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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/31204506/surgical-hip-dislocation-with-femoral-osteotomy-and-bone-grafting-prevents-head-collapse-in-hips-with-advanced-necrosis
#21
Simon D Steppacher, Raphael Sedlmayer, Moritz Tannast, Florian Schmaranzer, Klaus A Siebenrock
QUESTIONS: Does surgical hip dislocation with drilling or bone grafting, cartilage treatment and femoral osteotomy in avascular necrosis of the femoral head (AVN) result in: (1) progression of osteonecrosis or osteoarthritis; (2) pain relief and improved function; and (3) subsequent surgery and complications? METHODS: We retrospectively reviewed 12 patients (13 hips, mean age 29 ± 9 years) undergoing surgical hip dislocation for AVN. Preoperative ARCO stages were: 1 hip ARCO II, 8 hips ARCO III early, 4 hips ARCO III late...
June 17, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/31185746/titanium-cage-reconstruction-of-acetabular-defects-in-revision-hip-arthroplasty-results-in-favourable-outcomes-up-to-17-years-follow-up
#22
İbrahim Akel, Ömür Cağlar, A Mazhar Tokgözoğlu, Bülent Atilla
INTRODUCTION: Titanium cages are valuable implant solutions in management of severe acetabular defects during total hip revisions. We aimed to report clinical and radiological results of our cases in which we used titanium cages for reconstruction of acetabular defects. METHODS: Patients who underwent titanium cage reconstruction and bone grafting for their acetabular defects with minimum 2-year follow-up are included to the study. Analysis of patient records, modified Hospital for Special Surgery (HSS) hip score and radiological examinations (plain X-rays) were evaluated...
June 11, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/31177851/functional-acetabular-retroversion-syndrome-description-of-a-specific-sub-type-of-fai-and-results-of-treatment-with-minimally-invasive-pao
#23
Michael C Wyatt, Christian Smith, Ali Zavareh, Dominik Pfluger, Marcus Jk Bankes
INTRODUCTION: Acetabular retroversion syndrome is associated with pincer-type femoroacetabular impingement (FAI) and results, theoretically, from an externally rotated hemipelvis. The purpose of this study was to examine our surgical experience and the clinical results of functional acetabular retroversion syndrome treated with minimally-invasive periacetabular osteotomy (PAO). METHODS: We performed a retrospective cohort study of prospectively collected data in consecutive patients who had an anteverting PAO from 01 November 2010 to 31 December 2015...
June 9, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/31177842/undersizing-the-exeter-stem-in-hip-hemiarthroplasty-increases-the-risk-of-periprosthetic-fracture
#24
Lars Korsnes, Andreas Gottvall, Christian Buttazzoni, Michael Mints
INTRODUCTION: Whether under- or oversizing of the femoral component of cemented hip hemiarthroplasties impacts the risk of periprosthetic fractures (PPF) has only been examined experimentally. This study was carried out to add more knowledge about the risks of PPF in cemented polished tapered hemiarthroplasties. METHODS: 20 patients with PPF following hip hemiarthroplasty with cemented Exeter V40 stems were compared to 50 controls who never suffered PPF having received the same type of Exeter hemiprosthesis for the same indication...
June 9, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/31167582/effect-of-alcohol-consumption-on-patient-reported-outcomes-in-hip-arthroscopy-a-matched-controlled-study-with-minimum-2-year-follow-up
#25
Ajay C Lall, Erwin Secretov, Muriel R Battaglia, David R Maldonado, Itay Perets, Benjamin G Domb
INTRODUCTION: There is a paucity of literature examining the effects of alcohol consumption on patient-reported outcomes (PROs) after hip arthroscopy. The purpose of this study was to report 2-year outcomes of hip arthroscopy in patients who consume alcohol compared to patients who abstain. METHODS: Registry data were prospectively collected and retrospectively reviewed to identify heavy drinkers at the time of primary hip arthroscopy. Patients were matched 1:1 (heavy drinkers:non-drinkers) based on age, sex, BMI, acetabular Outerbridge grade, and capsular treatment...
June 5, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/31122074/pain-intensity-in-total-hip-arthroplasty-patients-how-communication-influences-satisfaction
#26
Nequesha S Mohamed, Iciar M Dávila Castrodad, Chukwuweike U Gwam, Jennifer I Etcheson, Alexandra N Passarello, Nicole E George, Ashwin K Mahajan, Ronald E Delanois
INTRODUCTION: An important global measure of health care quality is patient satisfaction. Patient satisfaction partially determines hospital reimbursement for procedures such as total hip arthroplasty (THA). Press Ganey (PG) survey responses assess patient satisfaction, and impact reimbursement. Current efforts to maximise repayment for THA include reducing postoperative pain. The "Pain Management" survey domain is considered a significant factor in patient ratings, but other studies have highlighted staff communication domains as determinants of satisfaction...
May 23, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/31109191/correlation-between-the-distance-from-the-pubic-symphysis-to-the-sacrum-with-pelvic-incidence
#27
Matthew V Abola, Derrick M Knapik, Daniel R Cooperman, Raymond W Liu
INTRODUCTION: The distance between the pubic symphysis and sacrococcygeal joint has been noted as an important parameter in evaluating pelvic tilt in an anteroposterior (AP) radiograph. Similarly, pelvic incidence measures the sagittal balance of the pelvis and is influenced by pelvic rotation. The relationship between these 2 parameters is unknown and could affect interpretation of pelvic AP radiographs. METHODS: We reconstructed 248 cadaveric pelvises. Pelvic incidence was measured using a previously validated method...
May 20, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/31109180/anatomic-study-on-the-blood-supply-to-the-femoral-head-following-hip-resurfacing-using-the-posterior-approach
#28
Mohammed Alsheri, Kamal Bali, Pamela Railton, Dragana Ponjevic, John Matyas, James Powell
OBJECTIVES: The aim of this study was to investigate femoral head perfusion following cadaveric hip resurfacing using the posterior approach. METHODS: This cadaveric study involved injecting Higgins India ink into the common iliac arteries and evaluating the distribution of ink in the resurfaced heads using the modified Spalteholz technique. The study consisted of 2 parts. The 1st part involved utilisation of 22 cadaveric hips for establishing the injection and histological technique...
May 20, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/31096789/impact-of-intraoperative-femoral-fractures-in-primary-hip-arthroplasty-a-comparative-study-with-a-mid-term-follow-up
#29
Thomas Ferbert, Ayham Jaber, Nathan Gress, Gerhard Schmidmaier, Tobias Gotterbarm, Christian Merle
BACKGROUND: Intraoperative femoral fractures (IFF) during primary total hip arthroplasty (THA) pose a major clinical challenge, and data on mid-term implant performance, functional outcome and patient satisfaction is limited. METHODS: 50 patients who sustained IFFs during primary THA were retrospectively reviewed. A control group of patients who received a primary THA without complications was matched according to gender, age, body mass index and indication for THA...
May 17, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/31084219/variation-in-femoral-anteversion-in-patients-requiring-total-hip-replacement
#30
Jim W Pierrepont, Ed Marel, Jonathan V Baré, Leonard R Walter, Catherine Z Stambouzou, Michael I Solomon, Stephen McMahon, Andrew J Shimmin
BACKGROUND: Optimal implant alignment is important for total hip replacement (THR) longevity. Femoral stem anteversion is influenced by the native femoral anteversion. Knowing a patient's femoral morphology is therefore important when planning optimal THR alignment. We investigated variation in femoral anteversion across a patient population requiring THR. METHODS: Preoperatively, native femoral neck anteversion was measured from 3-dimensional CT reconstructions in 1215 patients...
May 13, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/31081380/early-femoral-component-migration-comparing-the-anterior-and-posterior-approach-to-the-hip
#31
Kathryn Culliton, Hakim Louati, Enrique Sandoval, Wade Gofton, Alexandre Pagé, Georges Gharib, Paul E Beaulé
PURPOSE: Early femoral component migration is a useful indicator for identifying implants at risk of failure due to aseptic loosening. The goal of this retrospective study was to identify if anterior approach (AA) treated hips are at a higher risk of failure due to aseptic loosening caused by early migration compared to hips operated on using the traditional posterior approach (PA). METHODS: A total of 388 hips were included in this study, 139 AA and 249 PA treated hips...
May 12, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/31074310/capsular-closure-outweighs-head-size-in-preventing-dislocation-following-revision-total-hip-arthroplasty
#32
Christopher Pedneault, Dylan Tanzer, Anas Nooh, Karen Smith, Michael Tanzer
INTRODUCTION: The high dislocation rate following revision total hip arthroplasty (THA) has been shown to be significantly reduced by closing the posterior capsule and by the use of large diameter femoral heads. The relative importance of each of these strategies on the rate of dislocation remains unknown. We undertook a study to determine if increasing femoral head diameter, in addition to posterior capsular closure would influence the dislocation rate following revision THA. METHODS: We retrospectively reviewed 144 patients who underwent a revision THA...
May 10, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/31020851/new-drug-new-problem-do-hip-fracture-patients-taking-noacs-experience-delayed-surgery-longer-hospital-stay-or-poorer-outcomes
#33
George Jm Hourston, Michael P Barrett, Wasim S Khan, Madhavi Vindlacheruvu, Stephen M McDonnell
INTRODUCTION: Neck of femur fractures are common in the comorbid, often anticoagulated, elderly. Non-vitamin K antagonist oral anticoagulants (NOACs) may affect patient outcomes. We aimed to evaluate whether hip fracture patients admitted on warfarin or NOAC therapy were at risk of operative delay, prolonged length of stay, or increased mortality. METHODS: We collected data for 845 patients admitted to our centre between October 2014 and December 2016. Multivariable linear regression analysis was performed to test the association between warfarin and NOAC therapy on time to surgery and length of stay...
April 25, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/30963802/a-review-of-the-evolution-of-robotic-assisted-total-hip-arthroplasty
#34
Padmanabhan Subramanian, Tom W Wainwright, Shayan Bahadori, Robert G Middleton
INTRODUCTION: Total hip arthroplasty (THA) is currently a very successful operation but continues to evolve as we try to perfect techniques and improve outcomes for our patients. Robotic hip surgery (RHS) began with the 'active' ROBODOC system in the 1980s. There were drawbacks associated with the original ROBODOC and most recently, the MAKO robot was introduced with early promising results. AIM: The aim of this paper is to provide an up-to-date review surrounding this area and discuss the pros and cons of this technique...
May 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/31010329/an-excellent-5-year-survival-rate-despite-a-high-incidence-of-distal-femoral-cortical-hypertrophy-in-a-short-hip-stem
#35
Caroline Thalmann, Tamara Horn Lang, Heinz Bereiter, Martin Clauss, Yves P Acklin, Karl Stoffel
BACKGROUND: Although reported results on short stems sound very promising, the occurrence of distal femoral cortical hypertrophy is often observed. The aim of the present study was to report 5-year survival data of a commercially available trochanter sparing short stem and investigate the clinical impact of distal femoral cortical hypertrophy on the outcome. METHODS: 123 total hip arthroplasties were performed on 120 patients from April 2008 to May 2010 (mean age 62, range 29-89 years; 71 hips from male patients, 58%)...
April 22, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/31007060/noise-levels-during-total-hip-arthroplasty-the-silent-health-hazard
#36
Nael Hawi, Sulaiman Alazzawi, Alfred Schmitz, Thomas Kreibich, Thorsten Gehrke, Daniel Kendoff, Carl Haasper
BACKGROUND: While there is an enormous amount of data on various surgical aspects of total hip arthroplasty (THA), there is only limited literature on the health hazards incurred by the surgical team. Since THA surgery produces noise, exposure over a long period of time may lead to gradual hearing loss which is known as noise-induced hearing loss. METHODS: We investigated the noise levels during THA and compared it with the maximum allowed limits at the workplace in the United Kingdom...
April 21, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/31006274/direct-superior-approach-with-standard-instrumentation-for-total-hip-arthroplasty-safety-and-efficacy-in-a-prospective-200-case-series
#37
Eleftherios Tsiridis, Eustathios Kenanidis, Michael Potoupnis, Fares E Sayegh
INTRODUCTION: Direct Superior Approach (DSA) is a muscle sparing approach for total hip arthroplasty (THA) implemented using special instrumentation. There is a lack of information in the literature concerning DSA with standard instrumentation. MATERIALS AND METHODS: 238 patients were recruited for primary THA by a single surgeon from January 2016 until May 2017. 209 patients underwent THA through DSA approach with non-offset acetabular reamers and femoral broaches...
April 21, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/31006272/hip-arthroscopy-extra-articular-procedures
#38
Itay Perets, Danil Rybalko, Brian H Mu, Adi Friedman, David R Morgenstern, Benjamin G Domb
Hip preservation is one of the fastest growing fields in orthopaedics and indications of intra-articular procedures are well established. In the last decade, extra-articular procedures have gained momentum and arthroscopic solutions to peri-articular hip pathologies have been offered. It should be noted that many of these pathologies are well-treated conservatively and only those who fail conservative management should be treated operatively. These indications can be divided into 5 categories: greater trochanteric pain syndrome; internal hip snapping; anterior inferior iliac spine/sub-spine impingement; sciatic nerve entrapment; and proximal hamstring injuries...
April 21, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/31006263/the-delta-of-correction-a-novel-more-reliable-variable-than-limb-length-discrepancy-at-predicting-outcome-after-total-hip-arthroplasty
#39
Nicolas Reina, Jonathan Hourtal, Christopher G Salib, Gauthier Gracia, Etienne Cavaignac, Philippe Chiron
BACKGROUND: Leg-length discrepancy (LLD) is a frequent and recurring issue after total hip arthroplasty (THA). It can lead to discomfort and litigation due to the patient's perception of this inequality. PURPOSE: The aim of this study was to evaluate the functional impact of postoperative LLD and length correction in patients after primary THA. We hypothesised that clinical outcomes are inversely correlated to length correction and residual discrepancy. METHODS: In a prospective cohort, we included 121 patients undergoing unilateral primary THA...
April 21, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://read.qxmd.com/read/31006262/no-effect-of-femoral-canal-jet-lavage-on-the-stability-of-cementless-stems-in-primary-hip-arthroplasty-a-randomised-rsa-study-with-6-years-follow-up
#40
Vasileios Zampelis, Gunnar Flivik, Uldis Kesteris
INTRODUCTION: In contrast to cemented hip prostheses, the effect of washing the bone bed with jet-lavage prior to insertion of cementless stem components in primary hip arthroplasty (THA) is unclear. Jet-lavage potentially decreases the risk of fat embolisation during rasping and stem insertion and might help in avoiding bacterial contamination. An earlier animal study has shown less debris and better-organised trabecular structure of new bone when jet-lavage was used. We hypothesised that the primary stability of cementless femoral stems implanted after jet-lavage of the femoral canal prior to stem insertion would improve with earlier stabilisation, as measured with Radiostereometry (RSA), compared with insertion without prior jet-lavage...
April 21, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
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