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Periprosthetic AND Fracture

Chan-Woo Park, Hyeon-Jun Eun, Sung-Hak Oh, Hyun-Jun Kim, Seung-Jae Lim, Youn-Soo Park
BACKGROUND: There is a lack of understanding on relationship between the femoral geometry and outcomes of total hip arthroplasty (THA). We investigated clinical and radiographic outcomes of THA using a cementless tapered wedge stem in patients with Dorr type A proximal femoral morphology and compared with those of type B femurs at a minimum follow-up of 5 years. METHODS: We analyzed 1089 hips (876 patients) that underwent THA using an identical cementless tapered wedge stem...
November 13, 2018: Journal of Arthroplasty
Dirk Zajonz, Julia Behrens, Alexander Giselher Brand, Andreas Höch, Johannes K M Fakler, Andreas Roth, Christoph Josten, Mohamed Ghanem
BACKGROUND: Hemiarthroplasty is an established treatment for femoral neck fractures (FNF) in old age; however, approximately 20-30% of patients die within 1 year after surgery. Periprosthetic joint infections (PJI) are one of the severest complications and associated with a high mortality rate. In this retrospective study of aged patients with FNF treated with hemiarthroplasty, the incidence of PJI was evaluated with respect to the influence of the delay to and timing of surgical treatment...
December 11, 2018: Der Orthopäde
Gareth S Turnbull, Chloe E H Scott, Deborah J MacDonald, Steffen J Breusch
BACKGROUND: Demand for revision total hip arthroplasty (RTHA) continues to grow worldwide and is expected to more than double within the next 1-2 decades. The primary aim of this study was to examine return to function following revision THA in a UK population. PATIENTS AND METHODS: We assessed 118 patients (132 RTHAs, mean age 65 years SD 13, range 23-88) at a mean follow-up of 7.9 years (SD 4.4) postoperatively. Preoperative age, gender, BMI, social deprivation, operative indication, comorbidities, activity level (UCLA score) and Oxford Hip Scores (OHS) were recorded...
December 7, 2018: Archives of Orthopaedic and Trauma Surgery
Georgios Orfanos, Justin Lim, Bishoy Youssef
BACKGROUND: The increasing demand for arthroplasty has resulted in an inevitable rise in the number of periprosthetic fractures around implants. Survival factors looking into patient's comorbidities and how they influence outcome are rare. This study aims to identify correlations between survival post-injury and pre-existing comorbidities. METHODS: A total of 144 patients underwent operative treatment for either a hip or a knee periprosthetic fracture from January 2008 to August 2017 at our Major Trauma Hospital...
December 7, 2018: Archives of Orthopaedic and Trauma Surgery
Joong-Myung Lee, Young-Suk Sim, Dae-Sung Choi
Purpose: This is a report on the outcomes associated with a consecutive series of 1,000 cementless hip arthroplasties utilizing the Bencox® hip stem-the first Korean-developed hip prosthesis. Materials and Methods: A consecutive series of 1,000 hip arthroplasties using the Bencox® hip stem were analyzed, starting from its initial release (September 2006) until June 2014. Patients in this consecutive series underwent surgery for fractures (n=552), arthritis (n=155), avascular necrosis (n=209), and revisions (n=84)...
December 2018: Hip & Pelvis
John A Scanelli, Geoffrey R Reiser, John F Sloboda, Joseph T Moskal
Elderly patients undergoing both elective and nonelective hip arthroplasty contribute markedly to health care spending, and the current aging population is likely to require even more resources. Several national joint replacement registries show a lower risk of revision surgery in patients older than 75 years who received cemented femoral components compared with cementless implants for primary total hip arthroplasty. Despite a higher incidence of early periprosthetic femoral fracture, noncemented femoral components are being used with increasing frequency in elderly patients worldwide...
December 7, 2018: Journal of the American Academy of Orthopaedic Surgeons
Shuxiang Li, Xiaomin Luo, Han Sun, Kun Wang, Kaifeng Zhang, Xiaoliang Sun
BACKGROUND: There remains a controversy regarding the risks in subsequent total joint arthroplasty (TJA) with and without previous bariatric surgery (BS). We performed a meta-analysis based on the current evidence-based study to determine the influences of prior BS on the short-term and long-term outcomes following TJA. METHODS: From the inception to July 2018, the EMBASE, PubMed, Web of Science, and Cochrane Library electronic databases were searched for all relevant English language trials...
November 20, 2018: Journal of Arthroplasty
Yingyong Suksathien, Jithayut Sueajui
PURPOSE: To evaluate the clinical and radiographic mid-term results of short-stem total hip arthroplasty (THA) in patients with osteonecrosis of the femoral head (ONFH). METHODS: We reviewed 83 cases that underwent Metha stem between November 2010 and November 2012. The appearance of bone trabeculae development and radiolucent line were reviewed and HHS was recorded at 6 months postoperatively then yearly to evaluate the clinical results. RESULTS: The mean age of patients was 43...
December 11, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Jorge A Padilla, Afshin A Anoushiravani, James E Feng, Ran Schwarzkopf, James Slover, Scott Marwin
BACKGROUND: Short-stem (SS) hip prostheses for total hip arthroplasty (THA) have gained popularity as surgeons strive to reproduce physiological stress distributions at the proximal femur. Additionally, as THA indications continue to target younger populations, preservation of femoral bone stock for potential revision surgeries is particularly appealing. However, little is known regarding the short-term complications of each variety of short stem during the learning curve period. The purpose of this study is to evaluate the short-term complications among the THA recipients with the use of a novel SS hip prosthesis...
December 6, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
Patawut Bovonratwet, Michael C Fu, Murillo Adrados, Nathaniel T Ondeck, Edwin P Su, Jonathan N Grauer
BACKGROUND: The incidence of periprosthetic hip fractures is increasing due to higher numbers of total hip arthroplasties being performed. Unlike native hip fractures, the effect of time to surgery of periprosthetic hip fractures is not well established. This study evaluates the effect of time to surgery on perioperative complications for patients with periprosthetic hip fractures. METHODS: Patients who underwent surgery for periprosthetic hip fracture were identified in the 2005-2016 National Surgical Quality Improvement Program database and stratified into 2 groups: <2 and ≥2 days from hospital admission to surgery...
November 12, 2018: Journal of Arthroplasty
Paul Bonnevialle, Pierre-Sylvain Marcheix, Xavier Nicolau, Marine Arboucalot, Marie Lebaron, Christophe Chantelot, Didier Mainard, Matthieu Ehlinger
INTRODUCTION: Interprosthetic femoral fractures (IFF) are becoming more frequent; however they have not been the subject of many publications and the largest study on this topic includes only 30 cases. The complication rate and clinical outcomes have only been evaluated in small case series. This led us to conduct a retrospective, multicenter, observational study in IFF patients with at least 12 months' follow-up to (1) determine the mortality and morbidity (2) determine the clinical and radiological outcomes and (3) identify elements of the treatment indications...
December 1, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
David Novikov, Afshin A Anoushiravani, Kevin K Chen, Theodore S Wolfson, Nimrod Snir, Ran Schwarzkopf
BACKGROUND: Advancements in the management of human immunodeficiency virus (HIV) now permit HIV-positive patients to have longer life spans, increasing their cumulative risk of developing an advanced degenerative joint disease, necessitating total hip arthroplasty (THA). The purpose of this study was to provide an extended follow-up on a previously published study on a cohort of HIV-positive THA recipients in an effort to confirm the safety and longevity of THA in this population. METHODS: This study is a follow-up on a previous study comprised of 41 hips in 31 HIV-positive THA recipients...
November 8, 2018: Journal of Arthroplasty
T B Kristensen, E Dybvik, O Furnes, L B Engesæter, J-E Gjertsen
AIMS: The aim of this large registry-based study was to compare mid-term survival rates of cemented femoral stems of different designs used in hemiarthroplasty for a fracture of the femoral neck. PATIENTS AND METHODS: From the Norwegian Hip Fracture Register (NHFR), 20 532 primary cemented bipolar hemiarthroplasties, which were undertaken in patients aged > 70 years with a femoral neck fracture between 2005 and 2016, were included. Polished tapered stems (n = 12 065) (Exeter and CPT), straight stems (n = 5545) (Charnley, Charnley Modular, and Spectron EF), and anatomical stems (n = 2922) (Lubinus SP2) were included...
December 2018: Bone & Joint Journal
Elsa A Spaans, Koen L M Koenraadt, Robert Wagenmakers, Leon H G J Elmans, Joost A A M van den Hout, D Eygendaal, Stefan B T Bolder
INTRODUCTION: Surgeon volume of hip arthroplasties is of importance with regard to complication and revision rates in total hip arthroplasty. For hip hemiarthroplasty, the effect of surgeon volume on outcome is far less studied. We analyzed the outcome of hip hemiarthroplasties performed by orthopedic surgeons in a retrospective cohort in different volume categories, focusing on early survival of the prosthesis and complications. METHODS: Between March 2009 and January 2014, 752 hemiarthroplasties were performed for intracapsular femoral neck fracture by 27 orthopedic surgeons in a large Dutch teaching hospital...
November 27, 2018: Archives of Orthopaedic and Trauma Surgery
Graham Finlayson, Adam Tucker, Nicholas D Black, Sinead McDonald, Mary Molloy, Darrin Wilson
BACKGROUND: Periprosthetic fractures are a well-documented, serious complication of joint arthroplasty, occurring in up to 11% of hip replacements. We examined periprosthetic femoral fractures over an 8 year period to determine the demographics, fracture pattern and management options and associated outcomes. Furthermore, we sought to determine which comorbidities resulted in increased risk of 12 month mortality after periprosthetic fractures about hip replacements Methods: A retrospective review of a prospective fracture database was conducted for the years 2007-2015...
November 2, 2018: Injury
E Ekman, H Nurmi, A Reito, J Paloneva
BACKGROUND AND AIMS: Hemiarthroplasty is a common method of treating displaced femoral neck fractures, especially among elderly non-active patients with frailty syndrome. Complications arising from the use of a modern, modular hemiendoprosthesis via a posterior approach have been poorly reported in this population. The aim of this study was to evaluate complications and mortality associated with the use of Lubinus sp II cemented, unipolar hemiarthroplasty prosthesis and posterior approach during a 9-year follow-up...
November 25, 2018: Scandinavian Journal of Surgery: SJS
Hilal Maradit Kremers, Matthew P Abdel, Jeanine E Ransom, Dirk R Larson, David G Lewallen, Daniel J Berry
INTRODUCTION: We determined mortality rates after intraoperative and postoperative periprosthetic femur fractures in primary and revision total hip arthroplasty (THA). METHODS: The study population comprised 522 intraoperative and 480 postoperative femur fractures in 26,250 primary THA patients and 590 intraoperative and 224 postoperative femur fractures in 4,532 revision THA patients. The risk of death was examined using Cox regression models. RESULTS: In primary THA, intraoperative periprosthetic femur fractures were not associated with excess risk of death (hazard ratio, 1...
November 15, 2018: Journal of the American Academy of Orthopaedic Surgeons
John Charity, Michael C Wyatt, Simon Jameson, Sarah L Whitehouse, Matthew J Wilson, Graham A Gie
BACKGROUND: Symptomatic bilateral hip osteoarthritis can be treated surgically with either staged or single-anaesthetic bilateral total hip replacement (BTHR). Today the typical candidate for BTHR is more likely to receive cementless implants. We present the experience of BTHR at our institution using cemented stems combined with cemented and uncemented sockets and, to our knowledge, the largest prospective single-centre series. PATIENTS AND METHODS: This cohort study reviews all patients (319 patients: 638 hips) having BTHR at our institution between December 1977 and December 2015...
November 19, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
José Carlos Minarro, María Teresa Urbano-Luque, Alberto López-Jordán, Manuel Jesús López-Pulido, Ángel González-Fernández, Alberto Damián Delgado-Martínez
Introduction: Periprosthetic fractures around the knee (PPF) are a devastating complication of total knee arthroplasty (TKA). Anterior femoral notching during TKA is considered a risk factor for PPF. The aim of this paper is to determine if an anterior femoral notch after total knee arthroplasty may affect the fracture pattern when a PPF appears postoperatively. Material and methods: 50 patients diagnosed in our centre of a PPF from January 2010 to December 2013 were retrospectively enrolled...
October 2018: Journal of Clinical Orthopaedics and Trauma
Joon Soon Kang, Yeop Na, Bong Seong Ko, Yoon Sang Jeon
PURPOSE: Revision hip arthroplasty is a very challenging procedure. Use of a modular distal fixation stem is one of the available options for revision arthroplasty in patients with proximal femoral bone deficiency. The purpose of this study was to evaluate mid- to long-term outcomes of cementless modular distal fixation femoral stem implantation in revision hip surgery. METHODS: Clinical and radiological findings, complications, and stem survival rate were analyzed for 46 patients (48 hips) who underwent revision hip arthroplasty using a cementless modular distal fixation femoral stem...
May 2018: Journal of Orthopaedic Surgery
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