keyword
https://read.qxmd.com/read/38413428/-treatment-of-proximal-femoral-fractures-principles-tips-and-tricks
#21
REVIEW
Matthias Gatz, Klemens Horst, Frank Hildebrand
Proximal femoral fractures occur at an annual incidence of approximately 200/100,000 inhabitants and mortality rates range up to 30% especially in geriatric patients where complications are not necessarily associated to surgery. In nearly all cases surgical treatment is required. Procedures to preserve the femoral head have to be performed as early as possible (as specified by the Federal Joint Committee, GBA, within 24 h). For joint-preserving approaches in medial femoral neck fractures a time to surgery within 6 h is considered to be advantageous...
February 27, 2024: Unfallchirurgie (Heidelb)
https://read.qxmd.com/read/38407597/functional-and-radiological-outcomes-of-periacetabular-osteotomy-for-hip-dysplasia-in-patients-under-fifty-years-using-a-minimally-invasive-approach-a-single-surgeon-series-with-a-minimum-follow-up-of-two-years
#22
JOURNAL ARTICLE
Karadi Hari Sunil Kumar, Kartik Bhargava, Gregory Stamp, Ajay Malviya
PURPOSE: We conducted a retrospective analysis of prospectively collected data to evaluate (1) the extent of surgical correction following minimally invasive periacetabular osteotomy, (2) improvements in functional outcomes and any potential predictors for favourable outcome, and (3) complications after minimally invasive periacetabular osteotomy. METHODS: A total of 352 minimally invasive periacetabular osteotomy procedures were performed on 312 hip dysplasia patients between 2013 and 2020...
February 26, 2024: International Orthopaedics
https://read.qxmd.com/read/38401168/the-needs-and-experiences-of-patients-returning-to-work-after-total-knee-arthroplasty-and-total-hip-arthroplasty-a-systematic-review-and-meta-synthesis
#23
JOURNAL ARTICLE
Wenzhong Zhang, Hong Ji, Ning Wang, Kangming Sun, Zhenzhen Xu, Jing Li, Cuihong Liu, Qingxiang Sun, Chunlei Wang, Fengyi Zhao
OBJECTIVES: The objective of this study was to conduct a systematic and comprehensive review of qualitative research to examine the physical and psychological needs, as well as work experiences, of patients undergoing total knee replacement and total hip replacement surgeries during their process of returning to work. METHODS: A systematic review and meta-synthesis of qualitative literature was conducted. A systematic search was conducted across 8 databases to identify qualitative or mixed-methods research on the needs and experiences of individuals with total knee replacement and total hip replacement who have returned to work...
February 24, 2024: Physical Therapy
https://read.qxmd.com/read/38398720/individual-factors-modifying-postoperative-pain-management-in-elective-total-hip-and-total-knee-replacement-surgery
#24
JOURNAL ARTICLE
Alina Jurewicz, Agata Gasiorowska, Katarzyna Leźnicka, Maciej Pawlak, Magdalena Sochacka, Anna Machoy-Mokrzyńska, Andrzej Bohatyrewicz, Agnieszka Maciejewska-Skrendo, Grzegorz Pawlus
Total hip and knee replacements are the most common orthopedic procedures performed due to osteoarthritis. Pain is an intrinsic symptom accompanying osteoarthritis, persisting long before surgery, and continuing during the preoperative and postoperative periods. Appropriate pain management after surgery determines the comfort, duration, and cost of hospitalization, as well as the effectiveness of postoperative rehabilitation. Individual differences in pain perception and tolerance in orthopedic patients remain an important research topic...
January 31, 2024: Life
https://read.qxmd.com/read/38391637/dynamic-acetabular-cup-orientation-during-gait-a-study-of-fast-and-slow-walking-total-hip-replacement-patients
#25
JOURNAL ARTICLE
Ksenija Vasiljeva, David Lunn, Graham Chapman, Anthony Redmond, Lin Wang, Jonathan Thompson, Sophie Williams, Ruth Wilcox, Alison Jones
The dynamic orientation of total hip replacement acetabular cups during walking may vary substantially from their assumed position at surgical implantation and may vary between individuals. The scale of this effect is of interest for both pre-clinical device testing and for pre-operative surgical planning. This work aimed to evaluate (1) patient variation in dynamic cup orientation; (2) whether walking speed was a candidate proxy measure for the dynamic cup orientation; and (3) the relationships between dynamic cup orientation angles and planar pelvic angles...
February 2, 2024: Bioengineering
https://read.qxmd.com/read/38387118/investigation-of-cell-accelerated-corrosion-cac-on-the-cocrmo-alloy-with-segregation-banding-hip-implant-applications
#26
JOURNAL ARTICLE
Hemalatha Kanniyappan, Kai-Yuan Cheng, Ravindra V Badhe, Mozart Neto, Divya Bijukumar, Mark Barba, Robin Pourzal, Mathew Mathew
Metal alloy microstructure plays a crucial role in corrosion associated with total hip replacement (THR). THR is a prominent strategy that uses metal implants such as cobalt-chromium-molybdenum (CoCrMo) alloys due to their advantageous biological and mechanical properties. Despite all benefits, these implants undergo corrosion and wear processes in-vivo in a synergistic manner called tribocorrosion. Also, the implant retrieval findings reported that fretting corrosion occurred in-vivo, evidenced by the damage patterns that appeared on the THR junction interfaces...
January 30, 2024: Journal of the Mechanical Behavior of Biomedical Materials
https://read.qxmd.com/read/38385973/vertical-versus-pfannenstiel-incision-modified-stoppa-approach-in-the-treatment-of-acetabular-fractures
#27
JOURNAL ARTICLE
Deniz Kara, Nuh M Elmadag, Jotyar Ali, Abdulhamit Misir, Huzeyfe Cetin, Cemil B Demirkiran, Hamisi Mraja, Anil Pulatkan
OBJECTIVES: The aims of this study were to compare the patient and fracture characteristics, radiological, functional, and quality of life outcomes; the need for a lateral window approach and requirement of total hip arthroplasty; and complications in patients with simple and complex acetabular fractures who underwent a modified Stoppa approach through vertical and Pfannenstiel incisions. DESIGN: This was a retrospective comparison study. SETTING: Level 1 trauma center...
March 1, 2024: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/38381320/direct-anterior-approach-with-conventional-instruments-versus-robotic-posterolateral-approach-in-elective-total-hip-replacement-for-primary-osteoarthritis-a-case-control-study
#28
JOURNAL ARTICLE
Mattia Alessio-Mazzola, Pietro Colombo, Niccolo' Barducci, Elena Ghezzi, Luigi Zagra, Patrizio Caldora, Marco Ometti, Giacomo Placella, Vincenzo Salini
BACKGROUND: The purpose of this study is to compare peri-operative and short-term outcomes in patients who underwent elective total hip replacement (THA) for primary osteoarthritis (OA) with direct anterior approach (DAA) versus a pair-matched cohort of patients who underwent robotic-assisted THA with posterolateral approach. MATERIALS AND METHODS: Data from consecutive patients who underwent elective hip replacement from 2021 to 2023 for primary OA were retrospectively retrieved and divided into two groups: the DAA group, who underwent THA with the DAA approach using conventional instruments, and the robotic posterolateral (R-PL group), who underwent robot arm-assisted THA with the posterolateral approach...
February 21, 2024: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://read.qxmd.com/read/38380087/evaluating-patient-and-surgeon-characteristics-associated-with-care-cost-and-outcomes-for-knee-and-hip-replacement-procedures-a-national-medicare-cohort-study
#29
JOURNAL ARTICLE
Chen Dun, Kranti C Rumalla, Christi M Walsh, Carolina Escobar
BACKGROUND: The role of physician credentialing has been widely considered in quality and outcome improvement studies. However, the association between surgeon characteristics and health-care costs remains unclear. METHODS: Our objective was to determine the association of orthopaedic surgeon characteristics with health outcomes and costs, utilizing Medicare data. We used 100% Fee-for-Service Medicare data from 2015 to 2019 to identify all patients ≥65 years of age who underwent 2 common orthopaedic surgical procedures, total hip and knee replacement...
2024: JB & JS Open Access
https://read.qxmd.com/read/38371882/a-young-woman-with-atypical-mccune-albright-syndrome-and-the-difficult-road-to-recovery-a-case-report
#30
Hongbin Wang, Hao Wang, Heng Liu, Xin Yang, Zhichao Meng, Yongping Cao
BACKGROUND: Fiber dysplasia is a complex condition that presents with various clinical manifestations, such as deformity, dysfunction, pathological fractures, and endocrine disorders. McCune-Albright syndrome (MAS) is a rare subtype of fiber dysplasia. This article reports a case of atypical McCune-Albright syndrome in a patient with a femoral neck fracture. CASE PRESENTATION: A patient with atypical McCune-Albright syndrome sustained a right femoral neck fracture and underwent multiple treatments, including total hip replacement, intravenous infusion of zoledronic acid, oral calcium supplementation, right supracondylar osteotomy, orthopedic surgery, plate and screw internal fixation for a left femoral shaft fracture, and removal of the right femoral plate...
2024: Frontiers in Surgery
https://read.qxmd.com/read/38369745/a-56-year-old-woman-presenting-19-years-after-pubic-bone-fracture-with-a-surgical-screw-foreign-body-in-the-bladder
#31
JOURNAL ARTICLE
Michael N Chrysikos, Sergios Konstantinidis, Anastasios Katsourakis, Parthena Samara, Alexandros Sarakatsanos, Nikolaos Karakasis, Konstantinos Fotiadis, Iosif Chatzis, Dimitra Vrampa, Apostolos Papalakis
BACKGROUND Non-calculus foreign bodies in the bladder are rare and are usually introduced via the urethra. Reports of the migration of metallic foreign bodies from previous surgery are uncommon and mainly associated with surgical screws used for the internal fixation of pubic bone fracture and total hip replacement. This report is of a 56-year-old woman presenting with a surgical screw foreign body in the bladder 19 years after open surgical reduction and internal plate and screw fixation of traumatic fracture of the pubic bone...
February 19, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38355520/establishment-and-validation-of-a-nomogram-to-predict-postoperative-anemia-after-total-hip-arthroplasty
#32
JOURNAL ARTICLE
Xiang Li, Hong-Yang Jiang, Yong-Jie Zhao, Si-Zhuo Liu, Ling-Xiao Pan
BACKGROUND: Anemia is a common complication of total hip arthroplasty (THA). In this study, we evaluated the preoperative risk factors for postoperative anemia after THA and developed a nomogram model based on related preoperative and intraoperative factors. METHODS: From January 2020 to May 2023, 927 THA patients at the same medical center were randomly assigned to either the training or validation cohort. The correlation between preoperative and intraoperative risk factors and postoperative anemia after THA was evaluated using univariate and multivariate logistic regression analysis...
February 14, 2024: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/38352174/assessment-of-risk-factors-and-rate-of-conversion-to-total-hip-arthroplasty-within-2-years-after-hip-arthroscopy-utilizing-a-large-database-of-commercially-insured-patients-in-the-united-states
#33
JOURNAL ARTICLE
Justin Tiao, William Ranson, Renee Ren, Kevin C Wang, Ashley M Rosenberg, Michael Herrera, Nicole Zubizarreta, Shawn G Anthony
BACKGROUND: The conversion rate of hip arthroscopy (HA) to total hip arthroplasty (THA) has been reported to be as high as 10%. Despite identifying factors that increase the risk of conversion, current studies do not stratify patients by type of arthroscopic procedure. PURPOSE/HYPOTHESIS: To analyze the rate and predictors of conversion to THA within 2 years after HA. It was hypothesized that osteoarthritis (OA) and increased patient age would negatively affect the survivorship of HA...
February 2024: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/38343423/early-detection-of-fretting-corrosion-in-hip-replacement-by-acoustic-emission-non-invasive-technique
#34
JOURNAL ARTICLE
Bill Keaty, Yani Sun, Ozevin Didem, Jacob Eapen, Mathew Mathew
The present study aimed to investigate the feasibility of using acoustic emission (AE) as a detection method for identifying failure mechanisms at the modular junction interface in total hip replacements (THRs) subjected to fretting corrosion. The experimental setup involved simulating fretting corrosion using a Ti6Al4V disc representing the femoral neck and a ZrO2 pin representing the femoral head. Mechanical testing provided insights into the wear and frictional behavior occurring at the modular junction interface...
January 15, 2024: Thin Solid Films
https://read.qxmd.com/read/38341503/precise-single-column-resection-and-reconstruction-with-femoral-head-plus-total-hip-replacement-for-primary-malignant-peri-acetabulum-tumors
#35
JOURNAL ARTICLE
Yongkun Yang, Yuan Li, Weifeng Liu, Xiaohui Niu
To evaluate whether single acetabular column can be reserved and the effect of reconstruction with femoral head plus total hip replacement (THR) for primary malignant peri-acetabulum tumors. From 2007 to 2015, nineteen patients with primary malignant peri-acetabulum tumors were enrolled. All cases underwent single column resection with clear surgical margins. Ten of the 19 tumor's resections were assisted by computer navigation. Femoral heads were applied to reconstruct anterior or posterior column defects; THR was used for joint reconstruction...
February 10, 2024: Scientific Reports
https://read.qxmd.com/read/38338212/the-effectiveness-of-preoperative-outpatient-and-home-rehabilitation-and-the-impact-on-the-results-of-hip-arthroplasty-introductory-report
#36
JOURNAL ARTICLE
Adam Zdziechowski, Magdalena Zdziechowska, Jacek Rysz, Marta Woldańska-Okońska
A total hip replacement is the treatment of choice for end-stage hip osteoarthritis. Rehabilitation performed before surgery (called prehabilitation) is used to improve the results of surgical treatment. However, the results of studies have not unquestionably confirmed the effectiveness of preoperative rehabilitation and its impact on the outcome of surgery. The aim of this study is to assess the effectiveness of preoperative outpatient and home rehabilitation in relation to a control group not subject to these forms of influence...
January 26, 2024: Healthcare (Basel, Switzerland)
https://read.qxmd.com/read/38328808/hip-dysplasia-in-a-patient-in-late-adolescence-with-charcot-marie-tooth-and-multiple-acyl-coa-dehydrogenase-deficiency
#37
Amirmohammad Heidari, Cameron Stephen, Benan Dala-Ali, Jane Webber, Oliver Pearce, Mohamed H Ahmed
This case report explores a unique presentation of hip dysplasia in a female patient aged 21 years old diagnosed with Charcot-Marie-Tooth disease (CMT) type 1A and multiple acyl-CoA dehydrogenase deficiency (MADD). The coexistence of these neuromuscular and metabolic disorders in a patient with hip dysplasia provides an opportunity to investigate their potential interactions and impact on diagnosis, treatment, and prognosis. The patient underwent labral repair with shelf osteotomy and later a total hip replacement...
January 2024: Journal of Medical Cases
https://read.qxmd.com/read/38327968/benign-paroxysmal-positional-vertigo-after-joint-replacement-surgeries-case-series
#38
Khalid Bashir, Abdulla Yousuf, Talha Shahzad, Keebat Khan, Zeenat Khuda Bakhsh
Benign paroxysmal positional vertigo (BPPV) is characterized by brief episodes of vertigo triggered by changes in head position caused by the displacement of otoliths from the utricle to the semicircular canals, particularly the posterior canal. This study explored the potential link between BPPV, the patient's preexisting conditions, and surgery-related factors including surgical positioning, duration of the procedure, exposure to vibratory forces, and anesthesia effects. This report presents two cases of BPPV following major joint replacement surgery...
January 2024: Curēus
https://read.qxmd.com/read/38309739/cobalt-chromium-toxicity-following-revision-of-total-hip-replacement
#39
JOURNAL ARTICLE
Ramy Samargandi, Louis-Romée Le Nail, Bandar Hetaimish, Maxime Saad
Systemic cobalt-chromium (Co-Cr) toxicity following a total hip replacement is a rare complication that may sometimes lead to fatal consequences. We report a case of a 64-year-old woman, who presented with Co-Cr toxicity after revision of fractured ceramic components with metal-on-polyethylene. Systemic toxicity occurred a year after surgery and was expressed brutally with mostly central neurological symptoms. Revision surgery allowed rapid regression of all symptoms. Prosthetic revision with a metal bearing surface after a history of fracture of the ceramic bearing component should be avoided...
February 2024: Saudi Medical Journal
https://read.qxmd.com/read/38293261/which-approach-of-total-hip-arthroplasty-is-the-best-efficacy-and-least-complication
#40
JOURNAL ARTICLE
Lertkong Nitiwarangkul, Natthapong Hongku, Oraluck Pattanaprateep, Sasivimol Rattanasiri, Patarawan Woratanarat, Ammarin Thakkinstian
BACKGROUND: Total hip arthroplasty is as an effective intervention to relieve pain and improve hip function. Approaches of the hip have been exhaustively explored about pros and cons. The efficacy and the complications of hip approaches remains inconclusive. This study conducted an umbrella review to systematically appraise previous meta-analysis (MAs) including conventional posterior approach (PA), and minimally invasive surgeries as the lateral approach (LA), direct anterior approach (DAA), 2-incisions method, mini-lateral approach and the newest technique direct superior approach (DSA) or supercapsular percutaneously-assisted total hip (SuperPath)...
January 18, 2024: World Journal of Orthopedics
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