Publications by authors named "Vincent Le Strat"

Introduction: The first results of cementless prosthesis were rather disappointing. However recent progress in methods of cementless fixation of prosthesis should lead to better results in terms of survival of these prostheses. The main objective is to compare the survival rate at last follow-up of UKA with cemented tibial or cementless.

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Background: An important aspect of preoperative planning for total hip arthroplasty is templating. Although two-dimensional (2D) templating remains the gold standard, computerized tomography (CT)-based three-dimensional (3D) templating is a novel preoperative planning technique. This study aims to compare the accuracy of a 2D and 3D plan using an anterior approach for the placement of the same uncemented prosthesis.

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Purpose: Although rare, fractures of ceramic components are difficult to revise, mainly due to the presence of residual ceramic debris that can cause catastrophic wear of the replacement components. Modern ceramic-on-ceramic bearings are suggested to improve outcomes of revision total hip arthroplasty (THA) for ceramic fractures. However, there are few published reports of mid-term outcomes of revision THA using ceramic-on-ceramic bearings.

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Purpose: The literature suggests that "forgotten" knees are the most stable knees postoperatively. The main objective of our study was to determine whether a systematic alignment (mechanical, anatomical or kinematic) makes it possible to stabilise the operated joint in extension and in flexion.

Methods: This monocentric prospective cohort study was conducted between May 1st, 2021 and October 31st, 2021.

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Article Synopsis
  • Despite the general success of total hip arthroplasty (THA), some patients, particularly younger and more active ones, are concerned about the added weight of implants, which the study aimed to address.
  • The research involved 104 patients and found that both cementless and cemented THA implants were significantly heavier than the tissue and bone removed during surgery, with a median weight gain of 145g and 241g respectively.
  • Factors such as lower BMI, gender, and implant type influenced weight gain, with women and patients receiving cemented stems experiencing more significant increases; however, the long-term impact of this weight gain remains unclear.
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Background: Prosthetic joint infection (PJI) is a rare (incidence, 0.15% to 0.9%) but serious complication of knee arthroplasty.

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The aim of this study was to compare the weight of the total knee arthroplasty (TKA) implants and the weight of the natural knee. A prospective study was conducted with two different brands of cemented primary TKA. During the procedure, we collected the removed bone, soft tissues and the post-implantation cement and weighed them all separately at the end.

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