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Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy | Page 2

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https://read.qxmd.com/read/30945555/risk-factors-for-femoral-stem-breakage-an-analysis-of-the-aoanjrr-results
#21
Mark S Rickman, Peter L Lewis, Daud Ts Chou, William Donnelly, Stephen E Graves, Michelle Lorimer
INTRODUCTION: Breakage of the femoral stem component of a total hip replacement is now uncommon but continues to be seen with certain stem designs and in certain patient groups. Data previously published on this topic has been limited, either gathered from a single surgeon or centre, or included only a single stem design. METHODS: We reviewed the data from the Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR), identified and analysed 143 stem breakages over a period of 16 years, covering 44 different stem designs...
April 4, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/30942093/non-arthroplasty-iliopsoas-impingement-in-athletes-a-narrative-literature-review
#22
Octavian Andronic, Naoki Nakano, Sachin Daivajna, Tim N Board, Vikas Khanduja
INTRODUCTION: Iliopsoas impingement occurs secondary to a tight iliopsoas tendon that causes impingement during movement. This review presents current aspects regarding the diagnosis of iliopsoas impingement and also exposes the readers to the possible anatomic and clinical variations together with the available treatment options. METHODS: We conducted a narrative literature review with regard to non-arthroplasty iliopsoas impingement. RESULTS: Iliopsoas impingement is characterised by a distinct pattern of labral pathology, with anteriorly localised labral damage, that does not extend to the anterosuperior portion of the acetabulum...
April 3, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/30938191/heart-transplant-secondary-to-cobalt-toxicity-after-hip-arthroplasty-revision
#23
Marta I Sanz Pérez, Alberto M Rico Villoras, Aurelio Moreno Velasco, Sergio Bartolomé García, Jesús Campo Loarte
INTRODUCTION: Cobalt toxicity in patients with hip arthroplasty is a rare complication, but it should be considered in those patients who, after a ceramic fracture, were implanted with a metal-on-polyethylene prosthesis. The complete removal of ceramic particles during revision surgery can be complicated. If the bearing surface is replaced with a metal-on-polyethylene prosthesis, these residual ceramic particles may wear down the chrome-cobalt head, producing localised metallosis. This can trigger blood metal ion levels to rise, causing systemic toxicity...
April 2, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/30938177/surgical-approaches-in-total-hip-arthroplasty-cost-per-case-analysis-a-retrospective-matched-micro-costing-analysis-in-a-socialised-healthcare-system
#24
Rajrishi Sharma, Irafan Abdulla, Lewis Fairgrieve-Park, Saboura Mahdavi, Brian Burkart, Jeffrey Bakal
BACKGROUND: Total hip arthroplasty (THA) offers an effective method of pain relief and restoration of function for patients with end-stage arthritis. The anterior approach (AA) claims to benefit patients with decreased pain, increased mobilisation and decreasing length of hospital stay (LOS). In a socialised healthcare platform we questioned whether the AA, compared to posterior (PA) and lateral (LA) approaches, can decrease the cost burden. METHODS: Using a retrospective matched cohort study, we matched 69 AA patients to 69 LA and 69 PA patients for age ( p = 0...
April 2, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/30924374/accuracy-of-leg-length-and-femoral-offset-restoration-after-total-hip-arthroplasty-with-the-utilisation-of-an-intraoperative-calibration-gauge
#25
Oliver Enke, Yadin D Levy, Warwick Jm Bruce
BACKGROUND: Offset and leg length (LL) restoration are critical for the achievement of a stable, well-functioning hip following total hip arthroplasty (THA). Several techniques are described in the literature, including a hip calibration gauge. We question whether meticulous preoperative planning of a specific surgical technique in combination with the utilisation of a calibration gauge can provide an accurate offset and LL restoration. METHODS: Retrospective review of 101 unilateral THAs via a posterior approach by a single surgeon...
March 29, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/30912466/foot-drop-following-primary-total-hip-arthroplasty
#26
Seamus O'Brien, Nicola Gallagher, David Spence, Damien Bennett, Janice Dennison, David E Beverland
INTRODUCTION: Foot drop is a potentially debilitating complication following injury to the sciatic nerve during primary total hip arthroplasty (THA). The aim of this study was to determine the incidence, risk factors and outcome of this complication within one large surgical practice. METHODS: We analysed the records of 10,624 primary THAs carried out between January 1993 and November 2017 using a posterior approach. All were under the care of the senior author...
March 26, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/30912458/three-year-results-of-a-polycarbonate-urethane-acetabular-bearing-in-total-hip-arthroplasty
#27
Stefan Lazic, Catherine Kellett, Irrum Afzal, Rajan Mohan, Vijay Killampalli, Richard E Field
BACKGROUND: Polycarbonate urethane (PCU) is a bearing surface with a lower modulus of elasticity than polyethylene or ceramic and is thought to more closely replicate the tribology of native hyaline cartilage. The purpose of this study was to determine the clinical outcomes with the use of PCU in elective total hip arthroplasty (THA). METHODS: We carried out a prospective observational study in which 157 patients underwent elective THA with a metal-on-PCU hip system...
March 26, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/30912455/development-and-validation-of-the-brabant-hip-fracture-score-for-30-day-and-1-year-mortality
#28
Cornelis Lp van de Ree, Taco Gosens, Alexander H van der Veen, Cees Jm Oosterbos, Martijn W Heymans, Mariska Ac de Jongh
BACKGROUND: Hip fractures in the elderly are associated with advanced comorbidities and high mortality rates. Mortality prediction models can support clinicians in tailoring treatment for medical decision making in frail elderly patients. The aim of this study was to develop and internally validate the Brabant Hip Fracture Score, for 30-day (BHFS-30) and 1-year mortality (BHFS-365) after hip fracture. MATERIAL AND METHODS: A cohort study was conducted in 2 hospitals on operatively treated patients of 65 years and older with a hip fracture...
March 26, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/30912452/total-hip-arthroplasty-after-acetabular-fracture-does-initial-treatment-make-any-difference-to-the-outcome-a-5-to-23-year-follow-up-with-clinical-and-radiological-analysis
#29
Eduardo García-Rey, Rossella Sirianni, Eduardo García-Cimbrelo, Laurent Sedel
PURPOSE: To determine if initial treatment affects the outcome of total hip arthroplasty (THA) after acetabular fracture. METHODS: 49 patients (49 hips) initially treated non-operatively followed some months later by THA in conjunction with acetabular reconstruction (Group 1) and 29 patients (29 hips) who had undergone THA after a previous osteosynthesis (Group 2) were assessed. The mean follow-up was 11.7 (range 5-23) years. RESULTS: 3 acetabular components were revised for aseptic loosening in Group 1 and 2 in Group 2...
March 26, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/30912450/evaluation-of-the-volume-value-relationship-in-hip-fracture-care-using-evidence-based-thresholds
#30
Sergio M Navarro, William C Frankel, Heather S Haeberle, Damien G Billow, Prem N Ramkumar
BACKGROUND: Studies have shown high-volume surgeons and hospitals deliver higher value care. The aims of this study were to establish meaningful thresholds defining high-volume surgeons and hospitals performing hip fracture surgery and to examine the relative market share of hip fracture cases using these surgeon and hospital strata. METHODS: We performed a retrospective cohort study in a database of 103,935 patients undergoing hip fracture repair. We generated stratum-specific likelihood ratio (SSLR) models of a receiver operating characteristic (ROC) curve using length of stay (LOS) and cost value metrics...
March 26, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/30909746/causes-of-in-hospital-mortality-after-hip-fractures-in-the-elderly
#31
Hannah Groff, Michael M Kheir, Jaiben George, Ibrahim Azboy, Carlos A Higuera, Javad Parvizi
OBJECTIVES: Although there are numerous studies reporting early mortality after hip fracture, the incidence and aetiology of in-hospital mortality following hip fractures is largely unknown. This study aimed to determine the causes and the incidence of in-hospital mortality in patients with a hip fracture who received surgical treatment. METHODS: This was a multi-institutional retrospective study identifying 2464 consecutive patients >65 years of age who were treated for a hip fracture from 2000 to 2016 at 2 institutions...
March 25, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/30887851/multivariate-analysis-of-risk-factors-for-re-dislocation-after-revision-for-dislocation-after-total-hip-arthroplasty
#32
Amir Herman, Bassam A Masri, Clive P Duncan, Nelson V Greidanus, Donald S Garbuz
BACKGROUND: The treatment for recurrent dislocation of a total hip arthroplasty is surgical using varied techniques and technologies to reduce the chances of re-dislocation and re-revision. The goal of this study is to compare operative techniques to reduce re-dislocation and re-revision in revision hip arthroplasty due to recurrent dislocations. METHODS: A retrospective study of revision hip arthroplasties done due to recurrent dislocation prior to 01 January 2014...
March 19, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/30887843/validation-of-the-super-simple-hip-score-combined-with-the-university-of-california-los-angeles-activity-scale-for-younger-patients
#33
Johan C N de Vlieger, Paulien M van Kampen, Hans-Erik Henkus, Loes W A H van Beers, Julius Wolkenfelt, Nienke Wolterbeek, Coen Jaspars, Tom Hogervorst
INTRODUCTION: Patient-reported outcome measures (PROMs) are used increasingly, but for young patients with hip complaints, traditional scoring systems have a ceiling effect that limits their usability. We developed and validated the Super Simple Hip (SUSHI) score, a PROM specifically targeted at younger patients with hip complaints. Although the SUSHI measured hip problems adequately, the responsiveness of its activity rating component was considered inadequate. Consequently, we replaced the activity rating component by the University of California, Los Angeles (UCLA) activity scale...
March 19, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/30854904/trochanteric-spurs-and-surface-irregularities-on-plain-radiography-are-not-predictive-of-greater-trochanteric-pain-syndrome
#34
Matthew C Barrett, Eve E Robertson-Waters, Michael R Whitehouse, Ashley W Blom, James R Berstock
PURPOSE: Surface irregularities of the greater trochanter have been described as a potential radiographic sign of greater trochanteric pain syndrome (GTPS). We report a diagnostic accuracy study to evaluate the clinical usefulness of trochanteric surface irregularities on plain radiographs in the diagnosis of GTPS. METHODS: We retrospectively identified the anteroposterior pelvic radiographs of a consecutive group of 38 patients (representing a 27.5% series prevalence) diagnosed with GTPS (mean age 69...
March 11, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/30838896/pseudotumours-cobalt-and-clinical-outcome-in-small-head-metal-on-metal-versus-conventional-metal-on-polyethylene-total-hip-arthroplasty
#35
Hugo C van der Veen, Inge Hf Reininga, Wierd P Zijlstra, Martijn F Boomsma, Sjoerd K Bulstra, Jos Jam van Raay
BACKGROUND: Metal-on-metal total hip arthroplasty (MoM THA) is associated with the formation of pseudotumours. Studies mainly concern pseudotumour formation in large head MoM THA. We performed a long-term follow-up study, comparing pseudotumour incidence in small head metal-on-metal (SHMoM) THA with conventional metal-on-polyethylene (MoP) THA. Predisposing factors to pseudotumour formation were assessed. METHODS: From a previous randomised controlled trial comparing SHMoM (28 mm) cemented THA with conventional MoP cemented THA, patients were screened using a standardised CT protocol for the presence of pseudotumours...
March 6, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/30834796/the-rising-use-of-total-hip-arthroplasty-for-femoral-neck-fractures-in-the-united-states
#36
Benjamin M Stronach, Patrick F Bergin, Jorge L Perez, Shawna Watson, LaRita C Jones, Gerald McGwin, Brent A Ponce
BACKGROUND: We examined the trends in the treatment of femoral neck fractures with arthroplasty in the United States from 2004-2013. METHODS: We used the National Inpatient Sample database in conjunction with codes from the International Classification of Diseases, Ninth Revision, to identify patients receiving hemiarthroplasty (HA) or total hip arthroplasty (THA) for the treatment of closed femoral neck fracture from 2004-2013. We evaluated the trend of these 2 treatments along with demographics, comorbidities, length of stay and same admission mortality...
March 5, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/30834795/effect-of-pelvic-tilt-and-rotation-on-cup-orientation-in-standing-anteroposterior-radiographs
#37
Ho Hyun Yun, William S Murphy, Daniel M Ward, Guoyan Zheng, Brett Hayden, Stephen B Murphy
BACKGROUND: Individual pelvic tilt and rotation have wide variability that can affect the measurement of cup orientation in anteroposterior (AP) radiographs. The purpose of this study was to analyse the effect of pelvic tilt and rotation on radiographic measurements of cup orientation. METHODS: A total of 53 patients (63 hips) were included in this study. The patients underwent a computed tomography study with standing AP pelvis radiographs taken both preoperatively and approximately 3 months postoperatively...
March 5, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/30821180/obesity-is-not-associated-with-hip-failure-in-patients-with-articular-surface-replacement-of-the-hip
#38
Gabrielle S Ray, Inari Laaksonen, Vincent P Galea, Rami Madanat, Orhun Muratoglu, Henrik Malchau
BACKGROUND: Our main aim was to investigate whether obese patients were at increased risk of elevated metal ion levels and/or adverse local tissue reaction (ALTR) after being treated with articular surface replacement (ASR) hip arthroplasty. METHODS: This study included 360 patients who underwent metal-on-metal (MoM) hip resurfacing (HRA) or total hip arthroplasty (THA). 95 patients (26%) were underweight/normal weight (BMI < 25 kg/m2 ), 139 (39%) were overweight (BMI 25-30 kg/m2 ), and 126 (36%) were obese (BMI ⩾ 30 kg/m2 )...
March 1, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/30821177/pre-fracture-medication-use-as-a-predictor-of-30-day-mortality-in-hip-fracture-patients-an-analysis-of-141-201-patients
#39
Christopher Jantzen, Christian M Madsen, Bo Abrahamsen, Susanne Van Der Mark, Benn R Duus, Jonathan Howland, Jes B Lauritzen, Henrik L Jørgensen
PURPOSE: To evaluate the predictive value of pre-fracture medication usage on 30-day mortality following a hip fracture. METHODS: Information on age, sex, fracture type, time of death and Charlson co-morbidity index (CCI) was collected from the Danish National Patient Registry on all patients above 60 years, sustaining a hip fracture during the period January 1995 to December 2013. Information on drug usage was obtained from the Danish National Prescription Database...
March 1, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/30799642/10-year-results-of-recap-hip-resurfacing-arthroplasty-a-non-designer-case-series
#40
Manish Kiran, Sunil Santhapuri, Sara Moeen, Irfan Merchant, Dan Arvinte, Manoj Sood
INTRODUCTION: We present the 10-year results of the ReCap Magnum HRA system in a consecutive single surgeon's series from a non-designer centre. PATIENTS AND METHODS: Hip resurfacing arthroplasty (HRA) was performed in active males under 65 years and in pre-menopausal females with adequate bone density proven by a DEXA scan. Clinical follow-up; annual Oxford hip scoring, UCLA scoring and whole blood metal ion level measurement. Kaplan-Meier method was used to determine survivorship with revision as the end point...
February 25, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
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