KNEE

The effect of frontal plane osteotomy angle on lateral cortex fracture in medial open wedge high tibial osteotomy procedure
Kirilmaz A, Özkaya M, Erdem TE and Türkmen F
Precise high tibial osteotomy is crucial, especially for middle-aged individuals with medial compartment arthritis, aiming to prevent complications like lateral cortex fractures. This study explores how frontal plane osteotomy inclination impacts lateral cortex fractures during medial open-wedge high tibial osteotomy.
Letter to the Editor regarding "The value of sequential application of hydrogen peroxide, povidone-iodine and physiological saline in reducing postoperative infections after total knee arthroplasty: A prospective, randomized, controlled study"
Wang X and Ma H
Non-steroidal anti-inflammatory drugs influence cartilage healing
Sajjad Khawaja A, Zafar M, Muhammad Zeeshan R, Ilyas MS, Aziz A and Zehra U
Retrograde intramedullary nailing is commonly performed to stabilize distal femoral shaft fractures which may lead to iatrogenic injuries of the knee articular cartilage. The limited regenerative capability of cartilage may further be hindered by intake of non-steroidal anti-inflammatory drugs (NSAIDs) which are usually advised for injuries of the musculoskeletal system. The current study was designed to evaluate the histological changes in the femoral articular cartilage of knee joint after retrograde femoral nailing of rats.
An anatomical artificial bone implant can improve three-dimensional correction accuracy in open-wedge high tibial osteotomy
Morita Y, Kuriyama S, Yamawaki Y, Nakamura S, Nishitani K, Ito H and Matsuda S
An anatomical artificial bone implant inserted into the osteotomy gap might be useful for accurate alignment correction during open-wedge high tibial osteotomy (OWHTO). The aims of this study were to evaluate morphological variation in the osteotomy surface, identify an anatomical implant's shape, and verify its usefulness for accurate three-dimensional (3D) correction.
Indications for lateral unicompartmental knee arthroplasty - A systematic review
Ifigenia Bunyoz K, Troelsen A, Gromov K, Alvand A, Bottomley N, Jackson W and Price A
While evidence-based indications are established for medial UKA, the optimal indications for lateral UKA have not received as much attention. There exists significant anatomical, osteoarthritis phenotype, kinematic, and surgical technique differences between medial and lateral UKA. The indications for the two procedures may therefore not be identical. Hence, this review aims to access the indications and contraindications in published cohort studies on lateral UKA, to assess if consensus exists.
Machine learning is better than surgeons at assessing unicompartmental knee replacement radiographs
Tu SJ, Kendrick S, Saravanan K, Dodd C, Murray DW and Mellon SJ
Poor results occasionally occur after unicompartmental knee replacement (UKR). It is often difficult, even for experienced surgeons, to determine why patients have poor outcomes from radiographs. The aim was to compare the ability of experienced surgeons and machine learning to predict whether patients had poor or excellent outcomes from radiographs.
Biomechanical differences of Asian knee osteoarthritis patients during standing and walking using statistical parametric mapping: A cross-sectional study
Hu Y, Teng P, Wu TL, Clark R, Pua YH, Roberts O, Yong JW, Alhossary A, Lim LS, Chong DYR, Ang WT and Tan BY
Biomechanics of knee osteoarthritis (KOA) patients have been extensively studied using motion capture systems, but less have explored standing knee joint angles with the walking parameters, particularly in Asians. We aim to determine gait biomechanical differences between healthy and KOA participants in an Asian population using One-dimensional Statistical Parametric Mapping (SPM1D) and explore if they are associated with standing joint angles.
The impact of different types of physical activity on the risk of knee osteoarthritis: A Mendelian randomization study
Wang G, Chen L, Chen Y and Xu J
We aim to evaluate the causal relationship between different types of physical activity and the risk of knee osteoarthritis (KOA) through a two-sample Mendelian randomization study.
SPECT-CT may aid in determining which side of a revision stemmed implant problematic total knee replacement is loose when planning revision surgery
Hill D, Rogers P, Phillips J, Waterson B and Toms AD
To evaluate SPECT-CT in the diagnosis of single component aseptic loosening in patients with a problematic cemented stemmed TKR (Total Knee Replacement).
The third gap - The forgotten space in total knee arthroplasty
Brown W, Gallagher N, Roberts D, Napier R, Barrett D and Beverland D
Total Knee Arthroplasty (TKA) aims to leave the proximal flange of the femoral component flush with the femoral cortex. Manually, the requisite plane is found using the anterior femoral cortex or the intramedullary canal, whereas navigation uses hip and knee centre. Presently, no system prioritises restoration of the third space or native trochlear groove height (TGH) and there is a deficiency of published data on the variation of TGH with respect to the anterior cortex. This study aims to address this deficit. Hypothetically, restoration of the third space occurs when trochlear component depth equals TGH.
Quantifying performance and joint kinematics in functional tasks crucial for anterior cruciate ligament rehabilitation using smartphone video and pose detection
Lambricht N, Englebert A, Pitance L, Fisette P and Detrembleur C
The assessment of performance during functional tasks and the quality of movement execution are crucial metrics in the rehabilitation of patients with anterior cruciate ligament (ACL) injuries. While measuring performance is feasible in clinical practice, quantifying joint kinematics poses greater challenges. The aim of this study was to investigate whether smartphone video, using deep neural networks for human pose detection, can enable the clinicians not only to measure performance in functional tasks but also to assess joint kinematics.
Association between distal tibial rotation and clinical outcomes of medial open-wedge high tibial osteotomy
Kim CW, Lee CR, Kwon YU, Jung SH and Lee HS
The purpose of this study was to evaluate the association between changes in knee joint geometry after medial open-wedge high tibial osteotomy (MOWHTO) and clinical outcomes.
Translation, cross-cultural adaptation, and clinimetric properties evaluation of the Danish version of the Anterior Cruciate Ligament - Return to Sport after Injury scale (ACL-RSI)
Bjerregaard A, Kjeldgaard E, Wøbbe KN, Køllner Olsen C, Barfod KW and Korakakis V
To translate and cross-cultural adapt the Anterior Cruciate Ligament-Return To Sport After Injury (ACL-RSI) questionnaire into Danish (ACL-RSI-DK) and evaluate the psychometric properties with the purpose to identify the psychological readiness on returning to sport (RTS).
Budgets, costs and deprivation
Hing C and Al-Dadah O
Patients submitted to re-revision ACL reconstruction present more knee laxity, more complications, and a higher failure rate than patients submitted to the first revision ACL reconstruction
Helito CP, da Silva AGM, Cristiani R, Stålman A, de Pádua VBC, Gobbi RG and Pécora JR
Few comparative studies have evaluated patients who underwent two revision anterior cruciate ligament reconstruction (ACLR) and patients who underwent one revision ACLR, and many of them have a short postoperative follow-up and a relatively small number of patients. The objective of this study is to evaluate the functional results, complications, and failure rates of patients who underwent one revision ACLR and patients who underwent two revision ACLRs.
Association between intra and inter-limb strength asymmetry with sprint kinematics and force-velocity profile in youth team athletes
İnce İ and Tortu E
Maximal force plays a pivotal role in enhancing performance across various dynamic sports, particularly in sprinting biomechanics. However, muscle strength asymmetry among major muscle groups like the hamstrings and quadriceps may hinder sprint performance and raise injury risks. This study examines how intra- and inter-limb strength asymmetry relates to sprint kinematics and the power-force-velocity profile in youth athletes.
Patellar tendon-Hoffa fat pad interface: From anatomy to high-resolution ultrasound imaging
Ricci V, Cocco G, Mezian K, Chang KV, Barbosa J, Naňka O and Özçakar L
To propose a standardized, high-resolution ultrasound (US) protocol to assess the patellar tendon-Hoffa fat pad interface (PTHFPI) in patients with (proximal) patellar tendinopathy (PPT).
In vivo kinematics during step ascent: Changes to the knee associated with osteoarthritis
Rabak OJ, Devenish JA, Perriman DM, Scarvell JM, Galvin CR, Smith PN, Pickering MR and Lynch JT
Stair climbing is a kinematically demanding activity, essential for maintaining independence and quality of life, yet is often impaired in patients with knee osteoarthritis (OA). The purpose of this study was to examine differences in kinematics of a step-up movement between participants with osteoarthritis and asymptomatic controls.
Three-dimensional models demonstrate differences in correction depending on femoral derotational osteotomy site and may enhance the planning and precision in femoral derotational osteotomy - An observational study in eight femora and two surgeons
Chiappe C, Roselló-Añón A, Sanchis-Alfonso V, Carles Monllau J and Domenech-Fernández J
Increased femoral anteversion (FAV) is crucial in the genesis of anterior knee pain (AKP) and a femoral derotational osteotomy (FDO) has demonstrated good clinical results. It remains unclear at what level of the femur the osteotomy should be performed. Resulting degrees of FAV measured by Murphy's method do not always correspond to the degrees that had been planned after an FDO. The hypothesis of this study is that the femur rotation axis and the osteotomy rotation axis do not coincide. Three-dimensional (3D) technology is used to objectify the discrepancy between these two axes and to find solutions so that the two axes can coincide. The objective is to demonstrate the reliability and reproducibility of the 3D technique for osteotomy adjustment through an intraobserver and interobserver study.
Comparison of the treatment of patellar inferior pole fractures with combined vertical wire and mini steel plate fixation versus independent vertical wire fixation
Dong Y, Huang W, Wei L, Du Y and Lin B
Patellar fractures, in particular inferior pole fractures, pose significant challenges due to the patella's complex biomechanics and crucial role in knee extension and stability. This study aimed to compare the therapeutic effectiveness and long-term efficacy of two fixation methods: combined vertical wire and mini steel plate fixation versus independent vertical wire fixation. The comparison was based on clinical classification, addressing the ongoing debate regarding optimal management strategies for patellar inferior pole fractures.
Inferior short-term survivorship and patient outcomes for cementless compared to hybrid fixation with a cemented femoral implant in a novel blade-anchored medial unicompartmental knee arthroplasty design: An analysis of 132 cases
Vossen RJM, Ruderman LV, Spaan J, Bayoumi T, Su E and Pearle AD
For younger, more active patients, a cementless unicompartmental knee arthroplasty (UKA) might be more advantageous than cemented fixation. Therefore, this study aimed to compare implant survivorship and patient-reported outcome measures (PROMs) between cementless and hybrid fixation (cemented femur and cementless tibial fixation) in a novel tibial blade-anchored, medial UKA design.