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When it comes to Partial Knee Replacement age is just a number

When it comes to Partial Knee Replacement age is just a number

Although Partial and Total Knee Replacement (TKR) are both considered to be successful in the treatment of end stage osteoarthritis, they may not be routinely offered to the very elderly over fears of increased mortality and complication rates.1 This retrospective...

Cementless TKR trumps cemented TKR in younger patients

Cementless TKR trumps cemented TKR in younger patients

An increasing number of younger patients are now receiving a TKR2. According to one study, TKR utilization in persons younger than 60 years of age has increased more than 20-fold in 20 years2. Cemented TKR provides excellent early fixation, and has generally been...

It’s time for Telemedicine

It’s time for Telemedicine

There are many telemedicine applications that lend themselves to orthopaedics, including teleconsultation for diagnosis, treatment, and patient follow-up; virtual rehabilitation; and PROMs collection. 1 In arthroplasty telemedicine has been shown to: Facilitate...

Do activities of daily living take more effort for TKR patients?

Do activities of daily living take more effort for TKR patients?

The investigators employed a knee extension rig, and a “previously validated method of restrained extension under muscle loading” to measure the extension moment with a repeated measures design1. 16 cadaveric knees were divided into two groups: 8 underwent a medial...

Is mechanical alignment still the gold standard in TKR?

Is mechanical alignment still the gold standard in TKR?

The mechanical alignment (MA) technique has been described as a ‘systematic’ technique, that standardises the approach to every TKR surgery, without considering the native knee alignment or individual differences in anatomy1. It is biomechanically sound because it...

Can a more anatomic TKR design reduce post-op patellofemoral pain?

Can a more anatomic TKR design reduce post-op patellofemoral pain?

At minimum 5 years follow-up KSS, KSSF, OKS, FJS and Kujala AKP scores were all statistically significantly greater for the anatomic design than for the NexGen knee system. Range of motion was also significantly higher in the anatomic group1. The Kujala AKP score is a...

The rise of the machines

The rise of the machines

Today’s robots are improving surgical precision and enhancing patient recovery. Future developments, like machine learning and augmented reality have the potential to “transform surgical practice as we know it1.” This recent review examines the latest innovations in...

Could PKR save the health service millions?

Could PKR save the health service millions?

According to News Medical, a 31% increase in PKR usage could save the health service about £30 million per year.1 This is based on the observation that currently PKR represents around 9% of all knee replacements while it is thought that more than 40% of patients...

Are Swiss hospitals adopting digital solutions fast enough?

Are Swiss hospitals adopting digital solutions fast enough?

From the feedback of more than 300 doctors, nurses, IT, corporate development and hospital directors, MEDINSIDE acknowledged that digitalisation was an area of rapidly increasing interest. However, they suggested that “the lag in the field of digitalisation and...