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Hip prosthesis replacement

Martin Salgado, Felipe Fernández, Carolina Avilés, Cecilia Cordova
INTRODUCTION: The presence of postoperative seromadesis is common, corresponding to the presence of serum in the subcutaneous tissue post a surgical event. Erythromycin has been reported as sclerosing, although not in orthopedic surgery. We report a case of erythromycin seromadesis in orthopedic surgery. CASE PRESENTATION: We present a case of a 63-year-old woman having undergone femoral prosthesis surgery and total hip replacement with a subfacial seroma without findings of infection, refractory to standard treatment of compression bandages, massage and cleaning surgery in two oportunities...
April 2016: Journal of Orthopaedic Case Reports
Dzenana Begic, Ermina Mujicic, Jozo Coric, Svjetlana Loga Zec, Lejla Zunic
INTRODUCTION: Transfusion is an activity that assures sufficient supply of blood and blood components to treat the sick and injured. In transfusion departments is necessary to timely provide adequate amounts of blood and blood products for various surgical procedures. MATERIAL AND METHODS: To determine the total amount of preoperative requirements (BT/AB and BT/AB/MT) for blood and blood products in surgical departments of General Hospital "Prim. Dr. Abdulah Nakas" in the period from June 1, 2014 - December 31, 2014 and analyze the requirements for blood in relation to surgical procedures, surgical discipline, period, age and gender of patients...
July 27, 2016: Medical Archives
C Morin, C Ursu, C Delecourt
INTRODUCTION: The everyday life of a non-ambulatory adolescent or young adult with cerebral palsy can be severely impaired by a painful or stiff hip. The usual surgical solutions such as proximal femoral resection (PFR) are not entirely satisfactory for pain relief, and are mutilating. HYPOTHESIS: A retrospective study assessed the impact of total hip replacement (THR) on such impairment, on the hypothesis that it is more effective than PFR in relieving pain, without aggravating disability...
September 30, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
Dia Eldean Giebaly, Haider Twaij, Mazin Ibrahim, Fares S Haddad
INTRODUCTION: Total hip replacement is a successful procedure with long survival records compared to other joint arthroplasties. Cemented implants have been available for many years, however the complications associated with loosening and, ultimately, failure over time has led to the development of cementless stems and implants.The ideal prosthesis should recreate a biomechanically normal hip joint, allow pain-free function and last the patient's life span without requiring revision. Optimal results with uncemented femoral stems rely on obtaining initial stability, osseointegration, biological fixation, and uniform stress transfer to the proximal bone...
September 29, 2016: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Soumia Meftah, Karima Belhaj, Siham Zahi, Laila Mahir, Fatima Lmidmani, Abdellatif El Fatimi
OBJECTIVE: Total hip arthroplasty (THA) is a surgical procedure which effectiveness and regularity of results are remarkable by providing: pain relief, improvement of function, and quality of life. The aim of our work is to compare the functional outcome and patient quality of life after total hip replacement according to indication: degenerative hip disease or inflammatory hip disease. MATERIAL/PATIENTS AND METHODS: Prospective study of 175 patients who underwent total hip arthroplasty (35 bilateral), followed in the Department of Physical Medicine and Rehabilitation, from January, 2011 to December, 2015...
September 2016: Annals of Physical and Rehabilitation Medicine
Amanda J Hessels, Mansi Agarwal, Jianfang Liu, Elaine L Larson
BACKGROUND: Hip operation reduces pain and improves mobility and quality of life for more than 300,000 people annually, most of whom are more than 65 years old. Substantial increases in surgical volume are projected between 2005 and 2030 in primary total (174%) and revision (137%) procedures. This projection demands that the impact of increasing age on the relative risk of health-care associated infections (HAI) after hip surgical procedures be assessed. Our aim was to examine the incidence and risk factors of HAI among patients who underwent hip operations between 2006 and 2012...
September 21, 2016: Surgical Infections
Hee Dong Lee, Kumar Prashant, Won Yong Shon
Total hip joint replacement offers dramatic improvement in the quality of life but periprosthetic joint infection (PJI) is the most devastating complication of this procedure. The infection threatens the function of the joint, the preservation of the limb, and occasionally even the life of the patient due to long term hospitalization and high cost. For the surgeon it is a disastrous burden, which requires repeated, complicated procedures to eradicate infection and to provide a mobile joint without pain. Yet in the absence of a true gold standard, the diagnosis of PJI can be elusive...
June 2015: Hip Pelvis
Wei-kun Hou, Lin Liu, Chao Lu, Kan Peng, Zhi Yang, Ke Xu, Peng Xu
OBJECTIVE: To explore early clinical effect of acetabular cup in total hip replacement for the treatment of Crowe II developmental dysplasia of hip. METHODS: Eighteen patients (18 hips) with Crowe type II developmental dysplasia of hip were treated with total hip replacement from September 2001 to July 2013. Among them,including 13 males and 5 females aged from 42 to 60 years old with an average of 47.6 years old; the courses of diseases ranged from 9 to 22 years with an average of 13...
June 2016: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Zhan-feng Zhang, Ji-kang Min, Jian-ming Zhong, Dan Wang
OBJECTIVE: To explore mid-term follow up results of distal fixation prosthesis in treating unstable intertrochanteric fractures in elderly patients. METHODS: From May 2008 to March 2014,58 elderly patients with unstable intertrochanteric were treated with distal fixation prosthesis, among them, there were 15 males and 43 females aged from 75 to 87 years old with an average of 83.2 years old. Fracture were classified according to Evans classification, 39 cases were type I c and 19 cases were type I d...
June 2016: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Ramsey Chammaa, Ofir Uri, Simon Lambert
BACKGROUND: Total shoulder arthroplasty for end-stage glenohumeral arthritis with severe glenoid bone loss poses a unique challenge for shoulder surgeons. Current surgical solutions are limited and associated with high complication rates. We hypothesized that a custom-made computer-aided design-computer-aided manufacturing (CAD-CAM) total shoulder replacement (TSR; Stanmore Implants Worldwide, Elstree, UK) resembling a total hip prosthesis could offer a reliable alternative for this challenging subset of patients...
August 10, 2016: Journal of Shoulder and Elbow Surgery
Ameya V Save, Arya Varthi, Paul G Talusan, Raj Gala, Stephen Nelson, Kristaps J Keggi
Total hip arthroplasty in the juvenile patient with a severely diseasedjoint can provide long-term pain relief and improvement in function. We present a patient with juvenile rheumatoid arthritis who underwent a Mittelmeier ceramic-on-ceramic total hip arthroplasty at age 12 in 1986. The implant provided the patient with a functioning hip for 24 years, but subsequently required revision due to femoral component loosening. This case report represents the longest reported clinical follow-up of noncemented, ceramic-on-ceramic total hip arthroplasty in a juvenile patient and depicts an excellent outcome at 27 years...
June 2016: Connecticut Medicine
Daniel Hernández-Vaquero, Ramon Delgado-Sevillano, Maria Rodríguez de la Flor-García
Total hip replacement continues to be a widely successful operation, but persistent groin pain following a metal-on-metal hip resurfacing remains a problem for some patients. The concern regarding the safety and efficacy of metal-on-metal total hip replacements has been rising. We present the case of a 47-year-old man with groin pain after metal-on-metal hip resurfacing. We observed high metal ion levels detected in blood analytical studies and a pseudotumor in magnetic resonance imaging. Our patient was treated with a revision surgery...
2014: SAGE Open Med Case Rep
N P Badhe, R C Quinnell, P W Howard
Uncemented total hip arthroplasty was developed on the principle of biological fixation to enhance longevity of the prosthesis. Though the role of uncemented total hip replacement as an alternative is well accepted in young patients, its role in elderly remains controversial. We reviewed a consecutive series of 60 uncemented Bicontact total hip arthroplasties in 51 octogenarian patients with a mean follow-up of 7 (range 5-9) years. Mean patient age was 87.8 (range 80-97) years. Mean preoperative Harris hip score of 48 (range 32-65) improved postoperatively to a mean of 88 (range 58-94)...
December 2002: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
A Blum, P Gondim-Teixeira, E Gabiache, O Roche, F Sirveaux, P Olivier, H Coudane, A Raymond, M Louis, M Grandhaye, J-B Meyer, D Mainard, D Molé
BACKGROUND: Several imaging modalities can be used to diagnose complications of hip prosthesis placement. Despite progress in these imaging techniques, there are, as yet, no guidelines as to their respective indications. METHODS: We formed a panel of experts in fields related to prosthesis imaging (radiology, nuclear medicine, orthopedic surgery) and conducted a review of the literature to determine the value of each modality for diagnosing complications following hip replacement...
July 2016: Diagnostic and Interventional Imaging
A Blum, J-B Meyer, A Raymond, M Louis, O Bakour, R Kechidi, A Chanson, P Gondim-Teixeira
Patients with hip pain after joint replacement are first assessed by analyzing the clinical presentation and conventional radiography findings. When this first step is inconclusive, various different imaging techniques can be used to identify the anomalies. Based on our experience, computed tomography (CT) is the cornerstone for diagnosing the main prosthesis-related complications. In this article, we describe the different CT techniques used for this kind of investigation and provide indications for each technique...
July 2016: Diagnostic and Interventional Imaging
Jasmin Ciriviri, Darko Talevski, Zoran Nestorovski, Tode Vraniskoski, Snežana Mishevska-Perchinkova
The revision of the two phase treatment represents a golden standard in the treatment of infected endoprosthesis. Throughout this study, the results of 21 patients with an infected hip endoprosthesis treated in two phases have been processed, with the use of an antibiotic spacer, within the period of 2009 and 2012. Thereby, a unique protocol for diagnosis and treatment of infections has been applied to all the patients, which entails a preoperational x-ray image, laboratory findings (Se, CRP), as well as a puncture aspiration with a microbiological and biochemical examination of the aspirated fragments...
2015: Prilozi (Makedonska Akademija Na Naukite i Umetnostite. Oddelenie za Medicinski Nauki)
J White
Even a total hip replacement will not preclude an active lifestyle if individuals are prudent and avoid excessive impact- loading activities. But whether low-impact sports can do more than improve a patient's quality of life-either by delaying the need for or prolonging the I usefulness of the prosthesis-is a matter of debate.
March 1992: Physician and Sportsmedicine
D Brauers, M Rütschi, G Pagenstert
Introduction: The revision rates were high for patients with Metasul-LDH® hip prosthesis (LDH = large-diameter head) with DUROM® acetabulum components implanted in a single centre between 2003 and 2008. This suggested that there was a system-related weakness in total hip replacements with large diameter heads. It was suspected that the tapered connection between head and stem was responsible for the implantation failure. This led to a scientific reappraisal of the unsuccessful hip prostheses, in order to clarify whether there was a tribological problem or a cone failure...
July 13, 2016: Zeitschrift Für Orthopädie und Unfallchirurgie
Kaisa Huotari, Jarkko Leskinen
Successful replacement arthroplasty enhances the patient's functional capacity, alleviates pain and improves the quality of life. Prosthetic joint infection is one of the most dangerous complications following replacement arthroplasty. In cases of suspected prosthetic joint infection it is essential to consult with the prosthetic joint unit and abstain from starting antibiotics before the appropriate microbiological samples. The diagnosis is made on the basis of history, clinical picture, levels of inflammatory markers, synovial fluid cells and microbiological findings...
2016: Duodecim; Lääketieteellinen Aikakauskirja
Ingwon Yeo, Hoon-Suk Cha, Young Cheol Yoon, Youn-Soo Park, Seung-Jae Lim
INTRODUCTION: Synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) syndrome is an increasingly recognized entity. The hip joint is known as a less frequently affected site in SAPHO syndrome, and there has been limited reports about hip joint diseases caused by SAPHO syndrome, and as such adequate treatment for this disease spectrum is still not fully elucidated. CASE: We describe the case of a 52-year-old man admitted for SAPHO syndrome who went on to be diagnosed with advanced secondary hip arthritis associated with disabling right hip pain...
July 2016: Medicine (Baltimore)
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