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On 11/10/2022

N°19 - September / October 2022

N°19 - September / October 2022

Interview : ROBERT HUBE

Robert Hube is one of the leading surgeons of the OCM clinic in Munich and a very busy knee and hip arthroplasty surgeons performing more than 1.200 cases personally per year. He is the local host for the upcoming EKS open meeting 2022 in Munich and incoming president of the German endoprosthesis working group (AE). He talks about his career which started in the former Democratic Republic of Germany (DDR), training in Durbam, South Africa and fellowship in Pittsburgh US. He also shares with us how to develop an efficieint environment to allow high volume surgery. He is Professor for Orthopedics at the Univ Clinic Charite and tells us why he is dedicated to training and education.

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Article : Robotic Knee Surgery: What’s in a Name? By Jan Victor, Hannes Vermue

Robotic knee surgery has grown exponentially over the past few years. This remarkable surge was boosted by several drivers. The remarkable achievements of new technology in different technical domains affected marketing in all aspects of society and certainly helped robotic surgery to gain traction.

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Article : Update on treatment of the infected nicompartmental knee arthroplasty By Angela Brivio(1), David Barrett(2)

Infection in UKA is substantially less than that of Total Knee Arthroplasty (TKA), with an incidence varying from 0.1% to 1.0% [3]. This uncommon but severe complication is not well studied, but due to the different morphology of UKA, treatment protocols maybe different than the standard expected management of TKA infection.

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Article : Is there a place for MPFL reconstruction in a total knee arthroplasty? By Cécile Batailler, Elvire Servien, Sébastien Lustig

Patellofemoral instability (PFI) is one of the causes of failure after total knee arthroplasty (TKA). It can be the cause of most patellar complications, including anterior pain, abnormal wear or loosening of the patellar component, possibly even dislocation.

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Article : High tibial osteotomy vs. unicondylar arthroplasty: clearly not two for the same! By Peter Buschner(1), Christian Benignus(2), Malin Kristin Meier(3), Johannes Beckmann(1)

High tibial osteotomy (HTO) and the implantation of a medial unicondylar knee arthroplasty (UKA) are very popular in symptomatic medial knee arthropathy and provide reliably good results - assuming that the indication and application are appropriately correct. Medial knee joint osteoarthritis occurs more frequently than its lateral counterpart by a factor of 10.

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Article : The key steps for optimizing total knee arthroplasty By Christophe Jacquet, Maxime Fabre-Aubrespy, Matthieu Ollivier, Xavier Flecher, Jean-Noel Argenson

Since more than thirty years Total Knee Arthroplasty (TKA) has proven its efficacy to treat end stage of osteoarthritis (OA). There has been a continuum in optimizing step by step the success of the procedure based on patient’s indication, surgical technique, and quality of the material offered to the surgeon to restore patient knee function and relieve pain.

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Article : Successful treatment of active septic knee arthritis with severe chondrolysis or end stage OA with a two stage TKA concept By Siegfried Hofmann, Michael Eder-Halbedl, Oliver Djahani, Markus Hochegger, Martin Pietsch

Native septic knee arthritis (SA) is rare with an incidence of 10 per 100.000, but the knee is involved in 50% of the cases. Knee SA represents a constantly evolving surgical issue and diagnosis and therapy remains complex. SA might occur after surgery, posttraumatic or hematogenous spread.

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