How to remove a well-fixed metaphyseal sleeve in revision knee arthroplasty: A step-by-step surgical procedure
The rising incidence and complexity of revision knee arthroplasty has led to an increase in the use of metaphyseal reconstruction systems. One of the most widely used systems are metaphyseal sleeves as they have demonstrated excellent long-term survival. However, there is concern about the possible difficulty of extracting a sleeve if it were necessary, as no known procedures have yet been validated. (Source: The Knee)
Source: The Knee - December 6, 2023 Category: Orthopaedics Authors: Pablo Sanz-Ruiz, Jos é Antonio Matas-Diez, Manuel Villanueva-Martínez, Tanya Fernández-Fernández, Lourdes Prats-Peinado, Javier Vaquero Source Type: research

Open injuries and obesity as emerging risk factors for vascular injury in knee dislocations: A retrospective study
This study aims to examine the risk factor(s) of vascular injury in patients with KDs, examine variables that differ between obese patients and non-obese patients with KDs, and analyse the modalities used to identify vascular injuries in the KD population. (Source: The Knee)
Source: The Knee - December 6, 2023 Category: Orthopaedics Authors: Victor Lu, Xiaoyu Chen, Azeem Thahir, Matija Krkovic Source Type: research

Total Knee Arthroplasty: the options within
Total knee arthroplasty (TKA) is one of the commonest procedures performed in modern day orthopaedic surgery throughout the world. There are many decisions that the operating surgeon must make which pertain to the surgical technique as the options in this regard are ever expanding. (Source: The Knee)
Source: The Knee - December 1, 2023 Category: Orthopaedics Authors: Oday Al-Dadah, Caroline Hing Tags: Editorial Source Type: research

Editorial Board
(Source: The Knee)
Source: The Knee - December 1, 2023 Category: Orthopaedics Source Type: research

Severe obesity in total knee arthroplasty occurs in younger patients with a greater healthcare burden and complication rate
Knee osteoarthritis in the presence of severe obesity (BMI  ≥ 40) is becoming an increasing presentation to healthcare services. When progressing to arthroplasty, this group is known to have higher complication rates. (Source: The Knee)
Source: The Knee - November 30, 2023 Category: Orthopaedics Authors: Alexander Curtis, Jonathan Manara, Benjamin Doughty, Hugo Beaumont, Justin Leathes, Sven E. Putnis Source Type: research

Tourniquet-free minimally invasive total knee arthroplasty is associated with early aseptic loosening
While tourniquet-free (T-) total knee arthroplasty (TKA) has gained popularity, tourniquet-use during minimally-invasive (MIS)-TKA has not been adequately studied. Traditional techniques employ knee hyper-flexion, compressing vasculature and reducing impact of bleeding, while MIS-TKA embraces the semi-extended knee position, which does not restrict the effects of bleeding on cementation and visualization. We compared the risk of aseptic loosening between patients undergoing T- MIS-TKA compared to T  + MIS-TKA. (Source: The Knee)
Source: The Knee - November 21, 2023 Category: Orthopaedics Authors: Jennifer A. Kunes, Mouhanad M. El-Othmani, Matthew LaVelle, Walkania M. Santos, Jeffrey A. Geller, Roshan P. Shah Source Type: research

Establishing patient-centered metrics for the knee injury and osteoarthritis outcome score following medial unicompartmental knee arthropalsty
This study aimed to determine the minimal clinically important difference (MCID) and the patient acceptable symptoms state (PASS) threshold for the knee injury and osteoarthritis outcome score (KOOS) pain subscore, KOOS physical short form (PS), and KOOS joint replacement (JR) following medial unicompartmental knee arthroplasty (mUKA). (Source: The Knee)
Source: The Knee - November 14, 2023 Category: Orthopaedics Authors: Ignacio Pasqualini, Michael Mariorenzi, Alison K. Klika, Pedro J. Rull án, Chao Zhang, Trevor G. Murray, Robert M. Molloy, Nicolas S. Piuzzi Source Type: research

Increased age and modified fragility index increases risk of short-term complications after anterior cruciate ligament reconstruction surgery
Large data analysis of anterior cruciate ligament reconstruction (ACLR) short-term complications on age will help surgeons stratify and counsel at-risk patients. The purpose of this study is to assess if older patients are at greater risk for short-term complications after ACLR. (Source: The Knee)
Source: The Knee - November 14, 2023 Category: Orthopaedics Authors: Jack Zhong, Nathan J. Lee, Ajay Padaki, Connor Crutchfield, Christopher S. Ahmad, David Trofa, T. Sean Lynch Source Type: research

Response to: Letter to editor regarding article, “3D assessment of graft malposition after ACL reconstruction: Comparison of native and 11o'clock ligament orientations”
Before we respond directly to the comments provided by Ma, Zhang, Zhao and Wen from Jining Medical University, we would like to refer to a famous quote by President Theodore Roosevelt: “It is not the critic who counts; not the man who points out how the strong man stumbles, or where the doer of deeds could have done them better. The credit belongs to the man who is actually in the arena, whose face is marred by dust and sweat and blood; who strives valiantly; who errs, who comes short again and again, because there is no effort without error and shortcoming.” (Source: The Knee)
Source: The Knee - November 14, 2023 Category: Orthopaedics Authors: Alexandria Mallinos, Kerwyn Jones, Brian Davis Source Type: research

Age and sex differences in coronal lower extremity alignment in a healthy Asian population
The purpose of this study was to analyze the coronal alignment of lower extremities according to age and sex in a healthy population and demonstrate the differences. (Source: The Knee)
Source: The Knee - November 4, 2023 Category: Orthopaedics Authors: Doohyun Hwang, Min Wook Choi, Seong-Hwan Kim, Hyuk-Soo Han, Chong Bum Chang, Myung Chul Lee, Na-Kyoung Lee, Du Hyun Ro Source Type: research

The effect of virtual reality on pain, kinesiophobia and function in total knee arthroplasty patients: A randomized controlled trial
This study aimed to investigate the effect of VR on pain, kinesiophobia, and function in patients undergoing total knee arthroplasty (TKA). (Source: The Knee)
Source: The Knee - November 4, 2023 Category: Orthopaedics Authors: Ozan G ür, Selda Başar Source Type: research

Is higher body mass index associated with secondary osteoarthritis in patients treated with bone cement for benign aggressive bone tumors? Long-term evaluation of 43 patients
This study was designed to investigate the secondary osteoarthritis rate in patients with benign aggressive bone tumors treated with curettage and cementing at long-term follow up. (Source: The Knee)
Source: The Knee - November 4, 2023 Category: Orthopaedics Authors: Ahmet Salduz, Serkan Bayram, Ahmet M üçteba Yıldırım, Melih Civan, Buğra Alpan, Natig Valiyev, Levent Eralp, Harzem Özger Source Type: research

The efficacy of platelet-rich plasma in treating osteoarthritis with an inflammatory phenotype: A 5-year follow up retrospective study
We aimed to explore whether platelet-rich plasma (PRP) can delay and reduce the incidence of total knee arthroplasty (TKA) and improve clinical symptoms in patients with inflammatory phenotype knee osteoarthritis (I-KOA). (Source: The Knee)
Source: The Knee - November 4, 2023 Category: Orthopaedics Authors: Yang Chen, Song Wu, Zi Wen, Xu Cao, Antonia Rujia Sun, Yong Luo, Hongxing Li Source Type: research

Prior tuberosity screw fixation of the osteotomized tubercle can lead to favorable outcomes in retro-tubercular bi-planar opening wedge high tibial osteotomy
Exact information regarding fixing the tuberosity screw during retro-tubercular opening-wedge high tibial osteotomy (RT-OWHTO) is still lacking. The purpose of this study was to determine whether prior tuberosity screw fixation before plate fixation of main osteotomy fragment can prevent complications associated with tuberosity screw. (Source: The Knee)
Source: The Knee - November 3, 2023 Category: Orthopaedics Authors: Seong Yun Park, Sung Bae Park, Jade Pei Yuik Ho, Nguyen Thanh Tu, Yong Seuk Lee Source Type: research

An accurate method for measuring knee joint space width despite variations in beam projection angles
Assessing knee osteoarthritis (OA) severity through joint space width (JSW) measurements can be difficult due to anatomical variations, beam projection angle (BPA) errors, and patient posture during X-rays. Although various methods address these issues, a consensus on the reference point for accurate measurement is lacking. Therefore, establishing a precise evaluation method for JSW is imperative. (Source: The Knee)
Source: The Knee - November 3, 2023 Category: Orthopaedics Authors: Sung Eun Kim, Keehyun Kim, Myung Chul Lee, Hyuk-Soo Han, Byung Sun Choi, Du Hyun Ro Source Type: research