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Total Joint Arthroplasty: Management and Future Opportunities
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Total Joint Arthroplasty: Management and Future Opportunities

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

Deadline for manuscript submissions: 20 June 2024 | Viewed by 642

Special Issue Editors

Dr. Riccardo Giorgino

E-Mail Website
Guest Editor
1. Residency Program in Orthopaedics and Traumatology, University of Milan, 20141 Milan, Italy
2. IRCCS Istituto Ortopedico Galeazzi, 20161 Milan, Italy
Interests: orthopedics; traumatology; osteoarthritis; regenerative medicine; basic science; osteoporosis; artificial intelligence
Special Issues, Collections and Topics in MDPI journals
Prof. Dr. Laura Mangiavini

E-Mail Website
Guest Editor
1. Department of Biomedical Sciences for Health, University of Milan, 20133 Milan, Italy
2. IRCCS Ospedale Galeazzi Sant’Ambrogio, 20157 Milan, Italy
Interests: knee arthroplasty; knee osteoarthritis; sarcopenia; bone and cartilage development; tissue engineering strategies for musculoskeletal tissues
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 opening 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, such as robot-assisted surgery. These articles shed a clear light on the ongoing evolution in the joint arthroplasty landscape, revealing challenges faced in areas like implant materials, infection prevention, and long-term outcomes for patients undergoing these procedures.

We intend to delve into current practices and open new horizons for revolutionary discoveries, hoping to lay the groundwork for possible advancements in the field. Despite the numerous recent strides in this field, many challenges still need to be undertaken. To name a few: customization and adaptation of prosthetics, utilization of innovative and durable materials, advanced motor control, and infection prevention.

In summary, this Special Issue presents an unmissable opportunity to explore the vast and continuously evolving world of Total Joint Arthroplasty. By offering insights into current best practices, anticipating future developments, and addressing emerging challenges, this Special Issue stands as a reference point for anyone involved in the field, making a significant contribution to the advancement of science and patient care.

Dr. Riccardo Giorgino
Prof. Dr. Laura Mangiavini
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 joint arthroplasty
  • joint replacement
  • surgical techniques
  • robotic-assisted surgery
  • implant materials
  • post-operative care
  • patient outcomes
  • future opportunities
  • orthopedic surgery
  • innovation in arthroplasty

Published Papers (1 paper)

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Research

9 pages, 5338 KiB  
Article
Revision of Failed Short Stems in Total Hip Arthroplasty
by Filippo Migliorini, Francesco Coppola, Alessio D’Addona, Marco Rosolani and Federico Della Rocca
J. Clin. Med. 2024, 13(9), 2459; https://0-doi-org.brum.beds.ac.uk/10.3390/jcm13092459 - 23 Apr 2024
Viewed by 394
Abstract
Background: The current literature lacks studies which evaluate the failure of short stems in total hip arthroplasty (THA). Therefore, the present clinical investigation reported our experience with the failure of short stems in THA, evaluating the causes of failure, survivorship, and the [...] Read more.
Background: The current literature lacks studies which evaluate the failure of short stems in total hip arthroplasty (THA). Therefore, the present clinical investigation reported our experience with the failure of short stems in THA, evaluating the causes of failure, survivorship, and the clinical outcomes of revision arthroplasty. Methods: The present study was performed according to the STROBE guidelines. This study was conducted at the Department of Orthopaedic Surgery of the Humanitas Clinical Institute, Milan, Italy, between 2017 and 2022. All patients who underwent revision surgery of a previously implanted THA using a short stem were prospectively included in the present study. Surgeries were performed with patients in lateral position, using a minimally invasive posterolateral approach. The outcomes of interest were to report information on the type and survivorship of implants used for the revision surgery and evaluate the clinical outcomes and the rate of complications. The following patient-reported outcome measures (PROMs) used for the clinical assessment were the Western Ontario McMaster Osteo-Arthritis Index (WOMAC) and related subscales of pain, stiffness, and function, and the visual analogue scale (VAS). Results: Data from 45 patients were retrieved. Of them, 31% (14 of 45 patients) were women. The mean age was 63.7 ± 13.9 years. The mean length of the implant survivorship was 6.2 ± 5.7 years. In total, 58% (26 of 45 patients) underwent revision of all components, 36% (16 of 45 patients) revised only the stem, and 1% (3 of 45 patients) received a two-stage revision. The mean length of the follow-up was 4.4 ± 1.5 years. The cup was revised in 58% (26 of 45) of patients. At 4.4 ± 1.5 years of follow-up, the WOMAC score was 3.5 ± 1.3 and the VAS was 1.2 ± 1.3. In total, 9% (4 of 45) of patients experienced minor complications. One patient used a walking aid because of reduced function. One patient evidenced muscular hypotrophy. Two patients experienced hip dislocations. All two dislocations were managed conservatively with repositioning in the emergency room under fluoroscopy. No patient needed additional revision surgery or experienced further dislocations. Conclusions: Revision surgery is effective and safe when a short stem THA fails. At approximately four years of follow-up, all patients were highly satisfied with their clinical outcomes. Despite the relatively high number (9%), complications were of a minor entity and were successfully managed conservatively. Full article
(This article belongs to the Special Issue Total Joint Arthroplasty: Management and Future Opportunities)
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