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Lapidus procedure, it will require revision surgery by means of an osteotomy rather than taking down the TMTJ1 fusion. We recommend to perform a plantarflexing dorsal opening wedge osteotomy at the proximal metaphysis of the metatarsal ( Figs 3 and 4
Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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and infection Deep venous thrombosis Revision surgery Recurrent instability Recurrent or persistent instability is a common complication of surgical treatment (reconstruction of MLKIs). Its published prevalence is 42%. 11
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The Nordic Arthroplasty Register Association (NARA) was established in 2007 by arthroplasty register representatives from Sweden, Norway and Denmark with the overall aim to improve the quality of research and thereby enhance the possibility for quality improvement with arthroplasty surgery. Finland joined the NARA collaboration in 2010.
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NARA minimal hip, knee and shoulder datasets were created with variables that all countries can deliver. They are dynamic datasets, currently with 25 variables for hip arthroplasty, 20 for knee arthroplasty and 20 for shoulder arthroplasty.
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NARA has published statistical guidelines for the analysis of arthroplasty register data. The association is continuously working on the improvement of statistical methods and the application of new ones.
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There are 31 published peer-reviewed papers based on the NARA databases and 20 ongoing projects in different phases. Several NARA publications have significantly affected clinical practice. For example, metal-on-metal total hip arthroplasty and resurfacing arthroplasty have been abandoned due to increased revision risk based on i.a. NARA reports. Further, the use of uncemented total hip arthroplasty in elderly patients has decreased significantly, especially in Finland, based on the NARA data.
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The NARA collaboration has been successful because the countries were able to agree on a common dataset and variable definitions. The collaboration was also successful because the group was able to initiate a number of research projects and provide answers to clinically relevant questions. A number of specific goals, set up in 2007, have been achieved and new one has emerged in the process.
Cite this article: EFORT Open Rev 2019;4 DOI: 10.1302/2058-5241.4.180058
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University of Leeds, Leeds, UK
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approaches, including the direct anterior approach, 18 - 21 but there are confounding factors with stem design and patient-related factors. Intraoperative fracture increases the risk of early revision surgery for subsequent postoperative fracture 2
These authors contributed equally to this work
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Cell & Tissue Bank-Regenerative Medicine Centre, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
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indication of surgery, pre-operative comorbidity, surgical method, follow-up duration, range of motion (ROM) of the shoulder, Constant-Murley score, complications, revision surgery, author conclusion. Risk of bias assessment For randomized controlled
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osteolysis, undergo revision surgery, or sustain a traumatic (high- or low-energy) event which may result in a periprosthetic fracture (PPF). The economic impact on healthcare systems when treating these injuries is quite significant. 1 , 2 Femoral
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). Revision rate There were six failures requiring revision surgery in the 82 cases (7%), occurring at a mean of 6.2 years (0.4 to 12). The reasons for revision surgery were aseptic loosening (17%, n=1), infection (33%, n=2), periprosthetic fracture (17%, n
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. Outcomes of interest included indications, surgical technique and associated procedures, type of prosthesis, clinical and functional outcomes, rate of complications, revision surgery and failure rate. Results Search results Overall, the search
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planning revision surgery. Revision cubital tunnel surgery The patient should be counselled regarding the planned surgery, the different treatment options and any adjunctive procedures that may be required. The points of maximum Tinel’s irritation
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revision surgery for susceptible PJI and using subtle methods of biofilm detection such as sonication showed ideal cut-off at 2000 leukocytes/µl and 70% granulocytes. 36 – 38 The sensitivity of synovial fluid culture is 45% to 75% with a specificity
