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Journals Hip International : the Journa...

Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy

https://read.qxmd.com/read/38916080/a-multicentre-prospective-assessment-of-the-utility-of-robotic-assisted-total-hip-arthroplasty-with-virtual-range-of-motion-on-intraoperative-implant-positioning
#1
JOURNAL ARTICLE
Scott M LaValva, Geoffrey H Westrich, Robert C Marchand, Ajay C Lall, Benjamin G Domb, Jonathan M Vigdorchik, Seth A Jerabek
BACKGROUND: The growing adoption of robotic-assistance during total hip arthroplasty (THA) has provided novel means through which a patient's anatomy and dynamic spinopelvic relationship can be incorporated into surgical planning. However, the impact of enhanced technologies on intraoperative decision-making and changes to component positioning has not yet been described. METHODS: A multicentre, prospective study included 105 patients (52% women) patients who underwent robotic-assisted THA with the integration of software that incorporates a patient's pelvic tilt (PT) and virtual range-of-motion (VROM) for impingement modeling...
June 25, 2024: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/38860688/treatment-strategy-and-clinical-outcomes-of-surgically-managed-hip-periprosthetic-fractures-analysis-from-a-high-volume-centre
#2
JOURNAL ARTICLE
Fabio Mancino, Ben Wall, Thomas A Bucher, Gareth H Prosser, Piers J Yates, Christopher W Jones
BACKGROUND: Hip periprosthetic fractures (PPF) after total hip arthroplasty (THA) are becoming increasingly prevalent. Their management is secondary to the fracture type and the stability of the implant. This study aimed to provide the outcomes of operatively managed PPF from a high-volume centre to help guide future decision making. METHODS: This was a retrospective study of prospectively collected data from January 2008 to January 2021. Patient demographics, implant specific details, and fixation strategy were collected...
June 11, 2024: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/38817115/emergency-department-closed-reduction-of-dislocated-thr-the-reddthr-prospective-multi-centre-study
#3
JOURNAL ARTICLE
Saima Waseem, Albert Ngu, Jason Patel
INTRODUCTION: Dislocation is a potentially devastating complication severely affecting outcomes post total hip arthroplasty (THR). We aimed to assess the efficacy and safety of closed reduction of a dislocated THR within the Emergency Department (ED). METHODS: A prospective multi-centre study was conducted over a 1-year period from November 2020 to December 2021 within 10 hospitals based in the East of England. Collected data included patient demographics, agent used for sedation, hospital length of stay, implant type and discharge destination...
May 31, 2024: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/38770922/early-surgery-within-48%C3%A2-hours-of-admission-for-hip-fracture-did-not-improve-1-year-mortality-in-japan-a-single-institution-cohort-study
#4
JOURNAL ARTICLE
Hiroki Iida, Yasuhiko Takegami, Yoshihito Sakai, Tsuyoshi Watanabe, Yusuke Osawa, Shiro Imagama
INTRODUCTION: Early surgery for hip fracture, within 48 hours of hospital admission, is effective in reducing mortality. However, the average preoperative waiting time for hip fractures in Japan is 4.5 days and the 1-year mortality rate after a hip fracture is 10% in Japan. This study aimed to investigate whether early surgery, within 48 hours, could reduce the 1-year mortality rate in patients with hip fractures in Japan. METHODS: This cohort study involved 402 consecutive patients with hip fractures who underwent surgical treatment between January 2013 and September 2019...
May 21, 2024: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/38767233/incidence-of-risk-factors-in-developmental-dysplasia-of-the-hip-a-retrospective-study-on-18-954-cases
#5
JOURNAL ARTICLE
Gaetano Caruso, Edoardo Gambuti, Elisa Spadoni, Sara Filipponi, Achille Saracco, Francesca Artioli, Ambra Galla, Leo Massari
BACKGROUND: DDH is 1 of the most important causes of childhood disability. A diagnosis of instability can be made in the neonatal period via the Ortolani and Barlow manoeuvres. However, clinical examination, although highly specific, has poor sensitivity as compared to ultrasound. There is controversy between the necessity of universal screening for dysplasia of all newborns or selective screening reserved for those with clinical signs of instability or known risk factors of DDH. AIM: To analyse the risk factors of congenital hip dysplasia in a consecutive case series of children referred for diagnosis and treatment of DDH...
May 20, 2024: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/38716792/extra-articular-hip-resection-with-maintenance-of-pelvic-continuity-in-malignant-tumours-of-the-proximal-femur-with-articular-invasion
#6
JOURNAL ARTICLE
Guillaume-Anthony Odri, Cédric Yatim, Diane Ji Yun Yoon, Pierre-Alban Bouche, Mathieu Severyns, Pascal Bizot
INTRODUCTION: Extra-articular hip resection may be necessary in cases of malignant tumour of the pelvic bone or of the proximal femur invading the hip joint. When the tumour is in the proximal femur, it is possible to resect the acetabulum en bloc by performing a periacetabular osteotomy, but this creates a discontinuity in the pelvic ring with difficult reconstruction and diminished function. Several techniques described recently seek to be as sparing as possible on the pelvic bone by preserving the posterior column or both columns in order to facilitate reconstruction and improve function...
May 8, 2024: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/38700947/are-current-rates-of-uncemented-fixation-in-total-hip-arthroplasty-supported-by-the-literature-an-update-on-the-uncemented-paradox
#7
REVIEW
Christopher M Scanlon, Anthony C Gemayel, Weston Buehring, James D Slover, Henrik Malchau
The optimal fixation method in total hip arthroplasty (THA) remains controversial. Initial concerns related to the long-term performance of cement fixation as well as cement disease led to the development of cementless implants, and registry data has indicated that the use of this type of fixation has increased in recent years. However, data from these same registries has not shown any improvement in outcomes when compared to cement fixation. On the contrary, while similar outcomes are seen when comparing these fixation types in younger patients (<70 years of age), cementless fixation has shown increased implant failure and revision rates in elderly patients (>70 years of age)...
May 3, 2024: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/38695378/spinopelvic-interactions-in-total-hip-arthroplasty-295-patients-followed-for-a-minimum-follow-up-of-10%C3%A2-years
#8
JOURNAL ARTICLE
Eduardo García-Rey, Laura Saldaña
BACKGROUND: Concurrent spinal pathology is frequent in patients undergoing total hip arthroplasty (THA). In this study we examined whether spinopelvic interactions affect THA outcomes at a minimum follow-up of 10 years. PATIENTS AND METHODS: 295 patients with a mean age of 63.3 (range 56‒80) years receiving a THA between 2006 and 2009 were assessed. Of these, 195 had mild lumbar disc degeneration and 100 had advanced lumbar spondylosis. We analysed the changes in the Harris Hip Score (HHS) and the survival rate for postoperative low back pain (LBP) and dislocation...
May 2, 2024: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/38654687/similar-incidence-of-postoperative-sciatic-nerve-palsy-in-direct-anterior-and-posterior-approach-total-hip-arthroplasty
#9
JOURNAL ARTICLE
Gloria S Coden, Aaron A Olsen, Lauren E Schoeller, Ruijia Niu, Erin R Pichiotino, David M Freccero, Eric L Smith
BACKGROUND: Sciatic nerve palsy is a rare but devastating complication following total hip arthroplasty (THA). While the use of the direct anterior approach is increasing, limited data exist regarding sciatic nerve palsy and surgical approach. The purpose of this study was to determine the factors and outcomes associated with sciatic nerve palsy (SNP) after THA. METHODS: A retrospective analysis was performed at a single institution of 7 SNP that occurred in 4045 THA via direct anterior approach and 10 SNP in 8854 THA via posterior approach, being operated between 01 January 2017 and 12 December 2021...
April 24, 2024: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/38619151/total-hip-arthroplasty-outcomes-in-ehlers-danlos-patients-data-from-the-statewide-planning-and-research-cooperative-system
#10
JOURNAL ARTICLE
Ittai Shichman, Vinaya Rajahraman, Utkarsh Anil, Charles C Lin, Joshua C Rozell, Ran Schwarzkopf
INTRODUCTION: Ehlers-Danlos syndromes (EDS) are genetic connective tissue disorders affecting multiple organ systems that frequently result in connective tissue hyperlaxity and early osteoarthritis. Short- and long-term outcomes after primary total hip arthroplasty (THA) in this patient population remain poorly characterised. The primary purpose of this study is to compare postoperative outcomes and survivorship after primary THA in patients with and without EDS. METHODS: The New York Statewide Planning and Research Cooperative System (SPARCS) database was queried for all patients undergoing primary elective THA between September 2009 and December 2020...
April 15, 2024: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/38372085/optimal-retractor-insertion-point-for-nerve-safety-during-total-hip-arthroplasty-an-anatomical-study-on-the-femoral-and-sciatic-nerves-in-relation-to-hip-motion
#11
JOURNAL ARTICLE
Masakazu Okamoto, Yoshinobu Uchihara, Kenichiro Saito, Yusuke Inagaki, Pasuk Mahakkanukrauh, Yasuhito Tanaka
BACKGROUND: Nerve injury is one of the most serious complications of total hip arthroplasty (THA). It is suspected to be a result from nerve compression or direct injury caused by an acetabular retractor. The anatomical relationship between the acetabular rim and the femoral and sciatic nerves, including hip motion, has not been investigated. This study aimed to identify the optimal position for retractor insertion during THA to prevent nerve damage. METHODS: A total of 28 hip joints from 14 freshly frozen cadavers were used...
July 2024: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/38572714/reliability-of-the-transverse-acetabular-ligament-as-a-landmark-for-functional-cup-anteversion-in-total-hip-arthroplasty
#12
JOURNAL ARTICLE
Shivan S Jassim, Tejasvi Bhatia, Jack R D McMahon, Jim W Pierrepont, Stephen J McMahon
BACKGROUND: The transverse acetabular ligament (TAL) can be a useful and reproducible landmark in the orientation of the acetabular cup in total hip arthroplasty (THA). Its role in guiding cup orientation when aiming to implant in a functional anteversion orientation is unclear. The aim of this study was to assess the relationship between the TAL and the planned acetabular cup anteversion when implanted in a function orientation. MATERIAL AND METHODS: In a retrospective study the anteversion of the TAL in the contralateral un-replaced hip was measured in CT scans of patients undergoing THA and compared to the functional cup anteversion using the patient-specific spinopelvic parameters...
April 4, 2024: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/38566302/patient-reported-outcome-differences-for-navigated-and-robot-assisted-total-hip-arthroplasty-frequently-do-not-achieve-clinically-important-differences-a-systematic-review
#13
JOURNAL ARTICLE
Kyle W Lawrence, Vinaya Rajahraman, Morteza Meftah, Joshua C Rozell, Ran Schwarzkopf, Armin Arshi
INTRODUCTION: Total hip arthroplasty (THA) using computer-assisted navigation (N-THA) and robot-assisted surgery (RA-THA) has been increasingly adopted to improve implant positioning and offset/leg-length restoration. Whether clinically meaningful differences in patient-reported outcomes (PROMs) compared to conventional THA (C-THA) are achieved with intraoperative technology has not been established. This systematic review aimed to assess whether published relative PROM improvements with technology use in THA achieved minimal clinically important differences (MCIDs)...
April 2, 2024: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/38566283/incidence-of-avascular-necrosis-of-native-femur-following-hip-transposition-surgery-for-periacetabular-malignancies-a-single-centre-experience
#14
JOURNAL ARTICLE
Neha Nischal, Vineet Kurisunkal, Lee Jeys, Mark Davies, Rajesh Botchu
BACKGROUND: Hip transposition surgery after surgical resection of large pelvic tumours is a well-established alternate to endoprosthetic reconstruction. The major goals of surgery are to ensure adequate resection margins with limb salvation, albeit with acceptable levels of morbidity. While surveillance is aimed at diagnosing local recurrence or distant metastasis primarily, other complications may occasionally be seen.The aim of this study was to assess incidence of avascular necrosis (AVN) in the preserved native femoral heads after hip transposition surgery for periacetabular malignancies, also known as hanging hip surgery...
April 2, 2024: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/38556811/low-revision-rate-throughout-the-adoption-of-the-direct-superior-approach-in-primary-total-hip-arthroplasty-an-analysis-based-on-1551-total-hip-arthroplasties-from-the-dutch-arthroplasty-register
#15
JOURNAL ARTICLE
Pelle Bos, Bart-Jan van Dooren, Rinne M Peters, Harmen B Ettema, Stefan B T Bolder, Frank P van den Berg, Nic J G M Veeger, B Willem Schreurs, Wierd P Zijlstra
BACKGROUND: Recently, surgeons introduced a minimally invasive modification on the classic posterolateral approach (PLA) in total hip arthroplasty (THA): the direct superior approach (DSA). We investigated the association between surgeon's experience and the risk of early revision of the DSA in primary THA, using data from the Dutch Arthroplasty Register (LROI). METHODS: We retrieved all primary THAs performed using the DSA in 4 hospitals between 2016 and 2022 ( n  = 1551)...
March 31, 2024: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/38529902/a-comparison-of-cemented-femoral-fixation-via-anterior-versus-posterior-approach-total-hip-arthroplasty-an-analysis-of-60-739-total-hip-arthroplasties
#16
JOURNAL ARTICLE
Wayne Hoskins, Sophie Corfield, Yi Peng, Stephen E Graves, Roger Bingham
BACKGROUND: Anterior approach total hip arthroplasty (THA) decreases the rate of dislocation but increases femoral-sided complications in the way of periprosthetic fractures and component loosening. A cemented prosthesis may reduce femoral-sided complications and improve the risk:benefit profile of anterior approach THA. METHODS: Data from the Australian National Joint Replacement Registry were analysed for patients undergoing primary THA via the anterior or posterior approach using a cemented polished femoral stem from January 2015 to December 2021...
March 26, 2024: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/38529883/long-term-follow-up-of-total-hip-arthroplasty-using-polyethylene-ceramic-composite-sandwich-liner
#17
JOURNAL ARTICLE
Daniel Rodríguez-Pérez, Thiago Carnaval, Marcos-Del-Carmen Rodríguez, Antonio Coscujuela-Maña, José-Luis Agulló, Sebastián Videla
INTRODUCTION: Ceramic-on-ceramic bearings have been widely used since their introduction in the 1970s. First-generation ceramics have very high fracture (breakage) rates. To overcome this, in the 1990s, modular cotyloid insert designs were developed, consisting of a ceramic and polyethylene composite (sandwich-type) liner; however, high implant fracture rates were observed in the medium term. We aimed to estimate the cumulative incidences of revision surgery (implant failure) and implant failure due to fractures, survival rates (time-to-revision surgery and time-to-fracture), and the long-term clinical and radiological outcomes in our series...
March 26, 2024: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/38481377/revision-rate-following-unipolar-versus-bipolar-hemiarthroplasty
#18
JOURNAL ARTICLE
David Kugelman, Joseph X Robin, Benjamin C Schaffler, Roy Davidovitch, Kenneth Egol, Ran Schwarzkopf
INTRODUCTION: There has been much debate on use of bipolar or unipolar femoral heads in hemiarthroplasty for the treatment of femoral neck fractures. The outcome of these implants should be studied in the America Joint Replacement Registry (AJRR). METHODS: All primary femoral neck fractures treated with hemiarthroplasty between January 2012 and June 2020 were searched in the AJRR. All cause-revision of unipolar and bipolar hemiarthroplasty and reasons for revision were assessed for these patients until June of 2023...
March 14, 2024: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/38469810/-stuck-in-the-middle-the-missing-lumbosacral-link-in-total-hip-arthroplasty
#19
JOURNAL ARTICLE
Christopher M Scanlon, Thomas Christensen, Thomas Bieganowski, Weston Buehring, Morteza Meftah, Matthew S Hepinstall
INTRODUCTION: Spinopelvic mobility drives functional acetabular position, influencing dislocation risk after total hip arthroplasty (THA). Patients have been described as "stuck sitting" or "stuck standing" based on pelvic tilt (PT). We hypothesised that some patients are "stuck in the middle," meaning their PT changes minimally from sitting to standing - increasing their risk of dislocation. METHODS: We reviewed 195 patients with standing and sitting whole body radiographs prior to THA...
March 12, 2024: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/38465609/which-factors-are-associated-with-a-successful-outcome-following-total-hip-arthroplasty-in-patients-with-early-radiographic-osteoarthritis
#20
JOURNAL ARTICLE
Martin Sharrock, Tim N Board
BACKGROUND: It is unclear which factors are associated with a successful total hip arthroplasty (THA) in patients with early radiographic osteoarthritis (OA). METHODS: 70 patients with early OA (Kellgren and Lawrence [KL] grades 0-2) who underwent THA were compared with 200 patients with advanced OA (KL grades 3-4). Outcomes were Oxford Hip Scores (OHS), EQ-5D and EQ-VAS scores; compared preoperatively with 1 year postoperatively. We investigated which clinical and radiographic (plain x-ray, CT, MRI) features predicted successful THA (postoperative OHS ⩾42)...
March 11, 2024: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
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