Advances in Hip and Knee Replacement

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: 28 August 2024 | Viewed by 1039

Special Issue Editors


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Guest Editor
Orthopaedics and Traumatology Unit, Maria Vittoria Hospital, ASL Città di Torino, Torino, Italy
Interests: total hip replacement; total knee replacement; mini-invasive surgery; direct anterior approach; knee kinematic allineament; hip revision arthroplasty

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Guest Editor
1. Orthopaedics and Traumatology Unit, Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, 00168 Rome, Italy
2. Department of Orthopaedics and Traumatology, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
Interests: total hip replacement; total knee replacement; pelvic and acetabular fractures; hip revision arthroplasty

Special Issue Information

Dear Colleagues,

Hip and knee replacement surgeries are nowdays widely accepted as safe and effective procedures in relief pain and restore function for millions of patients around the world. In the last few decades, the scientific community has made many efforts to reduce the invasivity of the surgery, to increase the survival of the implants and to improve the precision in the placement of the prosthetic components.   

The aim of this Special Issue is to collect scientific reports in cutting-edge research in the field of hip and knee prosthetic surgery, such as novel surgical approaches, mini-invasive surgery, patient-specific instrumentation systems, new solutions for increasing joint stability, kinematic alignment, robotic surgery, etc.

In this Special Issue, we welcome authors to submit research articles, meta-analyses and literature reviews on the clinical advances of hip and knee replacement surgery, in terms of both diagnosis and treatment, for elective, developmental and trauma deseases. 

Dr. Vincenzo Ciriello
Dr. Francesco Liuzza
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • total hip replacement
  • total knee replacement
  • mini-invasive surgery
  • robotic surgery
  • patient-specific instrumentation
  • kinematic alignment
  • post-traumatic replacement
  • revision surgery

Published Papers (1 paper)

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Research

10 pages, 1201 KiB  
Article
Anatomical Safety Area for Periarticular Analgesic Infiltration through the Posterior Capsule in Total Knee Arthroplasty: Radiological Study in Magnetic Resonance
by Marta Mifsut-Aleixandre, Damián Mifsut, Eva María González-Soler, Arantxa Blasco-Serra and Alfonso Amador Valverde
J. Clin. Med. 2024, 13(7), 2123; https://doi.org/10.3390/jcm13072123 - 6 Apr 2024
Viewed by 863
Abstract
Background: One of the main challenges of orthopedic surgery is adequate pain management after total knee arthroplasty. This work aimed to determine the anatomical safety area for infiltration through the posterior capsule of the knee in prosthetic surgery using Magnetic Resonance Imaging [...] Read more.
Background: One of the main challenges of orthopedic surgery is adequate pain management after total knee arthroplasty. This work aimed to determine the anatomical safety area for infiltration through the posterior capsule of the knee in prosthetic surgery using Magnetic Resonance Imaging (MRI). Methods: A descriptive, observational, cross-sectional study was performed on 126 knee MRIs. The variables studied were age, sex, and distance between different neurovascular structures of the popliteal fossa (tibial nerve, common peroneal nerve, and vascular bundle). Data were analyzed for normality (Kolmogorov–Smirnov) and variance homogeneity (Levène). A value of p < 0.05 and a confidence interval of 9% were considered statistically significant for all comparisons. Student’s t-test was used to compare the means between independent samples. Results: We observed statistically significant differences between the sexes regarding EP–EPS (external plateau–external popliteal sciatic nerve (common peroneal)), EP–IPS (external plateau–internal popliteal sciatic nerve (tibial)), and IP–PA (internal plateau–popliteal artery) measurements. The average distance between both nerves, EPS–IPS (external popliteal sciatic nerve and internal popliteal sciatic nerve), was 25.96 mm in females, while the value obtained in males was 29.93 mm, but this difference was not statistically significant. Conclusions: The average distance from the posterior capsule to the EPS and IPS nerves is greater in males than in females, despite no statistical differences. The presence of a lateralized arteriovenous bundle reduces the infiltration area of the external compartment. Regarding the safety area, infiltration of the internal compartment is safe since the volume diffuses into the muscle mass of the internal gastrocnemius upon injection. To infiltrate the external compartment, the needle must move at least 2 cm from the midline toward the external side (to exceed the maximum displacement of the neurovascular bundle established at 1.82 cm), and not advance beyond 0.76 cm (minimum distance at which we located the common peroneal nerve in the external compartment). Full article
(This article belongs to the Special Issue Advances in Hip and Knee Replacement)
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