Personalized Orthopedic Surgery and Sports Medicine: Trends, Clinical Outcomes and Rehabilitation

A special issue of Journal of Personalized Medicine (ISSN 2075-4426). This special issue belongs to the section "Clinical Medicine, Cell, and Organism Physiology".

Deadline for manuscript submissions: closed (21 January 2025) | Viewed by 1454

Special Issue Editors


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Guest Editor
Center of Orthopaedics and Traumatology, University Hospital Brandenburg/Havel, Brandenburg Medical School, Hochstraße 29, 14770 Brandenburg an der Havel, Germany
Interests: rehabilitation; physical therapy; anterior cruciate ligament; return to sport; research methods; systematic reviews; total knee replacement; biomechanics
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
1. Department of Orthopaedics, Traumatology and Hand Surgery, Faculty of Medicine, Wroclaw Medical University, Wrocław, Poland
2. Clinical Department of Orthopaedics, Traumatology and Hand Surgery, University Hospital, Borowska 213, 50-556 Wroclaw, Poland
Interests: total knee arthroplasty; hand surgery; shoulder surgery; anterior cruciate ligament; traumatology; sports medicine
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Many news findings and trends in orthopedics, surgery, and rehabilitation affect the personalized treatment of patients. This includes surgical procedures, education, physical therapy, return to sport, and research. Therefore, we want to give an overview of current field trends. Robotic-assisted surgery in degenerative knee surgery, a huge amount of available grafts and additional procedures for anterior cruciate ligament reconstruction, the role of artificial intelligence, and the huge amount of literature on return to sport testing and rehabilitation are only some examples of relevant fields. Also, activities to improve the reporting and research standards, like measurement quality criteria and study design from pilot studies, clinical trials, reviews, and implementation projects, still show space for improvement and are of interest to the collection. Systematic, scoping, and narrative reviews on the current literature on knee surgery and sports traumatology are strongly recommended.

Dr. Robert Prill
Prof. Dr. Pawel Reichert
Guest Editors

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Keywords

  • knee surgery
  • sports traumatology
  • arthroscopy
  • rehabilitation
  • physiotherapy
  • research standards
  • reliability
  • validity
  • total knee arthroplasty

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Published Papers (1 paper)

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19 pages, 4072 KiB  
Systematic Review
Robotic-Assisted Medial Unicompartmental Knee Arthroplasty Provides Better FJS-12 Score and Lower Mid-Term Complication Rates Compared to Conventional Implantation: A Systematic Review and Meta-Analysis
by George M. Avram, Horia Tomescu, Cicio Dennis, Vlad Rusu, Natalie Mengis, Elias Ammann, Giacomo Pacchiarotti, Michael T. Hirschmann, Vlad Predescu and Octav Russu
J. Pers. Med. 2024, 14(12), 1137; https://doi.org/10.3390/jpm14121137 - 3 Dec 2024
Viewed by 946
Abstract
Background: Robotic-assisted unicompartmental arthroplasty (rUKA) is gradually gaining more popularity than its conventional counterpart (cUKA). Current studies are highly heterogenic in terms of methodology and the reported results; therefore, establishing the optimal recommendation for patients becomes less straightforward. For this reason, this [...] Read more.
Background: Robotic-assisted unicompartmental arthroplasty (rUKA) is gradually gaining more popularity than its conventional counterpart (cUKA). Current studies are highly heterogenic in terms of methodology and the reported results; therefore, establishing the optimal recommendation for patients becomes less straightforward. For this reason, this meta-analysis aims to provide an up-to-date evidence-based analysis on current evidence regarding clinical outcomes and complication rates following rUKA and cUKA. Methods: A meta-analysis was conducted following PRISMA guidelines. Five databases were searched, PubMed via MEDLINE, Epistemonikos, Cochrane Library, Web of Science, and Scopus. The relevant inclusion criteria were as follows: comparative clinical studies in which medial rUKA was compared to medial cUKA (prospective or retrospective designs), (2) human studies, (3) meta-analyses for cross-referencing, and (4) English language. The relevant extracted data were patient demographics, patient-reported outcome measures (PROMs), range of motion, and complications. A random-effects meta-analysis and subgroup analysis were conducted. The results include mean differences (MDs) and odds ratios (ORs), along with 95% confidence intervals (CIs) for continuous and binary variables, respectively. Results: rUKA showed a higher overall FJS-12 score compared to cUKA, with MD = 6.02 (95%CI: −0.07 to 12.1), p = 0.05. At 6 months postoperatively, the MD increased to 10.31 (95%CI: 5.14 to 15.49), p < 0.01. At a minimum 36-month follow-up, cUKA had a higher all-cause revision rate, with OR = 3.31 (95%CI: 1.25 to 8.8), p = 0.02, and at a minimum 60-month follow-up, a higher aseptic loosening rate, with OR = 3.86 (95%CI: 1.51 to 9.91), p < 0.01, compared to rUKA. Conclusions: rUKA provides better FJS-12 results compared to cUKA, as well as lower all-cause revision and aseptic loosening rates at 36- and 60-month follow-up, respectively. However, long-term follow-up is still pending. Full article
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