MODERN TRENDS IN ORTHOPEDICS: THE KNEE ARTHROPLASTY

• Main Authors: R. M. Tikhilov, N. N. Kornilov, T. A. Kulyaba, A. V. Saraev, V. L. Ignatenko
• Format: Article
• Language: Russian
• Published: Vreden Russian Research Institute of Traumatology and Orthopedics 2012-06-01
• Series: Travmatologiâ i Ortopediâ Rossii
• Subjects: эндопротезирование коленного сустава; артропластика коленного сустава; knee arthroplasty; knee replacement
• Online Access: https://journal.rniito.org/jour/article/view/237

Using PubMed the authors analyzed publications dedicated to knee arthroplasty that were published in 2011. The modern trends of knee joint replacement include improvement of implants and instruments; partial knee replacement as alternative to TKA; reducing of surgical trauma due to less-invasive approaches; achieving of deep flexion after TKA; using of computer navigation and individual cutting blocks to make surgery more precise; optimization of rehabilitation process in pre-, intra-and postoperative period; including multimodal pain control; development of complex strategies for prevention of intra- and postoperative complications. In this review the attention was attracted to the most discussed in 2011 subjects: development of new designs and materials of knee implants; navigation, robotics and individualized resection blocks; partial knee replacement; infection, blood loss and venous thromboembolism after TKA; influence of different factors on arthroplasty outcomes, especially components and leg alignment, patella resurfacing, PCL retention or substitution, uncemented fixation, mobility of PE insert, severe pre-op deformities or stiffness, previous intra-articular fractures and tibia or femur osteotomies, soft tissue deficit etc.