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arthroscopy and arthroplasty

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https://www.readbyqxmd.com/read/29337602/defining-the-learning-curve-for-hip-arthroscopy-a-threshold-analysis-of-the-volume-outcomes-relationship
#1
Nabil Mehta, Peter Chamberlin, Robert G Marx, Chisa Hidaka, Yile Ge, Danyal H Nawabi, Stephen Lyman
BACKGROUND: Hip arthroscopy has emerged as a successful option for the treatment of femoroacetabular impingement and related hip disorders, but the procedure is technically challenging. PURPOSE: To define the learning curve through which surgeons become proficient at hip arthroscopy. STUDY DESIGN: Cohort study; level of evidence, 3. METHODS: The authors identified hip arthroscopy procedures performed by surgeons through a New York State database (Statewide Planning and Research Cooperative System) and followed those cases for additional hip surgery (total hip arthroplasty, hip resurfacing, or ipsilateral hip arthroscopy) within 5 years of the original procedure...
January 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29306657/independent-risk-factors-for-revision-surgery-or-conversion-to-total-hip-arthroplasty-after-hip-arthroscopy-a-review-of-a-large-statewide-database-from-2011-to-2012
#2
Benjamin S Kester, Brian Capogna, Siddharth A Mahure, Michael K Ryan, Brent Mollon, Thomas Youm
PURPOSE: To use a large heterogeneous population to identify independent risk factors for revision surgery or conversion to total hip arthroplasty (THA) after hip arthroscopy. METHODS: The New York Statewide Planning and Research Cooperative System database was queried from 2011 through 2012 to identify patients undergoing hip arthroscopy. All patients aged 18 years or older who underwent hip arthroscopy according to Current Procedural Terminology coding were included...
January 3, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29305286/clinical-outcomes-of-osteochondral-allograft-transplantation-for-secondary-treatment-of-osteochondritis-dissecans-of-the-knee-in-skeletally-mature-patients
#3
Eric J Cotter, Rachel M Frank, Kevin C Wang, Trifon Totlis, Sarah Poland, Maximillian A Meyer, Brian J Cole
PURPOSE: To report clinical outcomes of osteochondral allograft transplantation (OCA) for skeletally mature patients with osteochondritis dissecans (OCD) lesions of the knee in whom prior surgical intervention has failed, and to describe return-to-sport (RTS) rates and any predictive demographic or preoperative variables associated with a higher likelihood to RTS. METHODS: Patients who underwent OCA by a single surgeon (B.J.C.) between October 1, 2002, and November 30, 2014, for a diagnosis of OCD with a minimum of 2 years' follow-up were included...
January 2, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29299475/total-knee-arthroplasty-fibrosis-following-arthroscopic-intervention
#4
Jessica L Churchill, Nipun Sodhi, Anton Khlopas, Nicolas S Piuzzi, Sarah E Dalton, Morad Chughtai, Assem A Sultan, Steven Jones, Nick Williams, Peter M Bonutti, Michael A Mont
Background: Although arthroscopy is generally considered to be a relatively benign procedure with limited trauma to periarticular soft tissues, post-arthroscopic bleeding as well as osmolality differences between the normal saline used to irrigate and the native synovial fluid (282 vs. 420 mOs) can lead to capsular reactions. Therefore, the purpose of this study was to evaluate whether capsular reaction occurred after knee arthroscopy, by comparing a matched cohort of patients who either did or did not undergo prior arthroscopic surgery...
December 2017: Annals of Translational Medicine
https://www.readbyqxmd.com/read/29282525/long-term-outcome-of-pigmented-villonodular-synovitis-of-the-hip-after-joint-preserving-therapy
#5
Martin Hufeland, Markus Gesslein, Carsten Perka, Jörg Hartmut Schröder
INTRODUCTION: Pigmented villonodular synovitis (PVNS) is a rare, destructive synovial disease that affects the hip joint the second most common after the knee. However, in contrast, joint preserving surgery in the hip joint is considered to be significantly more difficult or even impossible due to earlier occurrence of osteochondral dissemination and surgical difficulties. Today, earlier diagnosis due to the generous use of MRI and modern surgical strategies raise hope for improved outcomes...
December 27, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29250341/results-of-hip-arthroscopy-in-patients-with-mri-diagnosis-of-subchondral-cysts-a-case-series
#6
David E Hartigan, Itay Perets, Leslie C Yuen, Benjamin G Domb
The aim of this article is to examine the results of arthroscopic management of patients with labral pathology who have preoperative magnetic resonance images (MRIs) demonstrating subchondral cysts. This institution's database was searched for patients who underwent hip arthroscopy and had subchondral cysts on MRI and >2-year follow-up. Exclusion criteria included previous hip surgery, Tönnis grade >1, inflammatory arthritis, Perthes, slipped capital femoral epiphysis or abductor repair. Patient-reported outcome (PRO) scores including visual analog scale, modified Harris hip score (mHHS), non-arthritic hip score and hip outcome score sports-specific subscale (HOS-SSS) were gathered preoperatively, at 3 months, and annually thereafter...
December 2017: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/29242791/managing-recurrence-in-intraarticular-melorheostosis-involving-the-knee-joint-a-case-report
#7
Bobby John, Anirudh Sharma, Ritesh A Pandey
Introduction: Melorheostosis is a rare benign sclerosing dysplasia affecting bone, which causes significant morbidity in the form of pain and restriction of joint movement. Treatment options are varied, and recurrence is common after surgical treatment. Choosing the most appropriate treatment option in the management of a recurrent case is challenging, with very little supporting evidence in literature owing to the rarity of the disease. We hereby present a case of recurrent melorheostosis involving the knee; discuss treatment options and the rationale of our treatment...
September 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29238824/effect-of-perioperative-gabapentin-on-postoperative-pain-resolution-and-opioid-cessation-in-a-mixed-surgical-cohort-a-randomized-clinical-trial
#8
Jennifer Hah, Sean C Mackey, Peter Schmidt, Rebecca McCue, Keith Humphreys, Jodie Trafton, Bradley Efron, Debra Clay, Yasamin Sharifzadeh, Gabriela Ruchelli, Stuart Goodman, James Huddleston, William J Maloney, Frederick M Dirbas, Joseph Shrager, John Costouros, Catherine Curtin, Ian Carroll
Importance: Guidelines recommend using gabapentin to decrease postoperative pain and opioid use, but significant variation exists in clinical practice. Objective: To determine the effect of perioperative gabapentin on remote postoperative time to pain resolution and opioid cessation. Design, Setting, and Participants: A randomized, double-blind, placebo-controlled trial of perioperative gabapentin was conducted at a single-center, tertiary referral teaching hospital...
December 13, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/29238126/should-venous-doppler-ultrasonography-be-routinely-applied-before-lower-extremity-major-orthopedic-surgery
#9
Hasan Göçer, Ali Kemal Yazici, Ahmet Veysel Polat
Background: Hip-knee arthroplasty and knee arthroscopy (KA) is frequently applied in the orthopaedic surgery. The approach does not exist related with the preoperative asymptomatic deep venous thrombosis (DVT). In this study, the patients who would undergo surgery lower extremity were screened for asymptomatic DVT, using the venous Doppler ultrasonography (USG). Patients and Methods: DVT was screened by venous Doppler USG in the patients who would undergo hip-knee arthroplasty and KA between the dates of November 2013 and September 2015...
January 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29229416/comparison-of-arthroscopic-and-conservative-treatments-for-knee-osteoarthritis-a-5-year-retrospective-comparative-study
#10
Xiangzheng Su, Chunbao Li, Weixiong Liao, Jianheng Liu, Hao Zhang, Ji Li, Zhongli Li
PURPOSE: To compare the effectiveness of arthroscopic and conservative treatments in patients with knee osteoarthritis (KOA) with 5 years of follow-up. METHODS: Patients diagnosed with Kellgren-Lawrence grade 2 to 4 KOA who underwent arthroscopic or conservative treatment from May 2005 to May 2012 were included. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) total score was collected 1, 2, 3, 4, and 5 years after the initial treatment, and the number of patients who underwent total knee arthroplasty (TKA) at every time point was recorded...
December 8, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29225426/incidence-and-predictors-of-total-knee-arthroplasty-following-knee-arthroscopy
#11
Tristan Camus, Jiho Han, Feroz Osmani, Norman Scott, William J Long
Objective: The purpose of this study was to determine the effectiveness of knee arthroscopy (KA) in patients with symptomatic meniscal tears or mechanical symptoms and OA, by using conversion to TKA as a final outcome measure. Methods: Retrospective review of all patients with OA who underwent KA in our practice. Results: 1215 KAs were reviewed; 3.9% underwent conversion to TKA at an average of 3.2 years. Conclusion: KA plays a role in delaying TKA in knees with meniscal tears and mechanical symptoms with concurrent OA...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29206803/clinical-indicators-of-the-need-for-telemetry-postoperative-monitoring-in-patients-with-suspected-obstructive-sleep-apnea-undergoing-total-knee-arthroplasty
#12
Kethy M Jules-Elysée, Natasha A Desai, Yan Ma, Wei Zhang, Thuyvan H Luu, Stavros G Memtsoudis, Gregory A Liguori
BACKGROUND AND OBJECTIVES: Obstructive sleep apnea is associated with increased complication rates postoperatively. Current literature does not provide adequate guidance on management of these patients. This study used the STOP-Bang questionnaire to diagnose patients with possible obstructive sleep apnea (score ≥3). We hypothesized that a STOP-Bang score of 3 or greater would significantly correlate with the number of oxygen desaturation episodes during the first 48 hours after total knee arthroscopy...
December 4, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29205992/curative-effect-of-knee-arthroplasty-on-patients-with-osteoarthritis-and-analysis-of-long-term-joint-function-of-these-patients
#13
Xianxun Wang, Lin Cai
BACKGROUND: We aimed to explore the curative effect of knee arthroplasty on patients with osteoarthritis and analysis of their long-term joint function. METHODS: 96 cases of osteoarthritis patients, collected in our hospital from June 2010 to May 2011, were divided into control group and observation group (n=48, each group). Patients in observation group were treated by knee replacement, and patients in control group were treated by arthroscopic debridement. Bleeding during operation of patients and the operation time in both groups were comparable during their followed up for 6~60 months, with an average of 52 months...
December 4, 2017: Minerva Chirurgica
https://www.readbyqxmd.com/read/29192936/outcomes-of-femoral-head-marrow-stimulation-techniques-at-minimum-2-year-follow-up
#14
David E Hartigan, Itay Perets, Edwin O Chaharbakhshi, John P Walsh, Leslie C Yuen, Benjamin G Domb
This study compared patients who underwent femoral head microfracture with a control group of patients who did not require microfracture. Patients had more than 2 years of follow-up. The patient groups had similar demographic and radiographic features, including sex, age within 5 years, body mass index within 5 points, equal Tönnis grade, lateral center edge angle within 5°, labral treatment, and capsular closure vs release. Inclusion criteria were a minimum of 2 years of follow-up, Outerbridge grade IV cartilage damage, and femoral head marrow stimulation technique performed at the time of arthroscopy...
November 30, 2017: Orthopedics
https://www.readbyqxmd.com/read/29164164/female-sex-is-a-risk-factor-for-failure-of-hip-arthroscopy-performed-for-acetabular-retroversion
#15
Kirsten L Poehling-Monaghan, Aaron J Krych, Bruce A Levy, Robert T Trousdale, Rafael J Sierra
Background: The success of hip surgery in treating acetabular retroversion depends on the severity of the structural deformity and on selecting the correct patient for open or arthroscopic procedures. Purpose: To compare a group of patients with retroverted hips treated successfully with hip arthroscopy with a group of patients with retroverted hips that failed arthroscopic surgery, with special emphasis on (1) patient characteristics, (2) perioperative radiographic parameters, (3) intraoperative findings and concomitant procedures, and (4) patient sex...
November 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29161115/hip-arthroscopic-surgery-for-femoroacetabular-impingement-with-capsular-management-factors-associated-with-achieving-clinically-significant-outcomes
#16
Gregory L Cvetanovich, Alexander E Weber, Benjamin D Kuhns, Jennifer Alter, Joshua D Harris, Richard C Mather, Shane J Nho
BACKGROUND: There has been increasing interest in defining clinically meaningful outcomes in patient reported outcomes following orthopaedic surgery. Little is known about the factors associated with clinically meaningful outcomes after hip arthroscopy for femoroacetabular impingement. STUDY DESIGN: Case-control study; Level of evidence, 3. PURPOSE: To report on a large, prospectively collected consecutive series of patients who underwent comprehensive arthroscopic treatment of femoroacetabular impingement (FAI) and capsular management with greater than 2-year follow-up...
November 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29108784/clinical-outcomes-and-return-to-sport-in-competitive-athletes-undergoing-arthroscopic-iliopsoas-fractional-lengthening-compared-with-a-matched-control-group-without-iliopsoas-fractional-lengthening
#17
Itay Perets, David E Hartigan, Edwin O Chaharbakhshi, Lyall Ashberg, Brian Mu, Benjamin G Domb
PURPOSE: To compare the minimum 2-year outcomes and return to sports in competitive athletes after arthroscopic iliopsoas fractional lengthening (IFL) and treatment for femoroacetabular impingement (FAI) to competitive athletes treated for FAI who did not undergo IFL. METHODS: Data were prospectively collected and retrospectively reviewed between November 2009 and April 2014. Included patients were high school, collegiate, or professional athletes who underwent arthroscopic IFL, treatment for FAI, and preoperative modified Harris Hip Score, Non-Arthritic Athletic Hip Score, Hip Outcome Score-Sports Specific Subscale, and visual analog scale...
November 3, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28992426/predictors-of-poor-clinical-outcome-after-arthroscopic-labral-preservation-capsular-plication-and-cam-osteoplasty-in-the-setting-of-borderline-hip-dysplasia
#18
Akihisa Hatakeyama, Hajime Utsunomiya, Shoichi Nishikino, Shiho Kanezaki, Dean K Matsuda, Akinori Sakai, Soshi Uchida
BACKGROUND: Borderline developmental dysplasia of the hip (BDDH) is frequently diagnosed concurrently with cam impingement. While hip arthroscopy has advanced the treatment of hip joint pathology, including femoroacetabular impingement (FAI), arthroscopic treatment for FAI in the setting of BDDH remains a challenge amid a subset of patients. The risk factors of poor clinical results after hip arthroscopic labral preservation and FAI corrections in the setting of BDDH patients have not been well established...
October 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28991591/arthroscopic-management-of-scaphoid-trapezium-trapezoid-joint-arthritis
#19
REVIEW
Loris Pegoli, Alessandro Pozzi
Scaphoid-trapezium-trapezoid (STT) joint arthritis is a common condition consisting of pain on the radial side of the wrist and base of the thumb, swelling, and tenderness over the STT joint. Common symptoms are loss of grip strength and thumb function. There are several treatments, from symptomatic conservative treatment to surgical solutions, such as arthrodesis, arthroplasties, and prosthesis implant. The role of arthroscopy has grown and is probably the best treatment of this condition. Advantages of arthroscopic management of STT arthritis are faster recovery, better view of the joint during surgery, and possibility of creating less damage to the capsular and ligamentous structures...
November 2017: Hand Clinics
https://www.readbyqxmd.com/read/28978308/the-likelihood-of-total-knee-arthroplasty-following-arthroscopic-surgery-for-osteoarthritis-a-systematic-review
#20
Amelia R Winter, Jamie E Collins, Jeffrey N Katz
BACKGROUND: Arthroscopic surgery is a common treatment for knee osteoarthritis (OA), particularly for symptomatic meniscal tear. Many patients with knee OA who have arthroscopies go on to have total knee arthroplasty (TKA). Several individual studies have investigated the interval between knee arthroscopy and TKA. Our objective was to summarize published literature on the risk of TKA following knee arthroscopy, the duration between arthroscopy and TKA, and risk factors for TKA following knee arthroscopy...
October 4, 2017: BMC Musculoskeletal Disorders
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