SICOT-J最新文献

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Anatomic extension-based description for rotator cuff calcifications: retrospective analysis of 100 consecutive cases. 基于解剖扩展的肩袖钙化描述:回顾性分析连续100例病例。
IF 2.3
SICOT-J Pub Date : 2026-01-01 Epub Date: 2026-04-20 DOI: 10.1051/sicotj/2026004
Daniel Moya, Jorge Rojas Liévano, Diego Gómez, Federico Alfano, Christos Koukos, Daniel Veloz Serrano, Ricardo Vera
{"title":"Anatomic extension-based description for rotator cuff calcifications: retrospective analysis of 100 consecutive cases.","authors":"Daniel Moya, Jorge Rojas Liévano, Diego Gómez, Federico Alfano, Christos Koukos, Daniel Veloz Serrano, Ricardo Vera","doi":"10.1051/sicotj/2026004","DOIUrl":"10.1051/sicotj/2026004","url":null,"abstract":"<p><strong>Background: </strong>Rotator cuff calcific tendinopathy (RCCT) has traditionally been described as a localized enthesopathy. However, calcium deposits sometimes extend beyond the enthesis into adjacent soft tissues or humeral bone, resulting in atypical patterns not considered in existing classification systems. Failure to recognize these patterns can lead to diagnostic errors or the indication of unnecessary invasive diagnostic procedures.</p><p><strong>Methods: </strong>In order to describe atypical patterns and to assess their incidence, 100 consecutive shoulder cases with radiographically confirmed RCCT were retrospectively reviewed. Calcific deposits were categorized by tendon involvement, size, and morphology. Based on imaging findings, deposits were also classified according to their anatomic location and extension into: Type I (enthesis-confined), Type II (extension into soft tissue), and Type III (bone involvement). Associations between patient characteristics, calcification size, morphology, and location were analyzed.</p><p><strong>Results: </strong>According to the proposed classification, 67% of cases were Type I, 14% showed soft tissue extension (Type II), and 19% involved bone (Type III). Type III group showed a significantly higher proportion of females (83%) compared to the entire cohort (54%) (p < 0.001). Larger deposits (>15 mm) were significantly associated with bone involvement (p < 0.01).</p><p><strong>Conclusion: </strong>Extension of calcium deposits beyond the rotator cuff enthesis was a frequent finding in this series. Incorporating an anatomic extension-based classification may enhance diagnostic precision, possibly avoiding invasive differential diagnostic procedures.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"12 ","pages":"17"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724282","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}
引用次数: 0
Lateral versus supine positioning for proximal femoral nailing of unstable intertrochanteric fractures in geriatric patients: A prospective randomized comparative study. 侧卧位与仰卧位在老年患者不稳定转子间骨折股骨近端钉入中的应用:一项前瞻性随机比较研究。
IF 2.3
SICOT-J Pub Date : 2026-01-01 Epub Date: 2026-04-29 DOI: 10.1051/sicotj/2026015
Wessam Fakhery Ebied, Hesham Ossama Soubih, Yahia Haroun, Karim Atef Salem, Amr Amal Amin, Ahmed Sayed Kotb
{"title":"Lateral versus supine positioning for proximal femoral nailing of unstable intertrochanteric fractures in geriatric patients: A prospective randomized comparative study.","authors":"Wessam Fakhery Ebied, Hesham Ossama Soubih, Yahia Haroun, Karim Atef Salem, Amr Amal Amin, Ahmed Sayed Kotb","doi":"10.1051/sicotj/2026015","DOIUrl":"10.1051/sicotj/2026015","url":null,"abstract":"<p><strong>Background: </strong>Patient positioning for proximal femoral nailing (PFN) in unstable intertrochanteric fractures remains controversial and may influence operative efficiency, radiation exposure, and reduction quality. This study compared lateral decubitus PFN without traction versus the conventional supine traction-table technique in geriatric patients.</p><p><strong>Methods: </strong>This prospective randomized comparative study enrolled patients aged >60 years with AO/OTA A2 unstable intertrochanteric fractures who were randomized to supine traction-table PFN (Group A) or lateral decubitus PFN on a radiolucent table (Group B). Primary outcomes were setup time, fluoroscopy (radiation) exposure, and operative time. Secondary outcomes included blood loss, need for open reduction, neck-shaft angle (NSA), tip-apex distance (TAD), and modified Baumgartner reduction quality.</p><p><strong>Results: </strong>Setup time was markedly shorter with lateral positioning (13.73 ± 2.26 vs 43.73 ± 6.19 min; P < 0.001), and radiation exposure was lower (60.53 ± 15.98 vs 68.48 ± 14.65 s; P = 0.023). Blood loss was higher in the lateral group (328.75 ± 84.65 vs 288.75 ± 48.68 mL; P = 0.011), and open reduction was more frequent (57.5% vs 17.5%; P < 0.001). Operative time was comparable (78.53 ± 15.13 vs 74.48 ± 8.56 min; P = 0.145). NSA (135.88 ± 5.94 vs 136.12 ± 6.27°; P = 0.864), TAD (23.58 ± 2.14 vs 23.15 ± 1.73 mm; P = 0.331), and reduction quality (good: 90% in both; P = 1.000) did not differ.</p><p><strong>Conclusions: </strong>Lateral decubitus PFN without traction improved setup efficiency and reduced radiation exposure while maintaining comparable radiographic outcomes, at the expense of more frequent open reduction and modestly higher blood loss.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"12 ","pages":"21"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13127122/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785091","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}
引用次数: 0
Pilot study: Effects of ovariectomy-induced estrogen deficiency on the biomechanical and structural properties of the intact anterior cruciate ligament in a porcine model. 初步研究:卵巢切除诱导的雌激素缺乏对猪模型完整前交叉韧带的生物力学和结构特性的影响。
IF 2.3
SICOT-J Pub Date : 2026-01-01 Epub Date: 2026-04-29 DOI: 10.1051/sicotj/2026017
Hibiki Kakiage, Tsuneari Takahashi, Yuji Kaneda, Wataru Kurashina, Katsushi Takeshita, Hirotaka Chikuda
{"title":"Pilot study: Effects of ovariectomy-induced estrogen deficiency on the biomechanical and structural properties of the intact anterior cruciate ligament in a porcine model.","authors":"Hibiki Kakiage, Tsuneari Takahashi, Yuji Kaneda, Wataru Kurashina, Katsushi Takeshita, Hirotaka Chikuda","doi":"10.1051/sicotj/2026017","DOIUrl":"10.1051/sicotj/2026017","url":null,"abstract":"<p><strong>Introduction: </strong>This pilot study investigated the effects of ovariectomy-induced estrogen deficiency on the biomechanical properties of intact anterior cruciate ligaments (ACLs) in a porcine model, a biological condition that may influence ligament integrity and injury susceptibility.</p><p><strong>Methods: </strong>A bilateral ovariectomy model was used to induce systemic estrogen deficiency. Fourteen two-month-old female pigs were included. Four pigs (8 knees) underwent bilateral ovariectomy (OV group). The left knees of 10 pigs that underwent laparotomy without ovariectomy for a separate study were analyzed as controls (C group). At 12 weeks, knee joints were examined macroscopically, followed by biomechanical testing consisting of cyclic anterior drawer loading and load-to-failure.</p><p><strong>Results: </strong>All ACLs were intact without arthrofibrosis or cartilage degeneration. During cyclic testing, anterior tibial translation was significantly lower in the OV group compared with controls (0.47 ± 0.14 mm vs. 0.82 ± 0.32 mm, P = 0.017). Failure mode differed between groups: all posterolateral bundles in controls avulsed at their insertions, whereas six of eight in the OV group ruptured in the midsubstance (P = 0.0070). No significant between-group differences were observed in yield load, maximum load, stiffness, or elongation at failure.</p><p><strong>Conclusion: </strong>Ovariectomy-induced estrogen deficiency altered ACL failure characteristics and reduced translation without affecting ultimate strength. These findings suggest that ovarian hormone deficiency compromises ligament quality, providing a potential mechanism for increased ACL injury risk in young female athletes. These findings should be interpreted as pilot, hypothesis-generating data.</p><p><strong>Level of evidence: </strong>Experimental laboratory study.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"12 ","pages":"22"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13127120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785124","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}
引用次数: 0
Development and measurement of elbow and knee joints using an electro-goniometer in healthy subjects: A preliminary study. 在健康受试者中使用电测角仪发展和测量肘关节和膝关节:初步研究。
IF 2.3
SICOT-J Pub Date : 2026-01-01 Epub Date: 2026-05-05 DOI: 10.1051/sicotj/2026016
Sasipa Buranapuntalug, Nuchrada Chaitrakul, Pollapat Liamtragoolpanich, Chusak Thanawattano, Chatchai Buekban, Kornanong Yuenyongchaiwat
{"title":"Development and measurement of elbow and knee joints using an electro-goniometer in healthy subjects: A preliminary study.","authors":"Sasipa Buranapuntalug, Nuchrada Chaitrakul, Pollapat Liamtragoolpanich, Chusak Thanawattano, Chatchai Buekban, Kornanong Yuenyongchaiwat","doi":"10.1051/sicotj/2026016","DOIUrl":"10.1051/sicotj/2026016","url":null,"abstract":"<p><strong>Introduction: </strong>Range of Motion (ROM) assessment is a critical baseline metric for diagnosis, treatment monitoring, and rehabilitation goal setting. It significantly impacts patient well-being, aligning with Sustainable Development Goal 3 (SDG 3). However, the universal goniometer (UG), presents limitations regarding accuracy and practical efficiency in clinical settings. Therefore, this study aimed to determine the concurrent validity of an electronic goniometer named Goniwear compared to the UG for measuring elbow and knee angles.</p><p><strong>Methods: </strong>The validity of Goniwear involved 40 healthy volunteers stratified by age (20-39 and 40-59 years) and sex. Simultaneous active and passive ROM measurements were conducted three times using both UG and on flexion and extension of the elbow and knee joints. Data were analyzed using the intraclass correlation coefficients (ICC), which were calculated using a two-way random-effects model, and the Bland-Altman method was used to determine the limits of agreement (LoA) between the UG and Goniwear.</p><p><strong>Results: </strong>Reliability between the two instruments ranged from poor to excellent, depending on the joint and movement type. Elbow flexion and extension demonstrated consistently good to excellent reliability in both active and passive conditions (ICC = 0.84-0.91), with minimal bias and relatively narrow LoA. Knee flexion and extension showed poor to moderate reliability (ICC = 0.44-0.55), particularly for extension, accompanied by a wide LoA.</p><p><strong>Conclusion: </strong>Agreement between the UG and Goniwear varies across joints and movement conditions. While the instruments appear interchangeable for elbow movements, caution is warranted when interpreting knee ROM due to greater measurement variability.</p><p><strong>Discussion: </strong>The Goniwear demonstrates high validity for single-axis joints with fixed pivot points, suggesting strong potential for clinical application in specific contexts.</p><p><strong>Trial registration: </strong>The Thai Clinical Trials Registry is TCTR20251120001.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"12 ","pages":"23"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844175","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}
引用次数: 0
Development of a knee joint magnetic resonance imaging (MRI)-based model for finite element analysis (FEA) applications. 基于有限元分析(FEA)应用的膝关节磁共振成像(MRI)模型的开发。
IF 2.3
SICOT-J Pub Date : 2026-01-01 Epub Date: 2026-04-20 DOI: 10.1051/sicotj/2026009
Angelo V Vasiliadis, Kalliopi Valsamidou, Alexandros Chortis, Dimitrios Chytas, George Noussios, George Paraskevas, Konstantinos Katakalos, Aikaterini Vassiou
{"title":"Development of a knee joint magnetic resonance imaging (MRI)-based model for finite element analysis (FEA) applications.","authors":"Angelo V Vasiliadis, Kalliopi Valsamidou, Alexandros Chortis, Dimitrios Chytas, George Noussios, George Paraskevas, Konstantinos Katakalos, Aikaterini Vassiou","doi":"10.1051/sicotj/2026009","DOIUrl":"10.1051/sicotj/2026009","url":null,"abstract":"<p><strong>Introduction: </strong>The knee is a biomechanically complex joint supported by multiple anatomical structures, making it vulnerable to multiple injuries. Finite element analysis is a valuable tool for studying joint biomechanics, particularly in pre-operative planning and injury evaluation. However, most models are based on computed tomography, which limits soft tissue visualization. Thus, a magnetic resonance imaging-based finite element model of the knee, incorporating bones, ligaments, tendons, cartilage, and menisci, was developed to improve realism and clinical relevance in biomechanical simulations.</p><p><strong>Materials and methods: </strong>Magnetic resonance imaging data were obtained from a healthy adult male using a 1.5T scanner and processed using RETOMO and Rhinoceros software for 3D reconstruction and modeling. Meshes were cleaned, optimized, and anatomically validated. All major knee structures were modeled, including the femur, tibia, fibula, patella, cruciate and collateral ligaments, patellofemoral ligaments, quadriceps and patellar tendons, menisci, and articular cartilage.</p><p><strong>Results: </strong>The resulting model reconstructed both hard and soft tissues of the knee joint with high anatomical fidelity, based on direct MRI segmentation and literature-supported anatomical definitions. The use of magnetic resonance imaging enabled high-resolution identification of soft tissues, while advanced mesh refinement preserved anatomical detail with optimized file management. The inclusion of structures like the anterolateral ligament and patellofemoral ligaments expands the model's clinical relevance in addressing a wider range of knee pathologies.</p><p><strong>Conclusion: </strong>This magnetic resonance imaging-based finite element analysis model provides a detailed and comprehensive, representation of the healthy human knee, including bones, cartilage, menisci, and tendons. While some ligament attachment points were derived from literature rather than MRI data, the model provides a foundation for future biomechanical studies, surgical planning and personalized treatment simulations.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"12 ","pages":"18"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724260","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}
引用次数: 0
En bloc discectomy via anterior lumbar approach: a technical note. 腰椎前路整块椎间盘切除术:技术要点。
IF 2.3
SICOT-J Pub Date : 2026-01-01 Epub Date: 2026-04-20 DOI: 10.1051/sicotj/2026002
Harmantya Mahadhipta, Amri Muhyi, Muhamad Abdul Harist Fadhlizain, Mitchel Mitchel, Karina Sylvana Gani, Erica Kholinne
{"title":"En bloc discectomy via anterior lumbar approach: a technical note.","authors":"Harmantya Mahadhipta, Amri Muhyi, Muhamad Abdul Harist Fadhlizain, Mitchel Mitchel, Karina Sylvana Gani, Erica Kholinne","doi":"10.1051/sicotj/2026002","DOIUrl":"10.1051/sicotj/2026002","url":null,"abstract":"<p><strong>Introduction: </strong>Implant subsidence remains one of the complications following lumbar interbody fusion and total lumbar disc replacement, often attributed to excessive and uneven preparation of the subchondral bone. To address this limitation, we describe a novel surgical approach - en bloc discectomy - designed to enable more controlled disc removal, preserve subchondral endplate integrity, and minimize the risk of implant subsidence.</p><p><strong>Methods: </strong>We describe the procedural steps for the en bloc discectomy, including patient positioning, surgical approach, and the specific technique using a Cobb spinal elevator to remove the cartilaginous en bloc. The technique's advantages include controlled disc removal, minimized subsidence, and even subchondral endplate preparation.</p><p><strong>Results: </strong>En bloc discectomy was successfully performed in our patient. No intraoperative or postoperative complications occurred, and all patients reported immediate and sustained symptomatic improvement.</p><p><strong>Conclusion: </strong>En bloc discectomy provides a safe and reproducible alternative to conventional (standard piecemeal discectomy) disc excision. By reducing endplate damage and implant subsidence, this technique has the potential to improve long-term stability and clinical outcomes in patients undergoing lumbar interbody procedures.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"12 ","pages":"19"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724289","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}
引用次数: 0
Pilot study comparing operating room workflow and team ergonomics in robotic-assisted versus navigated total knee arthroplasty. 比较机器人辅助与导航全膝关节置换术的手术室工作流程和团队人机工程学的初步研究。
IF 2.3
SICOT-J Pub Date : 2026-01-01 Epub Date: 2026-05-05 DOI: 10.1051/sicotj/2026026
Thomas Aubert, Willem Franssen, Aline Vandeputte
{"title":"Pilot study comparing operating room workflow and team ergonomics in robotic-assisted versus navigated total knee arthroplasty.","authors":"Thomas Aubert, Willem Franssen, Aline Vandeputte","doi":"10.1051/sicotj/2026026","DOIUrl":"10.1051/sicotj/2026026","url":null,"abstract":"<p><strong>Background: </strong>Robotic-assisted systems have been developed to improve the accuracy and reproducibility of total knee arthroplasty (TKA). While outcomes have been widely studied, the effects of these systems on intraoperative workflow and surgical team workload have received less attention. The aim of this study was to compare procedural setup, efficiency, workload, and ergonomics between the VELYS robotic-assisted solution (VRAS) and computer-navigated TKA (NAVI).</p><p><strong>Methods: </strong>Twenty patients who underwent primary TKA performed by a single surgeon, using a single implant type, were enrolled in this research (10VRAS, 10NAVI). Procedural efficiency was assessed by reference to an AI-backed process digital twin platform. Workload was evaluated using NASA-TLX questionnaires, objective ergonomic measures (power tool holding times, retractor holding times, and leg holding times), and a tray analysis.</p><p><strong>Results: </strong>The mean total operating room (OR) time was 69.4 min for the VRAS group and 72.9 min for the NAVI group, with no significant difference. The preparation (22 min) and the breakdown times (12.6 vs.11.7 min) were equivalent. The skin-to-skin times averaged 34.3 min for the VRAS group versus 38.9 min for the NAVI group. NASA-TLX scores revealed significantly lower mental, physical, and temporal demands, reduced effort and frustration, and better perceived performance of the surgeon in the VRAS group (p < 0.05). The instrument burden was similar, 5 trays (21.5 kg) for VRAS and 4 trays (20.9 kg) for NAVI. The objective workload was reduced for the VRAS group, with shorter power tool holding (2.7 vs. 7.7 min, p < 0.001), retractor holding (7.8 vs. 13.0 min, p = 0.01), and leg holding times (3.4 vs. 4.7 min, p = 0.02).</p><p><strong>Discussion: </strong>Compared with navigated TKA, robotic assistance did not prolong overall OR time and was associated with lower measured NASA-TLX scores. These findings suggest that robotic-assisted TKA may offer workflow and ergonomic advantages, although further studies with larger samples are needed to confirm these preliminary observations.</p><p><strong>Level of evidence: </strong>Level 4, retrospective study.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"12 ","pages":"24"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844327","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}
引用次数: 0
Reflections on SICOT-J Volume 11 (2025). 对SICOT-J第11卷(2025)的反思。
IF 2.3
SICOT-J Pub Date : 2026-01-01 Epub Date: 2026-04-29 DOI: 10.1051/sicotj/2026006
Raju Vaishya, Sébastien Lustig, Andreas F Mavrogenis, Vikas Khanduja
{"title":"Reflections on SICOT-J Volume 11 (2025).","authors":"Raju Vaishya, Sébastien Lustig, Andreas F Mavrogenis, Vikas Khanduja","doi":"10.1051/sicotj/2026006","DOIUrl":"10.1051/sicotj/2026006","url":null,"abstract":"<p><p>Volume 11 (2025) of SICOT-J showcases high-quality global orthopaedic research spanning spine, trauma, arthroplasty, sports, and perioperative care. Through impactful original studies, reviews, and editorials, the volume reinforces evidence-based practice, surgical innovation, and multidisciplinary approaches to contemporary musculoskeletal challenges worldwide.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"12 ","pages":"E2"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13127121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785095","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}
引用次数: 0
Lateral approach in robotic total knee arthroplasty for valgus knees: A step-by-step technique. 外翻膝机器人全膝关节置换术的外侧入路:一步一步的技术。
IF 1.8
SICOT-J Pub Date : 2025-01-01 Epub Date: 2025-03-27 DOI: 10.1051/sicotj/2025017
Luca Andriollo, Pietro Gregori, Christos Koutserimpas, Elvire Servien, Cécile Batailler, Pascal Kouyoumdjian, Sébastien Lustig
{"title":"Lateral approach in robotic total knee arthroplasty for valgus knees: A step-by-step technique.","authors":"Luca Andriollo, Pietro Gregori, Christos Koutserimpas, Elvire Servien, Cécile Batailler, Pascal Kouyoumdjian, Sébastien Lustig","doi":"10.1051/sicotj/2025017","DOIUrl":"10.1051/sicotj/2025017","url":null,"abstract":"<p><p>Total knee arthroplasty (TKA) in valgus knee deformities presents unique challenges, including alignment, soft tissue balance, and implant positioning. The lateral approach offers advantages over the traditional medial approach by improving direct access, patellar tracking, and soft tissue preservation. Robotic-assisted TKA enhances precision, ligament balancing, and patient-specific alignment strategies, such as functional knee positioning (FKP). This study describes a surgical technique integrating the lateral approach with robotic-assisted TKA using FKP principles. The technique is based on an image-based robotic system, ensuring accurate preoperative planning, intraoperative adjustments, and optimized prosthetic placement. Key intraoperative steps, including bone resection strategies, soft tissue balancing, and trial component evaluations, are detailed. The lateral robotic approach with FKP was found to be effective and reproducible, allowing for precise implant alignment and optimized soft tissue balance in valgus knees. This method minimizes the need for extensive lateral releases, preserves vascularity, and ensures postoperative stability. The combination of the lateral approach, robotic-assisted TKA, and FKP represents a promising strategy for valgus knee deformities. Further long-term studies are needed to validate the durability and functional benefits of this technique.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"11 ","pages":"20"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722077","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}
引用次数: 0
Current concepts in total knee arthroplasty: Rotating hinge prostheses. 全膝关节置换术的最新概念:旋转铰链假体。
IF 1.8
SICOT-J Pub Date : 2025-01-01 Epub Date: 2025-03-19 DOI: 10.1051/sicotj/2025010
Tiffany Carol Oliver, Babar Kayani, Tianyi David Luo, Hugo Humphries, Fares Sami Haddad
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