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Hip and Knee Replacement: Clinical Advances and Current Challenges
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Hip and Knee Replacement: Clinical Advances and Current Challenges

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

Deadline for manuscript submissions: 2 December 2024 | Viewed by 1476

Special Issue Editors

Prof. Dr. Lucian Bogdan Solomon

E-Mail Website
Guest Editor
1. Department of Orthopaedics and Trauma, Royal Adelaide Hospital, Adelaide, SA 5000, Australia
2. Centre for Orthopaedic and Trauma Research, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, SA 5005, Australia
Interests: hip and knee reconstruction; joint replacement; orthopaedic trauma
Dr. Stuart Callary

E-Mail Website
Guest Editor
1. Department of Orthopaedics and Trauma, Royal Adelaide Hospital, Adelaide, SA 5000, Australia
2. Centre for Orthopaedic and Trauma Research, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, SA 5005, Australia
Interests: hip replacement; musculoskeletal imaging; orthopaedic and trauma

Special Issue Information

Dear Colleagues,

Total hip and knee arthroplasty are recognised as successful and a cost-effective interventions for degenerative disease, especially osteoarthritis. The most common reasons for revision surgery are implant loosening, fracture, dislocation and infection. Imaging outcomes are used to assess and diagnose the common failure mechanisms. Radiographic imaging techniques including computed tomography (CT), magnetic resonance imaging, and plain X-rays have all been used to monitor implant survivorship following hip and knee arthroplasty. For example, monitoring early implant stability and wear are established surrogate methods to predict long-term success of new implant designs and surgical techniques. Manual measurement techniques have been digitised over time, and a number of specific software tools have been developed to improve the accuracy of implant measurements including radiostereometric analysis (RSA), Ein Build Roentgen Analyse (EBRA), PolyWare, Martells Hip Analysis Suite and ROMAN. The use of CT methods has increased as developments in image acquisition and software reconstruction continuously evolve to improve diagnostic capabilities. More recently, new semi-automated radiographic measurement methods have been introduced incorporating machine learning techniques and reducing observer error. This Special Issue will provide an overview of the current advances in orthopaedic implant imaging outcomes. We believe this Issue will be a valuable resource for clinicians and researchers looking to apply the latest imaging outcome measures to their clinical studies.

Prof. Dr. Lucian Bogdan Solomon
Dr. Stuart Callary
Guest Editors

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

  • hip and knee arthroplasty
  • implant
  • migration
  • wear
  • inducible displacement
  • radiostereometric analysis
  • computed tomography
  • magnetic resonance imaging

Published Papers (3 papers)

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9 pages, 462 KiB  
Article
Increased Duration of Total Hip and Total Knee Arthroplasty Surgery Increases the Risk of Post-Operative Urinary Retention: A Retrospective Cohort Study
by Edwin Yuen Hao Tong, Mariam Sattar, Iain A. Rankin and George Patrick Ashcroft
J. Clin. Med. 2024, 13(11), 3102; https://doi.org/10.3390/jcm13113102 - 25 May 2024
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Abstract
Background: Post-operative urinary retention (POUR) is a common complication following total hip arthroplasty (THA) and total knee arthroplasty (TKA). Spinal anaesthetic has been associated with an increased risk of POUR, whilst other risk factors remain unclear. This study aims to identify [...] Read more.
Background: Post-operative urinary retention (POUR) is a common complication following total hip arthroplasty (THA) and total knee arthroplasty (TKA). Spinal anaesthetic has been associated with an increased risk of POUR, whilst other risk factors remain unclear. This study aims to identify modifiable and non-modifiable risk factors of POUR for THA and TKA patients. Methods: A single-centre retrospective cohort study of patients admitted to our hospital over the course of 6 weeks from September to October 2021 for a THA or TKA. All patients who underwent elective THA/TKA were included, and trauma cases were excluded. Results: Ninety-two consecutive patients were included in this study. The overall rate of POUR was 17%. A shorter operative duration resulted in a reduced risk of POUR (median duration of non-retention patients, 88 min vs. 100 min POUR patients; odds ratio, 0.97; 95% CI, 0.95–0.99, p = 0.018). The median bladder volume of patients with urinary retention at the point of diagnosis was 614 mL (range, 298–999 mL). The arthroplasty type, anaesthetic technique, pre-operative morphine use, body mass index, age, cardiovascular disease, and renal disease were found to have no significant association with POUR. Conclusions: A reduced operative time of arthroplasty surgery is associated with a decreased risk of POUR. Patients with a prolonged operative time should have an increased frequency of micturition monitoring in the immediate post-operative period. Full article
(This article belongs to the Special Issue Hip and Knee Replacement: Clinical Advances and Current Challenges)
10 pages, 6394 KiB  
Article
The Sum of the Leg Length Discrepancy and the Difference in Global Femoral Offset Is Equal to That of the Contralateral Intact Side and Improves Postoperative Outcomes after Total Hip Arthroplasty: A Three-Dimensional Analysis
by Norio Imai, Yuki Hirano, Yuki Endo, Yoji Horigome, Hayato Suzuki and Hiroyuki Kawashima
J. Clin. Med. 2024, 13(6), 1698; https://doi.org/10.3390/jcm13061698 - 15 Mar 2024
Viewed by 517
Abstract
Background/Objectives: Global femoral offset (GFO) and leg length discrepancy (LLD) affect outcomes after total hip arthroplasty (THA). Moreover, the sum of the difference in GFO between the THA and non-surgical sides and LLD (SGL) reportedly affects the outcomes in a two-dimensional evaluation. [...] Read more.
Background/Objectives: Global femoral offset (GFO) and leg length discrepancy (LLD) affect outcomes after total hip arthroplasty (THA). Moreover, the sum of the difference in GFO between the THA and non-surgical sides and LLD (SGL) reportedly affects the outcomes in a two-dimensional evaluation. We examined the association of the GFO, LLD, and SGL with the Harris Hip Score (HHS) using a three-dimensional (3D) evaluation. Methods: We retrospectively surveyed 172 patients with hemilateral hip osteoarthritis who underwent THA. The GFO, LLD, and SGL were measured using the 3D pelvis and femur models; these models were adjusted for the pelvis and femur, and the coordinate systems were parallelized. Furthermore, their relationship with the modified HHS (mHHS) 1 year after THA was determined. Results: Significant correlations were found among mHHS, GFO, and SGL in the binomial group, whereas LLD was not significantly correlated. The optimal values of GFO and SGL were 1.01 mm and 0.18 mm/100 cm body height, respectively, which were considered optimal when the SGL values were approximately equal to those of the non-operative side. The optimal ranges for GFO and SGL were −1.65 to 3.67 mm and −4.78 to 5.14 mm/100 cm, respectively. Conclusions: Our findings were obtained after adjusting the pelvis and femur to a unified coordinate system. Therefore, the results of this study can be directly applied to 3D planning. Full article
(This article belongs to the Special Issue Hip and Knee Replacement: Clinical Advances and Current Challenges)
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9 pages, 2234 KiB  
Brief Report
The Long-Term Efficacy of Computed Tomography-Navigated Total Hip Arthroplasty: An 18-Year Follow-Up Study
by Norio Imai, Dai Miyasaka, Shinya Ibuchi, Keishi Kimura, Yuki Hirano, Yoji Horigome and Hiroyuki Kawashima
J. Clin. Med. 2024, 13(5), 1374; https://doi.org/10.3390/jcm13051374 - 28 Feb 2024
Viewed by 463
Abstract
Backgroumd: There have been few reports on the long-term survival of computed tomography (CT)-navigated total hip arthroplasty (THA), which should lead to a lower incidence of dislocation and loosening. In this study, we examined survivorship, dislocation, and loosening incidence using plain radiographs over [...] Read more.
Backgroumd: There have been few reports on the long-term survival of computed tomography (CT)-navigated total hip arthroplasty (THA), which should lead to a lower incidence of dislocation and loosening. In this study, we examined survivorship, dislocation, and loosening incidence using plain radiographs over a minimum 15-year follow-up after CT-navigated THA.Methods: We retrospectively reviewed 145 consecutive CT-navigated THAs for >15 years. We surveyed the angles placed in both the acetabular and femoral components, survivorship, the occurrence of dislocation, the revision rate, and the fixation grade of the acetabular component. Results: The mean follow-up duration was 18.4 years. Overall, 73.8% of THAs were within the safe zone of Lewinnek. There were four dislocations (2.8%), with three occurring within 1 month after surgery and the other within 7 years after surgery. Revision THA was performed in one case (0.69%); consequently, the survival rate was 99.3%. The fixation grade was evaluated in 144 hips, and those were evaluated as having “no loosening”. Conclusions: CT-navigated THA was speculated to contribute to long-term survivorship, with a low rate of loosening, even after 18 years of follow-up. It was speculated that the acetabular component was placed at an acceptable insertion angle and a suitable position for stable initial fixation. Full article
(This article belongs to the Special Issue Hip and Knee Replacement: Clinical Advances and Current Challenges)
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Planned Papers

The below list represents only planned manuscripts. Some of these manuscripts have not been received by the Editorial Office yet. Papers submitted to MDPI journals are subject to peer-review.

  1. Single taper conical tapered stem in total hip artrhoplasty for primari osteoarthritis: a long-term comparative evaluation
  2. ......
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