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https://www.readbyqxmd.com/read/29042844/designing-a-care-pathway-model-a-case-study-of-the-outpatient-total-hip-arthroplasty-care-pathway
#1
Robin I Oosterholt, Lianne Wl Simonse, Stella U Boess, Stephan Bw Vehmeijer
INTRODUCTION: Although the clinical attributes of total hip arthroplasty (THA) care pathways have been thoroughly researched, a detailed understanding of the equally important organisational attributes is still lacking. The aim of this article is to contribute with a model of the outpatient THA care pathway that depicts how the care team should be organised to enable patient discharge on the day of surgery. THEORY: The outpatient THA care pathway enables patients to be discharged on the day of surgery, shortening the length of stay and intensifying the provision and organisation of care...
March 9, 2017: International Journal of Integrated Care
https://www.readbyqxmd.com/read/29042371/better-early-functional-outcome-after-short-stem-total-hip-arthroplasty-a-prospective-blinded-randomised-controlled-multicentre-trial-comparing-the-collum-femoris-preserving-stem-with-a-zweymuller-straight-cementless-stem-total-hip-replacement-for-the-treatment
#2
Jakob van Oldenrijk, Vanessa A B Scholtes, Loes W A H van Beers, Carel H Geerdink, Bob B A M Niers, Wouter Runne, Mohit Bhandari, Rudolf W Poolman
OBJECTIVES: Primary aim was to compare the functional results at 3 months and 2 years between short and conventional cementless stem total hip arthroplasty (THA). Secondary aim was to determine the feasibility of a double-blind implant-related trial. DESIGN: A prospective blinded randomised controlled multicentre trial in patients with osteoarthritis of the hip. All patients, research assistants, clinical assessors, investigators and data analysts were blinded to the type of prosthesis...
October 16, 2017: BMJ Open
https://www.readbyqxmd.com/read/29040139/ct-after-orif-of-acetabular-fractures-detects-residual-displacement-not-seen-on-radiography-and-correlates-with-osteoarthritis-risk-and-tha-commentary-on-an-article-by-diederik-o-verbeek-md-et-al-postoperative-ct-is-superior-for-acetabular-fracture-reduction
#3
https://www.readbyqxmd.com/read/29040137/minimally-invasive-tha-where-are-we-now-and-where-are-we-heading-commentary-on-an-article-by-ciara-stevenson-frcs-et-al-minimal-incision-total-hip-arthroplasty-a-concise-follow-up-report-on-functional-and-radiographic-outcomes-at-10-years
#4
https://www.readbyqxmd.com/read/29040129/postoperative-ct-is-superior-for-acetabular-fracture-reduction-assessment-and-reliably-predicts-hip-survivorship
#5
Diederik O Verbeek, Jelle P van der List, Jordan C Villa, David S Wellman, David L Helfet
BACKGROUND: Postoperative pelvic radiographs are routinely used to assess acetabular fracture reduction. We compared radiographs and computed tomography (CT) with regard to their ability to detect residual fracture displacement. We also determined the association between the quality of reduction as assessed on CT and hip survivorship and identified risk factors for conversion to total hip arthroplasty (THA). METHODS: Patients were included in the study who had undergone acetabular fracture fixation between 1992 and 2012, who were followed for ≥2 years (or until early THA), and for whom radiographs and a pelvic CT scan were available...
October 18, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29040125/minimal-incision-total-hip-arthroplasty-a-concise-follow-up-report-on-functional-and-radiographic-outcomes-at-10-years
#6
Ciara Stevenson, Luke Ogonda, Janine Blaney, Janice Dennison, Seamus O'Brien, David Beverland
In 2005, we conducted a prospective randomized controlled trial that demonstrated that, compared with a standard incision, a minimal incision technique did not improve early outcomes of total hip arthroplasty (THA). There was concern that reduced exposure could compromise long-term outcome. For the current study, all surviving participants were invited to return for 10-year radiographic and clinical evaluation. Outcome scores were available for 152 patients (69.4%) from the original cohort, and radiographs were available for 126 (57...
October 18, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29034792/medical-resource-utilization-and-costs-for-total-hip-arthroplasty-benchmarking-an-anterior-approach-technique-in-the-medicare-population
#7
Atul F Kamath, Abhishek S Chitnis, Chantal Holy, Jason Lerner, Brian Curtin, Steve Lochow, Charles DeCook, Joel M Matta
AIMS: The anterior approach (AA) for total hip arthroplasty (THA) is associated with more rapid recovery when compared to traditional approaches. The purpose of this study was to benchmark healthcare resource utilization and costs for patients with THA via AA relative to matched patients. MATERIALS AND METHODS: We queried Medicare claims data (2012-2014) to identify patients who received THA via an AA from experienced surgeons, and matched these patients to a control cohort (all THA approaches)...
October 15, 2017: Journal of Medical Economics
https://www.readbyqxmd.com/read/29033155/does-the-additional-articulation-in-retrieved-bipolar-hemiarthroplasty-implants-decrease-trunnionosis-compared-to-total-hip-arthroplasty
#8
Christopher Del Balso, Matthew G Teeter, Sok C Tan, Brent A Lanting, James L Howard
BACKGROUND: Trunnionosis at the modular head-neck taper interface in metal-on-polyethylene total hip arthroplasty (MoP THA) has been shown to occur, and represents a potential mode of MoP THA failure. The purpose of the present investigation is to elucidate differences in fretting and corrosion at the head-neck taper interface of prostheses retrieved from bipolar hemiarthroplasty (BH) and MoP THA. METHODS: A retrieval analysis of BH and MoP THA prostheses featuring a single taper design from a single manufacturer and in vivo for a minimum 2 years was performed...
August 31, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29033154/the-use-of-porous-tantalum-augments-for-the-reconstruction-of-acetabular-defect-in-primary-total-hip-arthroplasty
#9
Ting-Xian Ling, Jin-Long Li, Kai Zhou, Qiang Xiao, Fu-Xing Pei, Zong-Ke Zhou
BACKGROUND: Given the lack of studies of acetabular defect reconstruction in primary total hip arthroplasty (THA) using tantalum augments, this study aims to evaluate clinical and radiographic results for treatment with tantalum augments to reconstruct acetabular defects in primary THA. METHODS: We retrospectively reviewed 19 patients (19 hips) with acetabular defects who underwent primary THA using tantalum augments, with a minimum follow-up of 2 years. Clinical, radiographic, and surgical data were retrospectively evaluated...
September 21, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29030711/the-learning-curve-in-short-stem-tha-influence-of-the-surgeon-s-experience-on-intraoperative-adjustments-due-to-intraoperative-radiography
#10
Lennard Loweg, Karl Philipp Kutzner, Matthias Trost, Marlene Hechtner, Philipp Drees, Joachim Pfeil, Michael Schneider
INTRODUCTION: Short-stem THA has become increasingly popular over the last decade. However, implantation technique differs from conventional THA and thus possibly involves a distinct learning curve. The purpose of this study was to evaluate the value of intraoperative radiography and the influence of the surgeon's experience on intraoperative adjustments in short-stem THA. METHODS: A total of 287 consecutive short-stem THAs, operated by a total of 24 senior consultants, consultants and residents in training, were prospectively included...
October 13, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29029869/determination-of-the-hip-rotation-centre-from-landmarks-in-pelvic-radiograph
#11
Hasan Bombaci, Bestami Simsek, Mehmet Soyarslan, Mustafa Murat Yildirim
OBJECTIVE: The hip rotation centre (HRC) is an important reference point in cases of total hip arthroplasty (THA). The aim of this study is to investigate the reference points in the Turkish population that enable the identification of the HRC in standard pelvic radiographs. METHODS: The pelvic radiographs of 50 women and 50 men were examined. The mean age was 46.2 (range; 18-91). Patients with deformity of the hip joint and non-standard pelvic radiograph due to hip flexion contracture were excluded from the study...
October 10, 2017: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29029356/total-hip-arthroplasty-dislocation-after-cardioversion-a-case-report
#12
Ahmed Siddiqi, Carl T Talmo, James V Bono
New onset postoperative atrial fibrillation (AF) is the most common perioperative arrhythmia in the elderly. The incidence after total joint arthroplasty is much lower than other non-cardiac surgeries. Since postoperative atrial fibrillation can cause increased length of hospital stay, mortality, and healthcare costs, it is critical to focus on prevention and prompt management. New onset atrial fibrillation is treated with rhythm control for patients who demonstrate hemodynamic instability or refractory to rate control measures...
October 12, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29029354/cost-analysis-of-sending-routine-pathology-specimens-following-total-joint-arthroplasty-in-the-age-of-bundled-payments
#13
Hayden S Holbrook, Johannes F Plate, Maxwell K Langfitt, Jason E Lang, John S Shields
Bundled payment plans are being developed as a means to curb healthcare spending. Routine histology following total hip arthroplasties (THA) and total knee arthroplasties (TKA) is standard practice at many institutions. Recently, the value of this practice has been questioned as histologic diagnoses in THA and TKA rarely differ from the clinical diagnoses. The goal of this study is to identify discrepant and discordant diagnoses following THA and TKA at an academic medical center and to calculate the cost-saving potential in the setting of a bundled payment plan...
October 12, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29027191/tha-conversion-rate-comparing-decompression-alone-with-autologous-bone-graft-or-stem-cells-in-osteonecrosis
#14
Francisco J Nally, Gerardo Zanotti, Martín A Buttaro, Fernando D Dilernia, Ignacio G Mansilla, Fernando M Comba, Francisco Piccaluga
INTRODUCTION: Core decompression (CD) with or without the addition of autologous bone graft (CDBG) is currently the most widely accepted treatment for hip osteonecrosis in stages of pre-collapse. The use of bone marrow mesenchymal stem cells (CDSC) is emerging as a promising biological alternative. We sought to determine the total hip arthroplasty (THA) conversion rate for patients treated with CD, CDBG or CDSC. MATERIAL AND METHODS: Between 1996 and 2012, 97 cases were evaluated in 72 patients: 47 CD cases, 34 CDGB cases and 16 CDSC cases...
October 9, 2017: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29027190/midterm-results-of-revision-total-hip-arthroplasty-with-an-uncemented-modular-femoral-component
#15
Bertram Rieger, Thomas Ilchmann, Lilianna Bolliger, Karl K Stoffel, Lukas Zwicky, Martin Clauss
INTRODUCTION: During revision total hip arthroplasty (THA), the surgeon commonly faces deficient proximal femoral bone. In this situation, distal fixation of the prosthesis is required. The aim of the current retrospective study is to assess the clinical and radiographic midterm outcome of revision total hip arthroplasty using a modular uncemented, tapered, grit-blasted, distal straight stem system. METHODS: This retrospective study included 70 femoral revisions that were performed in 67 patients using the device of interest...
October 12, 2017: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29027186/novel-technique-for-intraoperative-sciatic-nerve-assessment-in-complex-primary-total-hip-arthroplasty-a-pilot-study
#16
Shai S Shemesh, Jonathan Robinson, Samuel Overley, Michael J Bronson, Calin S Moucha, Darwin Chen
INTRODUCTION: Sciatic nerve injury (SNI) is a potentially devastating complication after total hip arthroplasty (THA). Intraoperative neural monitoring has been found in several studies to be useful in preventing SNI, but can be difficult to implement. In this study, we examine the results of using a handheld nerve stimulator for intraoperative sciatic nerve (SN) monitoring during complex THA requiring limb lengthening and/or significant manipulation of the SN. METHODS: A consecutive series of 11 cases (9 patients, 11 hips) with either severe developmental dysplasia of the hip (Crowe 3-4) or other underlying conditions requiring complex hip reconstruction involving significant leg lengthening and/or nerve manipulation...
October 9, 2017: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29026992/acetabular-reconstruction-with-the-kerboull-type-plate-at-mid-term-follow-up-survivorship-analysis-and-prognostic-factors-for-loosening
#17
Tomomi Kamada, Hiroshi Imai, Naohiko Mahima, Jun Takeba, Joji Miyawaki, Hiromasa Miura
INTRODUCTION: Successful reconstruction during total hip arthroplasty for acetabular bone defects remains challenging. The purpose of our study was to evaluate clinical and radiographic results and performed a survivorship analysis for patients with acetabular bone loss undergoing total hip arthroplasty (THA) or revision THA using Kerboull-type acetabular reinforcement device(KT plate). Additionally, some independent prognostic factors for radiographic failure were identified. METHODS: A retrospective cohort study was conducted...
October 12, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29026333/analgesic-efficacy-and-safety-of-epidural-oxycodone-in-patients-undergoing-total-hip-arthroplasty-a-pilot-study
#18
Bogumił Olczak, Grzegorz Kowalski, Wojciech Leppert, Agnieszka Bienert, Artur Teżyk, Michał Adamski, Stanisław Rzymski, Katarzyna Wieczorowska-Tobis
BACKGROUND AND OBJECTIVES: Oxycodone is poorly studied as an adjuvant to central blockades. The aim of this pilot study was to assess the efficacy and safety of oxycodone hydrochloride in epidural blockade among patients undergoing total hip arthroplasty (THA). PATIENTS AND METHODS: In 11 patients (American Society of Anesthesiologists physical status classification system II/III, age range: 59-82 years), THA was conducted with an epidural blockade using 15 mL 0...
2017: Journal of Pain Research
https://www.readbyqxmd.com/read/29022751/prospective-psychometric-characterization-of-hip-and-knee-arthroplasty-patients
#19
Silas Hinsch Gylvin, Anders Fink-Jensen, Henrik Kehlet, Christoffer Calov Jørgensen, Mogens Berg Laursen, Kirill Gromov, Henrik Morville Schroder, Susanne Jung Høvsgaard, Heidi Raahauge Wede, Phillip Raphael Kyle, Per Bech
BACKGROUND: Psychiatric conditions and psychopharmacological treatments have been demonstrated to be important risk-factors for prolonged hospital length of stay, readmission and morbidity, following fast-track total hip (THA) and total knee arthroplasty (TKA). AIMS: The aim of the study was to provide a detailed description of the preoperative psychiatric characteristics of a well-defined patient population undergoing THA and TKA, using the 90-item Symptom Checklist (SCL-90-R)...
October 12, 2017: Nordic Journal of Psychiatry
https://www.readbyqxmd.com/read/29020708/patient-factors-associated-with-shorter-length-of-stay-following-total-hip-arthroplasty-a-retrospective-cohort-study
#20
Paul A Byrne, Sanjay Gupta, Graeme P Hopper, Angela H Deakin, Jason L Roberts, Andrew W G Kinninmonth
INTRODUCTION: Total hip arthroplasty (THA) is an increasingly common procedure in the United Kingdom and incurs vast costs, with a mean length of stay (LOS) of 5.5 days. Reducing LOS plays a key role in improving cost-effectiveness, morbidity, and patient satisfaction following many orthopaedic procedures. The aim of this study was to identify attributes in patients with the shortest LOS following THA, with a view to targeting those with the potential for early discharge. MATERIALS AND METHODS: 1280 THA cases over one year at one institution were reviewed in a retrospective case note study...
October 12, 2017: Surgical Technology International
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