[Importance of the tibial slope in knee arthroplasty].

Notwithstanding the contributions of soft tissue restraints on postoperative kinematics and long-term survival after total knee arthroplasty (TKA), there is an emerging consensus that the underlying anatomy, especially the posterior inclination of the tibial plateau in the sagittal plane (tibial slope), might just have a comparable impact. However, this has not been fully elucidated as yet. Therefore, a thorough literature search, analysis and presentation of current scientific data was conducted.

Assessment of the tibial slope is highly dependent on the type and accuracy of the preceding acquisition.

Background: Precise measurement of the tibial slope (TS) is crucial for realignment surgery, ligament reconstruction, and arthroplasty. However, there is little consensus on the ideal assessment. It was hypothesized that the tibial slope changes according to the acquisition technique and both tibial length as well as femoral rotation serve as potential confounders.

Ceramic on ceramic arthroplasty of the hip: new materials confirm appropriate use in young patients.

The leading indication for revision total hip arthroplasty (THA) remains aseptic loosening owing to wear. The younger, more active patients currently undergoing THA present unprecedented demands on the bearings. Ceramic-on-ceramic (CoC) bearings have consistently shown the lowest rates of wear.

Influence of age and mechanical stability on bone defect healing: age reverses mechanical effects.

Non-unions and delayed healing are still prevalent complications in fracture and bone defect healing. Both mechanical stability and age are known to influence this process. However, it remains unclear which factor dominates and how they interact.