Publications by authors named "K B Gromov"
Background: Following the implementation of the fast-track protocol in total hip arthroplasty (THA), total knee arthroplasty (TKA), and unicompartmental knee arthroplasty (UKA), the median length of stay (LOS) has been significantly reduced without an increase in readmissions. However, it is unclear if the reduction in LOS is at the expense of an increase in nonhome discharge. The aim of this study was to investigate the discharge destination among THA, TKA, and UKA patients.
View Article and Find Full Text PDFBackground: Medially congruent (MC) bearings aim at promoting medial pivoting after total knee arthroplasty (TKA), as the congruency provides further constraint for the medial femoral compartment. However, this design difference could alter intra-articular force distribution, potentially compromising fixation of the tibia implant. The aim of this study was to compare migration, measured with radiostereometric analysis (RSA), of an MC to a more traditional cruciate retaining (CR) TKA system.
View Article and Find Full Text PDFArticle Synopsis
- There is limited research on the optimal indications for lateral unicompartmental knee arthroplasty (UKA), in contrast to the more established guidelines for medial UKA, due to differences in anatomy, osteoarthritis types, movement patterns, and surgical techniques.
- A systematic review examined 38 cohort studies to identify common indications and contraindications for lateral UKA, reporting that it is mainly performed for primary lateral osteoarthritis and identifying key contraindications.
- While some agreement on indications was found, the study indicates there is no strong consensus on the best practices for lateral UKA, highlighting the need for clearer, evidence-based guidelines in future research.
Article Synopsis
- This study analyzed the effects of age on outcomes for patients undergoing medial unicompartmental knee arthroplasty (mUKA), revealing that contemporary practices no longer limit eligibility based on age.
- A total of 782 patients were evaluated, showing significant improvements in knee function across all age groups after surgery, with no notable differences in the overall outcomes based on age.
- However, patients aged 55 to < 65 years experienced less improvement in specific measures of joint awareness and participation, but overall satisfaction was high across all age categories, supporting the current approach of not using age as a restriction for mUKA.
Article Synopsis
- - The study aimed to assess day-case surgery success rates for primary total hip arthroplasty (THA), total knee arthroplasty (TKA), and medial unicompartmental knee arthroplasty (mUKA), investigating the reasons for patients not being discharged on the same day despite eligibility.
- - Conducted over a year with 6,142 patients, the study found that 34% of THA and TKA patients and 52% of mUKA patients were eligible for day-case surgery, with mUKA showing the highest success rates (72%) when surgeries were completed before 1:00 pm.
- - Key reasons for day-case failures included issues with patient mobilization,