synovial fluid, detachment and fragmentation of the osteochondral fragment, followed by ON changes in the disconnected area 42 ( Fig. 6 ). Fig. 6 Progression of an insufficiency fracture over ten months. Coronal PD fat suppression (a
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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
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activity level and/or younger age and final outcome of UKA. 11 , 20 , 36 Chondrocalcinosis Chondrocalcinosis is considered to be a contraindication for UKA as it is thought to be associated with more rapid progression of contralateral OA. In
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(rate) Rees et al. (3) 2001 18 II PCS 68 ± 8.0 N/a 5.4 years (3.6–7.1) Mobile-bearing medial UKR 66 Five revisions (27.7%) to TKR due to persistent pain, in one case associated to progression of OA on the lateral
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to the ACL deficiency. Where instability is the overriding symptom in the setting of varus malalignment or pre-OA, an ACL reconstruction in combination of HTO may be performed to protect the ACL graft and slow the progression of any arthritis ( Fig. 2
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, both as an adjunct in the treatment of meniscal and ligamentous pathology, and potentially as a means of delaying or preventing the progression of arthritis in the varus knee. 25 , 26 However, before HTO becomes mainstream, the procedure needs to
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
These authors contributed equally to the article and should both be considered first authors
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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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the knee and hip. The aim of OA treatment is to control symptoms until the severity of the condition mandates surgical intervention; an early therapy may be a vital step for delaying the progression to end-stage disease. 1 Symptomatic control can
