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Hip & Pelvis

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https://www.readbyqxmd.com/read/29564299/arthroscopic-management-of-intraarticular-screw-perforation-after-surgical-treatment-of-an-acetabular-posterior-wall-fracture-a-case-report
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
EDITORIAL
Jeehyoung Kim
No abstract text is available yet for this article.
March 2018: Hip & Pelvis
https://www.readbyqxmd.com/read/29250505/acute-isolated-tear-of-gluteus-medius-in-young-male
#11
Seung-Rim Yi, Jieun Kwon, Joon-Hee Cho
The hip rotator cuff tear usually develops in the middle-aged through gradual degenerative changes, similar to rotator cuff tears in the shoulder. An acute tear in the hip abductor by a traumatic event in young ages is very uncommon. The authors experienced an unusual case of an acute traumatic tear isolated to the gluteus medius in a young male; thus, we report the treatment results in this rare case with a review of the literature.
December 2017: Hip & Pelvis
https://www.readbyqxmd.com/read/29250504/acetabular-insufficiency-fracture-following-prolonged-alendronate-use-and-the-failure-of-total-hip-arthroplasty-in-frozen-bone-two-cases-report
#12
Sang-Joon Kwak, Yoon-Je Cho, Gwang-Young Jung, Joo-Hyun Lee, Young-Soo Chun, Kee-Hyung Rhyu
Atypical insufficiency fracture of the femur following prolonged bisphosphonate use is well described. Regardless of the cause, insufficiency fracture of the acetabulum is extremely rare, and no reports have described insufficiency fractures of the acetabulum that are associated with prolonged bisphosphonate use. This report demonstrates the possibility of insufficiency fracture at the acetabulum following long-term alendronate use and the necessity of particular care in managing insufficiency fractures in "frozen" bone...
December 2017: Hip & Pelvis
https://www.readbyqxmd.com/read/29250503/risk-factors-for-neck-shortening-in-patients-with-valgus-impacted-femoral-neck-fractures-treated-with-three-parallel-screws-is-bone-density-an-affecting-factor
#13
Yerl-Bo Sung, Eui-Yub Jung, Kyung-Il Kim, Soo-Yeon Kim
Purpose: The purpose of this study is to analyze the relationship between significant femoral neck shortening (SFNS) and bone density after three parallel screw fixation in valgus impacted femoral neck fracture, and to analyze the risk factors for SFNS. Materials and Methods: This is retrospective study of 83 patients. We performed univariate analysis for patient information, bone density, fracture configuration and screw position divided into SFNS group (n=13) and non-SFNS group (n=70) and performed multivariate analysis using logistic regression model...
December 2017: Hip & Pelvis
https://www.readbyqxmd.com/read/29250502/outcomes-of-cephalomedullary-nailing-in-basicervical-fracture
#14
Seok Hyun Kweon, Sung Hyun Lee, Seng Hwan Kook, Young Chae Choi
Purpose: A basicervical femoral fracture is defined as a fracture of base of neck of femur that occurs medially from intertrochanteric line above lesser trochanter. In this study, we intended to evaluate radiological and clinical results of basicervical femoral fractures treated by intramedullary nailing. Materials and Methods: Fifteen patients, who underwent intramedullary nailing among 50 patients, out of 50 who were diagnosed with basicervical femoral fractures from July 2012 to May 2015 were studied...
December 2017: Hip & Pelvis
https://www.readbyqxmd.com/read/29250501/fixation-of-trochanteric-fragments-in-cementless-bipolar-hemiarthroplasty-of-unstable-intertrochanteric-fracture-cerclage-wiring
#15
Young-Kyun Lee, Chan Ho Park, Kyung-Hoi Koo
Purpose: Bipolar hemiarthroplasty (HA) is an option for the treatment of unstable intertrochanteric fracture in elderly patients. There is a raising concern regarding cable-grip related complications for the fixation of trochanteric fragments. Therefore, the aim of this study was to evaluate outcome of cementless HA with fixation for the trochanteric fragments using monofilament wires in unstable intertrochanteric fracture. Materials and Methods: We reviewed 92 cementless bipolar HAs using a grit-blasted long stem design for unstable intertrochanteric fractures in 91 elderly patients with a mean age of 81...
December 2017: Hip & Pelvis
https://www.readbyqxmd.com/read/29250500/epidemiology-of-pelvic-ring-fractures-in-a-level-1-trauma-center-in-the-netherlands
#16
Erik Hermans, Jan Biert, Michael John Richard Edwards
Purpose: This study was conducted to study the epidemiology, classification, treatment and outcome of a large patient group with pelvic ring injury in a level 1 trauma center in the Netherlands. Materials and Methods: In the period of 2004 to 2014, we encountered 537 patients with a pelvic fracture. Many of them are due to a high energy trauma and therefore many concomitant injuries are observed. Tile A fractures were seen in 137 patients (25.5%), Tile B fractures in 211 (39...
December 2017: Hip & Pelvis
https://www.readbyqxmd.com/read/29250499/utility-of-radiographs-computed-tomography-and-three-dimensional-computed-tomography-pelvis-reconstruction-for-identification-of-acetabular-defects-in-residency-training
#17
Johannes F Plate, John S Shields, Maxwell K Langfitt, Michael P Bolognesi, Jason E Lang, Thorsten M Seyler
Purpose: The Paprosky classification system of acetabular defects is complex and its reliability has been questioned. The purpose of this study was to evaluate the effectiveness of different radiologic imaging modalities in classifying acetabular defects in revision total hip arthroplasty (THA) and their value of at different levels of training. Materials and Methods: Bone defects in 8 revision THAs were classified by 2 fellowship-trained adult reconstruction surgeons...
December 2017: Hip & Pelvis
https://www.readbyqxmd.com/read/29250498/perioperative-comparison-of-hip-arthroplasty-using-the-direct-anterior-approach-with-the-posterolateral-approach
#18
Sang Hong Lee, Sin Wook Kang, Suenghwan Jo
Purpose: The aim of the current study is to report the advantage and disadvantage of total hip arthroplasty performed in direct anterior approach (DAA) by comparing it to the posterolateral approach (PLA). Materials and Methods: Twenty-five hip arthroplasty done in DAA (12 total hip arthroplasty [THA] and 13 bipolar hemiarthroplasty [BHA]) were compared with the same number done in PLA (13 THA and 12 BHA). Intraoperative assessments including operation time, anesthetic time, bleeding amount were recorded with intraoperative complications...
December 2017: Hip & Pelvis
https://www.readbyqxmd.com/read/29250497/extensive-surgical-wound-lavage-reduces-the-incidence-and-severity-of-heterotopic-ossification-in-primary-total-hip-replacement-a-study-of-175-hip-replacements
#19
Avadhoot P Kantak, Nirav N Shah
Purpose: One of the local factors contributing to the formation of heterotopic ossification includes bone debris generated during the surgery. This risk can be partially nullified by use of saline wash. Our research aim was to ascertain if extensive intraoperative lavage can reduce the incidence and severity of heterotopic ossification in primary total hip arthroplasty. Materials and Methods: A retrospective case control radiological study of 145 patients (175 hip replacements)...
December 2017: Hip & Pelvis
https://www.readbyqxmd.com/read/29250496/primary-total-hip-arthroplasty-using-summit%C3%A2-stems-in-korean-minimum-four-year-follow-up
#20
Jae Sik Yoon, Joon Sun Kang, Kyoung Ho Moon
Purpose: The aim of this study was to assess the mid-term results of primary cementless total hip arthroplasty (THA) using Summit® stems. Materials and Methods: One hundred twenty-eight arthroplasties in 121 patients who were performed THA from December 2004 to March 2013, were reviewed retrospectively a minimum of 4 years follow-up (mean age, 60.3 years; mean postoperative follow up period, 86.3 months). For a clinical evaluation, the Harris hip score (HHS) was used to assess outcome...
December 2017: Hip & Pelvis
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