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Total Knee Arthroplasty: Is It Safe? A Single-Center Study of 4,124 Patients in South Korea

Ko K, Kim KH, Ko S, Jo C, Han HS, Lee MC, Ro DH

Background: Although total knee arthroplasty (TKA) is considered an effective treatment for knee osteoarthritis, it carries risks of complications. With a growing number of TKAs performed on older patients, understanding...
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Atelocollagen Injections Improve Outcomes in the Nonsurgical Treatment of Grade III Medial Collateral Ligament Injuries

Jang YH, Kim DS

Background: The purpose of this study was to evaluate the clinical outcomes of atelocollagen injections in isolated grade III medial collateral ligament (MCL) injuries of the knee joint. Methods: A total...
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A Decline in Overutilization of Transfusion after Total Knee Arthroplasty Using Pharmacological Agents for Patient Blood Management in South Korea: An Analysis Based on the Korean National Health Insurance Claims Database from 2008 to 2019

Park JG, Han SB, Park JH, Moon SJ, Jang WY

Background: This study aimed to evaluate the annual trends of transfusion rates and utilization of blood management agents in total knee arthroplasty (TKA) based on the operation type and to...
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Advantages of Simultaneous Cementless Bilateral Unicondylar Knee Arthroplasty Compared to Staged Surgery

Şahin A, Çepni , Veizi E, Erdoğan Y, Fırat A, Kılıçarslan K

Background: Unicondylar knee arthroplasty (UKA) is an effective procedure, which reduces pain, increases range of motion, and improves function. UKA could be performed simultaneously or in staged sessions. This study...
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Comparison of the efficacy of genicular nerve phenol neurolysis and radiofrequency ablation for pain management in patients with knee osteoarthritis

Yildiz G, Perdecioglu GRG, Yuruk D, Can E, Akkaya OT

Background: Genicular nerve neurolysis with phenol and radiofrequency ablation (RFA) are two interventional techniques for treating chronic refractory knee osteoarthritis (KOA) pain. This study aimed to compare the efficacy and...
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Management of the Leaky Wound After Arthroplasty: A Review

Luthra JS, Habsi SA

Total knee and hip arthroplasty are widely performed surgeries for end stage osteoarthritis with highly successful outcomes. However, prolonged postsurgical wound drainage leads to slower healing and predisposes to periprosthetic...
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Predictors of Recurrent Flexion Contracture after Total Knee Arthroplasty in Osteoarthritic Knees with Greater Than 15° Flexion Contracture

Song SJ, Lee HW, Park CH

Background: This study aimed to analyze the risk factors that predict recurrent flexion contracture (FC) after total knee arthroplasty (TKA) in osteoarthritic knees with FC ≥ 15°. Methods: Data from a...
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Accuracy of Patient-Specific Instrument for Cylindrical Axis Implementation in Kinematically Aligned Total Knee Arthroplasty

Kim KK, Song J

Background: In kinematically aligned total knee arthroplasty (KA-TKA), the cylindrical axis (CA) is very important in restoring the native joint line and kinematics of the pre-arthritic knee. This study aimed...
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Exploring molecular mechanisms underlying the pathophysiological association between knee osteoarthritis and sarcopenia

Yang J, Jiang T, Xu G, Wang S, Liu W

Objectives: Accumulating evidence indicates a strong link between knee osteoarthritis (KOA) and sarcopenia. However, the mechanisms involved have not yet been elucidated. This study primarily aims to explore the molecular mechanisms...
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Body Composition and Bone Mineral Density in Postmenopausal Women with Advanced Knee Osteoarthritis Undergoing Surgical Treatment

Park JY, Chung YJ, Song JY, Kim C, Lee H, Son Y, Shin I, Park JH, Kim MR

Objectives: This study aimed to demonstrate the bone mineral density (BMD) and body composition in postmenopausal women with knee osteoarthritis (OA) who underwent surgical treatment, such as total knee arthroplasty,...
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Black Bone Disease: Ochronotic Arthritis Detected during Knee Arthroplasty

Kang HW, Kim M, Oh JY, Youn C

Alkaptonuria is an extremely rare autosomal recessive metabolic disorder characterized by dark urine, ochronosis, and arthritis of the spine and major joints. We report a case of ochronotic arthritis observed...
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Total Knee Arthroplasty with Patellar Retention in Patients with Rheumatoid Arthritis: Comparative Study between Patellar Resurfacing and Retention

Chung SH, Kim HJ, Kyung HS, Lee HJ, Shin JY, Choi CB

Purpose: To evaluate functional and radiographic results of the total knee arthroplasties (TKA) with the non-resurfaced patella in patients with rheumatoid arthritis. Materials and Methods: From 1994 to 2020, 65 patients...
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Surgical treatment of knee osteoarthritis focusing on the patellofemoral joint

Lee SH, Lee JH, Lee YS

Background: Surgical management of the osteoarthritic knee joint consists of osteotomies such as a high tibial osteotomy (HTO), uni-compartmental knee arthroplasty (UKA), and total knee arthroplasty (TKA). These surgeries mainly...
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Patellofemoral joint disorders

Kang KB, Lee JH, Yoon JR

Background: Patellofemoral joint problems refer to a spectrum of conditions affecting the patellofemoral joint, which is the joint between the patella and femur. These conditions can cause pain and instability...
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Recent trends in the management of anterior knee pain

Yoon JR

Background: Anterior knee pain (AKP) syndrome is one of the most common conditions that prompt active young individuals to seek evaluation at sports injury clinics. Compared to the general population,...
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Kinematically Aligned Oxford Unicompartmental Knee Arthroplasty Using the Microplasty Instrumentation System

Hiranaka T, Fujishiro T, Koide M, Okamoto K

This technical note demonstrates kinematically aligned Oxford unicompartmental knee arthroplasty using the Microplasty instrumentation system with custom-made devices. The medial joint line is evaluated preoperatively; if it is aligned and...
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Intravenous versus perineural dexmedetomidine as adjuvant in adductor canal block for total knee arthroplasty

Abo-Zeid Salim MA, Bakrey S, Elbadrawy RE

Background: The shivering effect after spinal anesthesia in total knee arthroplasty (TKA) is challenging for anesthesiologists. This study aimed to compare two administration routes of dexmedetomidine as a post-neuraxial shivering...
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Clinical Outcomes and Infection Rates Following Revision Total Knee Arthroplasty: Aseptic Failure versus Septic Failure

Lee SS, Kim IS, Moon YW

Background: It is controversial whether revision total knee arthroplasty (TKA) due to septic failure shows inferior clinical outcomes compared with TKA due to aseptic failure. Moreover, few studies have compared...
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Titanium Alloy Knee Implant Is Associated with Higher Bone Density over Cobalt Chromium: A Prospective Matched-Pair Case-Control Study

Lee DW, Ro DH, Han HS, Lee MC

Background: Little is known about the relationship between implant material and periprosthetic bone mineral density (pBMD) in total knee arthroplasty (TKA). The purpose of this study was to investigate the...
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Self-aligned Technique for Tibial Component Placement in Total Knee Arthroplasty Lessening Rotational Malalignment in Measured Resection and Gap-Balancing Techniques

Patamarat A, Kitcharanant N, Rattanaprichavej P, Laoruengthana A

Background: Femorotibial rotational mismatch can occur when there is a rotational malalignment in either the tibial or femoral component. Self-aligned technique was proposed for orienting the tibial component in relation...
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