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posterolateral hip arthroplasty

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https://www.readbyqxmd.com/read/29908356/total-hip-arthroplasty-after-failed-fixation-of-a-proximal-femur-fracture-analysis-of-59-cases-of-intra-and-extra-capsular-fractures
#1
Antoine Morice, Florian Ducellier, Pascal Bizot
INTRODUCTION: The indications for total hip arthroplasty (THA) after failed internal fixation of a proximal femur fracture vary. Published studies on this topic are broad-ranging and do not distinguish between intracapsular and extracapsular fractures. This led us to conduct a retrospective analysis comparing the clinical outcomes, radiological outcomes, technical problems and complications between these two types of fractures. HYPOTHESIS: The functional outcomes of THA after an extracapsular fracture will be worse than the ones after an intracapsular fracture...
June 13, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29806358/-comparison-of-effectiveness-between-superpath-approach-and-posterolateral-approach-in-total-hip-arthroplasty
#2
Hongmou Yuan, Jiajun Zhu, Zhenguo Sun, Zhiyu Zhang
Objective: To compare the effectiveness between SuperPATH approach and posterolateral approach in total hip arthroplasty (THA). Methods: Between January 2016 and December 2016, 84 patients with hip disease were included in the study and randomly divided into 2 groups. Forty patients were treated with THA via SuperPATH approach (SuperPATH group), and 44 patients were treated with THA via posterolateral approach (PSA group). There was no significant difference in gender, age, body mass index, the type of disease, the complicating diseases, and preoperative thrombosis of lower extremity and Harris score between 2 groups ( P >0...
January 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29798558/-short-term-effectiveness-analysis-of-one-stage-bilateral-total-hip-arthroplasty-by-direct-anterior-approach
#3
Dawei Gong, Yunkang Yang, Yiran Yin, Ge Chen
Objective: To compare the effectiveness of one-stage bilateral total hip arthroplasty by direct anterior approach (DAA) and by posterolateral approach, and to investigate the application value of DAA in one-stage bilateral total hip arthroplasty. Methods: The clinical data of 65 patients who underwent one-stage bilateral total hip arthroplasty by DAA or posterolateral approach between June 2010 and November 2015 were analyzed retrospectively. DAA was used in 34 cases (group A) and posterolateral approach was used in 31 cases (group B)...
September 1, 2017: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29798557/-mid-term-effectiveness-of-total-hip-arthroplasty-by-direct-anterior-approach
#4
Libo Zhu, Jinzhong Ma, Weilin Sang, Haiming Lu, Cong Wang, Yafei Jiang
Objective: To retrospectively compare the mid-term effectiveness between by direct anterior approach (DAA) and by posterolateral approach in total hip arthroplasty (THA). Methods: Between January 2009 and December 2010, 110 patients (110 hips) treated with THA and followed up more than 5 years were chosen in the study. THA was performed on 55 patients by DAA (DAA group), and on 55 patients by posterolateral approach (PL group). There was no significant difference in gender, age, body mass index, types of hip joint disease, and preoperative Harris score between 2 groups ( P >0...
September 1, 2017: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29798520/-comparative-study-on-differences-in-acetabular-position-during-total-hip-arthroplasty-between-by-direct-anterior-approach-and-by-posterolateral-approach
#5
Yu Liu, Weilin Sang, Yafei Jiang, Jinzhong Ma
Objective: To compare the differences in acetabular position during total hip arthroplasty (THA) between by direct anterior approach and by posterolateral approach. Methods: Between December 2008 and December 2015, 102 patients undergoing THA were included in the study. THA was performed by anterior approach in 51 cases (anterior group) and by posterolateral approach in 51 cases (posterolateral group). There was no significant difference in gender, age, body mass index, side, and cause of illness between 2 groups ( P >0...
July 1, 2017: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29792206/is-the-cup-orientation-different-in-bilateral-total-hip-arthroplasty-with-right-handed-surgeons-using-posterolateral-approach
#6
Xinggui Song, Ming Ni, Heng Li, Xin Li, Xiang Li, Jun Fu, Jiying Chen
BACKGROUND: The impact of surgeon handedness on acetabular cup orientation in total hip arthroplasty (THA) is not well studied. The aim of our study is to investigate the difference of cup orientation in bilateral THA performed by right-handed surgeons using posterolateral approach and which cup could be fitter to Lewinneck's safe zone. METHODS: The study consisted of 498 patients that underwent bilateral THA by three right-handed surgeons in our hospital. Postoperative acetabular cup anteversion and abduction on an anteroposterior pelvic radiograph were measured by Orthoview software (Orthoview LLC, Jacksonville, Florida)...
May 23, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29759011/preservation-technique-of-the-piriformis-tendon-is-superior-to-reattachment-technique-in-terms-of-contiguity-and-muscle-atrophy-using-magnetic-resonance-imaging
#7
So Minokawa, Masatoshi Naito, Kei Shiramizu, Yoshinari Nakamura, Koichi Kinoshita, Tomohiko Minamikawa, Hajime Seo, Takuaki Yamamoto
PURPOSE: The preservation technique of the piriformis tendon during the posterolateral approach in total hip arthroplasty (THA) is reportedly superior to the reattachment technique in terms of dislocation. However, the long-term effects of preservation of the piriformis tendon during THA remain unknown. In this study, we evaluated the contiguity of the piriformis/conjoined tendon and atrophy of the piriformis/internal obturator muscle during a long-term postoperative follow-up using magnetic resonance imaging (MRI)...
May 1, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29755607/risk-factors-for-the-development-of-nerve-palsy-following-primary-total-hip-arthroplasty
#8
Shunsuke Kawano, Motoki Sonohata, Masaru Kitajima, Masaaki Mawatari
Background: Nerve palsy following total hip arthroplasty (THA) is a complication that worsens the functional prognosis. The present study analyzed the risk factors of nerve palsy following THA. Methods: The subjects of this study included 6,123 cases in which primary THA was performed under spinal anesthesia with cementless implants used in the posterolateral approach. Results: Fourteen cases (0.22%) developed nerve palsy following THA, all of which involved palsy of the entire peroneal nerve region...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29754187/nationwide-multicenter-follow-up-cohort-study-of-hip-arthroplasties-performed-for-osteonecrosis-of-the-femoral-head
#9
Seneki Kobayashi, Toshikazu Kubo, Yukihide Iwamoto, Wakaba Fukushima, Nobuhiko Sugano
PURPOSE: To identify modifiable factors related to post-operative dislocation and reoperation in patients with osteonecrosis of the femoral head (ONFH) in a large cohort. METHODS: We studied 4995 hip arthroplasties: total hip arthroplasty (THA) was performed in 79% of patients; bipolar hemiarthroplasty (BP), 17%; total resurfacing arthroplasty (tRS), 3%; and hemi-resurfacing arthroplasty (hRS), 1%. A new type of BP (accounting for 49% of BPs) comprised a femoral component with a polished or smooth, small-diameter (approximately 10 mm) neck with a round or oval axial cut surface and no sharp corners...
May 12, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29716401/clinical-accuracy-of-a-patient-specific-femoral-osteotomy-guide-in-minimally-invasive-posterior-hip-arthroplasty
#10
Adrian K Schneider, Jim W Pierrepont, Gabrielle Hawdon, Stephen McMahon
INTRODUCTION: Patient specific guides can be a valuable tool in improving the precision of planned femoral neck osteotomies, especially in minimally invasive hip surgery, where bony landmarks are often inaccessible. The aim of our study was to validate the accuracy of a novel patient specific femoral osteotomy guide for THR through a minimally invasive posterior approach, the direct superior approach (DSA). METHODS: As part of our routine preoperative planning 30 patients underwent low dose CT scans of their arthritic hip...
April 1, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29689589/ten-year-clinical-and-radiological-outcomes-of-100-total-hip-arthroplasty-cases-with-a-modern-cementless-dual-mobility-cup
#11
Loïc Laurendon, Rémi Philippot, Thomas Neri, Bertrand Boyer, Frédéric Farizon
INTRODUCTION: The original cementless Sunfit® dual mobility cup (SERF, Décines, France) exhibited limited osseointegration due to its hydroxyapatite and alumina coating. We hypothesized that replacement of the alumina with plasma-sprayed titanium + hydroxyapatite and improvement of the external geometry (Sunfit TH®) would not increase the risk of aseptic loosening. The primary goal of this study was to determine the survivorship and clinical and radiological outcomes among patients with the Sunfit TH® implant...
June 1, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/29622494/evaluation-of-the-learning-curve-when-transitioning-from-posterolateral-to-direct-anterior-hip-arthroplasty-a-consecutive-series-of-1000-cases
#12
Andrea H Stone, Udai S Sibia, Ryan Atkinson, Timothy R Turner, Paul J King
BACKGROUND: The direct anterior approach (DAA) for primary hip replacement has been gaining more attention and widespread use in recent years. There are a number of published studies evaluating the learning curve when a surgeon changes technique; these studies typically look at complications during the initial cases. This study examines procedure and total operating room (OR) time along with all complications for a surgeon transitioning from the posterolateral approach (PA) to DAA. METHODS: A retrospective review of a single surgeon series of 1000 initial DAA procedures...
March 8, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29564491/the-incidence-of-hip-dislocation-and-suture-failure-according-to-two-different-types-of-posterior-soft-tissue-repair-techniques-in-total-hip-arthroplasty-a-prospective-randomized-controlled-trial
#13
Jun-Ki Moon, Yeesuk Kim, Kyu-Tae Hwang, Jae-Hyuk Yang, Young-Ho Kim
PURPOSE: Although the posterolateral approach for hip arthroplasty is popular and has numerous advantages, it has been known to have a propensity for dislocation. The repair of short external rotator muscles with capsule is important for reducing dislocation. The purpose of this study is to investigate the incidence of suture failure, dislocation, and time to failure for two repair techniques for posterior soft tissue repair during total hip arthroplasty. METHODS: In this study of 167 total hip arthroplasties in 159 patients, we reattached the short external rotator tendon with posterior capsule to the greater trochanter transosseously (tendon-to-bone, 87 hips) or the gluteus medius tendon (tendon-to-tendon, 80 hips)...
March 21, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29562413/-a-therapeutic-effect-analysis-of-femur-first-principle-and-combined-anteversion-technique-during-total-hip-arthroplasty
#14
X Q Wang, C S Wu, S Sun, J Wang, W Li, W Zhang
Objective: To investigate the situation of hip dislocation with the application of "femur first" principle and "combined anteversion technique" during total hip arthroplasty. Methods: A retrospective analysis has been done on the clinical data about 104 patients(133 hips)who were diagnosed as hip disease and were treated with total hip arthroplasty by the doctors from the Department of Joint Orthorpaedics of Shandong Provincial Hospital Affiliated to Shandong University from June 2014 to June 2016, and all the prostheses applied in the operation were cementless ones...
April 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/29560393/the-direct-anterior-approach-for-acetabular-augmentation-in-primary-total-hip-arthroplasty
#15
Erin Honcharuk, Stephen Kayiaros, Lee E Rubin
Addressing acetabular bone defects can be difficult and depends on the amount of bone loss. Augments, either with bone or highly porous metals, are options that still allow the use of a hemispherical cup. Almost all previous research and publication on acetabular augments have focused on revision hip arthroplasty utilizing either a modified lateral or a posterolateral surgical approach. We describe 3 cases of augmenting acetabular bone defects through a direct anterior approach for primary total hip arthroplasty...
March 2018: Arthroplasty Today
https://www.readbyqxmd.com/read/29541272/is-head-and-neck-resection-of-the-femur-girdlestone-s-procedure-still-relevant-indications-and-results-about-24-cases
#16
Mamoudou Sawadogo, Hamado Kafando, Salam Ouedraogo, Alexandre Stanislas Korsaga, Souleymane Ouedraogo, Sayouba Tinto, Anatole Jean Innocent Ouedraogo, Mohamed Tall, Songahir Christophe DA
Introduction: Head and neck resection of the femur was described by Girdlestone in 1928 in the treatment of coxalgia. Very invasive at the beginning, this intervention is much less so today, but the term of "Girdlestone's operation" or "Girdlestone's procedure" has remained in use. The reported results are controversial. In resource-limited countries, Girdlestone's procedure is often indicated for lack of a better one. In this context, we report the results of a series of 24 patients operated in a regional hospital (Ouahigouya, Burkina Faso) with the aim of showing that this technique remains valid and can be benefit...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29502965/similar-superior-patient-reported-outcome-measures-for-anterior-and-posterolateral-approaches-after-total-hip-arthroplasty-postoperative-patient-reported-outcome-measure-improvement-after-3-months-in-12-774-primary-total-hip-arthroplasties-using-the-anterior
#17
Rinne M Peters, Loes W A H van Beers, Liza N van Steenbergen, Julius Wolkenfelt, Harmen B Ettema, Bas L E F Ten Have, Paul C Rijk, Martin Stevens, Sjoerd K Bulstra, Rudolf W Poolman, Wierd P Zijlstra
BACKGROUND: Patient-reported outcome measures (PROMs) are used to evaluate the outcome of total hip arthroplasty (THA). We determined the effect of surgical approach on PROMs after primary THA. METHODS: All primary THAs, with registered preoperative and 3 months postoperative PROMs were selected from the Dutch Arthroplasty Register. Based on surgical approach, 4 groups were discerned: (direct) anterior, anterolateral, direct lateral, and posterolateral approaches...
March 1, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29478777/assessment-of-hip-abductors-by-mri-after-total-hip-arthroplasty-and-effect-of-fatty-atrophy-on-functional-outcome
#18
Emrah Kovalak, Hanife Özdemir, Cenk Ermutlu, Abdullah Obut
OBJECTIVES: The aim of this study was to evaluate how fatty atrophy (FA) of the hip abductors in operated and non-operated hips affected the functional outcome following arthroplasty. METHODS: Forty-four hips of 22 patients (8 males and 14 females; mean age: 60 ± 14.4 (range: 24-84)) who matched the inclusion criteria and willing to participate in the study were retrospectively evaluated. The mean follow-up was 13.8 ± 2.3 (range: 10-18) months Magnetic resonance imaging (MRI) and Harris Hip Score (HHS) were used to evaluate muscle degeneration and functional outcome after unilateral THA through a posterolateral approach...
February 22, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29406345/state-variation-in-medicaid-reimbursements-for-orthopaedic-surgery
#19
Ramin M Lalezari, Alexis Pozen, Christopher J Dy
BACKGROUND: Medicaid reimbursements are determined by each state and are subject to variability. We sought to quantify this variation for commonly performed inpatient orthopaedic procedures. METHODS: The 10 most commonly performed inpatient orthopaedic procedures, as ranked by the Healthcare Cost and Utilization Project (HCUP) National Inpatient Sample, were identified for study. Medicaid reimbursement amounts for those procedures were benchmarked to state Medicare reimbursement amounts in 3 ways: (1) ratio, (2) dollar difference, and (3) dollar difference divided by the relative value unit (RVU) amount...
February 7, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29322894/patient-restrictions-following-total-hip-arthroplasty-a-national-survey
#20
A Peters, A J H Veldhuijzen, M Tijink, R W Poolman, R M H A Huis In 't Veld
In this prospective nation-wide web based survey we describe the current practice regarding patient restrictions following total hip arthroplasty. A web-based survey involving 20 items was developed and tested prior to administration. The questionnaire included general information, type of restrictions, specification and duration of restrictions. The target population consisted of all orthopaedic surgeons registered with the Dutch Orthopaedic Association working at one of the 94 orthopaedic departments in the Netherlands...
March 2017: Acta Orthopaedica Belgica
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