Journal of Joint Surgery and Research最新文献

{"title":"Reliability of kinematic waveforms during gait analysis with total hip arthroplasty patients","authors":"Ben Langley ,&nbsp;Henrike Greaves ,&nbsp;Chris Whelton ,&nbsp;Richard Page ,&nbsp;Mary Cramp ,&nbsp;Stewart C. Morrison ,&nbsp;Paola Dey ,&nbsp;Tim Board","doi":"10.1016/j.jjoisr.2023.11.003","DOIUrl":"10.1016/j.jjoisr.2023.11.003","url":null,"abstract":"<div><h3>Purpose</h3><p>The aim of the study was to determine the test-retest reliability of lower limb kinematic waveforms derived from 3D gait analysis (3DGA) in patients following total hip arthroplasty (THA).</p></div><div><h3>Methods</h3><p>Eight (7 ​M:1F; age: 70 ​± ​7 years; height: 1.68 ​± ​0.11 ​m; mass: 85 ​± ​20 ​kg) adults with a unilateral THA attended test and retest sessions. 3DGA was undertaken with participants walking at a self-selected pace along a 7 ​m walkway within each session. The standard error or the measurement (SEM) was calculated for hip, knee and ankle joint angles in all three planes, over the walking gait cycle.</p></div><div><h3>Results</h3><p>The SEM ranged from 2.9 to 4.1°, 2.7–3.7° and 1.9–3.9°, in the sagittal, frontal and traverse planes at the hip. At the knee the SEM ranged from 1.6 to 4.2°, 1.0–1.9° and 1.3–2.9° in the sagittal, frontal and transverse planes, respectively. While the SEM ranged from 0.7 to 2.0°, 1.2–2.3° and 2.9–4.0° in the sagittal, frontal and transverse planes at the ankle.</p></div><div><h3>Conclusions</h3><p>The findings demonstrate that 3DGA provides a reliable means of quantifying lower limb kinematics over the walking gait cycle in patients following THA, with all SEM values below the 5° threshold previously suggested to identify clinically meaningful differences. The SEM values reported may aid in the interpretation of changes in lower limb kinematics in patients following THA.</p></div>","PeriodicalId":100795,"journal":{"name":"Journal of Joint Surgery and Research","volume":"2 1","pages":"Pages 1-6"},"PeriodicalIF":0.0,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949705123000397/pdfft?md5=926b9ef5d567638b8f62039493ab1ca1&pid=1-s2.0-S2949705123000397-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138502043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gram staining of the preoperative joint aspiration for the diagnosis of infection after total knee arthroplasty","authors":"Yasuo Kunugiza ,&nbsp;Masashi Tamaki ,&nbsp;Takashi Miyamoto ,&nbsp;Shigeyoshi Tsuji ,&nbsp;Koichiro Takahi ,&nbsp;Masataka Nishikawa ,&nbsp;Ayanori Yoshida ,&nbsp;Koji Nomura ,&nbsp;Keiji Iwamoto ,&nbsp;Toshitaka Fujito ,&nbsp;Kentaro Toge ,&nbsp;Teruya Ishibashi ,&nbsp;Seiji Okada ,&nbsp;Tetsuya Tomita","doi":"10.1016/j.jjoisr.2023.07.005","DOIUrl":"10.1016/j.jjoisr.2023.07.005","url":null,"abstract":"<div><h3>Purpose</h3><p>Gram staining of joint fluid for the diagnosis of postoperative joint infection after total knee arthroplasty is considered to have limited efficacy because of the low sensitivity. However, the specificity of the gram staining is reported to be high in most reports. This study aimed to evaluate the sensitivity and specificity of the gram staining when used on the aspirated joint fluid in patients with suspected postoperative knee joint infection after total knee arthroplasty.</p></div><div><h3>Methods</h3><p>We retrospectively reviewed the reports of synovial fluid samples retrieved from suspected infected joints at eight hospitals between 2012 and 2019. A total of 179 samples of aspirated joint fluid from knee joints (80 culture-positive samples and 99 culture-negative samples) were evaluated in this study.</p></div><div><h3>Results</h3><p>Of the 80 gram stains performed on samples from infected patients, there were 60 true positives and 20 false negatives. In contrast, of the 99 stains performed on samples from aseptic knees, there were 99 true negatives and no false positives. The sensitivity and specificity for detecting periprosthetic knee infections were 75.0% and 100.0%, respectively. Further, we divided infected samples into the early aspiration group (within 14 days) and the late aspiration group (15 days or more) based on the duration between the onset of symptoms and aspiration. The sensitivity of the gram staining was 84.2% and 41.2% in the first and second groups, respectively.</p></div><div><h3>Conclusions</h3><p>In this study, gram staining of preoperatively aspirated joint fluid for the infected periprosthetic knee joint with short-lived symptoms showed high sensitivity.</p></div>","PeriodicalId":100795,"journal":{"name":"Journal of Joint Surgery and Research","volume":"2 ","pages":"Pages 175-178"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949705123000245/pdfft?md5=44b38f6c2828ad122957d2e1ef340181&pid=1-s2.0-S2949705123000245-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50194749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical evaluation of hip joint diseases: total hip arthroplasty to support patients’ quality of life","authors":"Satoshi Yamate ,&nbsp;Satoshi Hamai ,&nbsp;Stephen Lyman ,&nbsp;Toshiki Konishi ,&nbsp;Shinya Kawahara ,&nbsp;Ryosuke Yamaguchi ,&nbsp;Daisuke Hara ,&nbsp;Goro Motomura","doi":"10.1016/j.jjoisr.2022.12.004","DOIUrl":"10.1016/j.jjoisr.2022.12.004","url":null,"abstract":"<div><h3>Purpose</h3><p>In Japan's super-aged society, medical care supporting the patients' quality of life (QOL) is becoming increasingly important. This study aimed to evaluate the current applications of patient-reported outcome measures (PROMs), with a focus on Japanese patients with hip osteoarthritis (OA) undergoing total hip arthroplasty (THA).</p></div><div><h3>Methods</h3><p>We reviewed the literature on PROMs, with a focus on (i) available guidelines, (ii) validated questionnaires in Japanese-version, and (iii) methods to assess responsiveness and interpretation.</p></div><div><h3>Results</h3><p>Several guidelines were available, including a checklist for methodological quality, the study protocol, and reporting of PROMs. The Short-Form 36/12-Item Health Survey is used for multidimensional evaluation. The EuroQol 5 dimension (EQ-5D) is the most commonly used preference-based utility. To assess disease-specific QOL in patients with hip OA undergoing THA, the Western Ontario and McMaster Universities Osteoarthritis Index, Oxford Hip Score, Hip Disability and Osteoarthritis Outcome Score, Forgotten Joint Score-12, and Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire are used. The Central Sensitization Inventory can be used to assess central sensitivity syndrome. Ikigai-9 is used to assess <em>ikigai</em> (a comprehensive concept that gives meaning to life) and is also validated in English. The smallest detectable change (SDC) can be used to evaluate responsiveness. The minimal important change, minimal clinically important difference, and patient acceptable symptom state can be used to aid in interpreting results.</p></div><div><h3>Conclusions</h3><p>Several instruments and techniques are established to facilitate shared decision-making for Japanese patients undergoing THA to support their QOL. This review provides a broad overview of PROMs that can benefit future studies.</p></div>","PeriodicalId":100795,"journal":{"name":"Journal of Joint Surgery and Research","volume":"2 ","pages":"Pages 18-25"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949705122000044/pdfft?md5=574098424c9ffbc3caaf139348a2e670&pid=1-s2.0-S2949705122000044-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50194907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The influence of patellar height on patellofemoral contact force during total knee arthroplasty","authors":"Naoki Nakano ,&nbsp;Yuichi Kuroda ,&nbsp;Masanori Tsubosaka ,&nbsp;Tomoyuki Kamenaga ,&nbsp;Kazunari Ishida ,&nbsp;Shinya Hayashi ,&nbsp;Takehiko Matsushita ,&nbsp;Yuichi Hoshino ,&nbsp;Ryosuke Kuroda ,&nbsp;Tomoyuki Matsumoto","doi":"10.1016/j.jjoisr.2023.08.001","DOIUrl":"10.1016/j.jjoisr.2023.08.001","url":null,"abstract":"<div><h3>Purpose</h3><p>Residual anterior knee pain following total knee arthroplasty was reported to be related to high patellofemoral contact force. This study tried to show the relationship between patellar height and patellofemoral contact force <em>in vivo</em>, which has been demonstrated only <em>in vitro</em> thus far.</p></div><div><h3>Methods</h3><p>Fifty-five patients who had undergone a primary mobile-bearing posterior-stabilized total knee arthroplasty (28 cases using PFC Sigma and 27 cases using Attune) were included. After all the trial prostheses were placed, the patellar contact forces on the medial and lateral sides were measured using specially designed two uniaxial ultrathin force transducers at 0°–135° of knee flexion guided by the navigation system. Correlations between the pre-operative Insall-Salvati index and the medial or lateral patellar contact force in each flexion angle were analyzed using linear regression. Correlations between each patellar contact force and postoperative flexion angle were also assessed.</p></div><div><h3>Result</h3><p>There was a positive correlation between Insall-Salvati index and the lateral patellar contact force at 135° of flexion in all the patients, at 120° and 135° of flexion in patients with PFC Sigma and 135° of flexion in patients with Attune. The lateral patellar contact force at 120° and 135° of flexion in patients with PFC Sigma inversely correlated with postoperative flexion angle.</p></div><div><h3>Conclusions</h3><p>Patients with patella alta tended to demonstrate high lateral patellar contact force in deep knee flexion after total knee arthroplasty, which can affect the post operative flexion angle and should be treated to prevent residual anterior knee pain.</p></div>","PeriodicalId":100795,"journal":{"name":"Journal of Joint Surgery and Research","volume":"2 ","pages":"Pages 186-191"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949705123000269/pdfft?md5=b235e08070319fd41e7584becd4cb00d&pid=1-s2.0-S2949705123000269-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50195377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rotational position of ligament balancer affects medial and lateral soft tissue balance in total knee arthroplasty","authors":"Toru Yoshioka ,&nbsp;Tokifumi Majima ,&nbsp;Nobukazu Okimoto ,&nbsp;Makoto Kawasaki ,&nbsp;Yoshiaki Ikejiri ,&nbsp;Takurou Ban ,&nbsp;Fumihisa Saito ,&nbsp;Hisanori Fujiwara","doi":"10.1016/j.jjoisr.2023.11.002","DOIUrl":"10.1016/j.jjoisr.2023.11.002","url":null,"abstract":"<div><h3>Purpose</h3><p>The purpose of this study was to clarify the effect on medial and lateral soft tissue balance for different rotational positions of the balancer.</p></div><div><h3>Methods</h3><p>A total of 65 patients who were operated using a rotational mobile bearing total knee arthroplasty (TKA) have been evaluated. A new balancer was made so that the insert trial could be rotated on the paddle. We measured the angle of deviation to varus or valgus and the rotational angle of the insert trial at Akagi's line (group 0), at 20° of internal rotation from the Akagi's line (group IR), and at 20° of external rotation from the Akagi's line (group ER).</p></div><div><h3>Results</h3><p>The IR group had a significantly medial tightness than the other two groups. The ER group had a significantly lateral tightness than the other two groups. All cases were divided into three groups by the position of the insert (neutral, internal rotation and external rotation) on the balancer with respect to Akagi's line after range of motion (ROM) technique. In extension, a significant negative correlation was found between mean varus/valgus balance and rotation of the insert.</p></div><div><h3>Conclusion</h3><p>In mobile bearing TKA, it is possible to obtain the optimal medial and lateral soft tissue balance if the misalignment is within the possible range of rotation allowed by the design of the insert. Anatomical landmarks should also be referenced when determining tibial rotational alignment using the ROM technique, as it was easily influenced by medial and lateral soft tissue balance.</p></div>","PeriodicalId":100795,"journal":{"name":"Journal of Joint Surgery and Research","volume":"2 ","pages":"Pages 246-252"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949705123000385/pdfft?md5=ccfba5d8919dd7d00959042914742d08&pid=1-s2.0-S2949705123000385-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138395808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Radiological evaluation of cemented acetabular component in primary total hip arthroplasty with or without interface bioactive bone cement technique","authors":"Kazutaka Watanabe ,&nbsp;Takkan Morishima ,&nbsp;Hiromi Otsuka ,&nbsp;Tatsunori Ikemoto ,&nbsp;Kohei Hashimoto ,&nbsp;Hiroshi Fujita ,&nbsp;Nobunori Takahashi","doi":"10.1016/j.jjoisr.2023.10.003","DOIUrl":"10.1016/j.jjoisr.2023.10.003","url":null,"abstract":"<div><h3>Purpose</h3><p>We evaluated the medium-term radiological outcomes of the interface bioactive bone cement (IBBC) technique used in the acetabular component in primary cemented total hip arthroplasty (THA).</p></div><div><h3>Methods</h3><p>In total, 79 patients (88 hips) who underwent primary THA at our hospital between January 2004 and April 2009 were divided into the non-IBBC (NIBBC; n ​= ​39 patients, 44 hips) and IBBC (n ​= ​40 patients, 44 hips) groups. A clear zone (CZ) at the cement-bone interface around the cup was evaluated 5 and 10 years postoperatively. The CZ score, which indicates the spread of the CZ, and loosening of the cup (CZ ​&gt; ​2 ​mm on all sides or movement of the cup &gt;4°) were also evaluated.</p></div><div><h3>Results</h3><p>No patient had loosening of the cup. The mean patient age at surgery was 66.5 ​± ​9.2 years in the NIBBC group and 61.9 ​± ​7.7 years in the IBBC group (p ​= ​0.012). At 5 years postoperatively, the incidence of CZ was 36.4 ​% in the NIBBC group and 18.2 ​% in the IBBC group (p ​= ​0.056). At 10 years postoperatively, the incidence of CZ was 36.4 ​% in the NIBBC group and 20.1 ​% in the IBBC group (p ​= ​0.098). Age at surgery (p ​= ​0.045) significantly affected the incidence of CZ at 5 years but not at 10 years. The IBBC technique (p ​= ​0.042) and age at surgery (p ​= ​0.028) significantly affected the CZ score at 5 years. The IBBC technique (p ​= ​0.036) significantly affected the CZ score at 10 years.</p></div><div><h3>Conclusions</h3><p>The IBBC technique resulted in a significantly lower CZ score than the NIBBC technique in patients undergoing THA.</p></div>","PeriodicalId":100795,"journal":{"name":"Journal of Joint Surgery and Research","volume":"2 ","pages":"Pages 234-240"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949705123000361/pdfft?md5=5e61b406113934ff3e918250f7bec777&pid=1-s2.0-S2949705123000361-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92046709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preserving the medial arm of the iliofemoral ligament in total hip arthroplasty using the anterolateral approach: Surgical outcomes and patient-reported outcome measure with 2 years follow-up","authors":"Yoshifumi Harada ,&nbsp;Yuji Yamamoto ,&nbsp;Kazuki Oishi ,&nbsp;Ryo Inoue ,&nbsp;Koichi Akaishi ,&nbsp;Yasuyuki Ishibashi","doi":"10.1016/j.jjoisr.2023.07.003","DOIUrl":"10.1016/j.jjoisr.2023.07.003","url":null,"abstract":"<div><h3>Purpose</h3><p>Iliofemoral ligament (ILFL) is a capsular ligament located in the anterosuperior part of the hip joint capsule and contributes to hip joint stability. The purpose of this study was to compare the surgical outcomes of resection versus preservation procedure of the medial arm of the ILFL in total hip arthroplasty (THA) using the anterolateral approach.</p></div><div><h3>Methods</h3><p>Perioperative outcomes, complication, implant placement and patient-reported outcome measures (PROMs) were evaluated in 42 patients in the resection group and 38 patients in the preservation group. As a PROM, the Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire (JHEQ), was administered at 6 months, 1 year and 2 years postoperatively.</p></div><div><h3>Results</h3><p>There was no significant difference in perioperative outcomes, complication and implant placement between the two groups. Satisfaction for the hip joint condition (80.6 ​± ​22.4 vs 89.2 ​± ​20.1), JHEQ pain score (21.5 ​± ​4.5 vs 24.1 ​± ​5.2) at 6 months, and JHEQ pain score (21.6 ​± ​5.1 vs 23.5 ​± ​5.5) at 1 year were significantly better in the preservation group than in the resection group. At 2 years postoperatively, no significant difference was found in PROMs between the two groups.</p></div><div><h3>Conclusion</h3><p>Our results indicate that preservation of the medial arm of the ILFL in THA improves pain during the first postoperative year without increased complications or disadvantages of implant placement. Preserving the medial arm of the ILFL may be a safe and effective option to improve the early clinical outcomes after THA using the anterolateral approach.</p></div>","PeriodicalId":100795,"journal":{"name":"Journal of Joint Surgery and Research","volume":"2 ","pages":"Pages 168-174"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949705123000221/pdfft?md5=3a901c2b493636dc3212985b331dacaf&pid=1-s2.0-S2949705123000221-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50194750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of component rotational alignment on femorotibial rotational alignment in total knee arthroplasty: comparison between mobile and fixed bearing","authors":"Kohei Kawaguchi,&nbsp;Hiroshi Inui,&nbsp;Ryota Yamagami,&nbsp;Kenichi Kono,&nbsp;Tomofumi Kage,&nbsp;Ryo Muramakami,&nbsp;Takahiro Arakawa,&nbsp;Shuji Taketomi,&nbsp;Sakae Tanaka","doi":"10.1016/j.jjoisr.2023.03.003","DOIUrl":"10.1016/j.jjoisr.2023.03.003","url":null,"abstract":"<div><h3>Purpose</h3><p>“Rotational self-alignment mechanism\" was designed for mobile-bearing total knee arthroplasty (MB TKA) to maintain a natural femorotibial rotational alignment independent of component rotational alignment. However, it is clinically unknown if the influence of component rotational alignment on a postoperative anatomical femorotibial rotational angle (FTRA) in MB TKA is eliminated. This study aimed to determine the effect of component rotational alignments on postoperative anatomical FTRA in MB TKA as compared to fixed-bearing TKA (FB TKA).</p></div><div><h3>Methods</h3><p>This research comprised a total of 161 knees: 54 ​MB TKAs and 107 FB TKAs. In computed tomography, the postoperative FTRA and rotational alignment of tibial and femoral components to anatomical axes were assessed, and the association between the postoperative FTRA and perioperative radiographic data, including component rotational alignments, was examined.</p></div><div><h3>Result</h3><p>Rotational alignments of both tibial and femoral components did not correlate postoperative FTRA in MB TKA (tibial component: r ​= ​−0.15, p ​= ​0.26, femoral component: r ​= ​0.22, p ​= ​0.10), however, in FB TKA, rotational alignment of tibial component did correlate postoperative FTRA, while that of femoral component did not (tibial component: r ​= ​−0.65, p ​&lt; ​0.01, femoral component: r ​= ​0.17, p ​= ​0.07). In both groups, preoperative FTRA was substantially associated with postoperative FTRA (MB TKA: r ​= ​0.65, p ​&lt; ​0.01, FB TKA: r ​= ​0.33, p ​&lt; ​0.01).</p></div><div><h3>Conclusions</h3><p>Component rotational alignments did not affect postoperative anatomical rotational femorotibial alignment in MB TKA. Whereas the rotational alignment of the tibial component has a significant impact on the postoperative femorotibial rotational alignment in FB TKA.</p></div>","PeriodicalId":100795,"journal":{"name":"Journal of Joint Surgery and Research","volume":"2 ","pages":"Pages 86-91"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949705123000129/pdfft?md5=fa386eeb4b7a67e326fe39bdcb181d48&pid=1-s2.0-S2949705123000129-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50194866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What are the causes of failure after total knee arthroplasty?","authors":"Hiroshi Inui ,&nbsp;Ryota Yamagami ,&nbsp;Kenichi Kono ,&nbsp;Kohei Kawaguchi","doi":"10.1016/j.jjoisr.2022.12.002","DOIUrl":"10.1016/j.jjoisr.2022.12.002","url":null,"abstract":"<div><h3>Purpose</h3><p>This study aimed to review the causes of failure after total knee arthroplasty (TKA), focusing on the causes of revision and persistent pain.</p></div><div><h3>Methods</h3><p>A literature search was conducted in the databases of PubMed, Cochrane Library, and Google Scholar for articles published before October 4, 2022. In addition, registry data from 11 countries were obtained from national registry archives.</p></div><div><h3>Results</h3><p>National registry data and recent articles show that aseptic loosening, infection, instability, patellofemoral complication, and pain are major overall causes of TKA revisions. The most common etiologies of TKA revisions were aseptic loosening in six countries and infection in four countries. In contrast, polyethylene wear has become one of the minor reasons for revision, although it used to be one of the major causes of revision. Additionally, various causes of persistent pain include improper component placement, oversizing, patellofemoral overstuffing, ligament imbalance, elevated joint lines, kinematic abnormalities, and preoperative psychological factors such as catastrophizing state and central sensitization of pain.</p></div><div><h3>Conclusions</h3><p>With the evolution of surgical techniques and prosthetic designs, a paradigm shift in the etiology of failure mechanisms after TKA might have occurred. However, the number of patients with TKA failure suffering from persistent pain and requiring revision is increasing. Thus, orthopedic surgeons must understand the current situations of TKA failures to improve clinical outcomes and reduce post-TKA dissatisfaction.</p></div>","PeriodicalId":100795,"journal":{"name":"Journal of Joint Surgery and Research","volume":"2 ","pages":"Pages 32-40"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949705122000020/pdfft?md5=edfebc2152274eadad8a03f35e886e4d&pid=1-s2.0-S2949705122000020-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50194906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hip disorders and spinopelvic alignment: a current literature review","authors":"Toshiyuki Tateiwa ,&nbsp;Tsunehito Ishida ,&nbsp;Takuya Kusakabe ,&nbsp;Toshinori Masaoka ,&nbsp;Kenji Endo ,&nbsp;Takaaki Shishido ,&nbsp;Yasuhito Takahashi ,&nbsp;Kengo Yamamoto","doi":"10.1016/j.jjoisr.2023.01.002","DOIUrl":"10.1016/j.jjoisr.2023.01.002","url":null,"abstract":"<div><h3>Purpose</h3><p>The importance of considering the influence of spinal alignment on the pathology of the hip joint has been widely accepted. The primary objective of this study is to give a comprehensive view of recent findings on the influence of sagittal spinopelvic alignment on hip osteoarthritis (HOA) and total hip arthroplasty (THA).</p></div><div><h3>Methods</h3><p>An English-language literature search was performed with PubMed and Medline databases to identify peer-reviewed studies published within the last 5 years (2017–2022) on the topic of hip disorders and spinopelvic alignment.</p></div><div><h3>Results and conclusions</h3><p>It was reported that the risk of developing primary HOA may increase in patients with high sacral slope (SS) and low pelvic tilt (PT), whereas that of secondary HOA based on acetabular dysplasia (AD) may increase in patients with high lumbar lordosis (LL), SS, and pelvic incidence (PI). In addition, surgeons need to consider that the hip–spine motion may change from the preoperative one owing to changes in some spinopelvic parameters following THA. However, the significance of these changes is not consistent across the studies. Since low PI, PI-LL mismatch, and low SS during sitting and standing may contribute to the risk of prosthetic impingement followed by dislocation, great care should be taken regarding the loss of spinopelvic mobility after spinal fusion surgery.</p></div>","PeriodicalId":100795,"journal":{"name":"Journal of Joint Surgery and Research","volume":"2 ","pages":"Pages 62-69"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949705123000026/pdfft?md5=24d4f1f6f547896136415fdc649210c2&pid=1-s2.0-S2949705123000026-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50194915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}