N°001 - May / June 2019
Rob Nelissen is a professor in Orthopaedics and chairman of the Department of Orthopaedics at Leiden University Medical Center. He was president of the European and Netherlands Rheumatoid Arthritis Surgical Society and recently president of the Netherlands Orthopaedic Association. He is cofounder of the Dutch Arthroplasty Register and currently chairman of the Network of Orthopaedic Registries of Europe. But do not be fooled by all these pompous titles - he is a lively mind, curious and original. Get to know an orthopedist from the 3rd millennium.
Article : Registries and the new EU Medical Device Regulation: Impact on Patient Care, Product Development, Financial Support and Research By Gerold Labek
Medical Devices are a highly regulated business. Manufacturers are in charge by law to provide devices to users and patients, which are safe and perform as intended. They have to provide evidence on that to regulatory bodies. Notified Bodies are the main operative regulatory institutions.
Article : Antibacterial Hydrogel Coating of Implants in Orthopedics and Trauma: Surgical Technique and Clinical Applications By Romanò CL (1, 2), Battaglia A (3), Suardi V (3), Romanò D (4), Baldi A (5), Zoccali C (5)
Up to 80% of human bacterial infections are biofilm-related, according to the U.S. National Institutes of Health. Among these, implant-related infections in orthopaedics and trauma still have a tremendous impact. In fact, peri-prosthetic joint infection (PJI) is among the first reasons for joint replacement failure...
Article : Is there still any place for femoral osteotomy in conservative hip surgery? By Frédéric Laude, Alice Nlandu, Roxana Viamont-Guerra
In recent years there has been quite a marked revival in the popularity of hip salvage surgery. The concept of femoroacetabular impingement, as developed at length by Rheinold Ganz, has shed light on one of the major causes of osteoarthritis of the hip and made it possible to offer early treatment.
Article : PCL reconstruction using INLAY technique tips and tricks By Karl Benedetto
High energy trauma represents with 82 % the most frequent etiology of PCL injuries. 92 % of these occur in combination with other ligaments and are diagnosed as complex knee ligament injuries. Only 18 % are diagnosed as isolated PCL ruptures and are most commonly related to sports injuries.
Article : REGISTRIES....What have we all learned and what of the future? Our experiences with NJR By Keith Tucker
Nowadays joint registries are accepted as part of everyday orthopaedic practice. Not only do we have registries for total joint replacement but there are now registries of one type or another in many other orthopaedic specialities. Arguably it was the joint registries, particularly the National Joint registries that led the way.
Article : From Vision to Reality: the Clinical Experience and Future of Knee Robotic Surgery By Cécile Batailler, Elvire Servien, Sébastien Lustig
The rise in robotic surgery is a natural progression from computer-assisted surgery, which has been used for lower limb arthroplasties for over 20 years. The main benefit offered by robotics, whatever system is used, is accurate and reproducible bone preparation thanks to a robotic interface.