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Cement-within-cement technique in revision reverse total shoulder arthroplasty: complications, reoperations, and revision rates at 5-year mean follow-up.
JSES Rev Rep Tech
February 2025
Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
Background: Revision reverse total shoulder arthroplasty (rTSA) of a previously cemented humeral component is challenging. In hip arthroplasty, the cement-within-cement (CwC) technique has been well described as an effective option. However, for shoulder arthroplasty there remains a paucity of data investigating this technique.
View Article and Find Full Text PDFRotating Hinge Revision Total Knee Arthroplasty With and Without Porous Cone Adjunct Fixation.
J Arthroplasty
January 2025
Georgetown University School of Medicine, MedStar Georgetown University Hospital, Washington, D.C, USA. Electronic address:
Introduction: As the number of revision total knee arthroplasties (rTKA) continues to rise, there is increasing interest in the use of contemporary rotating hinge prostheses. These devices often incorporate porous cones to fill bone defects and enhance long-term fixation. This study evaluated the clinical and functional outcomes and survivorship in rTKA patients utilizing a rotating hinge prosthesis with flexible titanium (FT) cones, porous tantalum (PT) cones, or no cones.
View Article and Find Full Text PDFAnatomical Total Shoulder Arthroplasty with Keeled glenoids in Patients under 60 years at 10 years minimum: which risk factors of failure are still valid at long term follow-up?
J Shoulder Elbow Surg
January 2025
Institut Universitaire Locomoteur et du Sport (IULS), Hôpital Pasteur 2, CHU de Nice, France.
Aim: To assess the long-term (>10 years) outcomes in anatomical total shoulder arthroplasty (aTSA) and implant survival in patient under 60 years and identify risk factors for complications and revision.
Methods: This was a retrospective, multicenter study conducted from 1993 to 2008. Over 104 aTSA, 87 in 82 patients (55 years, 36 to 60yo) were included at a mean follow-up of 14±4 years (10 to 25y).
Large-diameter heads (LDHs) in total hip arthroplasty (THA) enhance range of motion but require thinner liners. Monoblock acetabular components with ceramic liners could reduce liner fracture risks during modular acetabular component assembly. This study aims to confirm the safety and clinical performance of the monoblock Maxera Cup in THA.
View Article and Find Full Text PDFIn functionally aligned total knee arthroplasty, femoral component rotation follows the transepicondylar axis to achieve flexion balance.
Knee Surg Sports Traumatol Arthrosc
January 2025
Clinical Research Department, Sydney Knee Specialists, Kogarah, New South Wales, Australia.
Purpose: In functionally aligned (FA) total knee arthroplasty (TKA), femoral component rotation (FCR) is personalised to optimise flexion gap balance. As axial malalignment has been attributed to patellofemoral complications, this study assessed FA FCR in relation to the surgical transepicondylar axis (TEA) and early implant survivorship.
Methods: We analysed 446 robotic-assisted primary TKAs in 393 patients using FA with preresection gap balancing.
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