Joint Arthroplasties: From Surgery to Recovery

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

Deadline for manuscript submissions: 15 May 2025 | Viewed by 2887

Special Issue Editors


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Guest Editor
Orthopedic Clinic, Department of Medicine and Surgery, University Hospital of Parma, 43126 Parma, Italy
Interests: hip and knee arthoplasty; traumatology; biomechanics

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Guest Editor
Fondazione Livio Sciutto Onlus, Campus Savona, Università degli Studi di Genova, 17100 Savona, Italy
Interests: hip and knee revision arthroplasty

Special Issue Information

Dear Colleagues,

We are proud to announce a call for papers on total joint arthroplasties and the timeline from surgery to rehabilitation and recovery. This special issue is devoted to orthopedic surgeons and all other physicians involved in the road to recovery after a total joint arthroplasty. Particular emphasis will be given to innovation in surgical techniques and rehabilitation. Furthermore, the discussion of long-term outcomes and follow-up of total joint arthroplasties is a particular area of interest of this Special Issue and submissions of this kind are strongly encouraged. Selected case reports on very particular situations and small case-series reporting new surgical techniques may also be accepted. Meta-analysis and literature reviews on specific topic are also welcomed.

Dr. Paolo Schiavi
Dr. Guido Grappiolo
Guest Editors

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Keywords

  • total joint arthroplasty
  • hip
  • knee
  • ankle
  • shoulder
  • elbow
  • rehabilitation

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Published Papers (2 papers)

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Research

17 pages, 2634 KiB  
Article
Comparative Study on Postoperative Immobilization in Reverse Total Shoulder Arthroplasty: 4 Weeks vs. 6 Weeks of Immobilization Yields Similar Clinical and Functional Outcomes
by Felix Hochberger, Moritz Friedrich Wild, Tizian Heinz, Maximilian Rudert and Kilian List
J. Clin. Med. 2024, 13(21), 6363; https://doi.org/10.3390/jcm13216363 - 24 Oct 2024
Viewed by 1397
Abstract
Background/Objectives: To investigate clinical and functional outcomes of patients undergoing reverse total shoulder arthroplasty (RTSA) using a rehabilitation protocol of either 4 or 6 weeks of immobilization. Methods: This comparative study analyzed a consecutive patient cohort that underwent RTSA in a [...] Read more.
Background/Objectives: To investigate clinical and functional outcomes of patients undergoing reverse total shoulder arthroplasty (RTSA) using a rehabilitation protocol of either 4 or 6 weeks of immobilization. Methods: This comparative study analyzed a consecutive patient cohort that underwent RTSA in a single institute from January 2021–February 2023. Patients were assigned to groups according to the duration of postoperative immobilization and were followed up for a minimum of one year. Patient demographics, range of motion (ROM), functional outcomes using the Simple Shoulder Test (SST) and the American Shoulder and Elbow Score (ASES) as well as postoperative complications were recorded. The minimum clinically important difference (MCID) was used to assess whether the differences between the groups in SST, ASES, SWB, and VAS were clinically relevant. Results: Sixty patients met the inclusion criteria (35 patients in the 6-week immobilization group (6 WG) and 25 patients in the 4-week immobilization group (4 WG)) and were available for the total follow-up period. Similar baseline demographics were observed between the groups. Active ROM significantly improved for both groups, with abduction and forward flexion improving the most. In terms of functional outcomes, significant improvement (p < 0.001) was demonstrated for both groups (ASES, SST, VAS, and SWB). However, patients in the 4 WG reached significantly better results in VAS and SWB at 6 weeks and 3 months, as well as in ASES 3 months postoperatively, whereas both groups leveled off at the end of the follow-up period after 1 year. Taking into account the MCID, these differences for ASES at 3 months, as well as VAS and SWB at 6 weeks and 3 months postoperatively, were significant. Surprisingly, there were no differences between the groups over the entire follow-up period in terms of the SST. Conclusions: The author’s findings suggest faster clinical recovery at 6 weeks and 3 months in patients undergoing postoperative immobilization of 4 weeks compared to 6 weeks following RTSA. However, clinical and functional outcomes were equal for 4 WG and 6 WG at one year follow up. Full article
(This article belongs to the Special Issue Joint Arthroplasties: From Surgery to Recovery)
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8 pages, 2981 KiB  
Article
The Trochlear Bisector as a New Landmark for Kinematic Alignment in Total Knee Arthroplasty: A Radiographic Study
by Francesco Iacono, Tommaso Bonanzinga, Berardo Di Matteo, Alberto Iacomella, Michelangelo Delmedico, Francesco Manlio Gambaro, Alberto Favaro and Maurilio Marcacci
J. Clin. Med. 2024, 13(12), 3548; https://doi.org/10.3390/jcm13123548 - 17 Jun 2024
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Abstract
Background: In recent years, there has been considerable interest in prosthetic alignment techniques for total knee arthroplasty (TKA), particularly in the so-called kinematic alignment, which aims to restore the knee’s native alignment. However, implementing this technique requires specialized instruments and procedural steps [...] Read more.
Background: In recent years, there has been considerable interest in prosthetic alignment techniques for total knee arthroplasty (TKA), particularly in the so-called kinematic alignment, which aims to restore the knee’s native alignment. However, implementing this technique requires specialized instruments and procedural steps that can be laborious. This study introduces the bisector of the trochlear groove as a reliable landmark for performing the distal femoral cut while maintaining parallelism with the native femoral joint line. Methods: Three orthopedic specialists assessed 110 X-ray images of full-leg, weight-bearing lower limbs obtained from healthy individuals between January 2021 and December 2022. The bisector of the trochlear groove was identified on the X-ray images, and the angle between this bisector and the femoral joint line was measured. The consistency of these measurements across repeated assessments and different examiners was evaluated. Results: The bisector of the trochlear groove was found to be perpendicular to the femoral joint line, with a mean angle of 89.4°. The inter-rater reliability was 68% within ±1.3° from the mean, while the intra-rater reliability was 82% within ±1.5° from the mean. Conclusions: These results suggest that by performing a femoral cut perpendicular to the bisector of the trochlear groove, surgeons can inherently restore the femoral joint line of the native knee in patients where the native joint line is no longer identifiable due to the effect of osteoarthritis. This method may offer a viable and straightforward alternative to the standard surgical technique currently practiced for kinematic alignment in TKA. Full article
(This article belongs to the Special Issue Joint Arthroplasties: From Surgery to Recovery)
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