Article
Orthopedics
Michitaka Kato, Hideki Warashina, Shingo Mitamura, Akito Kataoka
Summary: This study compared the clinical outcomes of medial-pivot-based and posterior-stabilised total knee arthroplasty based on anterior translation and clinical scores. The results showed that the medial-pivot group had a shorter anterior translation distance, lower pain scores, and better postoperative function compared to the posterior-stabilised group.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2022)
Article
Orthopedics
Justin S. Chang, Babar Kayani, Peter D. Moriarty, Jenni E. Tahmassebi, Fares S. Haddad
Summary: The study found that there was no significant difference in postoperative range of motion and patient-reported outcome measures between patients undergoing MP-TKA and PS-TKA. Both types of knee arthroplasty designs had excellent results with comparable functional outcomes at the 2-year follow-up. There were also no differences identified in postoperative limb alignment or complications.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Orthopedics
Zhen Wang, Yu-qing Zhang, Chang-rong Ding, Ying-zhen Wang, Hao Xu
Summary: The study systematically evaluated the patellofemoral joint design of medial pivot prosthesis and found that it achieved better outcomes in terms of Kujala scores and range of motion compared to the conventional posterior-stabilized prosthesis. The medial pivot prosthesis also showed improvement in patellar tilt and shift, with a lower incidence of postoperative complications such as patellar clunk or crepitus.
ORTHOPAEDIC SURGERY
(2021)
Article
Orthopedics
Shuai Xiang, Yingzhen Wang, Chengyu Lv, Changyao Wang, Haining Zhang
Summary: For the MP designs, the intermediate clinical outcomes are good to excellent, and the mid-term survivorship, related to reasons other than infection, is also satisfactory.
INTERNATIONAL ORTHOPAEDICS
(2021)
Article
Orthopedics
Shigeru Takagi, J. David Blaha, Tomoharu Mochizuki
Summary: The study aimed to assess the clinical outcomes of revision total knee arthroplasty (TKA) using a medial-pivot implant, particularly in terms of stability and anterior knee pain. Results showed that revision TKA with the medial-pivot implant lowered the joint line and positioned the tibia anteriorly compared to primary TKA. Furthermore, medial pivot revision TKA significantly improved AP stability. Therefore, revision TKA using a medial-pivot design can improve stability and anterior knee pain.
JOURNAL OF ARTHROPLASTY
(2023)
Review
Medicine, General & Internal
Wazzan Al Juhani, Mohammed S. Alwhaid, Alhanouf M. Almuqbel, Alanoud A. Alshathri, Salem D. Almatrafi, Mohammed Alsalman, Husam Altahan
Summary: MP-TKA has been shown to significantly improve pain, symptoms, and activities of daily living postoperatively, with relatively short time until ambulation and length of hospital stay, as well as a low incidence of postoperative and radiological complications.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2021)
Article
Orthopedics
M. Karahan, E. Acar, U. Serarslan, A. Gultekin
Summary: This study evaluated the mid-term results of medial pivot total knee arthroplasty in a single center. A total of 236 patients with 304 knee joints were analyzed retrospectively. Postoperative results showed significant improvement in functional score, knee score, Oxford score, total knee society score, and flexion angles compared to baseline. Medial pivot knee prostheses were found to be reliable and provided favorable results in terms of function and patient satisfaction.
ACTA ORTHOPAEDICA BELGICA
(2023)
Review
Medicine, General & Internal
Xuedong Sun, Xiaopeng Gao, Xiaohui Sun, Zheng Su
Summary: The meta-analysis showed no significant difference in clinical and radiographic outcomes between medial-pivot and posterior-stabilized total knee arthroplasties. Surgeons should be aware that the type of implant is not a decisive factor for successful operation.
Article
Medicine, General & Internal
Corrado Sosio, Nicolo Rossi, Paolo Sirtori, Ricardo Ciliberto, Michele Davide Maria Lombardo, Giuseppe Michele Peretti, Laura Mangiavini
Summary: The combination of kinematic alignment and a medial pivot TKA implant allows for fast recovery and good clinical and functional outcomes for at least 2 years of follow-up, independent of final limb alignment.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Surgery
Jinlong Ma, Liang Zhang, Cui Wang, Kuishuai Xu, Zhongkai Ren, Tianrui Wang, Yingze Zhang, Xia Zhao, Tengbo Yu
Summary: This study compared the mid-term outcomes of unilateral unicompartmental knee arthroplasty (UKA) and total knee arthroplasty (TKA) performed in the same stage. The results showed that UKA had advantages in terms of less surgical trauma, better range of motion and higher Joint Forgotten Score, while TKA was superior in terms of HSS, KOOS, and VAS. There were no significant differences in postoperative complications between the two groups, but UKA had a higher rate of prosthesis revision.
FRONTIERS IN SURGERY
(2023)
Article
Biotechnology & Applied Microbiology
Jiaqi Tan, Diyang Zou, Xianlong Zhang, Nan Zheng, Yuqi Pan, Zhi Ling, Tsung-Yuan Tsai, Yunsu Chen
Summary: This study investigated the patient satisfaction and knee kinematics of MP and PS prostheses in Chinese patients during gait activity. It found comparable satisfaction levels between the two groups, with slight differences in knee kinematics during walking.
FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY
(2021)
Article
Orthopedics
Jean-Yves Jenny, Michel Bercovy, Alain Cazenave, Thierry Gaillard, Frederic Chatain, Brigitt e Jolles, Jean-Louis Rouvillain, Dominique Saragaglia
Summary: The study aimed to evaluate the long-term outcomes of mobile bearing total knee arthroplasty (TKA) and compare the survival rates of medial pivot axis (MPA) and central pivot axis (CPA) TKAs. The results indicated that there was no significant difference in clinical outcomes or survival rates between MPA and CPA TKAs over a 10 to 15-year period.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2021)
Article
Orthopedics
Zunhan Liu, Wei-Nan Zeng, Zhenyu Luo, Enze Zhao, Hao Li, Zongke Zhou
Summary: The study aimed to compare the outcomes of patients who underwent different sequences of ipsilateral total hip arthroplasty (THA) and total knee arthroplasty (TKA). Results showed that patients achieved similar favorable outcomes in clinical scores and survivorship regardless of the sequence of surgeries. Total joint arthroplasty can be performed safely with excellent outcomes in patients with a history of prior ipsilateral THA or TKA.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Orthopedics
Sahil Batra, Rajesh Malhotra, Vijay Kumar, Deep Narayan Srivastava, David Backstein, Hemant Pandit
Summary: This study compared patient satisfaction between MP and PS TKA, finding that patients were more satisfied with MP TKA, likely due to its better replication of natural knee kinematics.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2021)
Review
Orthopedics
Panagiotis Kakoulidis, Sousana Panagiotidou, Georgios Profitiliotis, Kyriakos Papavasiliou, Eleftherios Tsiridis, Christos Topalis
Summary: This meta-analysis compared the functional and radiological outcomes as well as gait parameters between medial pivot (MP) and posterior-stabilised (PS) knee designs. The results showed no statistical difference in range of motion, patient-related outcome measures, walking speed, length of stay, radiographic alignment, and complications rates between the two groups. Therefore, MP knee design does not have a better impact on patient satisfaction compared to the traditional PS knees.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2023)
Article
Orthopedics
Masanori Tsubosaka, Hirotsugu Muratsu, Naoki Nakano, Tomoyuki Kamenaga, Yuichi Kuroda, Takao Inokuchi, Hidetoshi Miya, Ryosuke Kuroda, Tomoyuki Matsumoto
Summary: This study compared the medial preserving gap technique (MPGT) with the measured resection technique (MRT) in terms of postoperative knee stability after posterior-stabilized total knee arthroplasty (PS-TKA). The results showed that MPGT provided better postoperative medial knee stability, especially at 3 years after PS-TKA.
JOURNAL OF KNEE SURGERY
(2023)
Article
Orthopedics
Tomoyuki Kamenaga, Naoki Nakano, Kazunari Ishida, Masanori Tsubosaka, Yuichi Kuroda, Shinya Hayashi, Takehiko Matsushita, Takahiro Niikura, Ryosuke Kuroda, Tomoyuki Matsumoto
Summary: The study aimed to determine the predictability of postoperative TFS before surgery and the effect of TFS on clinical outcomes after fixed-bearing UKA. The results showed that preoperative assessment of TFS under valgus stress could be a predictor of postoperative TFS, and uncorrectable TFS could lead to increased pain and decreased patient satisfaction 2 years after surgery.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2022)
Article
Orthopedics
Nobuaki Chinzei, Shingo Hashimoto, Shinya Hayashi, Naoki Nakano, Masahiko Haneda, Yuichi Kuroda, Tomoyuki Matsumoto, Ryosuke Kuroda
Summary: The study revealed a relationship between different morphological labral tears and clinical features in hip arthroscopy patients. Specifically, younger males with FAI tend to show better clinical outcomes in the FL group. The findings provide predictive information for hip arthroscopists regarding patient demographics and outcomes.
INDIAN JOURNAL OF ORTHOPAEDICS
(2022)
Article
Orthopedics
Yoshinori Takashima, Tomoyuki Matsumoto, Naoki Nakano, Tomoyuki Kamenaga, Yuichi Kuroda, Shinya Hayashi, Takehiko Matsushita, Takahiro Niikura, Ryosuke Kuroda
Summary: The study aimed to investigate whether the transplantation of human cells from a non-reattached injured anterior cruciate ligament (ACL) remnant could enhance tendon-bone healing. The results showed that the non-reattachment group exhibited higher and earlier healing, with induction of endochondral ossification-like integration and mature bone ingrowth. This enhanced healing potential was attributed to increased intrinsic angiogenesis/osteogenesis. In comparison, the reattachment group showed poorer tendon-bone healing.
JOURNAL OF ORTHOPAEDIC RESEARCH
(2023)
Article
Orthopedics
Tomoyuki Matsumoto, Naoki Nakano, Kazunari Ishida, Yoshinori Takashima, Toshihisa Maeda, Yuichi Kuroda, Shinya Hayashi, Tekehiko Matsushita, Takahiro Niikura, Hirotsugu Muratsu, Ryosuke Kuroda
Summary: This study aimed to compare intraoperative soft-tissue balance and clinical outcomes of kinematically aligned total knee arthroplasty (KA-TKA) using single-radius (SR) or multiradius (MR) prostheses. The results showed that joint component gaps differed between the two groups during flexion, with the SR group having significantly larger gaps at 60 to 120 degrees. However, there were no significant differences in varus/valgus balance and postoperative clinical outcomes between the two groups.
JOURNAL OF KNEE SURGERY
(2023)
Article
Clinical Neurology
Yasutaka Nikaido, Hideyuki Urakami, Yohei Okada, Toshihiro Akisue, Yuki Kawami, Naoya Ishida, Yoshinaga Kajimoto, Ryuichi Saura
Summary: This study evaluated the rehabilitation effects of dynamic equilibrium gait training (DEGT) for patients with idiopathic normal pressure hydrocephalus (iNPH) who underwent cerebrospinal fluid (CSF) shunting, compared to standard exercise (SE) and no further treatment. The results showed that DEGT can improve gait-balance functions and reduce the fall incidence of iNPH patients after CSF shunting.
JOURNAL OF NEUROLOGY
(2023)
Article
Orthopedics
Yoshinori Takashima, Naoki Nakano, Kazunari Ishida, Tomoyuki Kamenaga, Masanori Tsubosaka, Yuichi Kuroda, Shinya Hayashi, Ryosuke Kuroda, Tomoyuki Matsumoto
Summary: The study aims to compare the differences in trochlear shape and knee anatomy between four types of prostheses and preoperative native knee. It was found that the prostheses had a deeper and more medial trochlear groove compared to the native knee under kinematic alignment.
JOURNAL OF KNEE SURGERY
(2023)
Article
Orthopedics
Tomoyuki Matsumoto, Naoki Nakano, Kazunari Ishida, Yuichi Kuroda, Shinya Hayashi, Hirotsugu Muratsu, Ryosuke Kuroda
Summary: This study aimed to compare kinematically aligned total knee arthroplasty (KA-TKA) targeting the neutral ground mechanical axis (MA) with tibia-restricted modified KA-TKA. The study found that the ground KA-TKA group achieved a significantly deeper postoperative flexion angle compared to the modified KA-TKA group.
INTERNATIONAL ORTHOPAEDICS
(2023)
Article
Orthopedics
Tomoyuki Matsumoto, Naoki Nakano, Shinya Hayashi, Koji Takayama, Toshihisa Maeda, Kazunari Ishida, Yuichi Kuroda, Takehiko Matsushita, Takahiro Niikura, Hirotsugu Muratsu, Ryosuke Kuroda
Summary: This study compared the prosthetic orientation, limb alignment, soft tissue balance, and early clinical outcomes between the use of a handheld robot and a conventional alignment guide for TKA. Results showed that the robot group had better accuracy in prosthetic orientation, stable soft tissue balance, and higher patient-reported scores for early clinical outcomes compared to the control group.
INTERNATIONAL ORTHOPAEDICS
(2023)
Article
Orthopedics
Tomoyuki Matsumoto, Naoki Nakano, Kazunari Ishida, Toshihisa Maeda, Shotaro Tachibana, Yuichi Kuroda, Shinya Hayashi, Takehiko Matsushita, Ryosuke Kuroda
Summary: This study aimed to present a ground kinematically aligned (KA)-total knee arthroplasty (TKA) technique, which targets the hip-to-calcaneus axis as an alternative to the conventional hip-to-talus axis. The results showed that using ground KA-TKA can achieve individual physiological alignment and may provide a more similar alignment to the native knee compared to other kinematic alignment techniques.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2023)
Article
Orthopedics
Kenichi Kikuchi, Naoki Nakano, Kazunari Ishida, Yuichi Kuroda, Shinya Hayashi, Masanori Tsubosaka, Tomoyuki Kamenaga, Takehiko Matsushita, Ryosuke Kuroda, Tomoyuki Matsumoto
Summary: This study investigated the influence of different surgical techniques on lower limb alignment after total knee arthroplasty. The results showed that there were no significant changes in alignment parameters between the mechanically aligned TKA group and the kinematically aligned TKA group after surgery. However, preoperative varus deformity was associated with a change in alignment deviation after surgery.
JOURNAL OF KNEE SURGERY
(2023)
Article
Medicine, General & Internal
Yutaro Kanda, Kenichiro Kakutani, Yoshitada Sakai, Kunihiko Miyazaki, Tomoya Matsuo, Takashi Yurube, Yoshiki Takeoka, Hiroki Ohnishi, Masao Ryu, Naotoshi Kumagai, Kohei Kuroshima, Yoshiaki Hiranaka, Teruya Kawamoto, Hitomi Hara, Yuichi Hoshino, Shinya Hayashi, Toshihiro Akisue, Ryosuke Kuroda
Summary: The number of advanced-age patients with spinal metastases is increasing. This study aimed to analyze the characteristics and outcomes of spinal metastases surgery in advanced-age patients. Prospective analysis of 216 patients divided into three age groups showed that patients aged ≥80 years had poorer performance status, Barthel index, and EQ-5D before and after surgery. Postoperative complications and EQ-5D re-deterioration rates were higher in the ≥80-year group. While surgery improved outcomes regardless of age, clinicians should consider the poorer outcomes and higher complication rates in advanced-age patients.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Cell & Tissue Engineering
Kensuke Anjiki, Tomoyuki Matsumoto, Yuichi Kuroda, Masahiro Fujita, Shinya Hayashi, Naoki Nakano, Masanori Tsubosaka, Tomoyuki Kamenaga, Yoshinori Takashima, Kenichi Kikuchi, Kenmei Ikuta, Yuma Onoi, Shotaro Tachibana, Yoshihito Suda, Kensuke Wada, Takehiko Matsushita, Ryosuke Kuroda
Summary: This study aimed to investigate the therapeutic effects of heterogeneous cells in rabbit stromal-vascular fraction (SVF) on rabbit chondrocytes. It was found that the SVF group showed superior therapeutic effects compared to the low-dose adipose-derived stromal cells (lADSC) group. The SVF group mainly consisted of M2 macrophages, which secreted growth factors and chondrocyte-protective cytokines, benefiting chondrocytes and knee joint homeostasis.
STEM CELL REVIEWS AND REPORTS
(2023)
Article
Cell & Tissue Engineering
Masahiro Fujita, Tomoyuki Matsumoto, Satoshi Sobajima, Masanori Tsubosaka, Takehiko Matsushita, Hideki Iwaguro, Ryosuke Kuroda
Summary: This study aimed to compare the clinical and radiological outcomes of single and double stromal vascular fraction (SVF) cell injections in patients with knee osteoarthritis (OA). The results showed that the total WOMAC score improved significantly in the single injection group from 3 to 24 months, while the double injection group showed significant improvement at 24 months. In conclusion, double injections may provide better treatment outcomes for patients with severe varus knee alignment.
CELL TRANSPLANTATION
(2023)
Article
Endocrinology & Metabolism
Koji Nukuto, Takehiko Matsushita, Kohei Kamada, Kyohei Nishida, Kanto Nagai, Noriyuki Kanzaki, Yuichi Hoshino, Tomoyuki Matsumoto, Takahiro Niikura, Ryosuke Kuroda
Summary: This study successfully developed the first MMPRT mouse model, which can be used to investigate the pathological changes of MMPRT.
CALCIFIED TISSUE INTERNATIONAL
(2023)
Article
Orthopedics
Jack Zhong, Nathan J. Lee, Ajay Padaki, Connor Crutchfield, Christopher S. Ahmad, David Trofa, Sean Lynch
Summary: This study aimed to evaluate if age is associated with the risk of short-term complications after ACL reconstruction. The results showed that older patients had higher fragility index scores, shorter operative times, and lower use of general anesthesia. Older age was an independent risk factor for VTE, while younger age was associated with prolonged surgeries.
Article
Orthopedics
Ignacio Pasqualini, Michael Mariorenzi, Alison K. Klika, Pedro J. Rullan, Chao Zhang, Trevor G. Murray, Robert M. Molloy, Nicolas S. Piuzzi
Summary: 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). The study identified useful values for the MCID and PASS thresholds at 1 year following medial UKA of KOOS pain, KOOS PS, and KOOS JR scores. These values may be used as targets for surgeons when evaluating PROMS using KOOS to determine whether patients have achieved successful outcomes after their surgical intervention.