Latest Advances in Knee Reconstructive Surgery

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

Deadline for manuscript submissions: 16 December 2024 | Viewed by 1040

Special Issue Editor


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Guest Editor
Department of Orthopaedic Surgery, Shimane University, Faculty of Medicine, Shimane, Japan
Interests: orthopaedic surgery; rehabilitation science

Special Issue Information

Dear Colleagues,

The knee joint is the largest joint in humans and is one of the load-bearing joints of the lower limbs. It is essential in daily life, sports, and employment. It comprises bone, articular cartilage, ligaments, and meniscus. Each tissue and organ are interconnected to create a unique anatomical structure with specific biological and biomechanical properties. Hence, once tissues and organs are damaged or degenerated, other tissues are affected, the knee joint breaks down, and its function deteriorates. Although reconstructive surgery using total or unicompartmental knee arthroplasty has achieved good clinical results in older adults in recent years, patient dissatisfaction remains unresolved. In young patients who cannot undergo artificial joint replacement surgery, many problems remain with restoring the knee joint function. Functional reconstruction of the knee joint requires approaches to the ligaments, menisci, articular cartilage, and bone, and it is essential to perform biological and biomechanical reconstruction that approximates a normal knee joint. Therefore, we invite papers on the latest advances in knee reconstructive surgery using ligament reconstruction, meniscus preservation surgery, meniscal transplantation, and articular cartilage regeneration, including autologous chondrocyte transplantation, osteochondral grafting, osteotomy around the knee, and total or unicompartmental knee arthroplasty.

Prof. Dr. Yuji Uchio
Guest Editor

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Keywords

  • knee
  • reconstructive surgery
  • ligament reconstruction
  • articular cartilage
  • autologous chondrocyte transplantation
  • meniscus preservation
  • meniscal allograft
  • total knee arthroplasty
  • unicompartmental knee arthroplasty

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Published Papers (1 paper)

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14 pages, 834 KiB  
Review
How to Improve Meniscal Repair through Biological Augmentation: A Narrative Review
by Pierangelo Za, Luca Ambrosio, Sebastiano Vasta, Fabrizio Russo, Giuseppe Francesco Papalia, Gianluca Vadalà and Rocco Papalia
J. Clin. Med. 2024, 13(16), 4688; https://doi.org/10.3390/jcm13164688 - 9 Aug 2024
Viewed by 867
Abstract
Since the role of the menisci in knee stability, proprioception, and homeostasis has been well established, significant efforts have been made to repair meniscal tears, resulting in excellent clinical outcomes and a reduction in the progression of knee osteoarthritis (OA). However, varying failure [...] Read more.
Since the role of the menisci in knee stability, proprioception, and homeostasis has been well established, significant efforts have been made to repair meniscal tears, resulting in excellent clinical outcomes and a reduction in the progression of knee osteoarthritis (OA). However, varying failure rates have been reported, raising questions regarding the healing potential in cases of complex injuries, poorly vascularized and degenerated areas, and generally in the presence of unfavorable biological characteristics. Therefore, over the last few decades, different strategies have been described to increase the chances of meniscal healing. Biological augmentation of meniscal repair through various techniques represents a safe and effective strategy with proven clinical benefits. This approach could reduce the failure rate and expand the indications for meniscal repair. In the present study, we thoroughly reviewed the available evidence on meniscal repair surgery and summarized the main techniques that can be employed to enhance the biological healing potential of a meniscal lesion. Our aim was to provide an overview of the state of the art on meniscal repair and suggest the best techniques to reduce their failure rate. Full article
(This article belongs to the Special Issue Latest Advances in Knee Reconstructive Surgery)
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