Analysis of systemic serum vancomycin levels following intraarticular application in primary total joint arthroplasty.

Introduction: Periprosthetic joint infection (PJI) is a serious complication following primary total joint arthroplasty (TJA). PJI accounts for 15-25% of revision surgeries, therefore it is associated with PJI is associated with substantial patient morbidity and mortality as well as increased healthcare expenditures due to complex treatment strategies. Recently, intraoperative local application of vancomycin powder is increasingly being used in primary total hip and knee arthroplasty (THA, TKA) as an additive strategy for PJI prevention.

Effect of tibiofemoral alignment on simulated knee contact forces during gait in mechanically and kinematically aligned total knee arthroplasty patients.

The goal of the study was to apply a musculoskeletal knee model that considers individual tibiofemoral alignment (TFA) and to investigate its effect on knee contact force (KCF) during gait in mechanically (MA) and kinematically aligned (KA) total knee arthroplasty (TKA) patients. Total, medial, and lateral KCF was estimated from pre- and postoperative gait data of TKA patients (MA: n = 26, KA: n = 22). Preoperative KCF was compared between the generic and the adapted model using t-tests and statistical parametric mapping (SPM).

[Digital tools in primary total knee arthroplasty-Prevalence in the German-speaking region].

Background: Digital tools are being increasingly used worldwide in primary knee arthroplasty. This study aimed to analyze the utilization density of digital tools, the preferred alignment strategies, and the obstacles and benefits of implementing these technologies in German-speaking countries.

Materials And Methods: An online survey with 57 questions about digital tools in primary knee arthroplasty and their usage was conducted among members of the Arthroplasty Working Group (AE).

Defining Distinct Stress Curve Morphologies for Coronal Plane Alignment of the Knee Phenotypes Using an Imageless Navigation Robotic Platform in Total Knee Arthroplasty.

Background: The coronal plane alignment of the knee (CPAK) classification system divides coronal knee anatomy into 9 phenotypes, suggesting different soft tissue balancing is needed for optimal outcomes. We investigated the interplay between CPAK phenotypes and gap stress curves throughout the knee's range of motion, aiming to understand their impact on total knee arthroplasty balancing.

Methods: There were 1,112 total knee arthroplasty cases from 2 imageless robotic assisted navigation systems using posterior stabilized implants that were classified into CPAK phenotypes.