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Clinical Outcomes hip

Jacob A Haynes, Ao Xiong, Jeffrey J Nepple, Tonya An, Ryan M Nunley, John C Clohisy
Background: Failure of hip arthroscopy procedures and the need for subsequent total hip arthroplasty (THA) have been estimated to be as high as 16%. Prior literature has shown that failed ipsilateral knee arthroscopy may have a negative impact on the functional outcome of subsequent total knee arthroplasty. To date, there is limited information regarding the impact of failed hip arthroscopy on the clinical outcomes of subsequent primary THA. Purpose: To compare clinical outcomes in primary THA between patients with and without prior arthroscopic hip surgery...
March 2019: Orthopaedic Journal of Sports Medicine
William P Barrett, Shelly E Turner, Jeffrey A Murphy, Jana L Flener, Timothy B Alton
BACKGROUND: Interest in direct anterior approach (DAA) has increased over the last decade. In our previously published study comparing DAA to posterolateral approach (PA), early 3-month benefits were noted in terms of pain and function. There was no difference noted at 6 or 12 months. This study reports average 5-year follow-up of our original study. METHODS: Originally there were 43 DAA patients and 44 PA patients. At an average 5-year follow-up, patients were evaluated clinically with a University of California at Los Angeles activity score, Harris hip score, and Hip Disability and Osteoarthritis Outcome Score Jr Survivorship analysis was calculated...
February 16, 2019: Journal of Arthroplasty
Csaba Gombár, Hristifor Gálity, Miklós Bácsi, Krisztián Sisák
INTRODUCTION: Tranexamic acid (TXA) is widely used during elective joint replacement to reduce blood loss and decrease the transfusion requirement. AIM: This study assessed the efficacy of tranexamic acid in reducing minor bleeding complications following primary cemented total hip replacement, when rivaroxaban is used as thromboprophylaxis, the complicated wound healing effect of which has been published recently. METHOD: Consecutive patients undergoing hip replacement were studied...
March 2019: Orvosi Hetilap
Caitlin C Chambers, Emily J Monroe, Sergio E Flores, Kristina R Borak, Alan L Zhang
PURPOSE: To present the technique and outcomes of a limited periportal capsulotomy without capsular closure for arthroscopic treatment of femoroacetabular impingement (FAI). METHODS: Retrospective review of a prospectively collected database of patients undergoing primary hip arthroscopy for symptomatic FAI was performed to analyze patients who underwent periportal capsulotomy. Periportal capsulotomy was performed through dilation of the midanterior and anterolateral portals without completion of a full interportal capsulotomy, preserving the iliofemoral ligament...
March 11, 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
Junqiao Chen, David Chun, Milesh Patel, Epson Chiang, Jesse James
BACKGROUND: Clinical data synthesis aims at generating realistic data for healthcare research, system implementation and training. It protects patient confidentiality, deepens our understanding of the complexity in healthcare, and is a promising tool for situations where real world data is difficult to obtain or unnecessary. However, its validity has not been fully examined, and no previous study has validated it from the perspective of healthcare quality, a critical aspect of a healthcare system...
March 14, 2019: BMC Medical Informatics and Decision Making
Gillian Puckeridge, Morne Terblanche, Marianne Wallis, Yoke Lin Fung
BACKGROUND: Anaemia in hip fracture patients has been associated with increased risk of allogenic blood transfusion (ABT), poorer functional outcomes and increased mortality. Few studies have reported the prevalence of anaemia on admission or its progression prior to surgery in this cohort. We aimed to measure the prevalence of anaemia on admission in older persons who sustain a hip fracture, identify if anaemia develops or progresses prior to surgery, and to report associations with outcome...
March 12, 2019: BMC Geriatrics
Minmin Chen, Yanhua Zhang, Yanping Du, Wei Hong, Wenjing Tang, Huilin Li, Songbai Zheng, Qun Cheng
In this study, we attempted to determine the epidemiology and clinical characteristics of hip fracture in the elderly. We find that elderly people with hip fracture have multiple comorbidities and suffer numerous complications. INTRODUCTION: We attempted to explore the epidemiology and clinical characteristics of hip fracture in the elderly. METHODS: One thousand five hundred thirty-nine patients aged over 65 years were included in the retrospective study. From the medical records, information was gathered about pre-fracture conditions, as well as fracture type, surgical details, laboratory indicators, postoperative complications, length of stay, outcomes, and costs of hospitalization...
March 12, 2019: Archives of Osteoporosis
HeatherB Hunt, AshleyM Torres, PabloM Palomino, Eric Marty, Rehan Saiyed, Matthew Cohn, Jonathan Jo, Stephen Warner, GrazynaE Sroga, KarenB King, JosephM Lane, Deepak Vashishth, ChristopherJ Hernandez, Eve Donnelly
People with type 2 diabetes mellitus (T2DM) have normal to high bone mineral densities, but, counterintuitively, have greater fracture risks than people without T2DM, even after accounting for potential confounders like BMI and falls. Therefore, T2DM may alter aspects of bone quality, including material properties or microarchitecture, that increase fragility independently of bone mass. Our objective was to elucidate the factors that influence fragility in T2DM by comparing the material properties, microarchitecture, and mechanical performance of cancellous bone in a clinical population of men with and without T2DM...
March 13, 2019: Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research
Adela Chirita-Emandi, Diana Munteanu, Nicoleta Andreescu, Paul Tutac, Corina Paul, Iulian Puiu Velea, Agneta Maria Pusztai, Victoria Hlistun, Chiril Boiciuc, Victoria Sacara, Lorina Vudu, Natalia Usurelu, Maria Puiu
Background Previous genome-wide association studies (GWAS) identified IGF1, IRS1, GCKR, PPARG, GCK1 and KCTD1 as candidate genes for insulin resistance and type 2 diabetes (T2D). We investigated the associations of these previously reported common variants in these genes with insulin resistance in overweight children from Romania and Moldova. Methods Six single nucleotide polymorphisms (SNPs), IGF1 (rs35767), IRS1 (rs2943634), GCKR (rs780094), PPARG (rs1801282), GCK1 (rs1799884) and KCTD15 (rs29941), were genotyped in 100 overweight children along with clinical and metabolic parameters...
January 28, 2019: Journal of Pediatric Endocrinology & Metabolism: JPEM
Akos Zahar, Ianiv Klaber, Anne-Marie Gerken, Thorsten Gehrke, Matthias Gebauer, Christian Lausmann, Mustafa Citak
BACKGROUND: Although 2-stage revision is still considered the gold standard for surgical management of periprosthetic joint infection (PJI), 1-stage revision has been reported to be as effective. Long-term reports for 1-stage revision in hip PJIs are lacking. METHODS: We reviewed our 10-11 years of results of 85 patients who underwent 1-stage exchange of the hip with an antibiotic-loaded bone cemented prosthesis due to PJI to determine the following: (1) What is the infection-free survival? (2) What is the overall survival? and (3) What are the long-term clinical outcomes? All 1-stage revision total hip arthroplasties (THAs) for infection between January 2006 and December 2007, with a minimum 10-year follow-up (range 10-11), were included in this retrospective cohort...
February 20, 2019: Journal of Arthroplasty
Bedri Karaismailoglu, Fahri Erdogan, Gokhan Kaynak
BACKGROUND: Long-term favorable clinical outcomes of anatomical or high hip center techniques in total hip arthroplasty (THA) are reported in patients with developmental dysplasia of the hip (DDH). However, there is little information about the effect of the hip center location on gait characteristics. The purpose of this study was to compare these surgical techniques with gait analysis, analyze the effect of the hip rotation center location on gait parameters, and discuss the possible problems that may arise...
February 18, 2019: Journal of Arthroplasty
Gift C Ukwuani, Brian R Waterman, Benedict U Nwachukwu, Edward C Beck, Kyule N Kunze, Joshua D Harris, Shane J Nho
PURPOSE: To investigate the rate of return to dance and factors influencing this primary outcome after hip arthroscopy for the treatment of femoroacetabular impingement syndrome. METHODS: A consecutive series of self-identified dancers with femoroacetabular impingement syndrome was included. To assess for the impact of hypermobility on outcomes, patients were classified as having either generalized joint laxity (GJL) or no GJL based on the Beighton-Horan Joint Mobility Index...
March 8, 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
Frederick Sieber, Karin J Neufeld, Allan Gottschalk, George E Bigelow, Esther S Oh, Paul B Rosenberg, Simon C Mears, Kerry J Stewart, Jean-Pierre P Ouanes, Mahmood Jaberi, Erik A Hasenboehler, Nae-Yuh Wang
BACKGROUND: The Strategy to Reduce the Incidence of Postoperative Delirium in the Elderly trial tested the hypothesis that limiting sedation during spinal anaesthesia decreases in-hospital postoperative delirium after hip fracture repair. This manuscript reports the secondary outcomes of this trial, including mortality and function. METHODS: Two hundred patients (≥65 yr) undergoing hip fracture repair with spinal anaesthesia were randomised to heavier [modified Observer's Assessment of Alertness/Sedation score (OAA/S) 0-2] or lighter (OAA/S 3-5) sedation, and were assessed for postoperative delirium...
April 2019: British Journal of Anaesthesia
Jia-Qi Wu, Lin-Bo Mao, Jian Wu
BACKGROUND: The objective of this meta-analysis was aimed to illustrate the functional outcomes of exercise for total hip arthroplasty (THA) patients. METHODS: In July, 2018, a systematic computer-based search was conducted in PubMed, EMBASE, Web of Science, Cochrane Database of Systematic Reviews, and Google database. Data on exercise for functional outcomes for THA patients were retrieved. The primary endpoint was walking speed. Other outcomes included physical activity scale, Harris hip score, pain scores, abduction strength, and the length of hospital stay...
March 2019: Medicine (Baltimore)
Maciej Guziński, Konrad Kubicki, Łukasz Waszczuk, Monika Morawska-Kochman, Andrzej Kochman, Marek Sąsiadek
PURPOSE: The aim of the study was to assess potential endoprosthesis loosening in patients after revision total hip arthroplasty, based on monochromatic dual-energy computed tomography (DECT) images obtained with and without metal artifact reduction software (MARS) and comparison with the clinical examination and hip function. MATERIALS AND METHODS: Twenty-five consecutive patients underwent DECT examinations. Two monochromatic data sets were generated: with MARS (75-keV MARS) and without MARS (140-keV non-MARS) and evaluated for signs of loosening, using a dedicated radiological score...
February 27, 2019: Journal of Computer Assisted Tomography
Jayaramaraju Dheenadhayalan, M Avinash, Azhar Lakhani, S Rajasekaran
PURPOSE: Fibrous dysplasia (FD) of the proximal femur can result in severe deformity and disability. The results of surgical management in such situations have been reported to be poor. We present a novel, five-step surgical treatment to correct proximal femoral deformity in FD. MATERIAL AND METHODS: This study is a review of prospectively collected data of cases of proximal femur polyostotic FD managed at our institute from 2012 onward. We managed three patients with FD involving four femora (one patient had bilateral disease)...
January 2019: Journal of Orthopaedic Surgery
Shaoguang Li, Jianzheng Zhang, Huayong Zheng, Xiaowei Wang, Zhi Liu, Tiangsheng Sun
BACKGROUND: Hip fracture is a significant health risk for older adults and malnutrition indicates hip fracture risk. METHODS: We evaluated whether nutrition status could predict clinical outcomes and mortality after hip fracture surgery in older adults. MEDLINE, Cochrane, EMBASE, and Google Scholar databases were searched for studies published until July 1, 2018, in patients with serum albumin or total lymphocyte count (TLC) at admission, nutritional status by Mini Nutritional Assessment (MNA), and in-hospital follow-up...
February 11, 2019: Journal of Arthroplasty
B Horsak, C Schwab, A Baca, S Greber-Platzer, A Kreissl, S Nehrer, M Keilani, R Crevenna, A Kranzl, B Wondrasch
BACKGROUND: Research highlights the detrimental effects of obesity on gait biomechanics and the accompanied risk of lower-extremity skeletal malalignments, increased joint stress, pain and discomfort. Individuals with obesity typically show increased knee valgus angles combined with an increased step width. Accompanying muscular dysfunctions impede their ability to compensate for these alterations, especially in the frontal plane. To date, no studies are available, which evaluated the potential effects of an exercise program (EP) in reducing these unfavorable biomechanical changes...
February 27, 2019: Gait & Posture
M-A Malahias, M M Alexiades
While preservation and repair of the acetabular labrum are increasingly being recognized as important goals in hip arthroscopy, controversies still exist regarding the clinical outcome of arthroscopic acetabuloplasty with chondrolabral preservation. A systematic review was conducted and implemented by two independent reviewers, who used the MEDLINE/PubMed database and the Cochrane Database of Systematic Reviews for their search. These databases were queried with the terms "arthroscopic acetabuloplasty" and "chondrolabral preservation" and "arthroscopic acetabular recession...
March 8, 2019: Musculoskeletal Surgery
Hong Ah Kim, Ju-Yeun Lee, So Hyun Park, JiEun Kang, Kyung Suk Choi, Sandy Jeong Rhie
PURPOSE: We aimed to evaluate the efficacy and safety of rivaroxaban in thromboprophylaxis compared with those of aspirin in real-world patients who underwent hip arthroplasty using nationwide claims data. METHODS: Patients aged more than or equal to 18 years with at least one hip arthroplasty including total and partial hip replacements and hip replacement revisions during July 2009 to June 2013 were identified from the Health Insurance Review and Assessment (HIRA) database...
March 7, 2019: Pharmacoepidemiology and Drug Safety
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