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Rebecca L Johnson, Matthew P Abdel, Ryan D Frank, Alanna M Chamberlain, Elizabeth B Habermann, Carlos B Mantilla
BACKGROUND: Frailty and disability from arthritis are closely intertwined and little is known about the impact of frailty on total hip arthroplasty (THA) outcomes. We hypothesized that higher preoperative frailty is associated with more adverse events following THA. METHODS: All patients (≥50 years) undergoing unilateral primary or revision THA at a single institution from 2005 through 2016 were included. We analyzed the association of frailty (measured by a frailty deficit index) with postoperative outcomes in hospital, within 90 days, and within 1 year using multivariable logistic and Cox regression, adjusting for age...
September 25, 2018: Journal of Arthroplasty
Luis Grau, Erik Zachwieja, Spencer H Summers, Dustin H Massel, Alvin Ong, Victor H Hernandez, Omri Merose
OBJECTIVE: To evaluate the relationship between noncirrhotic hepatitis C virus (HCV) infection, perioperative complications, and discharge status in patients undergoing surgical procedures for hip fractures. METHODS: A retrospective epidemiological study was performed, querying the National Hospital Discharge Survey. Patients were selected using the International Classification of Diseases-9 diagnostic codes for hip fracture and primary procedural codes for open reduction internal fixation, hemiarthroplasty, total hip arthroplasty, or internal fixation...
November 2018: Journal of Orthopaedic Trauma
Jean-Charles Giunta, Camille Tronc, Gael Kerschbaumer, Michel Milaire, Sébastien Ruatti, Jerôme Tonetti, Mehdi Boudissa
PURPOSES: Open reduction and internal fixation (ORIF) in osteoporotic acetabular fractures is quite difficult with high risk of implant failure. Total hip arthroplasty (THA) may be an effective option for treating acetabular fractures in appropriately selected patients, with immediate full weightbearing. The aim of the study was to evaluate the functional outcomes of primary THA for acetabular fractures in elderly patients. METHODS: Between 2010 and 2015, 27 elderly patients operated for acetabular fractures by primary THA were included...
October 18, 2018: International Orthopaedics
Hany S Bedair, Brian M Schurko, Maureen K Dwyer, David Novikov, Afshin A Anoushiravani, Ran Schwarzkopf
BACKGROUND: Patients with chronic hepatitis C (HCV) have had extremely high complication rates after total hip arthroplasty (THA). We sought to compare perioperative complication rates between untreated and treated HCV in THA patients and to compare these rates between patients treated with 2 different therapies (interferon vs direct antiviral agents). METHODS: A multicenter retrospective database query was used to identify patients diagnosed with HCV who underwent THA between 2006 and 2016...
September 19, 2018: Journal of Arthroplasty
Sophia A Traven, Russell A Reeves, Molly G Sekar, Harris S Slone, Zeke J Walton
BACKGROUND: While the 11-factor modified frailty index (mFI) has been shown to predict adverse outcomes in patients undergoing total joint arthroplasty, the 5-factor index has not been evaluated in this patient population. The goal of this study was to evaluate the utility of the mFI-5 as a predictor of morbidity and mortality in patients undergoing primary total hip and knee arthroplasty. METHODS: A retrospective analysis of the American College of Surgeons National Surgical Quality Improvement Program's database for patients undergoing total hip arthroplasty and total knee arthroplasty between the years 2005 and 2016 was conducted...
September 21, 2018: Journal of Arthroplasty
Yu Takeda, Shigeo Fukunishi, Shoji Nishio, Yuki Fujihara, Shinichi Yoshiya
RATIONALE: Total hip arthroplasty (THA) concomitant with subtrochanteric femoral shortening osteotomy for Crowe type IV dysplastic hip has been reported. However, the combination of subtrochanteric femoral osteotomy and revision THA has only been mentioned in one case report. PATIENT CONCERNS: A 67-year-old female had a history of congenital dislocation of both hips. DIAGNOSES: Right hip was diagnosed the aseptic loosening of THA with extremely high replacement of the acetabular component...
October 2018: Medicine (Baltimore)
Joseph D Lamplot, Anchal Bansal, Joseph T Nguyen, Robert H Brophy
BACKGROUND: The risk of subsequent joint replacement following an index joint replacement for osteoarthritis and the association of this risk with demographic and patient-specific factors are not well understood. The purpose of this study was to determine how demographic and other patient-specific factors are associated with the risk of subsequent joint replacement in the contralateral or a different joint following an index joint replacement for osteoarthritis. METHODS: The Healthcare Cost and Utilization Project (HCUP) State Inpatient Database (SID) of New York was used to identify the first (primary) total hip arthroplasty (THA), total knee arthroplasty (TKA), or total shoulder arthroplasty (TSA) and the risk of subsequent joint replacement in the contralateral or a different joint over 5 to 8 years...
October 17, 2018: Journal of Bone and Joint Surgery. American Volume
Alexander Dastrup, Anton Pottegård, Jesper Hallas, Søren Overgaard
BACKGROUND: There have been concerns that the antifibrinolytic drug tranexamic acid (TXA) might increase the postoperative risk of cardiovascular events. Our objective was to determine whether perioperative TXA use is associated with cardiovascular events and death within 30 days after primary total hip arthroplasty (THA). METHODS: We conducted a nationwide cohort study of cardiovascular outcomes after perioperative exposure to tranexamic acid during THA. We included 45,290 patients who had a THA in the study period of 2006 to 2013; 38,586 received perioperative TXA, and 6,704 did not...
October 17, 2018: Journal of Bone and Joint Surgery. American Volume
Jason A Davis, Geoffrey Rohlfing, Kenan Sagouspe, Maximino Brambila
INTRODUCTION: The purpose of this study was to evaluate the efficacy of routine pathologic examination (PE) of femoral head (FH) specimens after arthroplasty for acute femoral neck fractures and to determine the cost. METHODS: This was a retrospective chart review of 850 acute femoral neck fractures treated with hemiarthroplasty or total hip arthroplasty These were evaluated to determine whether the FH was sent for PE, the resultant findings, alterations in medical treatment, and cost...
October 16, 2018: Journal of the American Academy of Orthopaedic Surgeons
Stefan J Gelderman, Paul C Jutte, Ronald Boellaard, Joris J W Ploegmakers, David Vállez García, Greetje A Kampinga, Andor W J M Glaudemans, Marjan Wouthuyzen-Bakker
Background and purpose - 18 F-fluorodeoxyglucose positron emission tomography (FDG-PET) can be used in the diagnostic work-up of a patient with suspected periprosthetic joint infection (PJI) but, due to a lack of accurate interpretation criteria, this technique is not routinely applied. Since the physiological uptake pattern of FDG around a joint prosthesis is not fully elucidated, we determined the physiological FDG uptake in non-infected total hip prostheses. Patients and methods - Patients treated with primary total hip arthroplasty (1995-2016) who underwent a FDG-PET/CT for an indication other than a suspected PJI were retrospectively evaluated...
October 18, 2018: Acta Orthopaedica
Zhi-Wei Kang, Yao-Hui Zhang, Zi-Quan Yang
As a mature technology gradually, the total hip arthroplasty has been known and conducted by more and more orthopedic surgeons. However, it also increased the number of hip revisions. The reasons for revision of hip mainly include: unstable, infection, aseptic loosening prosthesis, prosthesis peripheral fracture, liner wear and so on, and the acetabulum bone defect and the choice of acetabular prosthesis have been perplexing surgeons. In this paper, we summarise classification and reconstruction of acetabulum bone defect in hip revision oprations, compare the advantages and disadvantages of all kinds of classification, on this basis can have more than one bone grafting mode and the choice of the acetabulum prosthesis for reconstruction of acetabulum, then expound the ways of material sources, bone grafting modes and complex acetabulum bone defect reconstruction as well as the choice of the ways of fixed prosthesis, providing the basis for clinical doctors to deal with all kinds of acetabulum bone defect and the choice of the acetabulum prosthesis, guiding patient specific therapy more precisely...
September 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Jun-Zhe Lang, Cong-Cong Wu, Jian-Feng Jin, Peng Wu, Lei Hen
OBJECTIVE: To determine the association of sarcopenia with short-term postoperative function after hip replacement for femoral neck fractures. METHODS: A prospective study of 181 consecutive patients with femoral neck fractures who underwent hip replacement from May 2014 to January 2017 were performed, including 58 males and 123 females aging from 53 to 92 years old. The general conditions were collected before surgery, skeletal muscle index(ASMI), handgrip strength were measured...
September 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Katrin Brodbeck, Stefanie Kern, Sylvia Schick, Arnd Steinbrück, Michael Schwerer, Birgit Bayer, Katja Anslinger, Steffen Peldschus
INTRODUCTION: Cell-free DNA (cfDNA) elevations were remarked in the blood of trauma patients. Published increases refer to comparative values of a healthy control group, ignoring thereby inter- and intra-individual differences under normal conditions. The aim of this study was to quantify cfDNA in patients in the time course of a planned orthopedic surgery, which constitutes the advantage of obtaining individual pre- and post-trauma values for each patient. By this approach, a basis should be established for the potential future application of cfDNA as biomarker for the detection of mild injuries related to volunteer experiments in forensic biomechanics...
October 16, 2018: International Journal of Legal Medicine
Lars L Hermansen, Martin H Haubro, Bjarke L Viberg, Søren Overgaard
No abstract text is available yet for this article.
October 17, 2018: Acta Orthopaedica
Toshiyuki Kawai, Masanao Kataoka, Koji Goto, Yutaka Kuroda, Kazutaka So, Shuichi Matsuda
Patient-reported outcome measures (PROMs) are used to assess satisfaction after total hip arthroplasty (THA); however, the factors that determine these PROMs remain unclear. This study aimed to identify the patient- and surgery-related factors that affect patient satisfaction after THA as indicated by the Oxford Hip Score (OHS). One-hundred-and-twenty patients who underwent primary THA were included. Various patient-related factors, including clinical scores, and surgery-related factors were examined for potential correlations with the OHS at 3, 6, and 12 months post-THA...
October 15, 2018: Journal of Clinical Medicine
Neil P Sheth, Joshua C Rozell, Wayne G Paprosky
As the demand for total hip arthroplasty (THA) continues to increase, the burden of revision THA is also expected to increase. Although the quality of polyethylene has improved markedly, osteolysis continues to be a risk for older designs and younger, active patients. Although progressive but typically asymptomatic in early stages, osteolysis can result in component failure and complicate revision surgery. Serial radiographs are paramount for monitoring progression. Although select cases may be treated with observation, surgery should be considered based on age, activity level, and projected life span...
October 15, 2018: Journal of the American Academy of Orthopaedic Surgeons
Kjetil F Isaksen, Elin K Roscher, Kjetil S Iversen, Ingrid Eitzen, John Clarke-Jenssen, Lars Nordsletten, Jan E Madsen
BACKGROUND: Untreated developmental hip dysplasia may result in pain, loss of function and is a common cause of osteoarthritis (OA). The periacetabular osteotomy (PAO) was developed to relieve symptoms and postpone further degeneration of the hip. We aimed to assess preoperative clinical and radiographic prognostic factors and evaluate survivorship of PAO after medium-term follow-up of 7.4 (2-15) years. METHODS: 59 patients (69 hips) operated with a PAO through an anterior intrapelvic approach from 1999 to 2011 were retrospectively identified...
October 16, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Sean P Ryan, Benjamin Wooster, William Jiranek, Samuel Wellman, Michael Bolognesi, Thorsten Seyler
BACKGROUND: Conversion total hip arthroplasties (THAs) from prior free vascularized fibular grafting (FVFG) are infrequently reported in the literature. We characterized the perioperative outcomes of patients undergoing conversion THA and compared them with those of a matched cohort of patients undergoing primary THA for osteonecrosis of the femoral head and neck (ONFHN). METHODS: The institutional database was queried for patients with FVFG requiring conversion to THA...
September 21, 2018: Journal of Arthroplasty
Hiromasa Tanino, Tatsuya Sato, Yasuhiro Nishida, Ryo Mitsutake, Hiroshi Ito
BACKGROUND: Dislocation continues to be a common complication following total hip arthroplasty (THA). A larger intraoperative range of motion (ROM) is believed to minimize dislocation risk, and intraoperative stability tests have been used to assess the ROM. However, it is not clear whether or not intraoperative stability tests can predict hip stability after THA. It is also unclear which angles are required in intraoperative stability tests. We investigated the usefulness of intraoperative stability tests, and other risk factors to predict hip stability after THA...
October 15, 2018: BMC Musculoskeletal Disorders
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