MODERN TRENDS IN ORTHOPEDICS: THE KNEE ARTHROPLASTY

• Published in: Travmatologii͡a︡ i ortopedii͡a︡ Rossii Vol. 18; no. 2; pp. 5 - 15
• Main Authors: Tikhilov, R. M., Kornilov, N. N., Kulyaba, T. A., Saraev, A. V., Ignatenko, V. L.
• Format: Journal Article
• Language: English; Russian
• Published: Vreden Russian Research Institute of Traumatology and Orthopedics 30.06.2012
• Subjects: knee arthroplasty; knee replacement; артропластика коленного сустава; эндопротезирование коленного сустава
• ISSN: 2311-2905; 2542-0933
• DOI: 10.21823/2311-2905-2012--2-5-15

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.