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Digitization in orthopaedics and traumatology is an enormously fast-evolving field with numerous players and stakeholders. It will be of utmost importance that the different groups of technologists, users, patients, and actors in the healthcare systems learn to communicate in a language with a common basis.
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Understanding the requirements of technologies, the potentials of digital application, their interplay, and the combined aim to improve health of patients, would lead to an extraordinary chance to improve health care.
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Patients' expectations and surgeons’ capacities to use digital technologies must be transparent and accepted by both sides.
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The management of big data needs tremendous care as well as concepts for the ethics in handling data and technologies have to be established while also considering the impact of withholding or delaying benefits thereof.
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This review focuses on the available technologies such as Apps, wearables, robotics, artificial intelligence, virtual and augmented reality, smart implants, and telemedicine.
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It will be necessary to closely follow the future developments and carefully pay attention to ethical aspects and transparency.
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Division of Orthopaedic Surgery, University Hospital of Geneva, Geneva, Switzerland
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Osteotomies around the knee represent a valid surgical treatment in young active patients affected by unicompartmental osteoarthritis and/or knee ligament instability.
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This review article describes the main osteotomies performed around the knee and their optimization, with particular attention to indications and surgical technique in light of the most recent literature and author experience.
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Further developments have to be expected from technological advances, focusing particularly on surgical planning and the control of intraoperative deformity correction by pre-shaped cutting blocks.
ICATKnee, Institut Catalá de Traumatologia i Medicina de l’Esport (ICATME), Hospital Universitari Dexeus, UAB, Barcelona, Spain
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ICATKnee, Institut Catalá de Traumatologia i Medicina de l’Esport (ICATME), Hospital Universitari Dexeus, UAB, Barcelona, Spain
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Anterior cruciate ligament (ACL) reconstruction failure can be defined as abnormal knee function due to graft insufficiency with abnormal laxity or failure to recreate a functional knee according to the expected outcome.
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Traumatic ruptures have been reported as the most common reason for failure. They are followed by technical errors, missed concomitant knee injuries, and biological failures.
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An in-depth preoperative examination that includes a medical history, clinical examinations, advanced imaging, and other appropriate methods is of utmost importance.
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There is still no consensus as to the ideal graft, but autografts are the favorite choice even in ACL revision.
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Concomitant meniscal treatment, ligamentous reconstruction, and osteotomies can be performed in the same surgical session to remove anatomical or biomechanical risk factors for the failure.
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Patient expectations should be managed since outcomes after ACL revision are not as good as those following primary ACL reconstruction.
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Instructional Lectures at its congresses. In recent years, the Instructional Lectures have been under the editorship of EFORT Open Review (EOR) Scientific Editors George Bentley (2016-2020), followed by Stephen R. Cannon in 2021. A number of publishers were
Royal National Orthopaedic Hospital, Stanmore, UK
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Now in its fifth year, EFORT Open Reviews continues to develop apace, continuing a series of informative and authoritative contributions, including 90 Instructional Lectures from across the world, reflecting the expanding fields of Orthopaedics
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Bentley, EFORT past president, for the immense energy, devotion and support he has given to EOR and to the EFORT Instructional Lectures over the many years of his tenure as Scientific Editor of our journal. George is a caring physician, a distinguished
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declare that there is no conflict of interest that could be perceived as prejudicing the impartiality of this instructional lecture. Funding Statement This instructional lecture did not receive any specific grant from any funding agency in the
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behaviour, needs to be monitored. ICMJE Conflict of Interest Statement The author declares that there is no conflict of interest that could be perceived as prejudicing the impartiality of the instructional lecture. Funding Statement This
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success story in daily practice. ICMJE Conflict of Interest Statement The authors declare that there is no conflict of interest that could be perceived as prejudicing the impartiality of this instructional lecture. Funding Statement This
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declare that there is no conflict of interest that could be perceived as prejudicing the impartiality of this instructional lecture Funding Statement This instructional lecture did not receive any specific grant from any funding agency in the
