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

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https://www.readbyqxmd.com/read/30209970/dislocation-of-large-diameter-head-metal-on-metal-total-hip-arthroplasty-and-hip-resurfacing-arthroplasty
#1
Simo S A Miettinen, Tatu J Mäkinen, Inari Laaksonen, Keijo Mäkelä, Heini Huhtala, Jukka S Kettunen, Ville Remes
INTRODUCTION: Dislocation of large-diameter head (LDH) metal-on-metal (MoM) total hip arthroplasty (THA) or hip resurfacing arthroplasty (HRA) is a rare complication. This study aimed to determine the incidence and risk factors for dislocation of LDH MoM THAs and HRAs. METHODS: This retrospective analysis considered 4038 cementless LDH MoM THAs and HRAs, 3207 THAs in 2912 patients and 831 HRAs in 757 patients. The end of follow-up was revision due to dislocation...
September 13, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/30198332/changes-in-sexual-activity-of-male-patients-with-ankylosing-spondylitis-undergoing-total-hip-arthroplasty
#2
Jun Fu, Xiang Li, Kan Liu, Jiying Chen, Ming Ni, Baozhan Yu, Wei Chai, Libo Hao
INTRODUCTION: Sexual activity is often an important component of life. To date, no studies have examined sexual activity before and after total hip arthroplasty (THA) in male patients with ankylosing spondylitis (AS). The purpose of the current study was to evaluate the effect of THA on sexual activity and to explore the most commonly reported and comfortable coital position for male AS patients with hip involvement. METHODS: Data from 31 male AS patients who underwent THA for hip involvement were retrospectively reviewed...
September 10, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/30124085/hip-arthroplasty-in-haemophilia-a-systematic-review
#3
Ali Parsa, Mohammad Azizbaig Mohajer, Maryam Mirzaie
BACKGROUND: Rigorous haemostatic control and careful rehabilitation are essential for haemophilic patients undergoing total hip arthroplasty (THA). AIM: to examine the current literature regarding THA in patients with haemophilia in order to determine clinical outcomes and complication rates. METHODS: We included 11 case reports/series and 9 original articles. There was a total of 206 patients who underwent 226 THAs. FINDINGS: The number of patients enrolled in the selected articles varied from 1 in case reports to 34 in the original articles...
August 20, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/30124077/does-lumbar-arthrodesis-compromise-outcome-of-total-hip-arthroplasty
#4
George Grammatopoulos, Kam Dhaliwal, Rajib Pradhan, Simon J M Parker, Karen Lynch, Robert Marshall, Antonio Tony J Andrade
INTRODUCTION: This matched cohort study aims to determine whether the presence of a spinal arthrodesis (SA) compromises outcome of total hip arthroplasty (THA) and whether the outcome is better if THA is performed before- (THA-1st ) or after- SA (THA-2nd ). METHODS: This is a single centre, multi-surgeon, review of prospective data. Thirty-seven patients (47 hips) that had SA and 1° THA(s), formed the cases (26 THA-1st ; 21 THA-2nd ). Most cases had 1-level SA ( n  =  24)...
August 20, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/30062924/association-between-periacetabular-osteotomy-and-hip-dysplasia-among-relatives-a-cross-sectional-study
#5
Pernille O Simonsen, Jens M Hertz, Kjeld Søballe, Inger Mechlenburg
INTRODUCTION: Previous studies indicate a familial predisposition for developmental dysplasia of the hip (DDH), especially among first-degree relatives. This study investigated the association between unilateral or bilateral periacetabular osteotomy (PAO), family history of DDH and the degree of relationship with relatives with DDH. MATERIAL AND METHODS: This cross-sectional study consisted of 815 consecutive patients undergoing PAO from 1998 to 2016. Information regarding unilateral or bilateral PAO, gender and age at the time of surgery was obtained from the clinical PAO database at Aarhus University Hospital, Denmark...
July 31, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/30047291/do-osteoarthritic-subchondral-bone-cysts-spontaneously-consolidate-after-total-hip-replacement
#6
Christopher G Lenz, Patrick O Zingg, Claudio Dora
BACKGROUND: During total hip replacement (THR), subchondral acetabular bone cysts are either left alone or treated by filling with autologous bone graft. We hypothesized that subchondral cysts would consolidate spontaneously over time without compromising the midterm survival of the implant. METHODS: We retrospectively screened the anteroposterior hip radiographs of 731 consecutive patients who underwent primary THR between January 2006 and April 2009. Patients were included in the current study if they had acetabular subchondral bone cysts visible radiographically that had been left alone during THR...
July 26, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/30033777/gait-analysis-following-release-of-the-short-external-rotators-during-an-anterior-approach-for-total-hip-arthroplasty
#7
Stephen M Petis, Edward M Vasarhelyi, James L Howard, Brent A Lanting
BACKGROUND: Cadaveric and clinical studies suggest surgical release of the short external rotators is sometimes necessary to improve exposure during total hip arthroplasty (THA) using an anterior approach. The purpose of this study was to determine the impact of those surgical releases on gait following THA. METHODS: 15 patients undergoing THA using an anterior approach, anterior approach with surgical releases, or posterior approach underwent 3-D gait analysis preoperatively, and at 6 and 12 weeks postoperatively...
July 1, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/30009622/incidence-and-demographics-of-1751-surgically-treated-periprosthetic-femoral-fractures-around-a-primary-hip-prosthesis
#8
Georgios Chatziagorou, Hans Lindahl, Göran Garellick, Johan Kärrholm
INTRODUCTION: Periprosthetic femoral fractures (PPFF), treated surgically, have been recorded in the Swedish Hip Arthroplasty Register (SHAR) since 1979. It is postulated that fractures treated with other methods other than stem revision have a lower registration rate, which may lead to incomplete registry data and thus, inaccurate information. We collected all PPFFs surgically treated in Sweden between 2001 and 2011 with the purpose of studying the annual incidence, demographics and distribution of fracture types with regard to type of fixation...
July 1, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29987953/mid-term-outcome-after-arthroscopic-treatment-of-femoroacetabular-impingement-development-of-a-predictive-score
#9
Luca Pierannunzii, Paolo Di Benedetto, Christian Carulli, Gennaro Fiorentino, Daniele Munegato, Manlio Panascì, Domenico Potestio, Filippo Randelli, Federico Della Rocca, Valentina Rosolen, Manuela Giangreco, Nicola Santori
PURPOSE: To build a post-arthroscopy outcome-predictive score (POPS) associated with the likelihood of lasting benefit after arthroscopic treatment of femoroacetabular impingement (FAI) and based solely on unambiguous preoperative information. METHODS: A population of 220 FAI patients, operated on with standard techniques by orthopaedic surgeons trained in hip arthroscopy in 6 different centres, was evaluated physically or by telephone interview 2 to 5 years after surgery...
July 1, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29987949/establishing-thresholds-for-metal-ion-levels-in-patients-with-bilateral-articular-surface-replacement-hip-arthroplasty
#10
Gabrielle S Donahue, Vincent P Galea, Inari Laaksonen, James W Connelly, Orhun Muratoglu, Henrik Malchau
INTRODUCTION: The primary aim of the current study was to determine whether metal ion levels could identify well- from poorly-functioning implants in patients after undergoing bilateral Articular Surface Replacement (ASR) Hip System. The secondary aim was to establish threshold values for Co and Cr that could be used to predict clinical problems in these patients. MATERIALS AND METHODS: The study included 125 patients treated with bilateral ASR hip resurfacing (HRA) and 93 patients treated with bilateral ASR XL total hip arthroplasty (THA) at a mean follow-up of 7...
July 1, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/30039736/obtain-e-outcome-benefits-of-tranexamic-acid-in-hip-arthroplasty-with-enoxaparin-a-randomised-double-blinded-controlled-trial
#11
Andrew Fraval, Sam Duncan, Theresa Murray, Jeremy Duggan, Oren Tirosh, Phong Tran
BACKGROUND: We examined the blood conserving effect of tranexamic acid in total hip arthroplasty using the direct anterior approach with enoxaparin as deep vein thrombosis (DVT) chemoprophylaxis, and whether this translates to an effect on functional outcomes in the perioperative period. We also compare the effect of aspirin and enoxaparin as DVT chemoprophylactic agents. METHODS: We conducted a single-centre randomised, double-blinded, placebo-controlled trial...
June 1, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29998768/manufacturing-oxidation-mechanical-properties-and-clinical-performance-of-highly-cross-linked-polyethylene-in-total-hip-arthroplasty
#12
Gurpreet Singh, Robert Klassen, James Howard, Douglas Naudie, Matthew Teeter, Brent Lanting
Ultra-high molecular weight polyethylene (UHMWPE) continues to be the gold standard bearing surface in total hip arthroplasty (THA) for nearly 5 decades. Highly cross-linked UHMWPE (HXLPE) was adapted for routine use in the early 2000s to reduce the revision rates related to wear, osteolysis, and aseptic loosening resulting from conventional UHMWPE wear. Since its inception, consistent evidence showing reduced wear rates and osteolysis supports the use of HXLPE in THA. High quality studies demonstrating the advantage in long term survivorship of HXLPE over conventional UHMWPE are emerging...
June 1, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29974796/subchondral-drilling-for-chondral-flaps-reduces-the-risk-of-total-hip-arthroplasty-in-femoroacetabular-impingement-surgery-at-minimum-five-years-follow-up
#13
Pascal C Haefeli, Moritz Tannast, Martin Beck, Klaus A Siebenrock, Lorenz Büchler
INTRODUCTION: The best treatment of acetabular chondral flaps during surgery for femoroacetabular impingement (FAI) is unknown. We asked if subchondral drilling improves clinical and radiographic outcome and if there are factors predicting failure. METHODS: We treated 79 patients with symptomatic FAI and acetabular chondral flaps with surgical hip dislocation between January 2000 and December 2007. Exclusion of all patients with previous hip pathology or trauma resulted in 62 patients (80 hips)...
June 1, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29932009/prevalence-of-femoroacetabular-impingement-and-effect-of-training-frequency-on-aetiology-in-paediatric-football-players
#14
Gökhan Polat, Ufuk Arzu, Engin Dinç, Bülent Bayraktar
PURPOSE: The aim of this study was to determine the prevalence of asymptomatic radiographic findings of femoroacetabular impingement (FAI) in paediatric football players in different age groups and to investigate aetiological factors. METHODS: Paediatric male athletes between 10 and 17 years of age from 8 soccer teams were recruited. In addition to an annual control check-up, anteroposterior pelvis and frog-leg radiographs as well as the curriculum vitae of the athletes, their injuries, and real-time complaints were recorded...
June 1, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29932003/arthroscopic-removal-of-osteoid-osteoma-with-gamma-probe-assistance-in-the-hip-joint
#15
Klemen Stražar, Ivan Slodnjak, Oskar Zupanc, Matej Drobnič
AIM: The aim was to present the surgical technique and clinical outcome in a series of patients treated with gamma-probe-assisted arthroscopic removal of osteoid osteoma in the hip joint. METHODS: The case series consisted of 10 patients diagnosed with osteoid osteoma of the hip, who were treated by arthroscopic nidus removal. An endoscopic gamma probe was used intraoperatively to locate the nidus and to control the extent of its removal. Residual osteoma cavities were additionally treated with an arthroscopic radiofrequency ablator...
June 1, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29932001/locally-administered-bisphosphonate-in-hip-stem-revisions-using-the-bone-impaction-grafting-technique-a-randomised-placebo-controlled-study-with-dxa-and-five-year-rsa-follow-up
#16
Ola Belfrage, Magnus Tägil, Martin Sundberg, Uldis Kesteris, Gunnar Flivik
BACKGROUND: Bisphosphonates have previously been shown to increase the density of impacted graft bone. In the present study we hypothesise that bisphosphonates also reduce early stem subsidence. We examined the effect of locally applied bisphosphonate to allografts on prosthetic micromotion and bone density in femoral stem revision with impaction grafting. METHODS: 37 patients were randomised to either clodronate or saline as local adjunct to the morsellised allograft bone...
June 1, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29902932/external-snapping-hip-a-systematic-review-of-outcomes-following-surgical-intervention-external-snapping-hip-systematic-review
#17
Todd P Pierce, Jennifer Kurowicki, Kimona Issa, Antony Festa, Anthony J Scillia, Vincent K McInerney
PURPOSE: To evaluate the outcomes of surgical management for external snapping hip in terms of: (1) recurrence; (2) complications; and (3) return to pre-injury activities. METHODS: A thorough review of 4 electronic databases- EMBASE, CINAHL Plus, PubMed, and Scopus was performed to find all relevant studies for this review that were published between January 2000 and January 2017 that addressed surgical treatment for external snapping hip. The following reports were excluded: (1) non-English manuscripts; (2) n ⩽ 5; (3) clinical reviews; (4) surgical technique notes; (5) studies only analysing diagnosis; and (6) nonoperative management studies...
June 1, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29902926/a-report-of-3-cases-of-exeter-v40-stem-fracture-and-explanation-of-possible-causes
#18
Kanai Garala, Thomas Laios, Trevor Lawrence
BACKGROUND: The Exeter V40 Orthinox stem is one of the most commonly used femoral components in total hip arthroplasty. Its design, material and finish has evolved significantly from the original design established by Ling and Lee over 3 decades ago. An early problem reported with the original Exeter stem was a high rate of stem fractures. It was thought that with the new Orthinox steel used in the V40 system, the rate of stem fractures would reduce. There are reports of the Exeter V40 stem failing in a variety of locations...
June 1, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29890864/effect-of-periarticular-morphine-injection-for-total-hip-arthroplasty-a-randomised-double-blind-trial
#19
Kentaro Iwakiri, Yoichi Ohta, Yukihide Minoda, Akio Kobayashi, Hiroaki Nakamura
BACKGROUND: The periarticular multimodal cocktail injection is currently commonly used to treat postoperative pain after total hip arthroplasty (THA). Despite its analgesic effect, it is frequently reported to cause nausea and vomiting, which are adverse effects of opioids. This study aimed to assess the efficacy of morphine as a component of a multimodal cocktail injection for providing postoperative analgesia and alleviating swelling in patients who underwent THA. MATERIALS AND METHODS: This was a prospective, single-centre, randomised controlled trial involving 100 patients scheduled for unilateral THA...
June 1, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29890859/narcotic-use-and-total-hip-arthroplasty
#20
Surajudeen Bolarinwa, Aaron A Casp, Jourdan M Cancienne, Brian C Werner, James A Browne
BACKGROUND: The purpose of this study is to: (1) characterise risk factors for prolonged narcotic use following total hip arthroplasty (THA); (2) examine preoperative and prolonged postoperative narcotic use as independent risk factors for complications following THA. METHODS: A national database identified primary THA patients from 2007-2015. Preoperative (POU) and prolonged postoperative narcotics users (PPU) were identified. A multivariable logistic regression analysis was utilised to identify any patient-related risk factors for prolonged use, and examined POU and PPU as risk factors for complications following THA...
June 1, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
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