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Hip & Pelvis

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https://www.readbyqxmd.com/read/29896464/failure-of-a-rotation-control-gamma-3-lag-screw-used-to-treat-a-trochanteric-fracture
#1
Kyungho Choi, Yongtae Kim, Shicheng Zhou, Jihyo Hwang
Gamma 3 rotation control lag screws (U-blade) are particularly useful when treating rotational and unstable fractures of the proximal femur. A 93-year-old woman who underwent closed reduction of a trochanteric fracture and internal fixation with a Gamma 3 nail rotation control lag screw. The patient presented with metal failure and U-blade bending following a fall occurring 4 weeks after surgery. Here, we present a case report summarizing removal of the failed lag screw.
June 2018: Hip & Pelvis
https://www.readbyqxmd.com/read/29896463/femoral-nerve-palsy-due-to-noninfectious-iliopsoas-bursitis-and-hematoma-after-total-hip-arthroplasty-a-case-report
#2
Jae-Seong Seo, Jae-Woo Youm, Sang-Min Kim
Femoral nerve palsy after total hip arthroplasty is an uncommon complication. We present a case report of delayed-onset femoral nerve palsy associated with iliopsoas hematoma and bursitis 10 years after primary total hip arthroplasty in a 57-year-old male patient with avascular necrosis of the femoral head. The patient visited our clinic due to swelling of the inguinal area with sudden-onset knee extension weakness. Radiologic examination at admission revealed suspicion of bursitis and hematoma on iliopsoas muscle...
June 2018: Hip & Pelvis
https://www.readbyqxmd.com/read/29896462/subchondral-bone-restoration-of-supra-acetabular-brown-tumor-secondary-to-parathyroid-carcinoma-a-case-report
#3
Yong-Jin Park, Taek-Rim Yoon, Kyung-Soon Park, Jee-Wook Ko
The causes of osteolytic lesions found in radiological examinations are not quite certain. Therefore, to determine the appropriate treatment method, various approaches and analyzes are required to find the real cause. Hyperparathyroidism is one of the diseases which forms osteolytic bone lesions so-called brown tumor. A 55-year-old woman who had painful osteolytic bone lesions in both hip joint areas was diagnosed as parathyroid carcinoma after serial work-up. She underwent parathyroidectomy and follow-up imaging showed a decrease in brown tumor size and bone consolidation in the subchondral bone destruction area...
June 2018: Hip & Pelvis
https://www.readbyqxmd.com/read/29896461/sequential-bilateral-rapid-destructive-inflammatory-coxarthrosis-in-a-patient-with-human-immunodeficiency-virus
#4
Hyeon Jun Kim, Sung Soo Kim, Su Jin Kim, Kyung Ho Lee
The diagnostic criteria for sequential rapidly destructive coxarthrosis remain unclear and this condition is rarely reported in patients with human immunodeficiency virus (HIV). Here, we report a case of an HIV-infected 73-year old female who experienced hip joint destruction. The patient was diagnosed with HIV in 2012 (at age 68 years) and began continuous treatment with nucleoside reverse transcriptase and protease inhibitors. Twenty-nine months after her HIV diagnosis, the patient experienced osteonecrosis of the right hip and underwent a total hip arthroplasty (THA)...
June 2018: Hip & Pelvis
https://www.readbyqxmd.com/read/29896460/an-uncommon-case-of-bilateral-pathologic-hip-fractures-antiviral-drug-induced-osteomalacia-in-a-patient-with-hepatitis-b
#5
Nam Hoon Moon, Won Chul Shin, Min Uk Do, Hyung Joon Cho, Kuen Tak Suh
The long-term use of adefovir and tenofovir-antiviral medications commonly used to treat chronic hepatitis B-can be associated with proximal renal tubular dysfunction resulting in significant hypophosphatemic osteomalacia. However, there have been few reports about pathological fractures requiring surgical stabilization in cases of antiviral drug-induced hypophosphatemic osteomalacia. We present the case of a 51-year-old man who sustained bilateral pathological hip fractures associated with antiviral drug-induced hypophosphatemic osteomalacia...
June 2018: Hip & Pelvis
https://www.readbyqxmd.com/read/29896459/one-year-survival-rates-and-functional-recovery-in-veterans-who-suffer-from-hip-fractures-evaluation-of-commissioned-hospitals-system-through-comparison-between-veterans-hospitals-and-commissioned-hospitals
#6
Hong Man Cho, Jae Woong Seo, Hyun Ju Lee
Purpose: This study was performed to compare the: i) 1-year survival rate of patients with hip fractures, ii) factors affecting mortality in patients with hip fractures, and iii) results of functional recovery at commissioned hospitals (CH) and veterans hospitals (VH) to characterize the quality of care provided in the Korean commissioned hospital system. Materials and Methods: The study population consisted of 183 veteran patients (84 and 99 treated at a single VH and 39 CH, respectively) who underwent hip fracture surgery between January 2010 and February 2015...
June 2018: Hip & Pelvis
https://www.readbyqxmd.com/read/29896458/effectiveness-of-hip-arthroscopy-performed-simultaneously-before-open-reduction-and-internal-fixation-for-acetabular-fracture-and-fracture-dislocation-of-the-hip
#7
Hyeon Jun Kim, Sung Soo Kim, Young Hun Jung, Kyung Ho Lee
Purpose: This study is performed to evaluate the usefulness of arthroscopic surgery prior to open reduction and fixation surgery to treat acetabular fractures and hip fractures-dislocation. Materials and Methods: From January 2010 to March 2014, a total of 54 patients with acetabular fractures or hip fractures with dislocation were treated arthroscopically via fracture surface before open reduction and fixation (group 1, n=11), and without hip arthroscopy prior to open reduction and fixation (group 2; n=43)...
June 2018: Hip & Pelvis
https://www.readbyqxmd.com/read/29896457/ankylosing-neurogenic-myositis-ossificans-of-the-hip-a-case-series-and-review-of-literature
#8
Byung-Ho Yoon, In Keun Park, Yerl-Bo Sung
Purpose: Neurogenic myositis ossificans (NMO) in patients with traumatic spinal cord or brain injuries can cause severe joint ankylosis or compromise neurovascularture. The purpose of this study was to evaluate the clinical and radiological outcomes of and review considerations relevant to surgical resection of NMO of the hip joint. Materials and Methods: Six patients (9 hips) underwent periarticular NMO resection between 2015 and 2017. The medical records of these patients were retrospectively reviewed...
June 2018: Hip & Pelvis
https://www.readbyqxmd.com/read/29896456/treatment-of-periprosthetic-femoral-fractures-following-hip-arthroplasty
#9
Joong-Myung Lee, Tae-Sup Kim, Tae-Ho Kim
Purpose: This study was performed to assess potential improvements in clinical outcomes when applying recent advanced hip arthroplasty surgical techniques and understand the potential relationship between bone mineral density (BMD) and surgical outcomes. Materials and Methods: Among 37 cases of periprosthetic femoral fractures after hip arthroplasty treated between March 2014 and September 2016, all included a follow-up of at least one year and were included in this study...
June 2018: Hip & Pelvis
https://www.readbyqxmd.com/read/29896455/acetabular-cup-revision-arthroplasty-using-morselized-impaction-allograft
#10
REVIEW
Joong-Myung Lee, Tae-Ho Kim
The rate of acetabular cup revision arthroplasty is gradually rising along with an increased risk of osteolysis and prosthesis loosening over time and an increase in life expectancy. The goals of revision total hip arthroplasty are: i) implant stability through reconstruction of large bone defects, ii) restoration of range of motion and biomechanics of the hip joint, and iii) normalization of uneven limb lengths. In acetabular cup revision arthroplasty, stable fixation of acetabular components is difficult in the presence of severe bone loss (e...
June 2018: Hip & Pelvis
https://www.readbyqxmd.com/read/29564299/arthroscopic-management-of-intraarticular-screw-perforation-after-surgical-treatment-of-an-acetabular-posterior-wall-fracture-a-case-report
#11
Jae Hoon Jang, Nam Hoon Moon, Ki Young Park
Although surgical techniques for treating acetabular fracture are evolving, the use of periacetabular screws is common, and their placement in acetabular surgery is still technically demanding. For instance, intraarticular screw perforation is a serious complication that may occur during surgical treatment of an acetabular fracture. Here, we describe the case of a 50-year-old female who experienced an intraarticular screw perforation after surgical treatment of a posterior acetabular wall fracture. Removal of the perforated screw was performed arthroscopically based on its ability to offer minimally invasive access to the hip joint...
March 2018: Hip & Pelvis
https://www.readbyqxmd.com/read/29564298/pauwels-osteotomy-for-femoral-neck-nonunion-in-two-adult-siblings-with-osteogenesis-imperfecta
#12
Peter Kloen, Johanna C E Donders, E Marelise W Eekhoff, Reggie C Hamdy
This is a retrospective review of two adult siblings with osteogenesis imperfecta (OI) type III (according to Sillence classification), who sustained a spontaneous femoral neck fracture and subsequent nonunion. The diagnosis of OI in these two patients was made based on clinical, radiological and genetic findings. The fracture was most likely caused by femoroacetabular impingement secondary to OI induced acetabular protrusio. A valgus osteotomy according to Pauwels'principles and fixation of the osteotomy and nonunion with a locking plate resulted in healing despite compromised bone quality and limited bone stock...
March 2018: Hip & Pelvis
https://www.readbyqxmd.com/read/29564297/treatment-of-proximal-femur-osteomyelitis-occurred-after-proximal-femoral-nail-antirotation-fixation-with-antibiotic-cement-coated-tibia-intramedullary-nail-a-case-report
#13
Jong Ho Noh, Sung Jun Koh, Kee Haeng Lee
Antibiotic cement-coated intramedullary nails maintain a locally high antibiotic concentration while contributing to bone stability. We present a case of femoral subtrochanteric fracture in a patient with an infected nonunion who was successfully treated for an infection and nonunion using an antibiotic cement-coated tibial intramedullary nail. A 79-year-old woman with a right femoral subtrochanteric fracture underwent internal fixation using proximal femoral nail antirotation (PFNA). She developed osteomyelitis with nonunion at the surgical site 10 months postoperatively...
March 2018: Hip & Pelvis
https://www.readbyqxmd.com/read/29564296/intrawound-vancomycin-powder-in-primary-total-hip-arthroplasty-increases-rate-of-sterile-wound-complications
#14
Brian L Dial, Alexander J Lampley, Cynthia L Green, Rhett Hallows
Purpose: Total hip arthroplasty (THA) is a successful surgery for the treatment of hip osteoarthritis; however, the risk of a post-operative prosthetic joint infection (PJI) remains at 1% to 2%. The purpose of this study was to investigate the safety profile of using vancomycin powder (VP) to reduce infection rates by reviewing acute postoperative complications. Materials and Methods: A retrospective review of 265 consecutive patients undergoing THA was performed...
March 2018: Hip & Pelvis
https://www.readbyqxmd.com/read/29564295/effectiveness-of-endoscopic-sciatic-nerve-decompression-for-the-treatment-of-deep-gluteal-syndrome
#15
Dong Hun Ham, Woo Chull Chung, Dae Ung Jung
Purpose: The purpose of this retrospective study was to evaluate clinical outcomes of endoscopic nerve decompression in patients with deep gluteal syndromes (DGS). Materials and Methods: Between October 2013 and March 2015, 24 patients who underwent surgical treatment of DGS were retrospectively included in this study. The mean age was 47 years (range, 35 to 76 years), and there were 11 males and 13 females. The mean duration of pain was 12 months (range, 5 to 35 months) and the mean follow-up period was 32 months (range, 26 to 45 months)...
March 2018: Hip & Pelvis
https://www.readbyqxmd.com/read/29564294/medium-to-long-term-results-of-strut-allografts-treating-periprosthetic-bone-defects
#16
Jun Sung Park, Kyoung Ho Moon
Purpose: We evaluated the medium- to long-term outcomes of cortical strut allografts used to treat periprosthetic bone defects to better understand the correlation between radiological and clinical outcomes. Materials and Methods: We retrospectively reviewed outcomes from 19 patients undergoing cortical strut allografts to treat periproshtetic bone defects from 2001 to 2015. The mean age at index operation was 59.4 years and the average follow-up period was 8.6 years...
March 2018: Hip & Pelvis
https://www.readbyqxmd.com/read/29564293/total-hip-arthroplasty-using-ceramic-on-ceramic-bearing-surfaces-long-term-assessment-of-squeaking-sounds
#17
Min Wook Kim, Sang Min Kim, Young Yool Chung
Purpose: This study was performed to characterize the natural history of squeaking sounds that occur following total hip arthroplasty (THA) using ceramic-on-ceramic bearing surfaces and its potential correlation with clinical and/or radiological results. Materials and Methods: This study included 47 patients who underwent THA between April 1999 and April 2005, and had at least 10 years of follow up from the time of the operation. Squeaking sounds were detected in 10 out of the 47 cases (21...
March 2018: Hip & Pelvis
https://www.readbyqxmd.com/read/29564292/short-term-outcomes-of-ceramic-coated-metal-on-metal-large-head-in-total-hip-replacement-arthroplasty
#18
Weon-Yoo Kim, Myung-Sup Ko, Se-Won Lee, Kwang-Sub Kim
Purpose: This study characterizes the short-term outcomes of ceramic coated metal-on-metal (MoM) large head total hip arthroplasty (THA) in prospectively selected patients aged 70 to 75 years. Materials and Methods: Eighteen patients (18 hips) between the ages of 70 and 75-years old with THA using ceramic-coated MoM large heads between June 2014 and December 2014 were evaluated. We prospectively selected patients younger than 70 years for bipolar hemiarthroplasty and older than 75 years for conventional THA...
March 2018: Hip & Pelvis
https://www.readbyqxmd.com/read/29564291/prevalence-of-cam-deformity-with-associated-femoroacetabular-impingement-syndrome-in-hip-joint-computed-tomography-of-asymptomatic-adults
#19
Jun Han, Seok-Hyung Won, Jung-Taek Kim, Myung-Hoon Hahn, Ye-Yeon Won
Purpose: Femoroacetabular impingement (FAI) is considered an important cause of early degenerative arthritis development. Although three-dimensional (3D) imaging such as computed tomography (CT) and magnetic resonance imaging are considered precise imaging modalities for 3D morphology of FAI, they are associated with several limitations when used in out-patient clinics. The paucity of FAI morphologic data in Koreans makes it difficult to select the most effective radiographical method when screening for general orthopedic problems...
March 2018: Hip & Pelvis
https://www.readbyqxmd.com/read/29564290/how-to-increase-your-power
#20
EDITORIAL
Jeehyoung Kim
No abstract text is available yet for this article.
March 2018: Hip & Pelvis
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