Advancements in Total Joint Arthroplasty: Innovations, Outcomes and Challenges

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

Deadline for manuscript submissions: 30 November 2024 | Viewed by 434

Special Issue Editor


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Guest Editor
Department of Orthopaedics, Hand- and Trauma Surgery, St. Antonius Hospital Cologne, Schillerstrasse 23, 50968 Cologne, Germany
Interests: hip; arthroplasty; knee surgery; knee injuries; cartilage; bone; fracture; trauma surgery; sports injuries; perioperative management; revision-arthroplasty; infection; orthogeriatrics; health economics; periprosthetic fractures

Special Issue Information

Dear Colleagues,

In recent years, the domain of arthroplasty has witnessed significant advancements, particularly in the area of knee and hip replacements, thereby revolutionizing joint replacement surgeries, and improving the quality of life for numerous patients suffering from joint degeneration and damage. Overall, the field of endoprosthetics is constantly evolving and improving. In particular, new developments in the areas of material research, biomechanics and surgical approaches, as well as perioperative management or pre- and postoperative patient support, have substantially improved treatment outcomes and patients’ quality of life with regard to demographic change.

In this Special Issue, we aim to collate papers that undercore the latest advancements in endoprosthetics, as well as highlight the experiences and insights of both patients and medical professionals.

Dr. Hendrik Kohlhof
Guest Editor

Manuscript Submission Information

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Keywords

  • knee and hip replacements
  • joint replacement
  • biomechanics, revision arthroplasty
  • orthogeriatrics and perioperative management

Published Papers (1 paper)

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13 pages, 2937 KiB  
Case Report
Challenges of Hip Arthroplasty in a Paretic, Spastic Limb: A Case Study on Managing Femoral Neck Fracture Following Fixation Failure in a Hemiparetic Patient
by Izabela Dąbkowska, Lena Sobiech, Michał Merkisz, Karolina Turżańska, Tomasz Blicharski and Katarzyna Jankiewicz
J. Clin. Med. 2024, 13(14), 4023; https://doi.org/10.3390/jcm13144023 - 10 Jul 2024
Viewed by 122
Abstract
Background: Hip fractures and strokes are prevalent and escalating issues in geriatric healthcare. The absence of standardized surgical protocols for patients with spastic hemiparesis and multiple comorbidities presents a significant medical challenge. Methods: This case study describes a 64-year-old male patient with left-sided [...] Read more.
Background: Hip fractures and strokes are prevalent and escalating issues in geriatric healthcare. The absence of standardized surgical protocols for patients with spastic hemiparesis and multiple comorbidities presents a significant medical challenge. Methods: This case study describes a 64-year-old male patient with left-sided hemiparesis and failed surgical treatment of a pertrochanteric fracture in a spastic limb. The patient was admitted to the Department of Rehabilitation and Orthopedics in December 2022 for diagnostics and to establish a treatment plan after five months of non-ambulatory status. Results: This study emphasizes the crucial role of preoperative preparation, involving botulinum toxin injections into spastic muscles and physiotherapy, to enhance the supportive function of the paretic limb and improve locomotion before prosthetic surgery. Conclusions: The management of hip fractures in patients with spastic paralysis requires a multidisciplinary approach and the development of standardized treatment protocols. This case underscores the importance of comprehensive pre- and postoperative rehabilitation to improve patient outcomes. Further research is needed to establish standardized rehabilitation protocols for spastic patients undergoing hip arthroplasty. Randomized controlled trials could provide valuable insights into the efficacy of various interventions. Full article
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