Publications by authors named "R Arkel"

Purpose: High-grade femoral trochlear dysplasia is associated with anterior knee pain, patellar maltracking, instability and the development of osteoarthritis. Scientific studies have signified the importance of trochlear resection on the knee extensor mechanism, and dysplasia can be addressed by a groove-deepening trochleoplasty. Alternatively, tibial tubercle anteriorisation has been proposed to reduce patellofemoral joint (PFJ) pressure and alleviate pain from osteoarthritis.

View Article and Find Full Text PDF

Purpose: This work developed a novel preclinical test of total knee replacements (TKRs) in order to explain TKR instability linked to patient dissatisfaction. It was hypothesized that stability tests on the isolated moving prostheses would provide novel comparative data on the stability and kinematics among TKR designs.

Methods: Three TKR designs, DePuy Synthes Attune MS, Stryker Triathlon and Zimmer Biomet Persona MC, were assessed using a robotic arm while flexing-extending 0-140°.

View Article and Find Full Text PDF
Article Synopsis
  • Periprosthetic infections are serious complications after orthopedic surgeries, making rapid detection crucial for better patient outcomes.
  • This study introduces a miniaturized lactate biosensor that can be integrated into bone implants to quickly identify infections.
  • The biosensor demonstrated the ability to detect Staphylococcus epidermidis infections within 5 hours of implantation, showing promise for improving orthopedic treatment and patient care.
View Article and Find Full Text PDF

Purpose: Femorotibial angle (FTA) is a convenient measure of coronal knee alignment that can be extracted from a short knee radiograph, avoiding the additional radiation exposure and specialist equipment required for full-leg radiographs. While intra- and inter-reader reproducibility from the same image has been reported, the full scan-rescan reproducibility across images, as calculated in this study, has not.

Methods: In this study, 4589 FTA measurement pairs from 2586 subjects acquired a year apart were used to estimate FTA scan-rescan reproducibility using data from the Osteoarthritis Initiative.

View Article and Find Full Text PDF
Article Synopsis
  • The study aims to explore the experiences of patients and clinicians in diagnosing cardiovascular disease (CVD) to inform the creation of better technological solutions.
  • Through focus groups and interviews with 32 participants, four main themes emerged around diagnostic challenges: symptom interpretation, patient characteristics, patient-clinician interactions, and systemic issues.
  • Key insights suggest that while both groups face communication and time challenges, patients struggle more with psychological and ambiguous symptoms, whereas clinicians focus on individual patient differences and the importance of building rapport.
View Article and Find Full Text PDF