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https://www.readbyqxmd.com/read/29916002/classification-systems-of-hip-osteonecrosis-an-updated-review
#1
REVIEW
Assem A Sultan, Nequesha Mohamed, Linsen T Samuel, Morad Chughtai, Nipun Sodhi, Viktor E Krebs, Kim L Stearns, Robert M Molloy, Michael A Mont
PURPOSE: Osteonecrosis of the femoral head (ONFH) typically impacts middle-aged patients who are typically more active and in whom many surgeons would try to delay performing a total hip arthroplasty (THA). This poses a clinical decision-making challenge. Therefore, several options for joint preservation have been advocated, but varying indications and success rates have led to debate on when to use the various procedures. This is due in part to the lack of a generalized system for assessing ONFH, as well as the absence of a standardized method of data collection for patient stratification...
June 18, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29916001/femoral-stem-subsidence-in-cementless-total-hip-arthroplasty-a-retrospective-single-centre-study
#2
Christian Ries, Christoph Kolja Boese, Florian Dietrich, Wolfgang Miehlke, Christian Heisel
PURPOSE AND HYPOTHESIS: Subsidence is a known reason for early failure of total hip arthroplasty (THA). In particular, cementless THA might be vulnerable to migration. The present study analysed femoral stem subsidence after primary cementless THA. Prosthetic and anatomical risk factors for early femoral stem subsidence were evaluated. METHODS: Two hundred thirty-one consecutive patients who underwent primary cementless THA in a single centre were retrospectively analysed...
June 18, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29916000/long-term-outcomes-of-phemister-bone-grafting-for-patients-with-non-traumatic-osteonecrosis-of-the-femoral-head
#3
Cheng-Ta Wu, Shih-Hsiang Yen, Po-Chun Lin, Jun-Wen Wang
BACKGROUND: Phemister procedure is an effective treatment for early stage osteonecrosis of femoral head (ONFH). Since the long-term results of the Phemister procedure are less reported in the literature, the purpose of this study was to investigate the long-term outcomes of this bone grafting technique in patients with earlier stages of ONFH. METHODS: From 1994 to 2010, 29 hips with pre-collapsed or early collapsed (< 2 mm) ONFH treated by Phemister procedure were evaluated...
June 18, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29914821/are-we-winning-or-losing-the-battle-with-periprosthetic-joint-infection-trends-in-periprosthetic-joint-infection-and-mortality-risk-for-the-medicare-population
#4
Steven M Kurtz, Edmund C Lau, Min-Sun Son, Ellen T Chang, Werner Zimmerli, Javad Parvizi
BACKGROUND: Periprosthetic joint infection (PJI) is a potentially deadly complication of total joint arthroplasty. This study was designed to address how the incidence of PJI and outcome of treatment, including mortality, are changing in the population over time. METHODS: Primary total hip arthroplasty (THA) and total knee arthroplasty (TKA) patients with PJI from the 100% Medicare inpatient data set (2005-2015) were identified. Cox proportional hazards regression models for risk of PJI after THA/TKA (accounting for competing risks) or risk of all-cause mortality after PJI were adjusted for patient and clinical factors, with year included as a covariate to test for time trends...
June 1, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29914820/an-evaluation-of-the-safety-and-effectiveness-of-total-hip-arthroplasty-as-an-outpatient-procedure-a-matched-cohort-analysis
#5
Megan Richards, Hussein Al-Youssef, Jung-Kyong Kim, Stéphane Poitras, John Penning, Paul E Beaulé
BACKGROUND: Outpatient hip arthroplasty is being performed more routinely; however, safety remains a concern. The purpose of this study was to compare the rate of adverse events of outpatient total hip arthroplasty (THA) and assess barriers to discharge. METHODS: We examined 136 patients who underwent unilateral THA by one surgeon and were discharged on the same day of surgery. Using propensity matching, 136 inpatients who received the same procedure, and were discharged on postoperative day one or later, were identified...
May 31, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29913844/systematic-review-of-neuropathic-component-in-persistent-post-surgical-pain
#6
S Haroutiunian, L Nikolajsen, N B Finnerup, T S Jensen
Background/aim The aim of the current study was to assess the neuropathic component of persistent post-surgical pain (PPSP) following eleven types of surgery. Methods We performed a systematic PubMed, CENTRAL and EMBASE search to identify studies on PPSP following (i) thoracic surgery, (ii) breast surgery, (iii) groin hernia repair, (iv) prostatectomy, (v) major abdominal surgery, (vi) gynecologic surgery, (vii) iliac crest bone harvest, (viii) total hip arthroplasty (THA) or knee arthroplasty (TKA), (ix) varicose vein stripping or ablation, (x) mandibular sagittal split osteotomy and (xi) donor nephrectomy, and assessed the prevalence of Probable/Definite neuropathic pain using the recently published neuropathic pain probability grading criteria [1]...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29912603/midterm-risk-of-cancer-with-metal-on-metal-hip-replacements-not-increased-in-a-finnish-population
#7
Elina Ekman, Inari Laaksonen, Antti Eskelinen, Pekka Pulkkinen, Eero Pukkala, Keijo Mäkelä
Background and purpose - Metal-on-metal (MoM) total hip arthroplasty (THA) and hip resurfacing arthroplasty (HRA) have been widely used during the early 21st century. We assessed the midterm risk of cancer of patients treated with modern MoM hip implants compared with patients with non-MoM hip implants and the general Finnish population with special interest in soft tissue sarcomas and basalioma due to the findings of our previous report. Patients and methods - All large-diameter head MoM THAs and hip resurfacings performed in Finland between 2001 and 2010 were extracted from the Finnish Arthroplasty Register (10,728 patients)...
June 18, 2018: Acta Orthopaedica
https://www.readbyqxmd.com/read/29909435/photobiomodulation-therapy-pbmt-on-acute-pain-and-inflammation-in-patients-who-underwent-total-hip-arthroplasty-a-randomized-triple-blind-placebo-controlled-clinical-trial
#8
Luciana Gonçalves Langella, Heliodora Leão Casalechi, Shaiane Silva Tomazoni, Douglas Scott Johnson, Regiane Albertini, Rodney Capp Pallotta, Rodrigo Labat Marcos, Paulo de Tarso Camillo de Carvalho, Ernesto Cesar Pinto Leal-Junior
When conservative treatments fail, hip osteoarthritis (OA), a chronic degenerative disease characterized by cartilage wear, progressive joint deformity, and loss of function, can result in the need for a total hip arthroplasty (THA). Surgical procedures induced tissue trauma and incite an immune response. Photobiomodulation therapy (PBMt) using low-level laser therapy (LLLT) and/or light-emitting diode therapy (LEDT) has proven effective in tissue repair by modulating the inflammatory process and promoting pain relief...
June 16, 2018: Lasers in Medical Science
https://www.readbyqxmd.com/read/29908797/when-should-complete-blood-count-tests-be-performed-in-primary-total-hip-arthroplasty-patients
#9
Beau J Kildow, Elizabeth P Howell, Vasili Karas, William T Baumgartner, Daniel J Cunningham, Cynthia L Green, Michael P Bolognesi, Thorsten M Seyler
BACKGROUND: Routine laboratory studies are often obtained following total hip arthroplasty (THA). Moreover, laboratory studies are often continued daily until the patient is discharged regardless of medical management. The purpose of this study was to investigate the use of routine complete blood count (CBC) tests following THA. Secondarily, the purpose was to identify patient factors associated with abnormal postoperative lab values. METHODS: This retrospective review identified 352 patients who underwent primary THA at a single institution from 2012 to 2014...
May 29, 2018: Journal of Arthroplasty
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
#10
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/29908355/medial-acetabular-wall-breach-in-total-hip-arthroplasty-is-full-weight-bearing-possible
#11
Filippo Mandelli, Simon Tiziani, Jürgen Schmitt, Clément M L Werner, Hans-Peter Simmen, Georg Osterhoff
BACKGROUND: A breach of the medial acetabular wall is a phenomenon seen frequently due to over-reaming during total hip arthroplasty (THA). The consequences of this issue are not fully understood particularly in cementless THA. A retrospective study was performed to answer whether: 1) immediate postoperative full-weight bearing in the presence of a medial acetabular wall breach after THA results in more short-term revisions of the acetabular component, 2) increases the risk for migration of the acetabular component? HYPOTHESIS: Immediate full-weight bearing in the presence of a medial breach is not associated with an increased likelihood for acetabular-related revision surgery or migration of the cup...
June 13, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29907913/total-hip-arthroplasty-in-osteonecrosis-secondary-to-sickle-cell-disease
#12
Mohamed Zubair Farook, Moji Awogbade, Karthik Somasundaram, Ines L H Reichert, Patrick L S Li
BACKGROUND: Sickle cell disease (SCD) is a multisystem disease, and the predominant articular manifestation is osteonecrosis (ON). Total hip arthroplasty (THA) is technically challenging, and the complication rates are high. In this retrospective study, we have analysed the outcome of THA in a cohort of patients with SCD at our institution. MATERIALS AND METHODS: We identified 34 THAs between 1999 and 2016 in 30 patients (mean age 37 years) from our SCD database...
June 15, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29907134/clinical-outcome-and-physical-activity-measured-with-stepwatch-3%C3%A2-activity-monitor-after-minimally-invasive-total-hip-arthroplasty
#13
Steffen Höll, Andreas Blum, Georg Gosheger, Ralf Dieckmann, Corinna Winter, Dieter Rosenbaum
BACKGROUND: Subjective data and physical examinations of patients after total hip arthroplasty are used to assess the outcome. But regarding the physical activity, no objective data can be delivered by existing scores. The level of activity can be measured objectively by counting gait cycles. The aim of this study was to measure activity levels of patients before and after total hip arthroplasty (THA). METHODS: Forty-six patients were included in this prospective study...
June 15, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29905045/-clinical-research-of-debridement-with-prosthesis-retention-for-periprosthetic-joint-infection-after-arthroplasty
#14
Xinggui Song, Xin Li, Junlei Song, Chi Xu, Rui Li, Heng Li, Jiying Chen
Objective: To investigate the mid-term effectiveness of debridement with prosthesis retention for periprosthetic joint infection (PJI) after total hip arthroplasty (THA) and total knee arthroplasty (TKA), and analyze the influence factors that affected the effectiveness. Methods: A clinical data of 45 cases with PJI after THA (16 cases) and TKA (29 cases) that were treated with debridement with prosthesis retention between January 2011 and January 2015 were collected and analyzed...
June 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29903458/the-bundle-busters-incidence-and-costs-of-postacute-complications-following-total-joint-arthroplasty
#15
Andrew J Luzzi, Andrew N Fleischman, Christopher N Matthews, Meredith P Crizer, John Wilsman, Javad Parvizi
BACKGROUND: Recently, a bundled payment model was implemented in the United States to improve quality and reduce costs. While hospitals may be rewarded for lowering costs, they may be financially exposed by high cost complications, the so-called bundle busters. We aimed at determining the incidence, etiology, and costs of postacute complications after total joint arthroplasty (TJA). METHODS: A retrospective study was conducted using a prospectively collected database of patients who underwent primary total hip arthroplasty (THA) or total knee arthroplasty (TKA) from January 2015 to April 2016...
June 11, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29902637/comparison-of-cementless-total-hip-arthroplasty-survivorship-between-metal-on-highly-cross-linked-polyethylene-and-ceramic-on-ceramic-bearings-a-case-control-study-with-a-5-9-year-follow-up
#16
Yoshitoshi Higuchi, Taisuke Seki, Yukiharu Hasegawa, Daigo Morita, Daigo Komatsu, Yasuhiko Takegami, Naoki Ishiguro
BACKGROUND: Currently, there is a lack of evidence on the medium-term follow-up of cementless total hip arthroplasty (THA) using metal-on highly cross-linked polyethylene bearing (MoXPE), ceramic on ceramic bearing (CoC) at more than 5 years follow-up. Therefore, we performed a case control study to: 1) compare the incidence rate of osteolysis, 2) compare the longevity for both types of THAs, and 3) to evaluate the wear rate of MoXPE THAs. HYPOTHESIS: CoC THAs will have a lower rate of osteolysis and better longevity than MoXPE THAs...
June 11, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29897868/extended-trochanteric-osteotomy-comparison-of-3-modes-of-fixation-metallic-wires-cables-plate-about-a-series-of-157-cases
#17
Jean Louis Prudhon, Nicolas Tardy
INTRODUCTION: The trans femoral osteotomy was initially described by Wagner in 1987 and the extended trochanteric osteotomy (ETO) was described by Younger et al. in 1995 and is considered to be the gold standard technique for removal of well-fixed femoral stems in revision total hip arthroplasty (THA). The purpose of this report is: to compare the different types of fixation metallic wires, cables, metallic reinforcement plate (MRP) we have used in revision THA where an ETO was performed; analyse the clinical and radiological outcomes of these devices at 1 year; analyse the complication...
2018: SICOT-J
https://www.readbyqxmd.com/read/29896555/do-illness-rating-systems-predict-discharge-location-length-of-stay-and-cost-after-total-hip-arthroplasty
#18
Sarah E Rudasill, Jonathan R Dattilo, Jiabin Liu, Charles L Nelson, Atul F Kamath
Background: As procedure rates and expenditures for total hip arthroplasty (THA) rise, hospitals are developing models to predict discharge location, a major determinant of total cost. The predictive value of existing illness rating systems such as the American Society for Anesthesiologists (ASA) Physical Classification System, Severity of Illness (SOI) scoring system, or Mallampati (MP) rating scale on discharge location remains unclear. This study explored the predictive role of ASA, SOI, and MP scores on discharge location, lengths of stay, and total costs for THA patients...
June 2018: Arthroplasty Today
https://www.readbyqxmd.com/read/29896554/association-of-rapidly-destructive-osteoarthritis-of-the-hip-with-intra-articular-steroid-injections
#19
Shane R Hess, Robert S O'Connell, Christopher P Bednarz, Andrew C Waligora, Gregory J Golladay, William A Jiranek
Background: To assess the relationship between rapidly destructive osteoarthritis (RDOA) of the hip and intra-articular steroid injections. Methods: Coding records from 2000 to 2013 were used to identify all subjects who had a fluoroscopy-guided intra-articular hip injection to treat pain associated with primary osteoarthritis. Radiographic measurements from preinjection and postinjection imaging were evaluated with Luquesne's classification of RDOA to determine diagnosis (greater than 50% joint space narrowing or greater than 2 mm of cartilage loss in 1 year with no other forms of destructive arthropathy)...
June 2018: Arthroplasty Today
https://www.readbyqxmd.com/read/29896461/sequential-bilateral-rapid-destructive-inflammatory-coxarthrosis-in-a-patient-with-human-immunodeficiency-virus
#20
Hyeon Jun Kim, Sung Soo Kim, Su Jin Kim, Kyung Ho Lee
The diagnostic criteria for sequential rapidly destructive coxarthrosis remain unclear and this condition is rarely reported in patients with human immunodeficiency virus (HIV). Here, we report a case of an HIV-infected 73-year old female who experienced hip joint destruction. The patient was diagnosed with HIV in 2012 (at age 68 years) and began continuous treatment with nucleoside reverse transcriptase and protease inhibitors. Twenty-nine months after her HIV diagnosis, the patient experienced osteonecrosis of the right hip and underwent a total hip arthroplasty (THA)...
June 2018: Hip & Pelvis
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