Total Joint Arthroplasty and Joint Replacement

A special issue of Life (ISSN 2075-1729). This special issue belongs to the section "Medical Research".

Deadline for manuscript submissions: 30 November 2025 | Viewed by 88

Special Issue Editors


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Guglielmo da Saliceto Polichirurgico Hospital AUSL Piacenza, 29121 Piacenza, Italy
Interests: knee arthroplasty; hip arthroplasty; trauma
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Ortopedia e Traumatologia, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
Interests: total arthroplasty; hip and knee arthroplasty
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Sezione di Chirurgia Protesica ad Indirizzo Robotico—Unità di Traumatologia dello Sport, Brescia, Italy
Interests: total knee arthroplasty; orthopedics; adult reconstructive surgery; robotic surgery
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

This Special Issue represents a deep dive into the field of total joint arthroplasty, offering a detailed exploration of complex management strategies and new perspectives for the future. This collection covers a wide range of topics, from the analysis of hip and knee replacements to the latest innovations in the field. These articles shed a clear light on the ongoing evolution of joint arthroplasty, revealing challenges faced in areas like implant materials, infection prevention, and long-term outcomes for patients undergoing these procedures.

We encourage the submission of original basic, translational, and clinical research, and review articles on the following topics related to total joint arthroplasty of the hip, knee, and shoulder:

  • Robotic and technology-assisted joint replacement.
  • Periprosthetic joint infection—prevention, diagnosis, and therapeutics.
  • Biomaterials and implant design.
  • Tissue engineering.
  • Muscle strengthening and conditioning.
  • Implant designs.
  • Edema and pain.

We look forward to your contributions.

Dr. Corrado Ciatti
Dr. Luca Andriollo
Prof. Dr. Francesco Benazzo
Dr. Stefano Marco Paolo Rossi
Guest Editors

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Keywords

  • robotic and technology-assisted joint replacement
  • periprosthetic joint infection—prevention, diagnosis, and therapeutics
  • biomaterials and implant design
  • tissue engineering
  • muscle strengthening and conditioning
  • implant designs
  • edema and pain

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Published Papers (1 paper)

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Research

26 pages, 5340 KiB  
Article
Stepwise Total Hip Arthroplasty with Lateral and Posterolateral Approaches: Intraoperative Imaging, Fixation Strategy, and Early Functional Outcomes
by Roland Fazakas, Laura Ioana Bondar, Csongor Toth, Brigitte Osser, Iosif Ilia, Gabriel Roberto Marconi, Victor Niculescu, Ramona Nicoleta Suciu, Liviu Gavrila-Ardelean and Alexandru Pop
Life 2025, 15(6), 838; https://doi.org/10.3390/life15060838 - 22 May 2025
Abstract
Background/Objectives: Total hip arthroplasty (THA) remains a widely utilized and effective intervention for patients with end-stage hip osteoarthritis. Although multiple surgical approaches and fixation techniques are available, their application in non-tertiary clinical settings is less frequently documented. This study primarily aims to provide [...] Read more.
Background/Objectives: Total hip arthroplasty (THA) remains a widely utilized and effective intervention for patients with end-stage hip osteoarthritis. Although multiple surgical approaches and fixation techniques are available, their application in non-tertiary clinical settings is less frequently documented. This study primarily aims to provide an educational overview of stepwise THA procedures using intraoperative visual documentation, with a secondary, exploratory assessment of postoperative outcomes related to surgical approach and fixation strategy. Methods: A prospective observational study was conducted at Arad Clinical Emergency County Hospital between March 2023 and March 2024, involving 23 patients undergoing primary THA. Patients received either cemented or uncemented femoral components based on intraoperative bone quality. Procedures were documented using stepwise intraoperative photographs and postoperative radiographs. Recovery was assessed using the Harris Hip Score (HHS) and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) at both six weeks and six months postoperatively. Results: Both lateral (Hardinge) and posterolateral approaches provided adequate exposure with reproducible results. Cemented implants allowed for immediate full weight-bearing and were preferred in elderly patients with poor bone quality, while uncemented components were used in younger patients with good bone density, requiring a delayed weight-bearing protocol. Functional scores improved in both groups between six weeks and six months. At six weeks, the mean HHS was 87.6 ± 6.2 and WOMAC 18.3 ± 4.8; by six months, these improved to 91.8 ± 5.1 and 12.7 ± 3.9, respectively. Cemented fixation demonstrated slightly better outcomes at both time points; however, intergroup differences remained below the Minimal Clinically Important Difference (MCID) thresholds. Conclusions: Tailored surgical approaches and fixation strategies, guided by intraoperative assessment, result in favorable short- and mid-term recovery profiles in THA. The integration of intraoperative visual documentation and patient-reported outcome measures (PROMs) enhances procedural transparency while supporting evidence-based decision-making and surgical training. Full article
(This article belongs to the Special Issue Total Joint Arthroplasty and Joint Replacement)
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