Research Papers

This systematic review evaluates the compelling evidence for using tranexamic acid (TXA) to reduce perioperative blood loss in patients undergoing High Tibial Osteotomy (HTO). By synthesising data from multiple clinical studies, the research provides a clear and powerful case for incorporating TXA into standard surgical practice to enhance recovery outcomes, mitigate complications, and reduce the […]

The 2022 European Society of Sports Traumatology, Knee Surgery, and Arthroscopy (ESSKA) consensus on anterior cruciate ligament (ACL) revision surgery in adults provides evidence-based recommendations to enhance diagnostic accuracy, preoperative planning, and surgical strategies for ACL revision procedures. This second part of the consensus focuses on surgical strategies.

Anterior cruciate ligament (ACL) injuries are a common and debilitating issue, particularly for athletes, necessitating a surgical approach that is both effective and minimally invasive. The quest to restore the native stability and function of the knee has led to the development of innovative techniques. This article presents a novel surgical procedure, known as the […]

Medial opening wedge high tibial osteotomy (MOW-HTO) is a widely used surgical procedure for correcting knee alignment in patients with medial compartment osteoarthritis. A key concern with this technique is the risk of lateral hinge fractures (LHF), a complication that can lead to a loss of correction and negatively affect long-term patient outcomes. A new […]

Closing wedge distal femoral osteotomy (CWDFO) is a key surgical procedure for correcting knee deformities and improving joint alignment. However, a significant challenge associated with this technique has traditionally been the high rate of hinge fractures, which can compromise the stability of the osteotomy and negatively impact patient recovery. A recent study, published in Knee […]

Anterior cruciate ligament (ACL) revision surgery, which addresses the failure of a previous ACL reconstruction, is a complex and increasingly common procedure. Unlike primary ACL reconstruction, revision surgery requires a more detailed approach due to factors like pre-existing bone tunnels, potential tunnel widening, and associated injuries that may have contributed to the initial failure. The […]

The study titled “Comparison of the Effect of MFAT and MFAT + PRP on Treatment of Hip Osteoarthritis: An Observational, Intention-to-Treat Study at One Year” evaluated the efficacy of intra-articular injections of micro-fragmented adipose tissue (MFAT) alone versus a combination of MFAT and platelet-rich plasma (PRP) in patients with hip osteoarthritis (OA). Methodology: Findings: Conclusion: […]

This research explores Knee Joint Distraction (KJD) as a viable, joint-preserving technique for younger patients suffering from advanced tibiofemoral osteoarthritis (OA). The methodology aims to temporarily unload the knee joint, fostering an environment for natural healing and cartilage repair. The ultimate goal is to delay the need for a more definitive surgical solution like Total […]

This report summarises a significant consensus statement from the UK Knee Osteotomy Consensus Group (KOG), a collection of leading surgeons and scientists. The group has produced 20 key recommendations to standardise the practice of osteotomy around the knee, with the goal of enhancing outcomes for patients. The guidelines cover a broad spectrum of the procedure, […]

The article “Role of High Tibial Osteotomy in Medial Compartment Osteoarthritis of the Knee: Indications, Surgical Technique and Outcomes” provides an in-depth analysis of high tibial osteotomy (HTO) as a treatment for medial knee osteoarthritis (OA), particularly in younger, active patients. HTO aims to correct varus malalignment, thereby redistributing mechanical loads away from the damaged […]

Opening-wedge high tibial osteotomy (OW-HTO) is an essential surgical procedure for treating varus knee osteoarthritis, particularly in younger and highly active patients. The primary goal is to shift the mechanical load from the damaged medial compartment of the knee to the healthier lateral compartment, thereby reducing pain and potentially delaying the need for a total […]

This study evaluates the effectiveness of microfragmented adipose tissue (MFAT) injections in improving the quality of life for patients with knee osteoarthritis (KOA), particularly those who are also candidates for total knee replacement (TKR). The findings suggest that MFAT injections can be a significant non-surgical alternative, providing a way to enhance patient well-being and delay […]

Knee osteoarthritis (KOA) is a leading cause of disability worldwide, with new treatments continually being explored to improve patient outcomes. Microfragmented adipose tissue (MFAT) injections have emerged as a promising, low-morbidity option for patients. A novel two-year observational study has provided a crucial insight into how this treatment affects patients differently based on their gender, […]

The article “Minimally Invasive High Tibial Osteotomy Using a Patient-Specific Cutting Guide” details a surgical technique aimed at treating varus knee osteoarthritis through a medial opening wedge high tibial osteotomy (OW-HTO). This approach utilizes a patient-specific cutting guide (PSCG) to enhance precision and minimize invasiveness. Preoperative Planning: Surgical Technique: Advantages: This method offers a refined […]

This systematic review and pooling data analysis provides a comprehensive examination of how medial opening wedge high tibial osteotomy (HTO) and medial unicompartmental knee arthroplasty (UKA) impact a patient’s physical activity levels after surgery. By synthesising and analysing data from a significant body of research, the study offers valuable insights into the recovery outcomes of […]

This research explores the crucial significance of the Joint Line Convergence Angle (JLCA) in the preoperative planning and postoperative outcomes of High Tibial Osteotomy (HTO). The review delves into how this measurement, which is a key indicator of intra-articular deformity, can be used to improve surgical precision and ultimately enhance surgical outcomes for patients with […]

This is a correction notice (erratum) for the article titled “Paediatric proximal ACL tears managed with direct ACL repair is safe, effective and has excellent short-term outcomes,” previously published in Knee Surgery, Sports Traumatology, Arthroscopy. The purpose of this erratum is to ensure accurate attribution for the study by providing the full, correct names of […]

In the realm of modern orthopaedics, a crucial shift is underway. While traditional metrics for surgical success, such as radiographic changes and range of motion, remain important, there is a growing emphasis on what truly matters to patients: their daily lives. Patient-centered outcomes, which focus on how a treatment impacts an individual’s pain, function, and […]