MODERN TRENDS IN ORTHOPEDICS: THE KNEE ARTHROPLASTY

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Abstract

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.

About the authors

R. M. Tikhilov

The Vreden Russian Research Institute of Traumatology and Orthopedics, St.-Petersburg

Author for correspondence.
Email: rmtihilov@rniito.ru
Russian Federation

N. N. Kornilov

The Vreden Russian Research Institute of Traumatology and Orthopedics, St.-Petersburg

Email: drkornilov@hotmail.com
Russian Federation

T. A. Kulyaba

The Vreden Russian Research Institute of Traumatology and Orthopedics, St.-Petersburg

Email: taraskulyaba@hotmail.com
Russian Federation

A. V. Saraev

The Vreden Russian Research Institute of Traumatology and Orthopedics, St.-Petersburg

Email: saraefff@mail.ru
Russian Federation

V. L. Ignatenko

The Vreden Russian Research Institute of Traumatology and Orthopedics, St.-Petersburg

Email: v_ignatenko@mail.ru
Russian Federation

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