Healthcare News
Robotic-arm-assisted versus conventional total knee replacement (RACER-Knee): a pragmatic, multicentre, participant-masked and assessor-masked, superiority, randomised controlled trial
Robotic systems are being increasingly used to assist with total knee replacement (TKR). Whether robotic systems improve outcomes after TKR is uncertain. We aimed to ascertain the clinical efficacy and cost-effectiveness of the Mako robotic-arm system compared with conventional instruments for TKR.
Source: The Lancet
Biologic Therapies for Knee Osteoarthritis: A Structured Narrative Review of Joint Preservation Strategies and Clinical Outcomes
As interest in joint preservation strategies has grown, biologic therapies have emerged as promising approaches capable of modulating the intra-articular environment and potentially delaying invasive interventions.
Source: Arthroplasty Today
Do Hip Precautions Matter After Posterior Approach Total Hip Arthroplasty With Capsular Repair? A Randomized Control Trial
The clinical efficacy of posterior hip precautions in preventing dislocation after primary posterior approach total hip arthroplasty (THA) remains uncertain. Such mobility restrictions may delay patients’ return to daily activities and functional recovery. The aim of this study was to determine whether THA hip precautions impact hip dislocation rates.
Source: The Journal of Arthroplasty
Surgeon decision-making and implant selection in primary total knee arthroplasty: association of training, experience, and robotic-assisted surgical innovation with implant selection
Implant selection in primary total knee arthroplasty (TKA) remains a critical yet variable aspect of surgical decision-making, associated with both patient characteristics and surgeon-related factors. With the increasing integration of surgical innovations such as robotic-assisted techniques, understanding contemporary determinants of implant choice has become essential. This study aimed to evaluate implant selection patterns and identify independent factors associated with the use of cruciate-retaining (CR) vs. posterior-stabilized (PS) implants in a modern clinical setting.
Source: Frontiers in Medicine
Total hip arthroplasty after hip preservation surgery: Outcomes and challenges
Hip preservation surgery (HPS) is increasingly performed in young and active patients with the aim of delaying or avoiding total hip arthroplasty (THA). Despite advances in preservation techniques, a proportion of patients eventually progress to end-stage hip disease and require conversion to THA. Performing THA after prior HPS presents unique challenges because of altered anatomy, retained hardware, soft-tissue scarring, and compromised bone quality. This narrative review evaluates the existing literature on THA following various hip preservation procedures, including hip arthroscopy, periacetabular osteotomy, femoral osteotomies, and core decompression.
