Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine最新文献

英文中文

The Thai version of the injury–psychological readiness to return to sport scale (I-PRRS): Translation and evaluation of measurement properties 泰语版《重返运动场受伤心理准备量表》（I-PRRS）：翻译与测量属性评估。

IF 2.7 Q1 ORTHOPEDICS

Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine

Pub Date : 2024-10-18 DOI: 10.1016/j.jisako.2024.100352

Wacharapol Tepa, Chanopak Juntharamussakarn, Panisa Khaminta, Pisit Lertwanich

Objectives

This study aimed to translate and culturally adapt the Injury–Psychological Readiness to Return to Sport scale (I-PRRS) into Thai and evaluate the measurement properties of the Thai version (TH-I-PRRS).

Methods

The I-PRRS was translated according to international guidelines. Athletes who had undergone anterior cruciate ligament reconstruction during the previous 6 months to 5 years were recruited to complete two sets of questionnaires. At baseline, participants filled out the TH-I-PRRS questionnaire and other relevant measures. After 2 weeks, they completed the TH-I-PRRS again, along with the Global Rating of Change scale.

Results

The TH-I-PRRS was successfully translated from English. A total of 142 patients (mean age: 30.7 ± 8.9 years; 83.1% male) participated. Eight of nine predefined hypotheses (88.9%) regarding correlations between the TH-I-PRRS and other measures were confirmed, indicating good construct validity. The TH-I-PRRS exhibited excellent internal consistency (Cronbach's alpha = 0.92; 95% CI: 0.90–0.94) and high test–retest reliability (intraclass correlation coefficient = 0.83; 95% CI: 0.66–0.90). No floor or ceiling effects were observed.

Conclusion

The TH-I-PRRS is a valid and reliable tool for evaluating the psychological readiness of athletes to return to sport after anterior cruciate ligament reconstruction.

Level of evidence

II.

研究目的本研究旨在将 "恢复运动损伤心理准备量表"（I-PRRS）翻译成泰语并进行文化适应性调整，同时评估泰语版本（TH-I-PRRS）的测量属性：方法：根据国际指南翻译 I-PRRS。我们招募了在过去 6 个月至 5 年间接受过前交叉韧带重建手术的运动员，让他们填写两套问卷。在基线阶段，参与者填写 TH-I-PRRS 问卷和其他相关测量。2 周后，他们再次填写 TH-I-PRRS 以及全球变化评分量表：结果：TH-I-PRRS 成功地从英语翻译过来。共有 142 名患者（平均年龄：30.7 ± 8.9 岁；83.1% 为男性）参与了此次研究。在有关 TH-I-PRRS 与其他量表之间相关性的 9 个预定义假设中，有 8 个（88.9%）得到了证实，这表明该量表具有良好的建构效度。TH-I-PRRS 具有良好的内部一致性（Cronbach's alpha = 0.92；95% CI：0.90-0.94）和较高的测试-再测试可靠性（类内相关系数 = 0.83；95% CI：0.66-0.90）。没有观察到最低或最高效应：结论：TH-I-PRRS 是评估运动员在前交叉韧带重建后重返运动场的心理准备情况的有效而可靠的工具：证据等级：II。

{"title":"The Thai version of the injury–psychological readiness to return to sport scale (I-PRRS): Translation and evaluation of measurement properties","authors":"Wacharapol Tepa, Chanopak Juntharamussakarn, Panisa Khaminta, Pisit Lertwanich","doi":"10.1016/j.jisako.2024.100352","DOIUrl":"10.1016/j.jisako.2024.100352","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to translate and culturally adapt the Injury–Psychological Readiness to Return to Sport scale (I-PRRS) into Thai and evaluate the measurement properties of the Thai version (TH-I-PRRS).</div></div><div><h3>Methods</h3><div>The I-PRRS was translated according to international guidelines. Athletes who had undergone anterior cruciate ligament reconstruction during the previous 6 months to 5 years were recruited to complete two sets of questionnaires. At baseline, participants filled out the TH-I-PRRS questionnaire and other relevant measures. After 2 weeks, they completed the TH-I-PRRS again, along with the Global Rating of Change scale.</div></div><div><h3>Results</h3><div>The TH-I-PRRS was successfully translated from English. A total of 142 patients (mean age: 30.7 ± 8.9 years; 83.1% male) participated. Eight of nine predefined hypotheses (88.9%) regarding correlations between the TH-I-PRRS and other measures were confirmed, indicating good construct validity. The TH-I-PRRS exhibited excellent internal consistency (Cronbach's alpha = 0.92; 95% CI: 0.90–0.94) and high test–retest reliability (intraclass correlation coefficient = 0.83; 95% CI: 0.66–0.90). No floor or ceiling effects were observed.</div></div><div><h3>Conclusion</h3><div>The TH-I-PRRS is a valid and reliable tool for evaluating the psychological readiness of athletes to return to sport after anterior cruciate ligament reconstruction.</div></div><div><h3>Level of evidence</h3><div>II.</div></div>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":"9 6","pages":"Article 100352"},"PeriodicalIF":2.7,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476781","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

The potential of tendon autograft as meniscus substitution: Current concepts 肌腱自体移植作为半月板替代物的潜力：当前概念。

IF 2.7 Q1 ORTHOPEDICS

Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine

Pub Date : 2024-10-18 DOI: 10.1016/j.jisako.2024.100353

Youngji Kim , Eriksson Karl , Muneaki Ishijima , Sylvain Guy , Christophe Jacquet , Matthieu Ollivier

Meniscectomy is known to alter the mechanics, stability, and kinematics of the tibiofemoral joint, leading to early knee osteoarthritis (KOA). While several meniscal substitutions exist, such as meniscus allograft transplantation, collagen meniscus implants, and artificial substitutes, they often come with technical challenges, high costs, and risks, including allograft failure, infections, and disease transmission. Tendon autografts emerge as a promising option, offering safety, availability, biocompatibility, and a reduced risk of pathophoresis. This review delves into basic, in vivo, in vitro, and biomechanical studies alongside clinical outcomes and future prospects of tendon autografts as meniscus substitutes. A thorough understanding of this option is vital for integrating these evolving techniques into clinical practice and mitigating early KOA progression.

众所周知，半月板切除术会改变胫股关节的力学、稳定性和运动学，导致早期膝关节骨性关节炎（KOA）。虽然存在多种半月板替代物，如半月板同种异体移植、胶原半月板植入物和人工替代物，但这些替代物往往存在技术难题、高成本和风险，包括同种异体移植失败、感染和疾病传播。肌腱自体移植物具有安全性、可用性、生物相容性和较低的病理渗透风险，是一种很有前景的选择。本综述深入探讨了肌腱自体移植物作为半月板替代物的基础、体内、体外和生物力学研究，以及临床结果和未来前景。透彻了解这一选择对于将这些不断发展的技术融入临床实践和减轻早期 KOA 进展至关重要。

引用次数: 0

Is patella facet arthritis a contraindication to unicompartmental knee arthroplasty: Current concepts 髌骨面关节炎是单隔间膝关节置换术的禁忌症吗？当前的概念。

IF 2.7 Q1 ORTHOPEDICS

Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine

Pub Date : 2024-10-16 DOI: 10.1016/j.jisako.2024.100343

Todd E. Bertrand , Patricia R. Melvin, Adolph V. Lombardi Jr., Keith R. Berend

Medial unicompartmental knee arthroplasty (UKA) has increased in popularity for the treatment of end-stage anteromedial osteoarthritis in part secondary to its quicker recovery, improved function, and decreased risk of medical complications over total knee arthroplasty (TKA). However, despite the success of medial UKA, dilemma still exists over certain patient characteristics as to suitability for undergoing the procedure. In addition to patient age, body mass index (BMI), and the presence, or lack thereof, of an anterior cruciate ligament (ACL), one of the most contentious issues surrounding suitability for medial UKA is the preoperative status of the patellofemoral joint (PFJ). This review aims to look at the historical factors leading to the current dilemma as well as recent evidence surrounding anterior knee pain and preoperative PFJ arthritis on the survivability and outcomes of medial UKA. This article will also evaluate other PFJ factors possibly affecting the outcome of medial UKA such as lateral patellar subluxation and lateral facet grooving, future perspectives that may influence the utilization of medial UKA such as cementless implants, and the choice of mobile versus fixed bearing articulations.

与全膝关节置换术（TKA）相比，内侧膝关节单间室关节置换术（UKA）恢复更快、功能更好、并发症风险更低，因此在治疗终末期前内侧骨关节炎方面越来越受欢迎。然而，尽管内侧 UKA 取得了成功，但对于患者的某些特征是否适合接受该手术仍存在争议。除了患者的年龄、体重指数（BMI）、前交叉韧带（ACL）的存在与否外，围绕内侧UKA手术适宜性最有争议的问题之一是髌股关节（PFJ）的术前状态。本综述旨在探讨导致当前困境的历史因素，以及围绕膝前疼痛和术前 PFJ 关节炎对内侧 UKA 的存活率和疗效的最新证据。本文还将评估可能影响内侧UKA结果的其他PFJ因素，如外侧髌骨半脱位和外侧切面开槽，可能影响内侧UKA使用的未来前景，如无骨水泥植入物，以及移动与固定支承关节的选择。

{"title":"Is patella facet arthritis a contraindication to unicompartmental knee arthroplasty: Current concepts","authors":"Todd E. Bertrand , Patricia R. Melvin, Adolph V. Lombardi Jr., Keith R. Berend","doi":"10.1016/j.jisako.2024.100343","DOIUrl":"10.1016/j.jisako.2024.100343","url":null,"abstract":"<div><div>Medial unicompartmental knee arthroplasty (UKA) has increased in popularity for the treatment of end-stage anteromedial osteoarthritis in part secondary to its quicker recovery, improved function, and decreased risk of medical complications over total knee arthroplasty (TKA). However, despite the success of medial UKA, dilemma still exists over certain patient characteristics as to suitability for undergoing the procedure. In addition to patient age, body mass index (BMI), and the presence, or lack thereof, of an anterior cruciate ligament (ACL), one of the most contentious issues surrounding suitability for medial UKA is the preoperative status of the patellofemoral joint (PFJ). This review aims to look at the historical factors leading to the current dilemma as well as recent evidence surrounding anterior knee pain and preoperative PFJ arthritis on the survivability and outcomes of medial UKA. This article will also evaluate other PFJ factors possibly affecting the outcome of medial UKA such as lateral patellar subluxation and lateral facet grooving, future perspectives that may influence the utilization of medial UKA such as cementless implants, and the choice of mobile versus fixed bearing articulations.</div></div>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":"9 6","pages":"Article 100343"},"PeriodicalIF":2.7,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476769","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

Patient Selection in UKA: How to Make the Diagnosis for Success in the Clinic. UKA 的患者选择：如何在临床中成功诊断。

IF 2.7 Q1 ORTHOPEDICS

Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine

Pub Date : 2024-10-16 DOI: 10.1016/j.jisako.2024.100348

Jobe Shatrov, Philippe Neyret

The success of unicompartmental knee arthroplasty (UKA) for monocompartmental knee arthritis is reliant on appropriate patient selection. This article addresses the clinical challenges that may arise when attempting to identify patients likely to have favorable outcomes following UKA. Despite advancements of implant design and accuracy of surgical tools, considerable challenges persist in predicting patient specific success and satisfaction following UKA. Variation in patient characteristics, healthcare practices, and outcomes in the literature make the establishment of a strict set of universal guidelines difficult. This article will provide a comprehensive overview of the current landscape of patient selection for UKA, acknowledging the existing clinical dilemmas and challenges faced by clinicians and proposing avenues for future research including the integration of patient predictive models, advanced imaging, and artificial intelligence to enhance predictive accuracy.

单间室膝关节置换术（UKA）治疗单间室膝关节炎的成功取决于对患者的适当选择。本文探讨了在试图鉴别单隔间室膝关节置换术后可能获得良好疗效的患者时可能遇到的临床挑战。尽管植入物的设计和手术工具的准确性不断进步，但在预测患者接受 UKA 后的具体成功率和满意度方面仍存在相当大的挑战。患者特征、医疗实践和文献中的结果各不相同，因此很难制定一套严格的通用指南。本文将全面概述目前UKA患者选择的情况，承认临床医生面临的现有临床困境和挑战，并提出未来研究的途径，包括整合患者预测模型、先进成像和人工智能，以提高预测的准确性。

引用次数: 0

Unicompartmental Knee Arthroplasty: What is the optimal alignment correction to achieve success? The role of kinematic alignment 单室膝关节置换术：怎样的最佳对位矫正才能获得成功？运动学对位的作用。最新技术回顾。

IF 2.7 Q1 ORTHOPEDICS

Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine

Pub Date : 2024-10-16 DOI: 10.1016/j.jisako.2024.100334

Peter McEwen , Abbas Omar , Takafumi Hiranaka

Unicompartmental knee arthroplasty (UKA) is in many ways the ultimate kinematic operation, as the express aim is to resurface the diseased side of the joint and restore pre-arthritic alignment and balance while maintaining integrity of both cruciate ligaments. An increasing body of knowledge relates the outcomes of UKA to pre-arthritic anatomy rather than an arbitrarily defined neutral. The Coronal Plane Alignment of the Knee (CPAK) classification provides a validated technique for calculating pre-arthritic limb alignment (the arithmetic hip-knee-ankle angle (aHKA)) and joint line obliquity (JLO) and will enable a greater understanding of the interactions between pre-arthritic anatomy, choice of prosthetic position and outcomes. When pre-arthritic alignment is not taken into consideration a post-operative limb alignment of mild to moderate varus for medial UKA and moderate valgus for lateral UKA appears to produce the best outcomes. When pre-arthritic anatomy is taken into account, superior results have been reported with restoration of pre-arthritic limb alignment and joint line obliquity. Restriction boundaries have yet to be clearly defined for tibial component coronal and hip-knee-ankle (HKA) angles when applying this new paradigm, but existing evidence would suggest a 6° varus limit for the tibial coronal angle may be a reasonable starting point. Lateral UKA has inherent differences in terms of tibial component positioning and ligament balance targets. Mobile bearing UKA demands a three-dimensional understanding of the effect of implant position on bearing stability. Modification of technique is necessary to produce anatomic tibia component angles with equipment designed for mechanical alignment. Robotic technology allows accurate understanding of pre-arthritic anatomy, precise reproduction of patient specific virtual planning, equally precise manipulation of soft tissue balance, and future research using these platforms is likely to further clarify in terms of ideal patient-specific component and limb alignment targets.

单间室膝关节置换术（UKA）在很多方面都是终极的运动学手术，因为其明确的目的是使患病一侧关节复位，恢复关节炎前的对位和平衡，同时保持双侧交叉韧带的完整性。越来越多的知识表明，UKA 的结果与关节炎前的解剖结构有关，而不是任意定义的中性。膝关节冠状面对齐（CPAK）分类为计算关节炎前肢体对齐（算术髋-膝-踝（aHKA））和关节线偏斜（JLO）提供了一种有效的技术，并将使人们对关节炎前解剖结构、假体位置选择和疗效之间的相互作用有更深入的了解。在不考虑关节炎前对位的情况下，UKA内侧的术后肢体对位为轻度至中度外翻，UKA外侧的术后肢体对位为中度内翻，这两种对位似乎都能产生最佳疗效。如果考虑到关节炎前的解剖结构，恢复关节炎前的肢体对齐和关节线斜度的效果会更好。在应用这种新模式时，胫骨冠状角和髋-膝-踝（HKA）角的限制边界尚未明确定义，但现有证据表明，胫骨冠状角的60度曲度限制可能是一个合理的起点。在胫骨组件定位和韧带平衡目标方面，侧向英国式膝关节置换术存在固有差异。移动承重UKA要求从三维角度了解植入物位置对承重稳定性的影响。有必要对技术进行修改，以便使用专为机械对齐设计的设备来制作解剖胫骨组件角度。机器人技术可以准确了解关节炎前的解剖结构，精确再现患者特定的虚拟规划，同样精确地操作软组织平衡，未来使用这些平台的研究可能会进一步明确患者特定组件和肢体的理想对位目标。

{"title":"Unicompartmental Knee Arthroplasty: What is the optimal alignment correction to achieve success? The role of kinematic alignment","authors":"Peter McEwen , Abbas Omar , Takafumi Hiranaka","doi":"10.1016/j.jisako.2024.100334","DOIUrl":"10.1016/j.jisako.2024.100334","url":null,"abstract":"<div><div>Unicompartmental knee arthroplasty (UKA) is in many ways the ultimate kinematic operation, as the express aim is to resurface the diseased side of the joint and restore pre-arthritic alignment and balance while maintaining integrity of both cruciate ligaments. An increasing body of knowledge relates the outcomes of UKA to pre-arthritic anatomy rather than an arbitrarily defined neutral. The Coronal Plane Alignment of the Knee (CPAK) classification provides a validated technique for calculating pre-arthritic limb alignment (the arithmetic hip-knee-ankle angle (aHKA)) and joint line obliquity (JLO) and will enable a greater understanding of the interactions between pre-arthritic anatomy, choice of prosthetic position and outcomes. When pre-arthritic alignment is not taken into consideration a post-operative limb alignment of mild to moderate varus for medial UKA and moderate valgus for lateral UKA appears to produce the best outcomes. When pre-arthritic anatomy is taken into account, superior results have been reported with restoration of pre-arthritic limb alignment and joint line obliquity. Restriction boundaries have yet to be clearly defined for tibial component coronal and hip-knee-ankle (HKA) angles when applying this new paradigm, but existing evidence would suggest a 6° varus limit for the tibial coronal angle may be a reasonable starting point. Lateral UKA has inherent differences in terms of tibial component positioning and ligament balance targets. Mobile bearing UKA demands a three-dimensional understanding of the effect of implant position on bearing stability. Modification of technique is necessary to produce anatomic tibia component angles with equipment designed for mechanical alignment. Robotic technology allows accurate understanding of pre-arthritic anatomy, precise reproduction of patient specific virtual planning, equally precise manipulation of soft tissue balance, and future research using these platforms is likely to further clarify in terms of ideal patient-specific component and limb alignment targets.</div></div>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":"9 6","pages":"Article 100334"},"PeriodicalIF":2.7,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476782","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

New technology: Custom made implants, patient-specific alignment, and navigation – How to convince my hospital it's worth it: Current concepts 新技术：定制种植体、患者专用对位和导航--如何说服医院值得一试？当前概念。

IF 2.7 Q1 ORTHOPEDICS

Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine

Pub Date : 2024-10-15 DOI: 10.1016/j.jisako.2024.100339

David Figueroa , Francisco Figueroa , Rodrigo Guiloff , Esteban Stocker

Unicompartmental knee arthroplasty (UKA) faces significant challenges, including lower survival rates and higher revision rates than total knee arthroplasty (TKA). To address these issues, technological advancements like custom-made implants (CMI), patient-specific alignment (PSA), and computer-assisted systems (CAS) are being explored. These innovations aim to tailor procedures to individual joint morphology, soft tissue balance, and limb alignment, moving away from the traditional “one size fits all” approach. Early studies suggest that CMI may improve survival rates and patient-reported outcomes, though conclusive evidence is lacking. PSA shows potential for restoring pre-surgical alignment; however, its long-term benefits are uncertain. CAS improves implant placement precision and ligament balance; nevertheless, long-term survival data remain inconclusive. Moreover, economic and implementation challenges, such as cost and the need for specialized training, remain underexplored. While promising, further research is needed to fully understand the long-term efficacy and practical application of these technologies in UKA.

与全膝关节置换术（TKA）相比，单间室膝关节置换术（UKA）面临着巨大的挑战，包括较低的存活率和较高的翻修率。为了解决这些问题，人们正在探索定制植入物（CMI）、患者特异性对位（PSA）和计算机辅助手术（CAS）等先进技术。这些创新技术旨在根据个体关节形态、软组织平衡和肢体对位情况量身定制手术方案，摒弃传统的 "一刀切 "方法。早期研究表明，CMI 可提高存活率和患者报告的治疗效果，但目前尚缺乏确凿证据。PSA 显示出恢复手术前对齐的潜力，但其长期益处尚不确定。CAS 提高了植入物放置的精确度和韧带平衡，但长期生存数据参差不齐。此外，经济和实施方面的挑战，如成本和对专业培训的需求，仍未得到充分探讨。尽管前景广阔，但要充分了解这些技术在 UKA 中的长期疗效和实际应用，还需要更多的研究。

{"title":"New technology: Custom made implants, patient-specific alignment, and navigation – How to convince my hospital it's worth it: Current concepts","authors":"David Figueroa , Francisco Figueroa , Rodrigo Guiloff , Esteban Stocker","doi":"10.1016/j.jisako.2024.100339","DOIUrl":"10.1016/j.jisako.2024.100339","url":null,"abstract":"<div><div>Unicompartmental knee arthroplasty (UKA) faces significant challenges, including lower survival rates and higher revision rates than total knee arthroplasty (TKA). To address these issues, technological advancements like custom-made implants (CMI), patient-specific alignment (PSA), and computer-assisted systems (CAS) are being explored. These innovations aim to tailor procedures to individual joint morphology, soft tissue balance, and limb alignment, moving away from the traditional “one size fits all” approach. Early studies suggest that CMI may improve survival rates and patient-reported outcomes, though conclusive evidence is lacking. PSA shows potential for restoring pre-surgical alignment; however, its long-term benefits are uncertain. CAS improves implant placement precision and ligament balance; nevertheless, long-term survival data remain inconclusive. Moreover, economic and implementation challenges, such as cost and the need for specialized training, remain underexplored. While promising, further research is needed to fully understand the long-term efficacy and practical application of these technologies in UKA.</div></div>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":"9 6","pages":"Article 100339"},"PeriodicalIF":2.7,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476771","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

Perfect indications and how to avoid complications in lateral unicompartmental knee arthroplasty 单侧膝关节置换术的完美适应症和如何避免并发症。

IF 2.7 Q1 ORTHOPEDICS

Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine

Pub Date : 2024-10-15 DOI: 10.1016/j.jisako.2024.100342

Gabriel Baron , Sebastián Ruidíaz , Rodrigo Torres

Lateral unicompartmental knee arthroplasty (LUKA) is a favorable alternative to distal femoral osteotomy and total knee arthroplasty in patients with isolated lateral compartment knee osteoarthritis; however, it only accounts for less than 1 % of the total number of knee replacements documented in national joint registries.

The anatomy and biomechanics of the lateral knee compartment differ from the medial side, with a greater intrinsic laxity of the lateral collateral ligament complex compared with medial structures. Indications and surgical techniques must be tailored to each unicompartmental replacement to optimize outcomes and mitigate complications. This article will discuss the clinical indications, preoperative evaluation and workup, surgical technique, and outcomes for LUKA.

对于孤立的外侧室膝关节骨性关节炎患者来说，外侧单室膝关节置换术（LUKA）是股骨远端截骨术和全膝关节置换术的有利替代方案；然而，在国家关节登记处记录的膝关节置换术总数中，LUKA仅占不到1%。膝关节外侧室的解剖和生物力学与内侧不同，外侧副韧带复合体的内在松弛程度高于内侧结构。必须针对每种单关节置换术量身定制适应症和手术技术，以优化疗效并减少并发症。本文将讨论LUKA的临床适应症、术前评估和检查、手术技巧和结果。

引用次数: 0

Return to Sports After Unicompartmental Knee Arthroplasty 百万美元问题：医生，单隔膜膝关节置换术后我能恢复运动吗？

IF 2.7 Q1 ORTHOPEDICS

Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine

Pub Date : 2024-10-15 DOI: 10.1016/j.jisako.2024.100338

Kevin D. Plancher , Noah Li , Geoffrey E. Braun , Stephanie C. Petterson

Knee osteoarthritis (OA) is a widespread and potentially debilitating condition that can interfere with the growing demand for a healthy and active lifestyle. In people under the age of 55 years, the prevalence of OA is expected to increase substantially in the coming decades. High tibial osteotomy and cartilage repair operations have been used to treat OA in young, active individuals; however, these procedures require lengthy rehabilitation periods and result in poor return to preoperative levels of activity that make them unsuitable for the young, active patient. Unicompartmental knee arthroplasty (UKA) is a less invasive treatment alternative, especially for younger, active, middle-aged persons with a desire to return to sporting activities. UKA yields successful return to activities with excellent functional outcomes and mid- to long-term survivorship. This article will review the ability of patients to return to sports after UKA, the type and nature of the sporting activities, as well as the timing to return to these sports.

膝关节骨性关节炎（OA）是一种普遍存在、可能使人衰弱的疾病，会影响人们对健康、积极的生活方式日益增长的需求。在 55 岁以下的人群中，OA 的发病率预计在未来几十年内将大幅增加。胫骨高位截骨术和软骨修复手术一直被用于治疗年轻、活跃人群的膝关节OA；然而，这些手术需要漫长的康复期，而且很难恢复到术前的活动水平，因此不适合年轻、活跃的患者。单间室膝关节置换术（UKA）是一种创伤较小的治疗方法，尤其适合年轻、活跃、希望恢复体育活动的中年人。单腔室膝关节置换术可使患者成功恢复活动，并具有良好的功能效果和中长期生存能力。本文将综述患者在接受 UKA 治疗后重返运动场的能力、运动项目的类型和性质以及重返运动场的时机。

引用次数: 0

Long-term outcomes in unicompartmental knee arthroplasty: Survivorship of medial versus lateral unicompartmental knee arthroplasty 单间室膝关节置换术的长期疗效：内侧与外侧单关节膝关节置换术的存活率。

IF 2.7 Q1 ORTHOPEDICS

Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine

Pub Date : 2024-10-15 DOI: 10.1016/j.jisako.2024.100329

Constant Foissey , Cécile Batailler , Andreas Fontalis , Elvire Servien , Sébastien Lustig

Unicompartmental knee arthroplasties (UKAs) currently represent an important portion of knee arthroplasty procedures and their usage is on an upward trend. Despite offering better functional outcomes and a quicker recovery compared with total knee arthroplasties (TKAs), UKAs are often scrutinized for their longevity. This article provides an in-depth examination of the technical nuances and survival rates of medial versus lateral UKAs, drawing on recent advances and findings in the field.

This manuscript thoroughly evaluates the comparability of patient populations undergoing medial and lateral UKAs, considering their anatomical, biomechanical, and demographic differences. It delves into the specific technical challenges associated with each type and systematically assesses the factors that influence failure, including the intricacies of implant design and patient-specific variables.

Despite relevant anatomical and biomechanical contrasts between medial and lateral UKAs, the recent literature points to comparable survival rates. The prevalence of early failures within the initial five years after operation underscores the criticality of precise patient selection and refined surgical techniques. The paper succinctly summarizes the pivotal literature and provides essential guidance for optimizing UKA survivorship. It underscores the importance of meticulous patient selection and precise surgical techniques, alongside the identification and mitigation of potential pitfalls that impact outcomes. Finally, robotic technology in UKA has considerably enhanced the precision and reproducibility, representing a viable solution to effectively meet and achieve the recommended technical objectives.

单间室膝关节置换术（UKAs）目前在膝关节置换术中占有重要地位，其使用率呈上升趋势。尽管与全膝关节置换术（TKA）相比，单隔间室膝关节置换术具有更好的功能效果和更快的恢复速度，但其使用寿命却经常受到质疑。本文借鉴该领域的最新进展和发现，深入探讨了UKA内侧与外侧的技术细节和存活率。考虑到内侧和外侧UKA在解剖学、生物力学和人口统计学方面的差异，本稿件全面评估了接受内侧和外侧UKA的患者群体的可比性。它深入探讨了与每种类型相关的特定技术难题，并系统地评估了影响失败的因素，包括植入物设计的复杂性和患者的特定变量。尽管内侧和外侧UKA在解剖学和生物力学上存在相关的对比，但最近的文献指出它们的存活率相当。手术后最初五年内的早期失败率很高，这凸显了精确选择患者和改进手术技术的重要性。本文简明扼要地总结了重要文献，为优化UKA存活率提供了重要指导。它强调了精心选择患者和精确手术技术的重要性，以及识别和减少影响结果的潜在隐患的重要性。最后，UKA 中的机器人技术大大提高了精确性和可重复性，是有效满足和实现推荐技术目标的可行解决方案。

{"title":"Long-term outcomes in unicompartmental knee arthroplasty: Survivorship of medial versus lateral unicompartmental knee arthroplasty","authors":"Constant Foissey , Cécile Batailler , Andreas Fontalis , Elvire Servien , Sébastien Lustig","doi":"10.1016/j.jisako.2024.100329","DOIUrl":"10.1016/j.jisako.2024.100329","url":null,"abstract":"<div><div>Unicompartmental knee arthroplasties (UKAs) currently represent an important portion of knee arthroplasty procedures and their usage is on an upward trend. Despite offering better functional outcomes and a quicker recovery compared with total knee arthroplasties (TKAs), UKAs are often scrutinized for their longevity. This article provides an in-depth examination of the technical nuances and survival rates of medial versus lateral UKAs, drawing on recent advances and findings in the field.</div><div>This manuscript thoroughly evaluates the comparability of patient populations undergoing medial and lateral UKAs, considering their anatomical, biomechanical, and demographic differences. It delves into the specific technical challenges associated with each type and systematically assesses the factors that influence failure, including the intricacies of implant design and patient-specific variables.</div><div>Despite relevant anatomical and biomechanical contrasts between medial and lateral UKAs, the recent literature points to comparable survival rates. The prevalence of early failures within the initial five years after operation underscores the criticality of precise patient selection and refined surgical techniques. The paper succinctly summarizes the pivotal literature and provides essential guidance for optimizing UKA survivorship. It underscores the importance of meticulous patient selection and precise surgical techniques, alongside the identification and mitigation of potential pitfalls that impact outcomes. Finally, robotic technology in UKA has considerably enhanced the precision and reproducibility, representing a viable solution to effectively meet and achieve the recommended technical objectives.</div></div>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":"9 6","pages":"Article 100329"},"PeriodicalIF":2.7,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476770","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

Polyethylene wear in metal-backed tibial components in unicompartmental knee prostheses 单隔间膝关节假体中金属支撑胫骨组件的聚乙烯磨损。

IF 2.7 Q1 ORTHOPEDICS

Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine

Pub Date : 2024-10-15 DOI: 10.1016/j.jisako.2024.100324

Navnit S. Makaram , Liam Z. Yapp , Abigail L.W. Bowley , Amy Garner , Chloe E.H. Scott

The utilization of unicompartmental knee arthroplasty (UKA) has increased worldwide and has become a favourable alternative to total knee arthroplasty (TKA) in patients with isolated single-compartment knee osteoarthritis. With the increase in UKA utilization, there has been an increase in the number of revisions. The two most common causes of revision are the progression of osteoarthritis in other compartments and aseptic loosening with polyethylene wear, with other common causes for revision including periprosthetic fracture, bearing dislocation, infection, instability and unexplained pain. This narrative review will outline how UKA implant design has evolved and specifically outlines important differences in wear biomechanics, survival and clinical outcomes between the most commonly employed implant designs: metal-backed (MB) versus all-polyethylene (AP) and fixed-bearing (FB) versus mobile-bearing (MoB) MB tibial components.

单室膝关节置换术（UKA）在全球范围内的使用率越来越高，已成为孤立单室膝关节骨性关节炎患者全膝关节置换术的有利替代方案。随着UKA使用率的增加，翻修次数也随之增加。翻修的两个最常见原因包括其他部位骨关节炎的进展和无菌性松动，其他原因还包括聚乙烯磨损、假体周围骨折、轴承脱位、感染、不稳定和不明原因的疼痛。本综述将概述目前与UKA聚乙烯磨损相关的植入失败相关的文献。将讨论UKA植入物设计的演变，以及金属支撑（MB）、全聚乙烯（AP）、固定支撑（FB）和移动支撑（MoB）MB胫骨组件在磨损生物力学、存活率和临床结果方面的重要差异。

引用次数: 0

首页上一页

下一页尾页

类型

全部化学•材料生命科学医学物理工程技术环境•农林材料科学地球科学法学管理学化学环境科学与生态学计算机科学教育学经济学农林科学人文科学生物学数学物理与天体物理心理学综合性期刊其他工业工程理学历史学农学文学信息工程

数据库

全部 ACS Publications Elsevier ieeexplore Springer The Royal Society of Chemistry Wiley

期刊

Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine

全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.

﹀