Why personalized surgery is the future of hip and knee arthroplasty: a statement from the Personalized Arthroplasty Society

Although hip and knee joint replacements provide excellent clinical results, many patients still do not report the sensation and function of a natural joint. The perception that the joint is artificial may result from the anatomical modifications imposed by the surgical technique and the implant des...
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Autor*in:	Pascal-André Vendittoli [verfasserIn] Charles Riviere [verfasserIn] Michael T Hirschmann [verfasserIn] Stefano Bini [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2023

Schlagwörter:	hip knee arthroplasty personalized kinematic alignment outcome satisfaction forgotten joint

Übergeordnetes Werk:	In: EFORT Open Reviews - Bioscientifica, 2016, 8(2023), 12, Seite 874-882
Übergeordnetes Werk:	volume:8 ; year:2023 ; number:12 ; pages:874-882

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

Katalog-ID:	DOAJ099238047

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source	In EFORT Open Reviews 8(2023), 12, Seite 874-882 volume:8 year:2023 number:12 pages:874-882
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topic_facet	hip knee arthroplasty personalized kinematic alignment outcome satisfaction forgotten joint Orthopedic surgery
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callnumber-first	R - Medicine
author	Pascal-André Vendittoli
spellingShingle	Pascal-André Vendittoli misc RD701-811 misc hip misc knee misc arthroplasty misc personalized misc kinematic misc alignment misc outcome misc satisfaction misc forgotten joint misc Orthopedic surgery Why personalized surgery is the future of hip and knee arthroplasty: a statement from the Personalized Arthroplasty Society
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topic_title	RD701-811 Why personalized surgery is the future of hip and knee arthroplasty: a statement from the Personalized Arthroplasty Society hip knee arthroplasty personalized kinematic alignment outcome satisfaction forgotten joint
topic	misc RD701-811 misc hip misc knee misc arthroplasty misc personalized misc kinematic misc alignment misc outcome misc satisfaction misc forgotten joint misc Orthopedic surgery
topic_unstemmed	misc RD701-811 misc hip misc knee misc arthroplasty misc personalized misc kinematic misc alignment misc outcome misc satisfaction misc forgotten joint misc Orthopedic surgery
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title	Why personalized surgery is the future of hip and knee arthroplasty: a statement from the Personalized Arthroplasty Society
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title_sort	why personalized surgery is the future of hip and knee arthroplasty: a statement from the personalized arthroplasty society
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title_auth	Why personalized surgery is the future of hip and knee arthroplasty: a statement from the Personalized Arthroplasty Society
abstract	Although hip and knee joint replacements provide excellent clinical results, many patients still do not report the sensation and function of a natural joint. The perception that the joint is artificial may result from the anatomical modifications imposed by the surgical technique and the implant design. Moreover, the joint replacement material may not function similarly to human tissues. To restore native joint kinematics, function, and perception, three key elements play a role: (i) joint morphology (articular surface geometry, bony anatomy, etc.), (ii) lower limb anatomy (alignment, joint orientation), and (iii) soft tissue laxity/tension. To provide a ‘forgotten joint’ to most patients, it is becoming clear that personalizing joint replacement is the key solution. Performing a personalized joint replacement starts with patient selection and preoperative optimization, followed by using a surgical technique and implant design aimed at restoring the patient’s native anatomy, creating optimal implant-to-bone stress transfer, restoring the joint’s native articular range of motion without imposed limitations, macro- and micro-stability of the soft tissues, and a bearing whose wear resistance provides lifetime survivorship with unrestricted activities. In addition, the whole perioperative experience should follow enhanced recovery after surgery principles, favoring a rapid and complication-free recovery. As a new concept, some confusion may arise when applying these personalized surgery principles. Therefore, the Personalized Arthroplasty Society was created to help structure and accelerate the adoption of this paradigm change. This statement from the Society on personalized arthroplasty will serve as a reference that will evolve with time.
abstractGer	Although hip and knee joint replacements provide excellent clinical results, many patients still do not report the sensation and function of a natural joint. The perception that the joint is artificial may result from the anatomical modifications imposed by the surgical technique and the implant design. Moreover, the joint replacement material may not function similarly to human tissues. To restore native joint kinematics, function, and perception, three key elements play a role: (i) joint morphology (articular surface geometry, bony anatomy, etc.), (ii) lower limb anatomy (alignment, joint orientation), and (iii) soft tissue laxity/tension. To provide a ‘forgotten joint’ to most patients, it is becoming clear that personalizing joint replacement is the key solution. Performing a personalized joint replacement starts with patient selection and preoperative optimization, followed by using a surgical technique and implant design aimed at restoring the patient’s native anatomy, creating optimal implant-to-bone stress transfer, restoring the joint’s native articular range of motion without imposed limitations, macro- and micro-stability of the soft tissues, and a bearing whose wear resistance provides lifetime survivorship with unrestricted activities. In addition, the whole perioperative experience should follow enhanced recovery after surgery principles, favoring a rapid and complication-free recovery. As a new concept, some confusion may arise when applying these personalized surgery principles. Therefore, the Personalized Arthroplasty Society was created to help structure and accelerate the adoption of this paradigm change. This statement from the Society on personalized arthroplasty will serve as a reference that will evolve with time.
abstract_unstemmed	Although hip and knee joint replacements provide excellent clinical results, many patients still do not report the sensation and function of a natural joint. The perception that the joint is artificial may result from the anatomical modifications imposed by the surgical technique and the implant design. Moreover, the joint replacement material may not function similarly to human tissues. To restore native joint kinematics, function, and perception, three key elements play a role: (i) joint morphology (articular surface geometry, bony anatomy, etc.), (ii) lower limb anatomy (alignment, joint orientation), and (iii) soft tissue laxity/tension. To provide a ‘forgotten joint’ to most patients, it is becoming clear that personalizing joint replacement is the key solution. Performing a personalized joint replacement starts with patient selection and preoperative optimization, followed by using a surgical technique and implant design aimed at restoring the patient’s native anatomy, creating optimal implant-to-bone stress transfer, restoring the joint’s native articular range of motion without imposed limitations, macro- and micro-stability of the soft tissues, and a bearing whose wear resistance provides lifetime survivorship with unrestricted activities. In addition, the whole perioperative experience should follow enhanced recovery after surgery principles, favoring a rapid and complication-free recovery. As a new concept, some confusion may arise when applying these personalized surgery principles. Therefore, the Personalized Arthroplasty Society was created to help structure and accelerate the adoption of this paradigm change. This statement from the Society on personalized arthroplasty will serve as a reference that will evolve with time.
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title_short	Why personalized surgery is the future of hip and knee arthroplasty: a statement from the Personalized Arthroplasty Society
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Why personalized surgery is the future of hip and knee arthroplasty: a statement from the Personalized Arthroplasty Society

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