Evolving Concepts in Knee Surgery

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Sports Medicine and Sports Traumatology".

Deadline for manuscript submissions: closed (31 May 2022) | Viewed by 8780

Special Issue Editor

Department of Orthopaedic Surgery, Anam Hospital, Korea University College of Medicine, Seoul 02841, Republic of Korea
Interests: knee joint; arthroscopy; arthroplasty; ligaments; meniscus; cartilage; sports medicine; osteoarthritis
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The knee joint is one of the largest and most complex joints in the body, located in the central part of the lower limbs. Various pathologies that can afflict the knee joint range from acute traumatic injuries to chronic degenerative disorders such as osteoarthritis. Numerous surgical treatment options have been developed for various types of injuries and disorders. The number of knee surgery procedures is increasing rapidly due to the aging population and sports-related injuries. New techniques in knee surgery are evolving continuously, with satisfactory clinical outcomes. In this Special Issue of Medicina, we intend to introduce concepts and techniques related to recently-developed knee surgeries, along with the clinical outcomes of these new surgical methods. For this Special Issue, we invite authors to submit their original research articles, technical notes, meta-analyses, and review articles on evolving concepts in knee surgeries. They can include all areas of knee surgery such as arthroscopy, arthroplasty, osteotomy, fracture surgery, ligament reconstruction, cartilage regeneration, and new implants and biologic materials related to knee surgeries.

Prof. Dr. Ki-Mo Jang
Guest Editor

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Keywords

  • Knee surgery
  • Arthroscopy
  • Arthroplasty
  • Ligament
  • Meniscus
  • Cartilage
  • Fracture
  • Osteotomy
  • Implant
  • Biologic material

Published Papers (3 papers)

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Review

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13 pages, 904 KiB  
Review
Anatomy, Biomechanics, and Reconstruction of the Anterolateral Ligament of the Knee Joint
by Jun-Gu Park, Seung-Beom Han, Chul-Soo Lee, Ok Hee Jeon and Ki-Mo Jang
Medicina 2022, 58(6), 786; https://0-doi-org.brum.beds.ac.uk/10.3390/medicina58060786 - 10 Jun 2022
Cited by 3 | Viewed by 3322
Abstract
Despite remarkable advances in the clinical outcomes after anterior cruciate ligament reconstructions (ACLRs), residual rotational instability of the knee joint remains a major concern. Since the anterolateral ligament (ALL) on the knee joint has been “rediscovered”, the role of anterolateral structures, including ALL [...] Read more.
Despite remarkable advances in the clinical outcomes after anterior cruciate ligament reconstructions (ACLRs), residual rotational instability of the knee joint remains a major concern. Since the anterolateral ligament (ALL) on the knee joint has been “rediscovered”, the role of anterolateral structures, including ALL and deep iliotibial band, as secondary stabilizers of anterolateral rotatory instability has gained interest. This interest has led to the resurgence of anterolateral procedures combined with ACLRs to restore rotational stability in patients with anterior cruciate ligament (ACL) deficiencies. However, the difference in concepts between anterolateral ligament reconstructions (ALLRs) as anatomical reconstruction and lateral extra-articular tenodesis (LETs) as non-anatomical reinforcement has been conflicting in present literature. This study aimed to review the anatomy and biomechanics of anterolateral structures, surgical techniques, and the clinical outcomes of anterolateral procedures, including LET and ALLR, in patients with ACL deficiencies. Full article
(This article belongs to the Special Issue Evolving Concepts in Knee Surgery)
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Other

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8 pages, 1990 KiB  
Technical Note
Combined Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction Using a Single Achilles Tendon Allograft: A Technical Note
by Chul-Soo Lee, Seung-Beom Han and Ki-Mo Jang
Medicina 2022, 58(7), 929; https://0-doi-org.brum.beds.ac.uk/10.3390/medicina58070929 - 13 Jul 2022
Cited by 2 | Viewed by 3031
Abstract
Clinical outcomes after anterior cruciate ligament reconstruction (ACLR) have improved remarkably. However, residual rotational instability of the knee joint remains a major concern. The anterolateral ligament (ALL) has recently gained interest as a secondary stabilizer of knee joint rotatory instability, and this has [...] Read more.
Clinical outcomes after anterior cruciate ligament reconstruction (ACLR) have improved remarkably. However, residual rotational instability of the knee joint remains a major concern. The anterolateral ligament (ALL) has recently gained interest as a secondary stabilizer of knee joint rotatory instability, and this has led to the attempt of ALL reconstruction (ALLR) in combination with ACLR to restore rotational stability in patients with anterior cruciate ligament (ACL) injury. Although several techniques for ALLR have recently been introduced, the ideal graft type and surgical technique for combined ACLR and ALLR are yet to be established. This technical note therefore aimed at introducing a novel surgical procedure involving the use of a single Achilles tendon allograft as a relatively simple and minimally invasive procedure for combined ALL and ACL reconstruction. Full article
(This article belongs to the Special Issue Evolving Concepts in Knee Surgery)
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13 pages, 4020 KiB  
Systematic Review
To Resurface or Not to Resurface the Patella in Total Knee Arthroplasty, That Is the Question: A Meta-Analysis of Randomized Controlled Trials
by Alberto Delgado-González, Juan José Morales-Viaji, Jose Gregorio Arteaga-Hernández, Ángela Larrosa-Arranz, Guillerno Criado-Albillos, Adoración del Pilar Martin-Rodríguez, Maha Jahouh, Josefa González-Santos, Leticia Mendieta Díaz, Carla Collazo Riobo, Sara Calvo Simal and Jerónimo Javier González-Bernal
Medicina 2022, 58(2), 227; https://0-doi-org.brum.beds.ac.uk/10.3390/medicina58020227 - 02 Feb 2022
Cited by 4 | Viewed by 1834
Abstract
Background and Objetives: Currently, total knee arthroplasty is one of the most common surgeries, increasing with the increase in life expectancy. Whether or not to replace the patella has been a subject of debate over the years, remaining in controversy and without [...] Read more.
Background and Objetives: Currently, total knee arthroplasty is one of the most common surgeries, increasing with the increase in life expectancy. Whether or not to replace the patella has been a subject of debate over the years, remaining in controversy and without reaching a consensus. Over the years, different meta-analyses have been carried out in order to provide evidence on the subject, although, in recent times, there have not been many new studies in this regard. Therefore, it is considered necessary that the latest works form part of a new meta-analysis. Materials and Method: We searched the literature using PUBMED, SCOPUS, the Cochrane database and VHL from 2010 to 2020. The search terms used were “patellar” AND “resurfacing” OR “Replacement” and “no resurfacing” OR “no replacement”. A meta-analysis was performed with Stata software (Stata version 15.1). Forest plots were generated to illustrate the overall effect of knee arthroplasty interventions. Results: As a result, it was obtained that there is a significantly higher risk of suffering AKP in the non-resurfacing group, in addition to a significant increase in the risk of undergoing a reoperation in the non-resurfacing group. On the other hand, significant differences were obtained in favor of the resurfacing group in both the clinical and Feller KSS, with functional KSS being inconclusive. After analyzing different variables throughout the literature, it does seem clear that the non-resurfacing group may present a higher risk of reoperation than the resurfacing group. Conclusions: For all these reasons, we think that, although it does seem that not replacing the patella can precipitate a reoperation, it is not clear whether this reoperation is a direct consequence of not having replaced the patella. Therefore, in our opinion, the treatment must be individualized for each patient. Full article
(This article belongs to the Special Issue Evolving Concepts in Knee Surgery)
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