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Special Issues
Clinical Advances in Total Joint Arthroplasty
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Clinical Advances in Total Joint Arthroplasty

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

Deadline for manuscript submissions: closed (25 May 2024) | Viewed by 227

Special Issue Editor

Dr. Viktor Janz

E-Mail Website
Guest Editor
1. Department of Orthopaedics & Orthopaedic Surgery, University Medicine Greifswald, Greifswald, Germany
2. Sporthopaedicum, Bahnhofpl. 27, 94315 Straubing, Germany
Interests: total hip arthroplasty; total knee arthroplasty; periprosthetic joint infection; hip dysplasia; periacetabular osteotomy
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Total joint arthroplasty (TJA) is an unparalleled success story of modern medicine and is one of the most consistently successful operations of the last century. TJA can alleviate the debilitating effects of osteoarthritis and completely restore patients’ joint function, mobility and quality of life. These excellent results are made possible as the result of continued research and development in all areas of TJA. Improved diagnostics, patient selection and optimization, implant design, surgical technique and materials, as well as the management of complications have all resulted in improved functional results and implant survival.

All areas of TJA research are under continuing development, with the goal of improving the results of TJA and ultimately patient outcomes. These results must be vetted per scientific peer-review and published to ensure the ongoing global improvement of TJA. I would like to cordially invite you to submit manuscripts regarding all aspects of TJA to our Special Edition advances in arthroplasty.

Dr. Viktor Janz
Guest Editor

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
  • outcome improvement
  • complication reduction
  • patient selection
  • implant optimization
  • periprosthetic joint infection

Published Papers (1 paper)

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Research

14 pages, 990 KiB  
Article
Remote Delivery of Partial Meal Replacement for Weight Loss in People Awaiting Arthroplasty
by Ritesh Chimoriya, Justine Naylor, Kimberly Mitlehner, Sam Adie, Ian Harris, Anna Bell-Higgs, Naomi Brosnahan and Milan K. Piya
J. Clin. Med. 2024, 13(11), 3227; https://doi.org/10.3390/jcm13113227 - 30 May 2024
Abstract
Background: Obesity is linked to higher rates of complications; lower absolute recovery of mobility, pain, and function; and increased costs of care following total knee or hip arthroplasty (TKA, THA). The aim of this prospective cohort study was to evaluate the effectiveness [...] Read more.
Background: Obesity is linked to higher rates of complications; lower absolute recovery of mobility, pain, and function; and increased costs of care following total knee or hip arthroplasty (TKA, THA). The aim of this prospective cohort study was to evaluate the effectiveness of a 12-week partial meal replacement (PMR) weight loss program for people awaiting TKA or THA and living with obesity (body mass index (BMI) ≥ 30 kg/m2). Methods: The intervention was delivered remotely and included a 12-week PMR plan of 1200 calories/day, incorporating two meal replacement shakes/soups and a third suitable simple meal option. The intervention support was provided through online group education sessions, one-to-one teleconsultation with a dietitian, and access to a structured PMR App with functions for goal setting and providing educational content on diet, physical activity, and behaviour changes. Results: Of the 182 patients approached, 29 provided consent to participate, 26 participants commenced the program, and 22 participants completed the 12-week PMR plan. Completers exhibited statistically significant weight loss from baseline to 12 weeks, with a paired difference of 6.3 kg (95% CI: 4.8, 7.7; p < 0.001), with 15 out of 22 (68.2%) participants achieving at least 5% weight loss. Statistically significant reductions in HbA1c and low density lipoprotein (LDL) were observed at 12 weeks compared to baseline. Moreover, a significant increase in the proportion of participants in the action and maintenance phases of the readiness to change diet, physical activity, and weight were observed at 12 weeks. The majority of program completers (18 out of 22) expressed willingness to pay for the service if offered on a long-term basis following the arthroplasty. Conclusions: This study’s findings demonstrated that significant weight loss is achievable for people living with obesity awaiting arthroplasty following a 12-week PMR weight loss program. The remote delivery of the intervention was feasible and well accepted by people awaiting TKA or THA. Full article
(This article belongs to the Special Issue Clinical Advances in Total Joint Arthroplasty)
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