Indian Journal of Orthopaedics最新文献

{"title":"Is DHS with Fibular Strut Graft Superior for the Fixation of Comminuted Femoral Neck Fractures (FNF)? A Comparative Analysis with New Implant Femoral Neck System.","authors":"Purnaganapathi Sundaram Velmurugesan, Asif Imran, Nagashree Vasudeva, Agraharam Devendra, Jayaramaraju Dheenadhayalan, Shanmuganathan Rajasekaran","doi":"10.1007/s43465-025-01389-3","DOIUrl":"10.1007/s43465-025-01389-3","url":null,"abstract":"<p><strong>Purpose: </strong>The dynamic hip screw with fibular strut graft (DHS-FG) is a treatment method for femoral neck fractures (FNF) with multiple cortex comminution. Femoral neck systems (FNS) improve stability and prevent excessive neck shortening in FNFs. However, no comparative studies exist to determine method superiority. This study assesses the effectiveness and complications of DHS-FG versus FNS in treating comminuted FNFs.</p><p><strong>Methods: </strong>Retrospective analysis of 50 patients (age 18-50) admitted to our institution with comminuted FNFs from January 2015 to March 2021. Patients were divided into 2 groups: DHS-FG (21 patients) and FNS (29 patients). Comparison parameters included operative time, intraoperative blood loss, fracture healing time, and complications (nonunion, neck shortening, avascular necrosis). Patient-reported outcomes were measured using Harris Hip Score at final follow-up.</p><p><strong>Results: </strong>We followed all 50 patients for 24-72 months (mean 30 ± 2.07 months). There were no significant differences between the groups in age, gender, fracture classification, postoperative neck shaft angle, and tip-apex distance. However, the union rate differed significantly between DHS-FG and FNS groups (<i>p</i> < 0.05). Significant differences were also observed in surgical time (100 ± 9 vs. 76 ± 23 min), blood loss (370 ± 31 vs. 231 ± 123 ml), and complications (3 [14.2%] vs. 10 [34.4%]) in DHS-FG and FNS groups, respectively.</p><p><strong>Conclusion: </strong>In comminuted FNFs, DHS-FG demonstrated superior union rates and lower complication rates than FNS. DHS-FG may be an effective treatment option for this fracture type, requiring further research to explore potential benefits and limitations of FNS in this context.</p><p><strong>Level of evidence: </strong>III.</p><p><strong>Level of clinical care: </strong>Level I Tertiary trauma centre.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 6","pages":"824-832"},"PeriodicalIF":1.1,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144283770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical Management of Osteoporotic Fractures: Humerus Shaft Fractures.","authors":"Shankar Ramaprasad Kurpad","doi":"10.1007/s43465-025-01379-5","DOIUrl":"10.1007/s43465-025-01379-5","url":null,"abstract":"<p><strong>Background: </strong>Humerus shaft osteoporotic fractures are common in the elderly due to higher fall risk and osteoporotic bone, 80% of these fractures in >60 years age group occur in women. Low energy fractures have high union rates and reasonable function with nonoperative treatment. Less commonly, the osteoporotic patient may sustain polytrauma, high energy injury or open injury to the arm.</p><p><strong>Surgery for osteoporotic humerus fractures: </strong>Surgery is indicated in morbid obesity, poor patient compliance, segmental or displaced fractures, open injury, radial nerve injury, polytrauma, and failure of non-operative treatment to maintain acceptable reduction. The fracture is reduced and stabilised with suitable implant to facilitate early functional improvement while maintaining the fracture reduced and stable, as it unites. Radial nerve injury is associated with humerus shaft fractures more common with distal third shaft fractures. Initial treatment is usually observation. Surgery is indicated if the nerve injury is associated with open fractures, high-energy injuries, or if nerve function is lost after closed reduction.</p><p><strong>Summary: </strong>The surgical options for reduction and stabilisation, choice of implants and surgical approaches (interlocked nailing-antegrade or retrograde, and plating-DCP or locking plates) with inter-se merits and demerits is discussed as there is no clear superiority of one method over the other, along with measures to minimise risk of adverse events. The management of significant challenges with non-unions and peri-implant humerus shaft fractures in osteoporotic bone are outlined.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 8","pages":"1053-1077"},"PeriodicalIF":1.1,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12367638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of Adjunctive Transcutaneous Electrical Nerve Stimulation in Patients with Spastic Cerebral Palsy: A Systematic Review and Meta-analysis.","authors":"Prateek Kumar Panda, Ananthanarayanan Kasinathan, Lesa Dawman, Pragnya Panda, Indar Kumar Sharawat, Meenu Singh","doi":"10.1007/s43465-025-01395-5","DOIUrl":"https://doi.org/10.1007/s43465-025-01395-5","url":null,"abstract":"<p><strong>Introduction: </strong>The efficacy and safety of transcutaneous electrical nerve stimulation (TENS) in patients with cerebral palsy (CP) have been investigated in only a few randomized-controlled trials (RCTs). However, to date, no systematic review has synthesised the findings from these studies.</p><p><strong>Methods: </strong>To identify controlled clinical trials (randomized/non-randomized) investigating the effectiveness and safety of TENS in patients with spastic CP, relevant electronic databases were searched using appropriate MESH terms. The primary objectives of this review were to compare the changes in gross motor function, spasticity, hand function, gait parameters, health-related quality of life (HRQOL), self-reported pain, and treatment-emergent adverse events (TEAEs) between the TENS and control groups. The Mantel Haenszel method determined the pooled estimate with a random or fixed-effect model.</p><p><strong>Results: </strong>The review included seven clinical trials, with a total of 154 participants in the TENS group and 138 participants in the control group. The TENS interventions varied, with current ranging from 3 to 50 mA (median-15 mA), stimulation frequency from 2 to 50 Hz (median-20 Hz), and pulse duration from 0.25 to 250 ms (median-200 ms). The treatments were generally administered daily for 1 to 8 weeks (median-6 weeks). The results showed that the TENS group exhibited greater improvements in gross motor function, gait velocity, hand function, spasticity of targeted muscle, handgrip strength, and HRQOL compared to the control group (p < 0.0001, 0.03, 0.02, < 0.0001, 0.03, and 0.01 respectively). The incidence of TEAEs was rare, mild, and self-resolving, and no significant difference was observed between the TENS and control groups (p = 0.72).</p><p><strong>Conclusion: </strong>The findings suggest that TENS may offer some benefits in improving spasticity and motor function in patients with cerebral palsy. However, it is important to note that more high-quality RCTs are required before making a definitive conclusion.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 7","pages":"863-875"},"PeriodicalIF":1.1,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12254114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Total Knee Arthroplasty with Plate Osteosynthesis Provides a Reliable Solution for Concurrent Acute Metaphyseal Stress Fractures and Osteoarthritis: A Case Series.","authors":"Asif Imran, Singanallur Palanivelayutham Sivakumar, Dhanasekaran Soundarrajan, Purnaganapathi Sundaram Velmurugesan, Jayaramaraju Dheenadhayalan, Shanmughanathan Rajasekaran","doi":"10.1007/s43465-025-01390-w","DOIUrl":"10.1007/s43465-025-01390-w","url":null,"abstract":"<p><p>Acute metaphyseal tibial stress fractures (AMTSF) in the setting of severe osteoarthritis (OA) were relatively rare. Total knee arthroplasty (TKA) with a long stem was considered the preferred treatment. However, achieving rotational stability solely with a long stem at the metaphyseal level remained questionable. We report four female patients (mean age 65.3 ± 11.8) with AMTSF and severe OA between 2021 and 2022. All presented with sudden pain, weight-bearing inability, swelling, and proximal leg tenderness. Radiographs confirmed complete metaphyseal stress fractures. Each had vitamin D deficiency, and two had secondary hypoparathyroidism. Fractures were stabilized with medial plating to ensure rotational stability and provide a secure foundation for TKA. Knee Society Score and Functional Score improved from 14.8 ± 6.8 and 23 ± 16.2 to 86 ± 8.7 and 85 ± 10.3 (<i>p</i> < 0.05). No complications occurred during follow-up. In AMTSF with severe OA, TKA combined with plate osteosynthesis reliably achieves fracture union and excellent functional outcome. Level of evidence: IV. Level of clinical care: Level I Tertiary trauma center.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 6","pages":"848-852"},"PeriodicalIF":1.1,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144283790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcome of Anterior Latissimus Dorsi with Teres Major and Posterior Lower Trapezius Tendon Transfer for Global Irreparable Rotator Cuff Tears.","authors":"Chang Hee Baek, Bo Taek Kim, Jung Gon Kim, Chaemoon Lim, Seung Jin Kim","doi":"10.1007/s43465-025-01391-9","DOIUrl":"10.1007/s43465-025-01391-9","url":null,"abstract":"<p><strong>Introduction: </strong>Global irreparable rotator cuff tears (GIRCTs) without arthritis pose significant challenges for shoulder management. This study evaluates the clinical outcomes of dual-tendon reconstruction, combining anterior latissimus dorsi-teres major (LDTM) and posterior lower trapezius tendon (LTT) transfers, in patients with GIRCTs without arthritis.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on patients who underwent dual tendon transfer surgery for GIRCTs without arthritis. Clinical assessment included pain levels (VAS), patient-reported outcome measures (Constant score, ASES, UCLA, and SANE), active range of motion (ROM), and shoulder strength preoperatively and at final follow-up. Radiological assessments were performed to evaluate tendon integrity and glenohumeral joint status.</p><p><strong>Results: </strong>At the final follow-up, significant improvements were observed in patient-reported outcomes, pain relief, and ROM in all directions. The patients demonstrated improved shoulder strength, with no significant change in the acromiohumeral distance (AHD) or Hamada grading system for arthritis. Two patients experienced partial re-tears of the LTT transfer: one due to trauma and the other spontaneously at the humeral footprint; both were managed conservatively. One patient experienced minor progression of arthritis, but it was clinically insignificant.</p><p><strong>Conclusion: </strong>Dual reconstruction, combining LDTM and LTT transfers, provides significant pain relief, functional improvement, and preserved joint mechanics for patients with GIRCTs without arthritis. This technique is a promising joint-preserving option that may delay the need for RTSA, offering an alternative for patients with intact cartilage and GIRCTs.</p><p><strong>Level of evidence: </strong>IV; retrospective case-series study.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 6","pages":"816-823"},"PeriodicalIF":1.1,"publicationDate":"2025-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144283783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Significance of Fragmentation Among Bicondylar Hoffa Fractures - Case Series of Three Fractures and Review of Literature.","authors":"P R Ramasamy, S Kavin","doi":"10.1007/s43465-025-01358-w","DOIUrl":"10.1007/s43465-025-01358-w","url":null,"abstract":"<p><strong>Background: </strong>Hoffa fracture of distal femoral condyle has been described since 1904. Bicondylar Hoffa fractures are rarer as compared to unicondylar Hoffa fracture.</p><p><strong>Methods: </strong>Three cases of bicondylar Hoffa fractures were managed between 2014 and 2023 by open reduction and internal fixation. Previously reported 25 cases were reviewed along with these three cases.</p><p><strong>Results: </strong>The three reported cases had 0-140; 0-100 and 0-90<b>°</b> of movements after an year of treatment.</p><p><strong>Conclusion: </strong>Four fractures of the reviewed (previously reported) cases which had fragmentation of smaller sizes had undergone fixation only with screws. All three fractures of the current series had fragmentation of the fractures and had been fixed with buttress plates and interfragmentary screws. We feel that fragmentation of smaller sizes could be managed with interfragmentary screws alone and fragmentation of larger sizes as in the current case series requires additional buttress plating.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 6","pages":"853-860"},"PeriodicalIF":1.1,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144283788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Females with Knee Osteoarthritis have Greater Pain and Reduced Physical Function but Similar Radiological Grading at Presentation: A Cross-sectional Observational Study.","authors":"Rajesh Ratan, Manojit Basak, Dharm Pal, Manish Dwivedi, Rehan Ul Haq","doi":"10.1007/s43465-025-01365-x","DOIUrl":"10.1007/s43465-025-01365-x","url":null,"abstract":"<p><strong>Background: </strong>This study aims to assess the gender differences in clinical severity, physical function, and radiographic parameters in patients with knee osteoarthritis at presentation to a tertiary care center.</p><p><strong>Materials and methods: </strong>We performed a cross-sectional observational study on patients with knee osteoarthritis aged more than 50 years who presented to a tertiary care center. Clinical assessment was done by modified WOMAC score. Physical function assessment was done by five performance-based tests: a thirty-second chair stand test, 40 m (4 × 10 m) fast-paced walk test, stair climb test, timed up-and-go test, and six-minute walk test. Radiographic assessment was done by plain radiographs using the Kellgren and Lawrence (KL) grading and measuring the femorotibial angle.</p><p><strong>Results: </strong>A total of 111 patients (50 males and 61 females) were included. Females had significantly more pain and stiffness than males as assessed by modified WOMAC score at the time of presentation (pain: males 5.28 ± 3.0, females 7.45 ± 3.93, <i>p</i>-value 0.002) (stiffness: males 1.16 ± .81, females 1.63 ± .94, <i>p</i>-value 0.006). There was a statistically significant difference in all five performance-based physical function tests between the male and female patients (<i>p</i>-value < .05) with females showing poorer scores at the time of presentation. There was no statistically significant difference in the KL grading between males and females.</p><p><strong>Conclusion: </strong>This study highlights significant gender differences in the clinical presentation of knee OA, with females experiencing greater pain, stiffness, and reduced physical functions but similar radiological grading at presentation. These findings emphasize the importance of comprehensive clinical assessment that must include both radiographic and physical function evaluation to ensure optimal management and improved outcomes for patients with knee OA.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 4","pages":"549-557"},"PeriodicalIF":1.1,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Periprosthetic Fractures Around the Acetabulum.","authors":"Sahil Batra, Rajesh Malhotra","doi":"10.1007/s43465-025-01380-y","DOIUrl":"10.1007/s43465-025-01380-y","url":null,"abstract":"<p><p>Peri-Prosthetic acetabular fractures are rare but challenging Complications related to total hip arthroplasty (THA), especially during revision procedures. Factors contributing to these fractures include poor bone quality, prior implant placement, and increased mechanical stress. Several systems classify these fractures and management strategies differ based on whether the fracture occurs intraoperatively or postoperatively and whether the prosthesis is stable/unstable. Undisplaced fractures may be managed conservatively, while displaced fractures often require surgical intervention, such as open reduction and internal fixation (ORIF), alongside implant revision. The modern porous coated cups along with other reconstruction techniques have improved the outcomes. The complications include non-union, implant loosening, deep infection, dislocation.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 8","pages":"1164-1171"},"PeriodicalIF":1.1,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12367609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Radiological and Functional Outcomes of Joshi External Stabilization System (JESS) in Proximal Humerus Fractures: A Retrospective Review.","authors":"Siddhartha Sinha, Sandeep Kumar, Arvind Kumar, Neel Aggarwal, Saket Bandil, Owais A Qureshi, Javed Jameel","doi":"10.1007/s43465-025-01374-w","DOIUrl":"10.1007/s43465-025-01374-w","url":null,"abstract":"<p><strong>Introduction: </strong>There has been an increased interest in the external and percutaneous fixation of proximal humerus fractures. Numerous advantages of external fixation like less blood loss, ease of application, and rigid fixation provide a promising new avenue for the management of humeral fractures. This retrospective case series aims to assess the radiological and functional outcome of proximal humerus fractures treated with the Joshi External Stabilization system (JESS).</p><p><strong>Materials and methods: </strong>A retrospective review of records was performed using hospital records from January 2020 to January 2024. The records of patients more than 18 years of age with proximal humerus fractures who were operated with the JESS fixator were reviewed and a proforma based on each follow-up was filled by the investigators.</p><p><strong>Results: </strong>A total of 28 patients met the inclusion criteria with an average age of 65.17 ± 13.1 years. Neers type 3 injuries were most common (38.3%, <i>n</i> = 11). All fractures united on 6-week follow-up. 75% (<i>n</i> = 21) reported good 25% (<i>n</i> = 7) excellent Constant scores at 24 weeks. The overall complication rate was 28.6%. Common complications were superficial pin tract infections and fixator loosening.</p><p><strong>Conclusion: </strong>The JESS is an acceptable treatment option for orthopaedic surgeons for the fixation of proximal humeral fractures, especially in geriatric patients. Like other external fixation devices, pin tract infection and pin loosening are inherent to the system.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 5","pages":"611-619"},"PeriodicalIF":1.1,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12044102/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mid-term Survivorship Analysis of Personalized Kinematic Total Knee Arthroplasty: A Single-Surgeon and Single-Centre Prospective Study Among the Indian Population.","authors":"Narayanasamy Ragunanthan, Harish V K Ratna, M Indhrakumar Varma","doi":"10.1007/s43465-025-01384-8","DOIUrl":"https://doi.org/10.1007/s43465-025-01384-8","url":null,"abstract":"<p><strong>Background: </strong>Total knee replacement surgery for knee osteoarthritis has increased tremendously during the past few decades. But still, 1519% of the patients are not satisfied with the surgical outcome. Therefore, alternative ways of aligning a TKR have gained interest. We have designed our own technique of personalized kinematic TKR with conventional instruments. This is the first mid-term survivorship analysis that has been done among the Indian population.</p><p><strong>Methods: </strong>A prospective study was done on the patients treated for knee osteoarthritis by a single surgeon in a single center till March 2016. All the 124 knees (102 patients) were operated by our technique of personalized kinematic TKR where the thickness of distal femoral and tibial cuts was calculated by measuring cartilage and bone wear and calipered resection technique was carried out with conventional instruments.</p><p><strong>Results: </strong>In our study, all the patients (except one) were followed-up for a mean duration of 5.8 years (range 5-7.5 years). Oxford Knee Score increased from 25.82 ± 6.01 preoperatively to 45.14 ± 5.98 postoperatively and FJS improved from 14.53 ± 4.06 preoperatively to 93.14 ± 12.21 at 1-year follow-up and none of the patients underwent revision surgery.</p><p><strong>Conclusion: </strong>This prospective study shows that personalized kinematic total knee arthroplasty in the Indian population results in high satisfaction rates as well as good clinical outcomes with no revisions at minimum 5-year follow-up.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 7","pages":"937-944"},"PeriodicalIF":1.1,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12254453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}