EFORT Open Reviews: In Focus... Arthroplasty Innovations

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Welcome to EFORT Open Reviews

We are pleased to present the latest edition of EFORT Open Reviews: In Focus… a series showcasing curated collections of recent articles exploring key topics in orthopaedics and traumatology.


This edition focuses on Arthroplasty Innovations – highlighting recent advances in hip and knee arthroplasty that are informing contemporary orthopaedic practice. This collection brings together expert reviews and emerging evidence to support clinical decision-making across both primary and revision arthroplasty.

Covering important developments such as:


• Implant survivorship and long-term outcomes

• Cemented and uncemented stem design

• Knee alignment strategies and personalised arthroplasty

• Revision classifications and management algorithms

• Surgical approaches and leg length restoration

And exploring advances including:


• Fourth-generation ceramic bearings
• Biomarkers for arthroplasty loosening
• Metal-on-metal hip resurfacing outcomes
• Arthroplasty in complex deformity cases


Together, these contributions provide evidence-based insights to support surgeons, researchers, and clinicians navigating the evolving landscape of contemporary arthroplasty practice.

The worldwide survival rate of total hip arthroplasties is improving: a systematic comparative analysis using worldwide hip arthroplasty registers


By Clemens Clar et al.

Femoral bone defect classifications in revision total hip arthroplasty: a comprehensive review and proposal of a new algorithm of management


By Mattia Loppini et al.

The cemented stem in hip arthroplasty – state of the art technique and recommendations


By Gregor Giebel et al.

Personalized total knee arthroplasty in patients with extra-articular deformities


By Gautier Beckers et al.

Outcomes of total hip arthroplasty using collared versus collarless uncemented HA-coated stems: a meta-analysis


By Tarik Ait-Si-Selmi et al. 

Metal-on-metal hip resurfacing arthroplasty: is it safe and reliable? A synopsis of the past, the present, and the future of HRA


By Feng Xie et al.

Standardizing definitions of the total knee alignment techniques: recommendations by the Personalized Arthroplasty Society


By The Scientific Committee from the Personalized Arthroplasty Society (PAS)

Leg length discrepancy after total hip arthroplasty performed by direct anterior approach: a systematic review comparing surgical approaches and strategies for prevention


By Leonardo Tassinari et al.

May the 4th be with you: mixed-methods best-evidence synthesis on 4th-generation alumina–zirconia ceramic bearings in total hip arthroplasty


By Carsten Perka et al.

Biomarkers to discriminate between aseptic loosened and stable total hip or knee arthroplasties: a systematic review


By Shaho Hasan et al.

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