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Oral and Maxillofacial Surgery Clinics... Feb 2015Combined orthognathic and total joint reconstruction cases can be predictably performed in 1 stage. Use of virtual surgical planning can eliminate a significant time... (Review)
Review
Combined orthognathic and total joint reconstruction cases can be predictably performed in 1 stage. Use of virtual surgical planning can eliminate a significant time requirement in preparation of concomitant orthognathic and temporomandibular joint (TMJ) prostheses cases. The concomitant TMJ and orthognathic surgery-computer-assisted surgical simulation technique increases the accuracy of combined cases. In order to have flexibility in positioning of the total joint prosthesis, recontouring of the lateral aspect of the rami is advantageous.
Topics: Arthroplasty, Replacement; Humans; Joint Prosthesis; Orthognathic Surgical Procedures; Surgery, Computer-Assisted; Temporomandibular Joint Disorders
PubMed: 25483443
DOI: 10.1016/j.coms.2014.09.004 -
Chinese Journal of Traumatology =... 2016Total wrist arthroplasty are not used as widely as total knee and hip replacement. The functional hands are requiring surgeons to design a durable and functional... (Review)
Review
Total wrist arthroplasty are not used as widely as total knee and hip replacement. The functional hands are requiring surgeons to design a durable and functional satisfying prosthesis. This article will list the main reasons that cause the failure of the prosthesis. Some remarkable and representative prostheses are listed to show the devolvement of total wrist prosthesis and their individual special innovations to fix the problems. And the second part we will discuss the part that biomechanical elements act in the total wrist replacement (TWA). Summarize and find out what the real problem is and how we can find a way to fix it.
Topics: Arthroplasty, Replacement; Biomechanical Phenomena; Humans; Joint Instability; Joint Prosthesis; Wrist Joint
PubMed: 27033274
DOI: 10.1016/j.cjtee.2015.12.003 -
The International Journal of Artificial... Oct 2012Periprosthetic joint infection (PJI) will emerge as one of the most important issues for both orthopedic surgeons and researchers active in the field over the coming... (Review)
Review
Periprosthetic joint infection (PJI) will emerge as one of the most important issues for both orthopedic surgeons and researchers active in the field over the coming decades. Although the rate of PJI has not changed significantly over the past decade, the affected patients (hosts) being treated often present with more comorbidities than in the past, and the organisms responsible for these infections are evolving to become more difficult to treat. Fortunately, though, major strides in basic, translational, and clinical research have occurred in recent years that have armed the clinician with an armamentarium of techniques and technologies to better diagnose, prevent, and treat PJI. Advances in diagnostics, including refinements in established biomarkers, the introduction of point of service tests, developments in molecular techniques, and new techniques in advanced imaging will allow us to correctly identify the infecting pathogens and their virulence factors. Utilizing developed risk indexes to stratify and medically optimize our patients, modifying implants to incorporate antimicrobial and anti-biofilm properties, and developing clinically applicable vaccines and biofilm inhibiting enzymes will address our struggles in preventing PJI. Success of our future treatment strategies will hinge on refining the indications and technique of our current surgical procedures as well as the rational use of biofilm disrupting technologies and photodynamic therapy. Finally, the field of metabolomics, though still relatively in its infancy, likely holds the key to a novel diagnostic and treatment approach to infection and a more profound understanding of the pathophysiology of PJI on the human body.
Topics: Anti-Bacterial Agents; Arthroplasty, Replacement; Bacteriological Techniques; Biomarkers; Humans; Joint Prosthesis; Orthopedic Procedures; Predictive Value of Tests; Prosthesis Design; Prosthesis-Related Infections; Reoperation; Treatment Outcome
PubMed: 23371923
DOI: 10.5301/ijao.5000145 -
Der Orthopade Jan 2017Geriatric traumatology is increasing in importance due to the demographic transition. In cases of fractures close to large joints it is questionable whether primary... (Review)
Review
BACKGROUND
Geriatric traumatology is increasing in importance due to the demographic transition. In cases of fractures close to large joints it is questionable whether primary joint replacement is advantageous compared to joint-preserving internal fixation.
OBJECTIVE
The aim of this study was to describe the importance of prosthetic joint replacement in the treatment of geriatric patients suffering from frequent periarticular fractures in comparison to osteosynthetic joint reconstruction and conservative methods.
MATERIAL AND METHODS
A selective search of the literature was carried out to identify studies and recommendations concerned with primary arthroplasty of fractures in the region of the various joints (hip, shoulder, elbow and knee).
RESULTS
The importance of primary arthroplasty in geriatric traumatology differs greatly between the various joints. Implantation of a prosthesis has now become the gold standard for displaced fractures of the femoral neck. In addition, reverse shoulder arthroplasty has become an established alternative option to osteosynthesis in the treatment of complex proximal humeral fractures. Due to a lack of large studies definitive recommendations cannot yet be given for fractures around the elbow and the knee. Nowadays, joint replacement for these fractures is recommended only if reconstruction of the joint surface is not possible.
CONCLUSION
The importance of primary joint replacement for geriatric fractures will probably increase in the future. Further studies with larger patient numbers must be conducted to achieve more confidence in decision making between joint replacement and internal fixation especially for shoulder, elbow and knee joints.
Topics: Arthroplasty, Replacement; Evidence-Based Medicine; Fractures, Bone; Geriatrics; Humans; Joint Prosthesis; Practice Guidelines as Topic; Traumatology; Treatment Outcome
PubMed: 27966179
DOI: 10.1007/s00132-016-3369-z -
Foot and Ankle Clinics Sep 2014Chronic pain in a first metatarsophalangeal implant arthroplasty can be early or late, and may be due to infection or implant failure. Although excisional arthroplasty... (Review)
Review
Chronic pain in a first metatarsophalangeal implant arthroplasty can be early or late, and may be due to infection or implant failure. Although excisional arthroplasty can be considered, the most predictable result will come from arthrodesis. Conversion of a failed implant arthroplasty to fusion will usually require structural bone graft, with slower healing times than primary fusion.
Topics: Arthrodesis; Arthroplasty, Replacement; Bone Transplantation; Device Removal; Hallux Rigidus; Humans; Joint Prosthesis; Metatarsophalangeal Joint; Prosthesis Failure; Prosthesis-Related Infections
PubMed: 25129347
DOI: 10.1016/j.fcl.2014.06.001 -
The Journal of Hand Surgery Apr 2015
Review
Topics: Arthroplasty, Replacement; Dermatitis, Contact; Humans; Hypersensitivity, Delayed; Joint Prosthesis; Metals; Prosthesis Design
PubMed: 25639842
DOI: 10.1016/j.jhsa.2014.11.027 -
Clinics in Podiatric Medicine and... Oct 2019Total ankle arthroplasty has been in development for more than 40 years. Although early designs were experimental with high failure rates, current implants are... (Review)
Review
Total ankle arthroplasty has been in development for more than 40 years. Although early designs were experimental with high failure rates, current implants are significantly improved, showing promising functional results and clinical outcomes. Total ankle replacement designs are split into mobile-bearing and fixed-bearing designs. When deciding whether to perform ankle arthroplasty, many factors need to be considered to determine if the patient is suitable and which implant is the best fit for patient and surgeon. Many prostheses are available in the United States today and the purpose of this article is to outline options for foot and ankle surgeons.
Topics: Arthroplasty, Replacement, Ankle; Humans; Joint Prosthesis; Prosthesis Design; United States
PubMed: 31466570
DOI: 10.1016/j.cpm.2019.06.005 -
The Journal of Hand Surgery, European... Sep 2012
Topics: Arthroplasty, Replacement; Carpometacarpal Joints; Female; Humans; Joint Prosthesis; Male; Osteoarthritis; Trapezium Bone
PubMed: 22879645
DOI: 10.1177/1753193412455988 -
Bulletin of the Hospital For Joint... Jun 2015Total joint arthrosplasty (TJA) is both a commonly performed successful intervention and an expensive procedure.As our population ages, the expense of these... (Review)
Review
Total joint arthrosplasty (TJA) is both a commonly performed successful intervention and an expensive procedure.As our population ages, the expense of these interventions is expected to grow and hence its impact on healthcare costs will also grow. To ensure that TJA is available to all those who would benefit, it is incumbent that healthcare providers control the cost of these procedures. As orthopaedic surgeons, we must be at the forefront of this effort. The purpose of this review is to outline strategies to control or even decrease TJA cost without negatively affecting outcomes.This concept is at the center of value-based medicine and must guide our decision-making processes.
Topics: Arthroplasty, Replacement; Cost Control; Cost-Benefit Analysis; Health Care Costs; Health Care Rationing; Health Services Accessibility; Health Services Needs and Demand; Hospital Costs; Humans; Joint Prosthesis; Length of Stay; Needs Assessment; Patient Selection; Postoperative Complications; Time Factors; Treatment Outcome
PubMed: 26517158
DOI: No ID Found -
Journal of ISAKOS : Joint Disorders &... Oct 2023Anatomical total shoulder arthroplasty in its modern form where it reproduces the normal shoulder has been utilized clinically for more than half a century. As the... (Review)
Review
Anatomical total shoulder arthroplasty in its modern form where it reproduces the normal shoulder has been utilized clinically for more than half a century. As the technology and the designs have changed to recreate the humeral and glenoid sides of the joint, the sophistication of design has resulted in the growing number of cases annually worldwide. This increase is due in part to the increasing number of indications that the prosthesis can treat with successful results. On the humeral side, there have been design changes to better reflect the proximal humeral anatomy, and humeral stems are increasingly placed safely without cement. Platform systems which allow conversion of a failed arthroplasty to a reverse configuration without stem extraction is another design change. Similarly, there has been increasing utilization of short stem and stemless humeral components. Extensive experience with shorter stem and stemless devices, however, has yet to demonstrate the purported advantages of these devices, as recent studies have demonstrated equivalent blood loss, fracture rates, operative times, and outcome scores. Easier revision with these shorter stems remains to be definitively established, with only one study comparing the ease of revision between stem types. On the glenoid side, hybrid cementless glenoids, inlay glenoids, cementless all-polyethylene glenoids, and augmented glenoids have all been investigated; however, the indications for these devices remain unclear. Lastly, innovative surgical approaches to implanting shoulder arthroplasty and the use of patient specific guides and computerized planning, while interesting concepts, still await validation before they are utilized on a widespread basis. While reverse shoulder arthroplasty has been increasingly used to reconstruct the arthritic shoulder, anatomic glenohumeral replacement maintains a significant role in the armamentarium of the shoulder surgeon.
Topics: Humans; Prosthesis Design; Arthroplasty, Replacement, Shoulder; Joint Prosthesis; Shoulder Prosthesis; Polyethylene
PubMed: 37207983
DOI: 10.1016/j.jisako.2023.05.001