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https://www.readbyqxmd.com/read/28641972/equal-primary-fixation-of-resurfacing-stem-but-inferior-cup-fixation%C3%A2-with-anterolateral-vs-posterior-surgical-approach-a-2-year-blinded-randomized-radiostereometric-and-dual-energy-x-ray-absorptiometry-study-of-metal-on-metal-hip-resurfacing-arthroplasty
#1
Mette H Hjorth, Nina D Lorenzen, Kjeld Søballe, Stig S Jakobsen, Maiken Stilling
BACKGROUND: The anterolateral (AntLat) surgical approach may spare the blood supply to the femoral head and improve the accuracy of cup positioning in metal-on-metal hip resurfacing arthroplasty. Thereby, potentially lessen complications such as avascular head necrosis, femoral neck narrowing and fracture, improve implant fixation, and lessen periprosthetic bone mineral density (BMD) loss. METHODS: Between November 2008 and January 2012, a randomized clinical trial was performed at Aarhus University Hospital...
May 25, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28636468/do-ligamentum-teres-tears-portend-inferior-outcomes-in-patients-with-borderline-dysplasia-undergoing-hip-arthroscopic-surgery-a-match-controlled-study-with-a-minimum-2-year-follow-up
#2
Edwin O Chaharbakhshi, Itay Perets, Lyall Ashberg, Brian Mu, Christopher Lenkeit, Benjamin G Domb
BACKGROUND: Arthroscopic surgery in borderline dysplastic hips remains controversial, but the role of the ligamentum teres (LT) has not been studied in this setting. HYPOTHESIS: Borderline dysplastic patients with LT tears have worse short-term outcomes than those without LT tears. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: Data were prospectively collected on patients who underwent arthroscopic surgery between February 2008 and April 2014...
June 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28634097/acetabular-reconstruction-with-the-medial-protrusio-technique-for-complex-primary-and-revision-total-hip-arthroplasties
#3
Scott M Eskildsen, Zenus J Wilson, David C McNabb, Christopher W Olcott, Daniel J Del Gaizo
BACKGROUND: In the setting of acetabular deficiency during total hip arthroplasty (THA), the medial protrusio technique (MPT) allows for increased component coverage while avoiding excessive component abduction or elevation of the hip center. The technique involves controlled reaming through the medial acetabular wall while maintaining the continuity of the anterior and posterior columns. The purpose of this study is to analyze the results of the largest reported series to date of primary and revision THAs using the MPT...
May 26, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28634093/total-hip-arthroplasty-after-transtrochanteric-rotational-osteotomy-for-osteonecrosis-of-the-femoral-head-a-mean-10-year-follow-up
#4
Yusuke Osawa, Taisuke Seki, Daigo Morita, Yasuhiko Takegami, Toshiaki Okura, Naoki Ishiguro
BACKGROUND: The objective of the present study was to investigate clinical, quality of life, and radiographic outcomes of patients who underwent total hip arthroplasty (THA) after transtrochanteric rotational osteotomy (TRO) for osteonecrosis of the femoral head (ONFH). METHODS: We performed a case-control study. The participants were 29 patients (34 hips) who underwent THA after TRO (TRO group). These patients had a mean age at surgery of 51.6 years (range, 30-72 years) and underwent postoperative follow-up for a mean period of 10...
May 18, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28632588/survivorship-and-outcomes-10-years-following-hip-arthroscopy-for-femoroacetabular-impingement-labral-debridement-compared-with-labral-repair
#5
Travis J Menge, Karen K Briggs, Grant J Dornan, Shannen C McNamara, Marc J Philippon
BACKGROUND: Studies have demonstrated hip arthroscopy to be an effective treatment for femoroacetabular impingement (FAI) with associated labral tears. The purposes of this study were to report 10-year outcomes and hip survival following hip arthroscopy for FAI and to compare labral debridement with labral repair. METHODS: Prospectively collected data on patients followed for a minimum of 10 years after hip arthroscopy for FAI with either labral debridement or labral repair performed by a single surgeon were retrospectively analyzed...
June 21, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28630738/outcomes-of-heterotopic-ossification-excision-following-revision-hip-arthroscopy
#6
John M Redmond, Molly A Keegan, Asheesh Gupta, Jacob R Worsham, Jon E Hammarstedt, Benjamin G Domb
This study reviewed pain and outcome scores of patients undergoing revision surgery with heterotopic ossification (HO) excision following previous hip arthroscopy. The aim was to determine if performing the excision arthroscopically improved clinical outcomes. Data were prospectively collected and retrospectively reviewed in patients who had HO removed arthroscopically between February 2008 and 2014. Four patient-reported outcome (PRO) measures were collected: Modified Harris Hip Score (mHHS), Non-Arthritis Hip Score (NAHS), Hip Outcome Score-Activity of Daily Living (HOS-ADL) and Sport-Specific (HOS-SS) subscales...
July 2017: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/28630735/arthroscopic-acetabuloplasty-without-labral-detachment-for-focal-pincer-type-impingement-a-minimum-2-year-follow-up
#7
Fernando M Comba, Pablo A Slullitel, Pedro Bronenberg, Gerardo Zanotti, Martin A Buttaro, Francisco Piccaluga
In order to access and resect the acetabular rim, arthroscopic acetabuloplasty was described with labral detachment. When the chondrolabral junction remains intact, acetabuloplasty and labral refixation can be performed maintaining an unharmed labrum. We aimed to evaluate the outcome of a group of patients treated with arthroscopic acetabuloplasty without labral detachment. During the study period, we retrospectively analysed 44 patients with pincer-type o combined impingement and an intact chondroblabral junction, with an average follow-up of 32 months (range: 27-38)...
July 2017: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/28630725/endoscopic-repair-of-hip-abductor-tears-outcomes-with-two-year-follow-up
#8
J W Thomas Byrd, Kay S Jones
Abductor lesions are increasingly recognized as a source of recalcitrant laterally based hip pain and dysfunction. There is a growing body of evidence that many of these may be amenable to endoscopic repair. To report the demographic data and outcomes of endoscopic hip abductor repair. Twelve patients underwent endoscopic abductor repair with 2-year follow-up. These patients were prospectively assessed with modified Harris hip and iHOT scores. The indications for surgery were clinical and MRI findings of symptomatic abductor tears that had failed conservative treatment...
January 2017: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/28630719/hip-arthroscopy-results-in-improved-patient-reported-outcomes-compared-to-non-operative-management-of-waitlisted-patients
#9
Luke Spencer-Gardner, Ruch Dissanayake, Amir Kalanie, Parminder Singh, John O'Donnell
Hip arthroscopy (HA) is an established treatment option to address intra-articular pathology of the hip. However, some clinicians encourage non-operative management (NOM). Non-operative management may include active measures such as physiotherapy and intra-articular steroid injections, or NOM may involve so called watchful waiting with no active intervention. These approaches, along with surgery have been detailed recently in the Warwick Agreement, a Consensus Statement regarding diagnosis and treatment of Femoroacetabular Impingement Syndrome The aim of this study is to compare the change in clinical outcome scores of waitlisted patients with intra-articular hip pathology who receive no active treatment with matched controls that have undergone HA...
January 2017: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/28630718/ability-to-return-to-work-without-restrictions-in-workers-compensation-patients-undergoing-hip-arthroscopy
#10
Simon Lee, Gregory L Cvetanovich, Randy Mascarenhas, Thomas H Wuerz, Richard C Mather, Charles A Bush-Joseph, Shane J Nho
The purpose of this study was to investigate the ability of worker's compensation (WC) patients to return to work without restrictions after hip arthroscopy. Twenty-nine WC patients along with age and gender matched controls who underwent hip arthroscopy were retrospectively reviewed after achieving maximum medical improvement (MMI) status at minimum 1 year postoperatively. Patient demographic factors were evaluated, along with the Hip Outcome Score Activities of Daily Living and Sports-Specific subscales, and the modified Harris Hip Score (mHHS)...
January 2017: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/28623889/surgical-accuracy-function-and-quality-of-life-of-simultaneous-versus-staged-bilateral-total-hip-arthroplasty-in-patients-with-osteonecrosis-of-the-femoral-head
#11
Seung-Chan Kim, Young-Wook Lim, Woo-Lam Jo, Dong-Chul Park, Jin-Woo Lee, Won-Woo Kang, Yong-Sik Kim
BACKGROUND: The optimal surgical option for patients requiring bilateral hip replacement remains controversial. The purpose of this study was to compare surgical accuracy; functional outcome and health-related quality of life; and prosthetic-related complications and revision surgery of a simultaneous bilateral total hip arthroplasty (THA) with those of a staged bilateral THA with an interval between procedures <12 months. METHODS: A total of 123 unselected consecutive patients (mean age, 43...
June 17, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28623078/arthroscopic-treatment-of-femoroacetabular-impingement-in-adolescents-provides-clinically-significant-outcome-improvement
#12
Benedict U Nwachukwu, Brenda Chang, Cynthia A Kahlenberg, Kara Fields, Danyal H Nawabi, Bryan T Kelly, Anil S Ranawat
PURPOSE: To define minimal clinically important difference (MCID) and substantial clinical benefit (SCB) for adolescents undergoing arthroscopic femoroacetabular impingement (FAI) surgery. METHODS: A prospective institutional hip preservation registry was reviewed to identify hip arthroscopies performed for FAI. Patients with pre-existing hip conditions such as slipped capital femoral epiphysis and Legg-Calve-Perthese were excluded. Included patients were 18 years and younger...
June 13, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28617619/early-functional-outcomes-of-periacetabular-osteotomy-after-failed-hip-arthroscopic-surgery-for-symptomatic-acetabular-dysplasia
#13
Benjamin F Ricciardi, Kara G Fields, Catherine Wentzel, Bryan T Kelly, Ernest L Sink
BACKGROUND: Persistent acetabular dysplasia is a common reason for the failure of hip arthroscopic surgery; however, the effect of prior hip arthroscopic surgery on functional outcomes after subsequent periacetabular osteotomy (PAO) is unknown. Hypothesis/Purpose: The purpose of this study was to (1) compare demographic and radiological findings in patients who had and had not undergone previous hip arthroscopic surgery before PAO for symptomatic acetabular dysplasia and (2) compare the short-term, hip-specific patient-reported outcomes in these same patient populations...
June 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28609644/outcomes-of-hip-arthroscopic-surgery-in-patients-with-t%C3%A3-nnis-grade-1-osteoarthritis-at-a-minimum-5-year-follow-up-a-matched-pair-comparison-with-a-t%C3%A3-nnis-grade-0-control-group
#14
Benjamin G Domb, Edwin O Chaharbakhshi, Danil Rybalko, Mary R Close, Jody Litrenta, Itay Perets
BACKGROUND: Studies on midterm outcomes of the arthroscopic treatment of femoroacetabular impingement (FAI) and labral tears with mild osteoarthritis (OA) are limited. PURPOSE: To evaluate outcomes of the arthroscopic treatment of FAI and labral tears in patients with mild preoperative OA (Tönnis grade 1) at a minimum 5-year follow-up, and to perform a matched-pair comparison to a control group with Tönnis grade 0. STUDY DESIGN: Cohort study; Level of evidence, 3...
June 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28609640/assessment-of-disability-related-to-femoroacetabular-impingement-syndrome-by-use-of-the-patient-reported-outcome-measure-information-system-promis-and-objective-measures-of-physical-performance
#15
Andrew J Sheean, Matthew R Schmitz, Catherine L Ward, Aaron E Barrow, David J Tennent, Christopher J Roach, Travis C Burns, Jason M Wilken
BACKGROUND: The National Institutes of Health (NIH)-sponsored Patient-Reported Outcomes Measurement System (PROMIS) has been described as a valuable tool for characterizing outcomes among patients with specific musculoskeletal conditions. Additionally, previously proposed objective measures of physical performance among patients with nonarthritic hip abnormalities are costly and not practically incorporated into routine clinical practice. PURPOSE: (1) To determine the ability of the PROMIS to differentiate between patients with femoroacetabular impingement (FAI) and asymptomatic controls, (2) to determine the effect of FAI on subjects' completion of timed physical performance measures, and (3) to determine whether associations exist between established patient-reported outcome (PRO) measures and subjects' completion of physical performance measures...
June 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28609125/minimum-2-year-outcomes-of-hip-arthroscopic-surgery-in-patients-with-acetabular-overcoverage-and-profunda-acetabulae-compared-with-matched-controls-with-normal-acetabular-coverage
#16
Sivashankar Chandrasekaran, Nader Darwish, Edwin O Chaharbakhshi, Carlos Suarez-Ahedo, Parth Lodhia, Benjamin G Domb
BACKGROUND: Advancements in instrumentation and techniques have extended the scope of hip arthroscopic surgery to treat complex osseous deformities that were previously best addressed with an open approach. Global pincer-type femoroacetabular impingement is an example of an abnormality requiring osseous correction with a technically challenging access point. PURPOSE: To report on the patterns of clinical presentation and intra-articular derangements, radiological associations, and minimum 2-year outcomes after hip arthroscopic surgery in patients with a lateral center edge angle (LCEA) >40° and profunda acetabulae in comparison with matched controls with normal acetabular coverage...
June 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28606460/dual-mobility-vs-fixed-bearing-total-hip-arthroplasty-in-patients-under-55-years-of-age-a-single-institution-matched-cohort-analysis
#17
Fiachra E Rowan, Anthony J Salvatore, Jeffrey K Lange, Geoffrey H Westrich
BACKGROUND: Prosthetic dislocation of total hip arthroplasty (THA) is a common cause for revision surgery. Dual-mobility (DM) bearings were introduced to mitigate complications; however, their performance in younger patients is unknown. This study compared results of patients <55 years of age with DM vs fixed-bearing (FB) primary THA. METHODS: Our total joint registry was used to evaluate primary THA patients <55 years of age, and then, an age-matched comparative analysis was performed for 136 THAs using third-generation highly cross-linked polyethylene DM bearings and 136 THAs using FB from the same manufacturer with mean follow-up of 3...
May 11, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28605005/factors-predicting-the-outcomes-of-incomplete-triple-pelvic-osteotomy
#18
Engin Eceviz, Esat Uygur, Mehmet S Söylemez, Abdullah Eren
INTRODUCTION: In the present study, we identified factors affecting the outcomes of patients who underwent incomplete triple pelvic osteotomies due to acetabular dysplasia. METHODS: Data on a total of 58 hips in 50 patients for whom adequate data were available and who had undergone appropriate follow-up were retrospectively evaluated. We used Ömeroğlu scores for radiological evaluation, Harris Hip Scores for clinical evaluation, Tönnis scores to evaluate osteoarthritis progression and a modified Clavien-Dindo classification to evaluate complications...
June 6, 2017: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/28605003/outcomes-of-gluteus-maximus-and-tensor-fascia-lata-transfer-for-primary-deficiency-of-the-abductors-of-the-hip
#19
Sivashankar Chandrasekaran, Nader Darwish, S Pavan Vemula, Parth Lodhia, Carlos Suarez-Ahedo, Benjamin G Domb
PURPOSE: This study aims to present 3 patients' results after undergoing gluteus maximus and tensor fascia lata (TFL) transfer for chronic abductor tears unable to be repaired primarily. METHODS: 3 patients were identified intraoperatively as having an abductor tear unable to be repaired primarily. The anterior 1/3 of the gluteus maximus and the posterior 1/3 of the TFL were mobilised and transferred to the greater trochanter in order to reproduce the normal force vector of the gluteus medius and minimus...
June 6, 2017: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/28605002/short-term-outcomes-of-open-hip-preservation-surgery-for-symptomatic-extraarticular-femoroacetabular-impingement
#20
Benjamin F Ricciardi, Kara G Fields, Catherine Wentzel, Bryan T Kelly, Ernest L Sink
INTRODUCTION: The purposes of this study were to describe: (i) short-term disease-specific patient-reported outcome scores (PROMs); and (ii) factors associated with reoperation or treatment failure in patients undergoing open hip preservation surgery for symptomatic extraarticular FAI. METHODS: Patients undergoing open hip preservation surgery for symptomatic extraarticular FAI were identified from a prospective, single-centre hip preservation registry (n = 51 patients; median clinical follow-up 24 [range 11-49] months)...
June 7, 2017: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
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