The complexities that come with managing infected revisions can be unpredictable, especially after multiple revisions. With this in mind, it is important for surgeons to have options when they tackle these difficult cases where patients present different anatomies and varying levels of bone deficiencies.
The number of total joint replacements is growing rapidly, and the current trend suggests that the number of total joints performed will double by 2030.
A 2017 study published in the Current Reviews on Musculoskeletal Medicine stated that patient education prior to joint replacement surgery has been shown to decrease anxiety, improve post-operative pain control, provide more realistic expectations of surgery, and increase the patient’s understanding of their surgery.
With 35 collection sites across the United States and Europe, the Equinoxe database includes information on demographics, comorbidities, implant specifics, 7 PROMs, ROM, radiographic data, and complications—all using standardized forms—for more than 10,000 shoulder cases. This multi-center collection using standardized forms creates the volume of evidence needed to produce the necessary statistical power for accurate analysis of the data.
Multilevel Modeling of Resection Accuracy: Insights from 10,144 Clinical Cases using A Contemporary Computer-Assisted Total Knee Arthroplasty System (Abridged Version)
As a successful treatment for advanced inflammatory and degenerative knee arthritis, total knee arthroplasty (TKA) is projected to expand by 600% to more than three million cases annually by 2030. Associated with the exponential growth, an expected increase of revision TKA cases can be a substantial financial burden to both patients and society. Inaccurate surgical resections and the resultant malalignment are among the most common reasons for TKA failure.
A recent technology added CAOS augmentation to conventional mechanical instruments, removing the need for significant instrument relearning. The system has been shown to have a minimal learning curve and offers good usability and has been demonstrated to be non-disruptive to the surgical flow during its early adoption, reported by a subjective survey of users.
CAOS Augmented Mechanical Instrumentation Provides Versatility and Improved Accuracy During Total Knee Arthroplasty
Accurate positioning of the knee prosthesis is critical for the success of total knee arthroplasty (TKA). However, with mechanical (neutral) alignment surgical philosophy, only 70-80% of the conventional TKA cases can achieve satisfactory accuracy (within ±3° of varus/valgus relative to the mechanical axis).
Computer-assisted orthopaedic surgery (CAOS) has been shown to offer a clear advantage regarding surgical accuracy in total knee arthroplasty (TKA) with a body of research studies demonstrating a significant reduction of alignment outliers compared to conventional TKA instrumentation. However, conflicted data exists in the literature for a consensus regarding the advantage of CAOS technology in clinical outcomes or satisfaction rates for the patient.
Accurate placement of the glenoid component in reverse total shoulder arthroplasty (rTSA) is important to reduce component loosening, scapular notching, instability and to maximize impingement-free range of motion.
Throughout the field of orthopaedics, there is a trend moving toward preserving as much of the patient’s natural anatomy as possible. Likewise, having access to a wide range of bone conserving implants affords the surgeon the opportunity to treat each patient with respect to anatomical preservation.