Prosthesis最新文献_第4页

Unlocking the Secrets of Post-Surgical Flexion: The Vital Role of Rehabilitation in Total Knee Arthroplasty Recovery 揭开手术后屈曲的秘密：康复在全膝关节置换术后恢复中的重要作用

Prosthesis Pub Date : 2023-12-14 DOI: 10.3390/prosthesis5040093

G. Murvai, C. Hozan, T. Ghitea, Simona Cavalu

{"title":"Unlocking the Secrets of Post-Surgical Flexion: The Vital Role of Rehabilitation in Total Knee Arthroplasty Recovery","authors":"G. Murvai, C. Hozan, T. Ghitea, Simona Cavalu","doi":"10.3390/prosthesis5040093","DOIUrl":"https://doi.org/10.3390/prosthesis5040093","url":null,"abstract":"This article delves into the critical aspect of postoperative flexion, particularly in the context of total knee arthroplasty (TKA), commonly known as total knee replacement. Postoperative flexion serves as a pivotal metric for assessing the success of the procedure and a patient’s ability to regain functional knee movement. The exploration encompasses the desired range of post-surgery flexion, the surgical factors influencing it, and the indispensable role of rehabilitation in facilitating patients in achieving functional flexion. The study tracks the progress of 713 patients who underwent total knee arthroplasty utilizing the cemented technique, categorizing them based on whether they received non-steroidal anti-inflammatory drugs for postoperative treatment. The monitoring of prosthetic and knee complications, along with the evaluation of the Knee Association Score (KSS) for functional assessment, revealed postoperative complications in approximately 18.23% of the patient cohort. These complications were predominantly associated with a restricted range of motion (ROM < 90°) and patellar clunk syndrome. Significantly, the KSS scale exhibited notable enhancements in the quality of life at 12 months post-surgery compared to preoperative and 6-month assessments. The majority of patients achieved scores classified as good or excellent, underlining the positive impact of the surgical approach and postoperative management on functional outcomes and overall patient well-being.","PeriodicalId":474580,"journal":{"name":"Prosthesis","volume":"33 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138971526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Salvage Hip Arthroplasty in Nail Failure: A Systematic Review 髋关节置换术失败后的救治：系统回顾

Prosthesis Pub Date : 2023-12-13 DOI: 10.3390/prosthesis5040092

Salvatore Pantè, Lorenzo Braconi, Umberto Cottino, F. Dettoni, Roberto Rossi

{"title":"Salvage Hip Arthroplasty in Nail Failure: A Systematic Review","authors":"Salvatore Pantè, Lorenzo Braconi, Umberto Cottino, F. Dettoni, Roberto Rossi","doi":"10.3390/prosthesis5040092","DOIUrl":"https://doi.org/10.3390/prosthesis5040092","url":null,"abstract":"Background: Femoral nailing is a largely widespread procedure in the elderly population, and the number of these surgeries is rising. Hip arthroplasty is a salvage procedure performed to improve function of the hip after femoral nail failure. The aim of the study is to evaluate functional outcomes, complications and survivorship in hip arthroplasty after femoral nail failure. Methods: A systematic review of three databases (Pubmed, Embase and Cochrane) was performed using the PRISMA 2020 guidelines. After selection, four studies met the inclusion criteria, and 483 treated hips have been analyzed (476 total hip arthroplasties, 7 partial hip arthroplasties). Results: The median value of Harris Hip Score (HHS) after salvage treatment was 86.1. The main indications for salvage treatment were osteoarthrosis, avascular necrosis of the femoral head and instability of the hip. Complications are more frequent than in primary total hip arthroplasty, in particular aseptic loosening and dislocation. Good outcomes have also been achieved using revision-type stems and proximal femoral replacements (PFR). Conclusions: Conversion total hip arthroplasty is confirmed as the optimal treatment for femoral nail failure in the elderly population. Cemented or hybrid total hip arthroplasties have better outcomes than uncemented total hip arthroplasties, and the use of different types of implants widens the possible approaches to surgery in restoring the biomechanics of the hip and increases the satisfaction of patients.","PeriodicalId":474580,"journal":{"name":"Prosthesis","volume":"147 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139003526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Five-Year Follow-Up of 8 and 6 mm Locking-Taper Implants Treated with a Reconstructive Surgical Protocol for Peri-Implantitis: A Retrospective Evaluation 采用重建手术方案治疗 8 毫米和 6 毫米锁定锥度假体种植体植入前炎的五年随访：回顾性评估

Prosthesis Pub Date : 2023-12-12 DOI: 10.3390/prosthesis5040091

G. Lombardo, A. Signoriello, M. Marincola, E. Bonfante, Antonio Díaz-Caballero, N. Tomizioli, Alessia Pardo, Alessandro Zangani

{"title":"Five-Year Follow-Up of 8 and 6 mm Locking-Taper Implants Treated with a Reconstructive Surgical Protocol for Peri-Implantitis: A Retrospective Evaluation","authors":"G. Lombardo, A. Signoriello, M. Marincola, E. Bonfante, Antonio Díaz-Caballero, N. Tomizioli, Alessia Pardo, Alessandro Zangani","doi":"10.3390/prosthesis5040091","DOIUrl":"https://doi.org/10.3390/prosthesis5040091","url":null,"abstract":"Peri-implant infections, in the absence of adequate treatment, can finally lead to premature loss of the implant. Among targeted protocols recently proposed for the treatment of peri-implant bone defects, and in the case of short implants, reconstructive surgery represents a recommended option. The purpose of this study was to evaluate the outcomes, in terms of maintenance, of a reconstructive treatment for peri-implantitis in locking-taper plateau-design single-crown implants, followed for 5 years after surgery. A retrospective evaluation was conducted in 20 patients treated with access flap surgery, concomitant chemical and mechanical surface decontamination, and bone grafting (using a self-hardening mixture of bone substitutes and biphasic calcium sulfate without the use of membranes). Of the 21 implants assessed, 9 were 8 mm-length, and 12 were 6 mm-length. Implant loss and treatment success were, respectively, 0% and 80.95% after 5 years from surgery. All parameters related to bone levels and soft tissue conditions significantly improved after 3 years and remained stable at the 5-year follow-up. The proposed protocol, followed by an effective supporting periodontal therapy, demonstrated the maintenance of the function of all implants, providing adequate stability during the healing process after surgery and limiting the onset of disease recurrence.","PeriodicalId":474580,"journal":{"name":"Prosthesis","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139006838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Humeral Resurfacing Arthroplasty: Clinical, Functional and Radiological Assessment at a Mean Follow-Up of 11 Years 肱骨再植关节置换术：平均随访 11 年的临床、功能和放射学评估

Prosthesis Pub Date : 2023-12-01 DOI: 10.3390/prosthesis5040090

S. Giannotti, E. Troiano, M. Saviori, N. Crippa Orlandi, T. Greco, C. Perisano, G. B. Colasanti, N. Mondanelli

引用次数: 0

Presenting a Protocol for Dental Implant Restorations 提出一种牙种植体修复方案

Prosthesis Pub Date : 2023-11-10 DOI: 10.3390/prosthesis5040081

Gaetano Iannello, Luca Fiorillo, Cesare D’Amico, Giuseppe Minervini, Antonella Terranova, Gabriele Cervino

{"title":"Presenting a Protocol for Dental Implant Restorations","authors":"Gaetano Iannello, Luca Fiorillo, Cesare D’Amico, Giuseppe Minervini, Antonella Terranova, Gabriele Cervino","doi":"10.3390/prosthesis5040081","DOIUrl":"https://doi.org/10.3390/prosthesis5040081","url":null,"abstract":"This case report focuses on applying a protocol for dental implant restoration in aesthetic zones, specifically the anterior sectors. The protocol aims to achieve optimal results with minimal complexity, reducing the number of sessions and impressions required for transferring clinical information to the laboratory. The historical development of dental implantology and the evolution of dental implant restoration workflows are discussed, highlighting the significance of osseointegration and advancements in materials, surgical techniques, and prosthetic components. The case report describes rehabilitating congenitally missing lateral incisors using fibre-reinforced composite Maryland bridges for provisional restoration and Osstem TSIII (Osstem®, Seoul, South Korea) implants, zirconia abutments, and disilicate lithium crowns for definitive repair. The discussion covers essential aspects of aesthetic dental implant restoration, including materials, types of dental implants, surgical techniques for soft tissue enhancement, and prosthetic and impression techniques. The study emphasises the importance of selecting appropriate materials, employing advanced surgical procedures, and utilising accurate prosthetic and impression techniques to enhance the aesthetic outcomes of dental implant restorations. A multidisciplinary approach and patient-centred care are essential for successful aesthetic dental implant restorations. The methodology presented in this manuscript demonstrates its effectiveness in achieving optimal outcomes while minimising stress on soft tissues and improving patient comfort and satisfaction. This case report contributes to dental implant restoration, providing evidence-based techniques for achieving aesthetic and functional success.","PeriodicalId":474580,"journal":{"name":"Prosthesis","volume":" August","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135186649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Systematic Review of In Vitro Studies on Distortion Generated by Intraoral Scanning Systems for Oral Rehabilitations with More Than Three Implants 口腔内扫描系统对三颗以上种植体口腔修复产生畸变的体外研究综述

Prosthesis Pub Date : 2023-11-08 DOI: 10.3390/prosthesis5040080

Luminita Oancea, Ioana Luca, Sergiu Radulescu, Andrei Macris, Toma Ciocan

{"title":"Systematic Review of In Vitro Studies on Distortion Generated by Intraoral Scanning Systems for Oral Rehabilitations with More Than Three Implants","authors":"Luminita Oancea, Ioana Luca, Sergiu Radulescu, Andrei Macris, Toma Ciocan","doi":"10.3390/prosthesis5040080","DOIUrl":"https://doi.org/10.3390/prosthesis5040080","url":null,"abstract":"(1) Background: This systematic review intends to answer the following Patient–Intervention–Comparison–Outcome (PICO) question: Do digital impression systems generate significant errors during scanning in extensive implant restorative treatments? (2) Methods: Following the PRISMA protocol and according to predefined inclusion criteria, two trained investigators searched for relevant articles in the PubMed database and related sources using a standard keyword sequence. The investigators were responsible for selecting studies and performing quality analysis. (3) Results: From 78 titles, only 9 studies were selected. An analysis of registration distortion variations was conducted for each potential influencing factor in terms of accuracy: interimplant distance, implant angulation, scanner type, and scanning body type. The results showed repeatable differences in accuracy between types of scanning technologies and techniques, and a positive correlation between interimplant distance and the amplitude of deviations detected in comparative analysis, with the highest error levels in total edentulous arch recording. There was no consensus on the error level owing to implant angulation, and statistically significant differences were found between the types of scan bodies used. (4) Conclusions: Digital impression systems generate significant errors during scanning in extensive implant restorative treatments, influenced by scanning technology, interimplant distance, and scanning body type.","PeriodicalId":474580,"journal":{"name":"Prosthesis","volume":"50 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135430658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pharyngeal Obturator Prosthesis Ideal for Orthodontic Appliances: A Case Series 咽闭孔假体理想的正畸器具:一个案例系列

Prosthesis Pub Date : 2023-11-03 DOI: 10.3390/prosthesis5040079

Francisco Vale, Catarina Nunes, Joana Reis, Raquel Travassos, Madalena Ribeiro, Filipa Marques, Anabela Pedroso, Carlos Miguel Marto, Anabela Baptista Paula, Inês Francisco

{"title":"Pharyngeal Obturator Prosthesis Ideal for Orthodontic Appliances: A Case Series","authors":"Francisco Vale, Catarina Nunes, Joana Reis, Raquel Travassos, Madalena Ribeiro, Filipa Marques, Anabela Pedroso, Carlos Miguel Marto, Anabela Baptista Paula, Inês Francisco","doi":"10.3390/prosthesis5040079","DOIUrl":"https://doi.org/10.3390/prosthesis5040079","url":null,"abstract":"(1) Background: Cleft lip and palate is the most common congenital malformation of the head and neck. After surgical closure, velopharyngeal dysfunction can arise, which has implications for phonation, sucking, swallowing, middle ear function, and interpersonal well-being. This case series aimed to present an adaptation of the conventional pharyngeal obturator design in order to allow its use with fixed orthodontic appliances. (2) Methods: A new custom-made pharyngeal obturator device was built in order to enable a correct function of the velopharyngeal valve. The fabrication of the plate was made by altering the conventional Hawley retainer, replacing the Adams hooks with 0.9 mm spherical hooks and removing the buccal arch. (3) Results: The new pharyngeal obturator design was used in six cleft patients with fixed orthodontic appliances. The appliance was well tolerated and there was a slight improvement in auditory-perceptive evaluations. (4) Conclusions: The new pharyngeal bulb design proved to have good retention during fixed orthodontic treatment. Moreover, despite the short-term follow-up, it also showed a reduction in the severity of the hypernasality sentences.","PeriodicalId":474580,"journal":{"name":"Prosthesis","volume":"8 11","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135818938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An Experimental Method to Add New Prosthetic Teeth in the Removable Partial Denture Framework: TIG Cold Welding and Preformed Pins 在可摘局部义齿框架中添加新义齿的实验方法:TIG冷焊和预成形销

Prosthesis Pub Date : 2023-10-31 DOI: 10.3390/prosthesis5040078

Enzo Cumbo, Pietro Messina, Giuseppe Gallina, Giuseppe Alessandro Scardina

引用次数: 0

Patient-Specific Instrumentation with Laser-Guide-Navigated THA: Clinical and CT Evaluation of the First 100 Cases 激光引导导航THA患者特异性仪器:前100例临床和CT评估

Prosthesis Pub Date : 2023-10-24 DOI: 10.3390/prosthesis5040077

Leonardo Previ, Edoardo Viglietta, Veronica Giuliani, Federico Corsetti, Andrea Redler, Attilio Speranza, Angelo De Carli, Raffaele Iorio

{"title":"Patient-Specific Instrumentation with Laser-Guide-Navigated THA: Clinical and CT Evaluation of the First 100 Cases","authors":"Leonardo Previ, Edoardo Viglietta, Veronica Giuliani, Federico Corsetti, Andrea Redler, Attilio Speranza, Angelo De Carli, Raffaele Iorio","doi":"10.3390/prosthesis5040077","DOIUrl":"https://doi.org/10.3390/prosthesis5040077","url":null,"abstract":"Obtaining a proper position for total hip arthroplasty components is a crucial aspect of implant performance and consequently of patient outcomes. Restoring the original hip center and maintaining the limb length are key factors in reaching the optimal implant positioning. The aim of this study was to assess the accuracy and safety of a computed dynamic analysis system that, through patient-specific guides, tries to improve implant positioning and functional orientation according to patients’ spinopelvic mobility and anatomy. A total of 100 consecutive patients were prospectively enrolled. All patients received an Optimized Positioning System dynamic hip preoperative planning schedule. A CT scan protocol follow-up analysis was performed 6 months after surgery. The mean deviations from the planned acetabular inclination and anteversion were 4.3° and 3.8°, respectively. In total, 98% of cases were within ± 10° of the Lewinnek safe zone, both for inclination and anteversion. The height of osteotomy deviated, on average, 1.6 mm. In total, 100% of cases were included within 4 mm of osteotomy. Patient-specific and laser-guided instrumentation was found to be safe and accurately reproduced dynamic planning in terms of the component orientation, osteotomy level, leg length and offset.","PeriodicalId":474580,"journal":{"name":"Prosthesis","volume":"38 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135315483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Combined Use of Custom-Made Partial Pelvic Replacement and Proximal Femur Megaprosthesis in the Treatment of Severe Bone Loss after Multiple Total Hip Arthroplasty Revisions 定制部分骨盆置换术和股骨近端大假体联合应用治疗多次全髋关节置换术后严重骨丢失

Prosthesis Pub Date : 2023-10-24 DOI: 10.3390/prosthesis5040076

Michele Fiore, Azzurra Paolucci, Renato Zunarelli, Marta Bortoli, Andrea Montanari, Andrea Pace, Lorenzo Di Prinzio, Stefania Claudia Parisi, Roberto De Cristofaro, Massimiliano De Paolis, Andrea Sambri

{"title":"A Combined Use of Custom-Made Partial Pelvic Replacement and Proximal Femur Megaprosthesis in the Treatment of Severe Bone Loss after Multiple Total Hip Arthroplasty Revisions","authors":"Michele Fiore, Azzurra Paolucci, Renato Zunarelli, Marta Bortoli, Andrea Montanari, Andrea Pace, Lorenzo Di Prinzio, Stefania Claudia Parisi, Roberto De Cristofaro, Massimiliano De Paolis, Andrea Sambri","doi":"10.3390/prosthesis5040076","DOIUrl":"https://doi.org/10.3390/prosthesis5040076","url":null,"abstract":"Hip arthroplasty failures (either septic or aseptic) often require multiple revisions, thus leading to severe bone defects. The most common reconstruction methods do not allow the management of severe defects. For this reason, in recent years, techniques borrowed from surgical oncology have been applied in the field of revision surgery to deal with both acetabular and femoral bone losses. In this article, two cases of severe bone deficiency following multiple hip arthroplasty revisions that were treated with a custom-made hip prosthesis combined with a proximal femur megaprosthesis are presented. Both implants were silver coated. A review of the literature was conducted to analyze similar cases treated with either a custom-made prosthesis or a proximal femur megaprosthesis. At the 2-year follow-up, all prostheses were in site without clinical or radiographic signs of implant loosening. No postoperative complications occurred. At the last follow-up, both patients resumed their daily life activities with an MSTS score of 23 and 21, respectively. The combined approach of a proximal femur megaprosthesis with a custom-made partial pelvic replacement is a solution that allows severe bone deficiency cases to be tackled with good functional results. Additionally, silver coating may help prevent recurrence of infection.","PeriodicalId":474580,"journal":{"name":"Prosthesis","volume":"18 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135266053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0