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Article
Rotation of the femoral component in total knee arthroplasty—a refresher
Malrotation of the femoral component is a common cause of therapy-resistant pain after total knee arthroplasty. There is no consensus about the best technique to intraoperatively determine the correct femoral ...
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Article
Kinematic analysis of the flexion axis for correct femoral component placement
This study evaluates a new method for intraoperative determination of femoral component rotation by a navigation system (flexion axis, FA) driven by joint stability over the range of motion.
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Article
How much of the PCL is really preserved during the tibial cut?
There are two different techniques for retaining the posterior cruciate ligament (PCL) in total knee arthroplasty. The attachment of the PCL can be spared during resection of the tibial plateau, so that a smal...
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Article
Increased flexion position of the femoral component reduces the flexion gap in total knee arthroplasty
The symmetry and equality of the flexion and extension gap are essential for successful endoprosthetic knee arthroplasty. Cruciate ligament sparing endoprosthetic designs are implanted with a measured resectio...
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Article
Increased BMP expression in arthrofibrosis after TKA
Because of the multiple possible aetiologies of painful total knee arthroplasty (TKA), the diagnosis and treatment of such patients are challenging. In a considerable number of patients, an intraarticular path...
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Article
Open AccessSurgically modifiable factors measured by computer-navigation together with patient-specific factors predict knee society score after total knee arthroplasty
The purpose was to investigate whether patient-specific factors (PSF) and surgically modifiable factors (SMF), measured by means of a computer-assisted navigation system, can predict the Knee Society Scores (K...
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Article
Regional differences in temperature course after knee arthroplasty
During wound healing after surgery, physiological inflammation leads to an increase in soft tissue perfusion. This is reflected by a characteristic temperature course in the skin. Although local surgical trau...
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Article
The reversed gap technique produces anatomical alignment with less midflexion instability in total knee arthroplasty: a prospective randomized trial
No surgical technique is capable of controlling the stability of the joint in midflexion. The purpose of the present study was to present and evaluate a surgical technique that aims to reduce the need for soft...
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Article
The C-reactive protein level after total knee arthroplasty is gender specific
Laboratory diagnostics are part of the routine before and after operations. In all specialist surgical disciplines, including orthopaedic surgery, the acute-phase protein CRP is used to detect inflammatory pro...
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Article
Patient-specific and intra-operatively modifiable factors assessed by computer navigation predict maximal knee flexion one year after TKA
There are multiple factors affecting maximal knee flexion (MKF) after total knee arthroplasty (TKA). The aim of the study was to investigate whether patient-specific factors (PSF) and surgically modifiable fac...
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Erratum to: Regional differences in temperature course after knee arthroplasty
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Article
Erratum to: The C-reactive protein level after total knee arthroplasty is gender specific
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Article
Good clinical and radiological results of total knee arthroplasty using varus valgus constrained or rotating hinge implants in ligamentous laxity
The optimal degree of constraint of a total knee arthroplasty for treatment of knee osteoarthritis with ligamentous laxity is under debate. While varus valgus constrained knees require a minimum level of ligam...
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Article
Perioperatives anästhesiologisches Vorgehen in der Knieendoprothetik
Gesellschaftliche Trends und der begründete Wunsch der Menschen nach Eigenständigkeit führen weltweit zu einer Zunahme der Kniegelenksimplantationen. Studien belegen den Einfluss des perioperativen Managements...
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Article
Effect of additional distal femoral resection on flexion deformity in posterior-stabilized total knee arthroplasty
Flexion deformity after total knee arthroplasty (TKA) is associated with poor function and dissatisfaction and should, therefore, be avoided. In the case of preoperative flexion deformity, an increased distal ...
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Article
Versagensursachen nach primärer Knietotalendoprothese – gibt es einen Wandel?
Die Implantation einer Knietotalendoprothese (Knie-TEP) ist ein erfolgreiches standardisiertes Operationsverfahren. Trotzdem gelingt es nicht, an die hohe Patientenzufriedenheit von über 95 % nach Hüftendoprot...
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Article
Kniegelenksnahe Umstellungsosteotomien des Erwachsenen
Heutzutage ist die kniegelenknahe Osteotomie bei Achsfehlstellungen als operatives Verfahren zum Gelenkerhalt aus dem orthopädisch-chirurgischem Spektrum nicht mehr wegzudenken. Dabei sind die genaue Lokalisat...
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Article
Salvage-Optionen bei persistierendem Infekt nach Knietotalendoprothese
Die persistierende periprothetische Infektion stellt bis heute die Endoprothetik vor viele Probleme. Laut Endoprothesenregister Deutschland (EPRD) 2020 mussten 14,5 % der Knieprothesen wegen einer Infektion re...
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Article
Knochendefektmanagement in der Revisionsknieendoprothetik
Im Jahr 2019 wurden in Deutschland laut EPRD bei 124.677 Erstimplantationen am Kniegelenk 14.462 Folgeoperationen durchgeführt. Das entspricht einem Anteil von 11,6 %. Die Wahrscheinlichkeit einer erneuten Wec...
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Open AccessEinfluss der beruflichen Tätigkeit auf Erkrankungen des Bewegungsapparates der oberen Extremität
Erkrankungen des Bewegungsapparates der oberen Extremität sind Grund für zunehmende krankheitsbedingte Fehlzeiten bei Erwerbspersonen.