Clinical Updates on Knee and Hip Arthroplasty

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

Deadline for manuscript submissions: 10 June 2025 | Viewed by 1238

Special Issue Editors


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Guest Editor
1. Department of Biomedicine and Prevention, “Tor Vergata” University of Rome, 00133 Rome, Italy
2. Department of Orthopaedics and Traumatology, “Policlinico Tor Vergata” Foundation, Viale Oxford 81, 00133 Rome, Italy
Interests: acetabulum fracture; internal fixation; pelvis; hip arthroplasty; knee arthroplasty; revision hip arthroplasty

E-Mail Website
Guest Editor
1. Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, Via Montpellier 1, 00133 Rome, Italy
2. Department of Orthopaedics and Traumatology, “Policlinico Tor Vergata” Foundation, Viale Oxford 81, 00133 Rome, Italy
Interests: orthopedics; traumatology; prosthetic hip and knee surgery

Special Issue Information

Dear Colleagues,

Knee and hip arthroplasty remains the most effective intervention for patients with advanced osteoarthritis or joint trauma. This procedure provides significant pain relief, improves mobility, and enhances the quality of life for millions of individuals worldwide. However, as the number of patients requiring knee and hip arthroplasty continues to rise, so too does the need for continuous updates on clinical practices, innovations, and challenges in these areas.

This Special Issue, “Clinical Updates on Knee and Hip Arthroplasty”, aims to present a comprehensive overview of the latest developments in the field, highlighting both advances in surgical techniques and emerging challenges that clinicians face. The issue will explore a range of topics critical to optimising patient outcomes, including the following:

  • Advancements in Surgical Techniques: The refinement of minimally invasive procedures, navigation systems, and robotic-assisted surgeries has transformed knee and hip arthroplasty. This section will delve into how these innovations are improving accuracy, reducing recovery times, and minimizing complications.
  • Implant Materials and Longevity: Research continues to explore new biomaterials and designs that enhance the durability of implants, reducing the need for revision surgeries. This topic will cover the latest advancements in implant technology, including the use of novel coatings and materials for improving joint stability and longevity.
  • Postoperative Rehabilitation and Pain Management: Successful recovery after arthroplasty is heavily dependent on effective rehabilitation and pain management strategies. This section will focus on multidisciplinary approaches to postoperative care, with an emphasis on early mobilization, non-opioid pain control, and patient education.
  • Complications and Revision Surgery: Although the majority of knee and hip arthroplasty surgeries are successful, complications such as infection, implant loosening, or dislocation remain concerns. The issue will address current best practices for preventing, diagnosing, and treating complications, as well as advances in revision surgery techniques.

By bringing together the latest evidence and expert insights, this Special Issue will provide a valuable resource for orthopedic surgeons, rehabilitation specialists, and healthcare professionals involved in the care of knee and hip arthroplasty patients. The goal is to foster a deeper understanding of both the opportunities and challenges in contemporary joint replacement practice, ultimately improving patient outcomes and the quality of care in this rapidly evolving field.

Dr. Amarildo Smakaj
Prof. Dr. Elena Gasbarra
Guest Editors

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Keywords

  • knee arthroplasty
  • hip arthroplasty
  • total joint replacement
  • minimally invasive arthroplasty
  • implant durability
  • postoperative rehabilitation
  • revision arthroplasty
  • prosthesis-related complications
  • periprosthetic joint infection
  • implant loosening

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Published Papers (1 paper)

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Research

16 pages, 703 KiB  
Article
Physiotherapists’ Experiences with the Hip Disability and Knee Injury Osteoarthritis Outcome Score Following Total Hip and Knee Arthroplasty: A Qualitative Interview Study
by Dennis J. van den Berg, Esther T. Maas, Rosa-Lynn Edelaar, Mathijs B. Arendsen, Elizabeth J. de Louw, Henri Kiers, Thea P. M. Vliet Vlieland, Raymond W. J. G. Ostelo and Marianne H. Donker
J. Clin. Med. 2025, 14(3), 992; https://doi.org/10.3390/jcm14030992 - 4 Feb 2025
Viewed by 926
Abstract
Background: Clinical guidelines for physiotherapy following total hip and knee arthroplasty (THA/TKA) recommend using Patient-Reported Outcome Measures (PROMs) like the Hip disability and Knee injury Osteoarthritis Outcome Score (HOOS/KOOS). However, it remains unclear how physiotherapists use these PROMs in daily clinical practice. Objective: [...] Read more.
Background: Clinical guidelines for physiotherapy following total hip and knee arthroplasty (THA/TKA) recommend using Patient-Reported Outcome Measures (PROMs) like the Hip disability and Knee injury Osteoarthritis Outcome Score (HOOS/KOOS). However, it remains unclear how physiotherapists use these PROMs in daily clinical practice. Objective: To explore primary care physiotherapists’ experiences with the HOOS/KOOS in daily clinical practice following THA and TKA. Methods: Thirteen physiotherapists in the Netherlands were recruited via convenience sampling. Data were collected through semi-structured interviews, which explored HOOS/KOOS use in clinical practice, administrative regulations, and applications beyond patient care, as well as think-aloud interviews to capture perceptions of the content of these PROMs and interpretations of hypothetical patient scores. Interviews were analysed using reflexive thematic analysis. Results: The physiotherapists’ ages ranged from 25 to 54y, with annual THA/TKA volumes from 5 to 50 patients. Three themes emerged, as follows: (1) “Physiotherapists use the HOOS/KOOS for various purposes in daily clinical practice”, including complementing history taking and monitoring patient progress; (2) “Perceptions of the relevance of the HOOS/KOOS for daily clinical practice vary per item, domain, and version,” with items related to daily life activities and psychosocial factors being perceived as more valuable; and (3) “Practical aspects of HOOS/KOOS administration influence their use in daily clinical practice,” with electronic health records (EHRs) that facilitate PROM administration enhancing their use, while administrative regulations limit this. Conclusions: Physiotherapists experience HOOS/KOOS items related to daily life activities and psychosocial factors useful for history-taking and monitoring patient progress, particularly when embedded in EHRs that facilitate PROM administration. Full article
(This article belongs to the Special Issue Clinical Updates on Knee and Hip Arthroplasty)
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