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Hip precautions

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https://www.readbyqxmd.com/read/29204490/lumbar-chance-fracture-after-direct-anterior-total-hip-arthroplasty
#1
Michael Pitta, Corey J Wallach, Colleen Bauk, William G Hamilton
This report describes a patient with ankylosing spondylitis (AS) who underwent total hip arthroplasty (THA) by the direct anterior approach and sustained a L4-5 extension fracture dislocation with neural deficits. A magnetic resonance imaging revealed an epidural hematoma at the site of the fracture causing critical stenosis. The patient was taken to the operating room for a L3-S1 posterior decompression with L2-pelvis posterior spinal fusion. AS and diffuse idiopathic skeletal hyperostosis create a stiff spine that predisposes to fractures because of the larger moment arms experienced than normal spines...
December 2017: Arthroplasty Today
https://www.readbyqxmd.com/read/29182138/dealing-with-sub-trochanteric-fracture-in-a-child-with-osteopetrosis-a-case-report
#2
P Behera, A Khurana, B Saibaba, S Aggarwal
Osteopetrosis is a rare hereditary condition which may have autosomal recessive or autosomal dominant inheritance. Patients tend to present most commonly with fractures but involvement of cranial nerves and hematopoetic system is not uncommon. Patients with infantile and intermediate type tend to present more often with problems other than orthopaedic problems. While diagnosis can be made on the basis of radiographs, management needs to be customized for every patient. Non operative and operative management both have their advantages and disadvantages...
December 2016: Acta Orthopaedica Belgica
https://www.readbyqxmd.com/read/29173962/intraoperative-lateral-wall-fractures-during-dynamic-hip-screw-fixation-for-intertrochanteric-fractures-incidence-causative-factors-and-clinical-outcome
#3
Annur R Pradeep, Addala KiranKumar, Jayaramaraju Dheenadhayalan, Shanmuganathan Rajasekaran
INTRODUCTION: The intact lateral wall plays a key role in stabilization of trochanteric fracture. Hence extreme precaution should be taken to prevent lateral wall damage during DHS fixation. Present study is aimed at evaluating the determinants of lateral wall fracture and its effect on outcome in intertrochanteric fracture femur treated with DHS. MATERIAL AND METHODS: This is a prospective study involving intertrochanteric fractures treated with DHS fixation from July 2013 to June 2014...
November 21, 2017: Injury
https://www.readbyqxmd.com/read/28929204/salvage-of-a-monoblock-metal-on-metal-cup-using-a-dual-mobility-liner-a-two-year-mri-follow-up-study
#4
Maximilian F Kasparek, Lisa Renner, Martin Faschingbauer, Wenzel Waldstein, Kilian Rueckl, Friedrich Boettner
PURPOSE: Revision of failed modular metal-on-metal total hip replacement (MoM-THA) can be technically difficult. A dual mobility liner can help to salvage a well-fixed acetabular component. The present paper reports the clinical and radiographic outcome of revision of failed Birmingham modular MoM-THA using a dual mobility liner. METHODS: The present study reports on ten patients (3 female and 7 male) with 11 revision THAs. Patients underwent revision an average of 51 months (range 40-73 months) after index procedure...
September 19, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28809632/cerclage-breakage-in-trochanteric-revision-high-risk-for-hip-endoprosthesis
#5
M J Kraus, A M Nowakowski
We report a 72-year-old man who underwent fixation with a multifilament cerclage system after a peri-prosthetic trochanteric fracture (Vancouver A1). Failure of cerclage occurred after 23 month and revision of trochanteric attachment was performed due to non-union. Intraoperatively fragments of the cable were found between prosthesis head and liner. Cup and head were changed and the greater trochanter was re-attached after allograft-impaction. Based on the present case report multifilament cerclage cables should be used with precaution and might require a close and frequent follow-up given the possibility of cerclage breakage and consecutive catastrophic wear by migration of cerclage particles...
2017: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://www.readbyqxmd.com/read/28699373/recall-and-patient-perceptions-of-hip-precautions-6-weeks-after-total-hip-arthroplasty
#6
George R H Lee, James R Berstock, Michael R Whitehouse, Ashley W Blom
Background and purpose - There is a lack of evidence to support the role of hip precautions in preventing dislocation following total hip arthroplasty (THA). We report an exploratory study which assesses recall, adherence, and the impact of precautions on activities of daily living in the first 6 weeks postoperatively. Patients and methods - We designed a new questionnaire based on the education patients receive and refined by professionals within our multidisciplinary team. 129 patients underwent primary elective THA during the study period and received the questionnaire at 6 weeks postoperatively...
October 2017: Acta Orthopaedica
https://www.readbyqxmd.com/read/28394766/risks-and-benefits-of-swaddling-healthy-infants-an-integrative-review
#7
REVIEW
Antonia M Nelson
BACKGROUND: Swaddling has been practiced since antiquity; however, there is controversy about its safety. OBJECTIVES: The purpose of this review is to update and build upon previous reviews and synthesize evidence on risks and benefits of swaddling in healthy-term, near-term, or older infants. DATA SOURCES: MEDLINE (1960-May 13, 2016) and CINAHL (1963-May 13, 2016) searches were conducted, relevant articles retrieved, and citation lists reviewed for other references...
July 2017: MCN. the American Journal of Maternal Child Nursing
https://www.readbyqxmd.com/read/28317236/rehabilitation-of-revision-total-hip-replacement-a-multi-centre-survey-of-current-practice
#8
Meredith Newman, Karen Barker
BACKGROUND: Demand for revision total hip replacement (RTHR) is increasing. Outcomes after RTHR are varied, with reasonable pain relief but smaller gains in function and mobility. Whether sub-optimal rehabilitation contributes to poorer functional outcomes is unclear. Current rehabilitation is not well defined and there is little research into RTHR rehabilitation. AIMS AND OBJECTIVES: To gather information about the current rehabilitation of patients undergoing planned, single-stage revision or re-revision THR surgery...
March 20, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28110561/delivering-high-quality-hip-fracture-rehabilitation-the-perspective-of-occupational-and-physical-therapy-practitioners
#9
Natalie E Leland, Michael Lepore, Carin Wong, Sun Hwa Chang, Lynn Freeman, Karen Crum, Heather Gillies, Paul Nash
AIM: The majority of post-acute hip fracture rehabilitation in the US is delivered in skilled nursing facilities (SNFs). Currently, there are limited guidelines that equip occupational and physical therapy practitioners with a summary of what constitutes evidence-based high quality rehabilitation. Thus, this study aimed to identify rehabilitation practitioners' perspectives on the practices that constitute high quality hip fracture rehabilitation. METHODS: Focus groups were conducted with 99 occupational and physical therapy practitioners working in SNFs in southern California...
March 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28057395/driving-after-microinvasive-total-hip-arthroplasty
#10
Suleman Qurashi, Jason Chinnappa, Sarah J Lord, Alan Nazha, Jonathan Gordon, James Chow
BACKGROUND: Patients undergoing total hip arthroplasty (THA) are often advised to avoid driving for 6 weeks postoperation. This is based on patients having to maintain postoperative hip precautions and studies investigating brake reaction time (BRT) following THA using conventional techniques. The aim of this study was to assess patients' ability to drive in the early postoperative period following microinvasive THA by assessing BRT. METHODS: Hundred consecutive patients undergoing SuperPATH(®) THA in 2015 who drove automobiles preoperatively were included in this prospective cohort study...
May 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27955824/assessment-of-trochanteric-osteotomy-fragment-union-after-acetabular-fracture-surgery
#11
Andrew G Dubina, Niluka Wickramaratne, Robert V O'Toole, Theodore T Manson
BACKGROUND: Trochanteric osteotomies are performed in conjunction with standard approaches to improve surgical exposure during open reduction and internal fixation (ORIF) of acetabular fractures. The literature on total hip arthroplasty reports nonunion rates as high as 30% associated with trochanteric osteotomies; however, few data exist regarding the outcomes of trochanteric osteotomies for acetabular fracture surgery. Our hypotheses were 1) patients receiving trochanteric osteotomies during ORIF of acetabular fractures have a low rate of nonunion of the osteotomy fragment, and 2) hip abduction precautions are not necessary with digastric type osteotomies...
February 2017: Injury
https://www.readbyqxmd.com/read/27659939/hip-capsular-closure-a-biomechanical-analysis-of-failure-torque
#12
Jorge Chahla, Jacob D Mikula, Jason M Schon, Chase S Dean, Kimi D Dahl, Travis J Menge, Eduardo Soares, Travis Lee Turnbull, Robert F LaPrade, Marc J Philippon
BACKGROUND: Hip capsulotomy is routinely performed during arthroscopic surgery to achieve adequate exposure of the joint. Iatrogenic instability can result after hip arthroscopic surgery because of capsular insufficiency, which can be avoided with effective closure of the hip capsule. There is currently no consensus in the literature regarding the optimal quantity of sutures upon capsular closure to achieve maximal stability postoperatively. Purpose/Hypothesis: The purpose of this study was to determine the failure torques of 1-, 2-, and 3-suture constructs for hip capsular closure to resist external rotation and extension after standard anterosuperior interportal capsulotomy (12 to 3 o'clock)...
February 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27650993/iatrogenic-hip-instability-is-a-devastating-complication-after-the-modified-dunn-procedure-for-severe-slipped-capital-femoral-epiphysis
#13
MULTICENTER STUDY
Vidyadhar V Upasani, Oliver Birke, Kevin E Klingele, Michael B Millis
BACKGROUND: The modified Dunn procedure facilitates femoral capital realignment for slipped capital femoral epiphysis (SCFE) through a surgical hip dislocation approach. Iatrogenic postoperative hip instability after this procedure has not been studied previously; however, we were concerned when we observed several instances of this serious complication, and we wished to study it further. QUESTIONS/PURPOSES: The purpose of this study was to evaluate the frequency, timing, and clinical presentation (including complications) associated with iatrogenic instability after the modified Dunn procedure for SCFE...
April 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27374001/assistive-devices-hip-precautions-environmental-modifications-and-training-to-prevent-dislocation-and-improve-function-after-hip-arthroplasty
#14
REVIEW
Toby O Smith, Paul Jepson, Andrew Beswick, Gina Sands, Avril Drummond, Edward T Davis, Catherine M Sackley
BACKGROUND: Total hip arthroplasty (THA) is one of the most common orthopaedic operations performed worldwide. Painful osteoarthritis of the hip is the primary indication for THA. Following THA, people have conventionally been provided with equipment, such as raised toilet seats and chairs, and educated to avoid activities that could cause the hip joint to be in a position of flexion over 90 degrees, or adduction or rotation past the midline. These aspects of occupational therapy have been advocated to reduce the risks of prosthesis dislocation...
July 4, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27225033/uk-survey-of-occupational-therapist-s-and-physiotherapist-s-experiences-and-attitudes-towards-hip-replacement-precautions-and-equipment
#15
T O Smith, C M Sackley
BACKGROUND: Total hip replacement (THR) is one of the most common orthopaedic procedures in the United Kingdom (UK). Historically, people following THR have been provided with hip precautions and equipment such as: raised toilet seats and furniture rises, in order to reduce the risks of dislocation post-operation. The purpose of this study was to determine current practices in the provision of these interventions in the UK for people following primary THR. METHODS: A 27-question, self-administered online survey was developed and distributed to UK physiotherapists and occupational therapists involved in the management of people following primary THR (target respondents)...
2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27143727/the-rate-of-dislocation-is-not-increased-when-minimal-precautions-are-used-after-total-hip-arthroplasty-using-the-posterolateral-approach-a-prospective-comparative-safety-study
#16
COMPARATIVE STUDY
A Kornuijt, D Das, T Sijbesma, W van der Weegen
AIMS: In order to prevent dislocation of the hip after total hip arthroplasty (THA), patients have to adhere to precautions in the early post-operative period. The hypothesis of this study was that a protocol with minimal precautions after primary THA using the posterolateral approach would not increase the short-term (less than three months) risk of dislocation. PATIENTS AND METHODS: We prospectively monitored a group of unselected patients undergoing primary THA managed with standard precautions (n = 109, median age 68...
May 2016: Bone & Joint Journal
https://www.readbyqxmd.com/read/27105139/arthroplasty-center-related-retrospective-analysis-of-risk-factors-for-periprosthetic-joint-infection-after-primary-and-after-revision-total-hip-arthroplasty
#17
Kerstin Radtke, T Tetzlaff, B Vaske, M Ettinger, L Claaßen, T Flörkemeier, H Windhagen, G von Lewinski
BACKGROUND: Periprosthetic Joint Infection (PJI) poses a great challenge to patients, surgeons and health care systems. Comorbid diseases and patient-related risk factors are poorly understood. OBJECTIVE: The purpose of this study was to evaluate patient-related risk factors for PJI after primary and after revision Total Hip Arthroplasty (THA). METHODS: In the present study, data was collected from 566 patients who underwent primary or revision THA between July 2011 and June 2012 in an established arthroplasty center (Endocert certified endoprosthesis center, EPZmax)...
September 14, 2016: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://www.readbyqxmd.com/read/27011856/what-are-the-current-indications-for-use-of-radiofrequency-devices-in-hip-arthroscopy-a-systematic-review
#18
REVIEW
Carlos Suarez-Ahedo, S Pavan Vemula, Christine E Stake, Zachary A Finley, Timothy J Martin, Chengcheng Gui, Benjamin G Domb
The role of radiofrequency energy (RFE) devices has been minimally studied in hip arthroscopy. The purpose of this study was to determine the role of RFE devices in hip arthroscopy through a systematic review of the literature. We searched the PubMed database using the following Medical Subject Heading terms: hip arthroscopy, hip radiofrequency, thermal capsulorrhaphy, thermal chondroplasty and radiofrequency debridement. Two authors independently reviewed the literature and included articles based on predetermined inclusion criteria...
December 2015: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/26958424/do-we-need-to-establish-guidelines-for-patients-with-neuromodulation-implantable-devices-including-spinal-cord-stimulators-undergoing-nonspinal-surgeries
#19
Ramsis F Ghaly, Tatiana Tverdohleb, Kenneth D Candido, Nebojsa Nick Knezevic
BACKGROUND: Spinal cord stimulation is currently approved to treat chronic intractable pain of the trunk and limbs. However, such implantable electronic devices are vulnerable to external electrical currents and magnetic fields. Within the hospitals and modern operating rooms (ORs), there is an abundance of electrical devices and other types of equipment that could interfere with such devices. Despite the increasing number of patients with neuromodulation implantable devices, there are no written guidelines available or consensus of cautions for such patients undergoing unrelated surgery...
2016: Surgical Neurology International
https://www.readbyqxmd.com/read/26899415/anaesthesia-for-hip-fracture-surgery-in-adults
#20
REVIEW
Joanne Guay, Martyn J Parker, Pushpaj R Gajendragadkar, Sandra Kopp
BACKGROUND: The majority of people with hip fracture are treated surgically, requiring anaesthesia. OBJECTIVES: The main focus of this review is the comparison of regional versus general anaesthesia for hip (proximal femoral) fracture repair in adults. We did not consider supplementary regional blocks in this review as they have been studied in another review. SEARCH METHODS: We searched the Cochrane Central Register of Controlled Trials (CENTRAL; the Cochrane Library; 2014, Issue 3), MEDLINE (Ovid SP, 2003 to March 2014) and EMBASE (Ovid SP, 2003 to March 2014)...
February 22, 2016: Cochrane Database of Systematic Reviews
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