Cover Page The handle

(1)

Cover Page

The handle

http://hdl.handle.net/1887/86023

holds various files of this Leiden University

dissertation.

Author: Budhiparama, N.C.

Title: Total knee arthroplasty : the Asian perspective on patient outcome, implants and

complications

(2)

7

8.

9.

Stellingen behorend

bij

het

proefschrift

The

knee arthroplasty

The Asian perspective on

patient

outcome,

implants

and

complications

1.

Asian patients in Asia with the same type of total knee replacement design as North American patients had

a larger improvement of the postoperat¡ve range of motion of their knees despite a worse range of motion

preoperative. (thi s thesis)

2.

A

total

knee arthroplasty is based

on

sound biomechanical and kinematic princ¡ples. Nevertheless,

if

considering perception of pain, it rema¡ns a compromise to nature. (this thesis)

3.

lncreasing the range of tþe tibial and femoral components ¡n the anterior-posterior dimensions will ¡ncrease

the percentage of optimal fit for both Asian and Caucasian patients. (th¡s thesis)

4.

The surgeon's subjective surgical technique to position and place the ¡mplant remains important, despite

the

useof

roboticassisted placement. (thisthes¡s)

5.

Publishing randomised controlled prospective studies, based

on high quality

methodology

and not

"positive" results, is not only increasing quality, but also decreasing quant¡ty of published articles (Ne/issen RGHH,Thes¡s 1995)

6.

Registriesareanassetforpat¡entsandanallyforsurgeons(Nel¡ssenRGHH,Hael¡oOtthopoedicsTodayEutope,August 20t6],

Some surgeons may prefer to practice as they were trained, ignoring scientific data and experiences outside theircountfy. (Vethaar,J.(2018).Alwaysrcsutfoc¡ngthepotella¡nTKR¡snolongerareasonoblepract¡ce.Hael¡oOrthopaedicsTodoy

Eutope, March 20t8

Soft tissue balancing is of central importance to outcome follow¡ng total knee arthroplasty. The influence

of

bone resection

depth on

soft tissue balance, which is

of

primary importance

to

outcome

in

knee arthroplasty, is complex. (soppey-Mailn¡er E et at. (2018). Increosed valgus laxity ¡n flexion with greater tib¡ol tesect¡on depth following total knee arthroplasty. Knee Surg SpottsTroumatol Arthrosc. Do¡:t O.l0O7/sO0t6t-Ot B-4ggB-t.

The true source of pain cannot be explained by structural damage of the knee joint, it remains a matter

of

debate, (Van deWatet RB et al. (2otg). Preoperot¡ve rad¡ogtaph¡costeoofthr¡t¡s sevet¡ty mod¡fresthe effect ofpreoperat¡vepo¡n on pa¡n/

funct¡on aftertotal knee ofthtoplasty. J Bone Jo¡ntsutg Am lOtß79-BBn.

10. The"triangleofsteel"thatallowsusasorthopaedicsurgeonstoserveasidealpatientadvocatesembraces 3componentparts.Theseareknowledge,responsibilitrandethics. Ronawatcs(20rr).The¡dealpat¡entadvocote.J

Atthroplasty.(26)5:667

: 11. Each surgeon

will

need

to

decide at what point in the evolution of this emerging technology that

the

potential benefits

of

computer-assisted methods jusl¡fy

the

costs

and

potent¡al risks

in

an individual

pfactice. _{lgrryD!(200!).ComputeFass¡stedkneeafthroplasty¡sbetterthonaconvent¡onolj¡g-basedtechn¡que¡ntemsofcomponent}

alignment. J Bone Jo¡nt Surg Am.86(t t):2573

I 2. Education is like a double-edged sword. lt may be turned to dangerous uses if it is not properly handled.

(wu Ting-Fong, late 19h century ch¡nese D¡plomaù, lnnovation is like education where it con help or hurt us depending

on how it is used.

13. Sometimes when you innovate, you make mistakes.

lt

¡s best

to

admit them quickly, and get on w¡th

improving your other innovations. (Steve.lobs,The Journey is the Rewad (tsBB) by Jeffrey s. Young, tsBN tssgot37Bn. Never

dwell on your mistakes, use them as lessons in life.

14. Anyone who stops learning is old, whether at twenty or eighty. Anyone who keeps learning stays young. The greatest thing in life is to keep your mind you ng. (Henty Ford, t863 - ts47) Never stop leorning whìleyou con.

1 5. Mulat sar¡ra, angrasa

wani

Uavanese proverb) Look before you leop.

Mean¡no: Beforeone acts, one should ¡ntrospect, th¡nk cleoily ond act arefullyto ovo¡d disappo¡nt¡ng othets.