keyword
https://read.qxmd.com/read/38532867/osteochondritis-dissecans-of-the-hip-in-legg-calv%C3%A3-perthes-disease-case-report-and-review
#1
Luiz Renato Agrizzi de Angeli, Bárbara Lívia Corrêa Serafim, Felippi Guizardi Cordeiro, Felipe Spinelli Bessa, Daniel Augusto Carvalho Maranho
INTRODUCTION: Legg-Calvé-Perthes disease (LCPD) is the idiopathic osteonecrosis of the capital femoral epiphysis in children. It is a self-healing condition, and the morphology of the hip may vary according to the severity of the disease, among several other factors. The treatment focuses on attempts to prevent femoral head collapse, obtain functional hip motion recovery, and reduce pain. Osteochondritis Dissecans (OCD) of the femoral head has been reported in 2% to 7% of patients diagnosed with healed LCPD...
2024: Acta Ortopedica Brasileira
https://read.qxmd.com/read/38523967/a-new-horizon-in-hip-health-using-an-innovative-variable-loop-curette-for-core-decompression-and-bone-marrow-aspirate-concentrate-in-the-management-of-pre-collapse-avascular-necrosis-of-the-hip
#2
Amit Kale, Sushant Kumar
Avascular necrosis (AVN) of the femoral head, or osteonecrosis (ON), is a debilitating condition characterized by disrupted blood supply to the hip joint, leading to subchondral bone necrosis, joint collapse, and arthritis. Emerging evidence suggests that the long-term use of corticosteroids, particularly in the context of COVID-19 treatment, may contribute to AVN development. This case report presents a male in his 50s with bilateral hip pain and a history of corticosteroid use. The patient underwent core decompression (CD) with a bone marrow aspirate concentrate (BMAC) infusion using the innovative curette technique...
February 2024: Curēus
https://read.qxmd.com/read/38516883/long-term-outcomes-of-primary-hip-arthroscopy-multicenter-analysis-at-minimum-10-year-follow-up-with-attention-to-labral-and-capsular-management
#3
JOURNAL ARTICLE
Alexander M Boos, Allen S Wang, Abhinav Lamba, Kelechi R Okoroha, Cedric J Ortiguera, Bruce A Levy, Aaron J Krych, Mario Hevesi
BACKGROUND: Hip arthroscopy is rapidly advancing, with positive published outcomes at short- and midterm follow-up; however, available long-term data remain limited. PURPOSE: To evaluate outcomes of primary hip arthroscopy at a minimum 10-year follow-up at 2 academic centers by describing patient-reported outcomes and determining reoperation and total hip arthroplasty (THA) rates. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Patients with primary hip arthroscopy performed between January 1988 and April 2013 at 2 academic centers were evaluated for postoperative patient-reported outcomes-including the visual analog scale, Tegner Activity Scale score, Hip Outcome Score Activities of Daily Living and Sport Specific subscales, modified Harris Hip Score, Nonarthritic Hip Score, 12-item International Hip Outcome Tool, surgery satisfaction, and reoperations...
March 22, 2024: American Journal of Sports Medicine
https://read.qxmd.com/read/38516762/physiotherapy-management-focusing-on-proprioceptive-impairment-in-a-patient-with-gait-and-balance-impairments-following-stroke-a-case-report
#4
JOURNAL ARTICLE
Aisuke Takahashi, Shun Kitsunai, Hikaru Kawana, Naoshi Saito, Akioh Yoshihara, Katsuhiro Furukawa
BACKGROUND: Proprioceptive impairment contributes to gait and balance impairments in patients with stroke. Diagnosis functional impairments and evaluation treatment efficacy require quantitative proprioception assessment. However, proprioception assessment has remained limited to ordinal scale measurement, with a lack of ratio scale measurements. PURPOSE: This case report describes a physiotherapy management program focusing on proprioceptive impairment in patients with stroke using quantitative tests such as Threshold to Detect Passive Motion (TDPM) and Joint Position Sense (JPS)...
March 22, 2024: Physiotherapy Theory and Practice
https://read.qxmd.com/read/38513108/surgical-hip-dislocation-in-the-era-of-hip-arthroscopy-demonstrates-high-survivorship-and-improvements-in-patient-reported-outcomes-for-complex-femoroacetabular-impingement
#5
JOURNAL ARTICLE
Zachary Trotzky, Brian Muffly, Nora Cao, Ernest Sink
BACKGROUND: Over the past decade, hip arthroscopy has become more commonly used in the treatment of patients with femoroacetabular impingement (FAI) as well as those with many other intra-articular hip pathologies. As such, the indications for open surgical hip dislocation have narrowed to include complex intra-articular and extra-articular bony morphologies and revision hip preservation. Although surgical hip dislocation has been established as an effective approach, previous research using contemporary indications has been limited primarily to smaller cohorts with short-term follow-up...
March 21, 2024: Clinical Orthopaedics and related Research
https://read.qxmd.com/read/38510225/novel-allograft-in-the-load-bearing-portion-of-the-femoral-head
#6
Andrew Renshaw, Nneoma Duru, Eric Assid, Gerard K Williams, Misty Suri, Deryk Jones
Background: An osteochondral defect in the hip can be a painful and limiting pathologic process. The damaged joint may progress into premature osteoarthritis, further limiting a patient's functionality. Case Report: A 24-year-old male presented to the clinic with left hip pain. The patient had been involved in a motor vehicle accident 3 years prior to presentation to our clinic. His injury from the high-speed accident required intramedullary rod fixation for a right-sided (contralateral) subtrochanteric femur fracture...
2024: Ochsner Journal
https://read.qxmd.com/read/38500832/development-of-a-risk-predicting-score-for-hip-preservation-with-bone-grafting-therapy-for-osteonecrosis
#7
JOURNAL ARTICLE
Shengbao Chen, Kai Fu, Qianying Cai, Yong Feng, Haiyan He, Yun Gao, Zhenzhong Zhu, Dongxu Jin, Jiagen Sheng, Changqing Zhang
Identification and differentiation of appropriate indications on hip preserving with bone grafting therapy remains a crucial challenge in the treatment of osteonecrosis of the femoral head (ONFH). A prospective cohort study on bone grafting therapy for ONFH aimed to evaluate hip survival rates, and to establish a risk scoring derived from potential risk factors (multivariable model) for hip preservation. Eight variables were identified to be strongly correlated with a decreased rate of hip survival post-therapy, and a comprehensive risk scoring was developed for predicting hip-preservation outcomes...
April 19, 2024: IScience
https://read.qxmd.com/read/38499116/hip-capsular-preservation-when-treating-femoroacetabular-impingement-syndrome-should-remain-universal-and-some-hip-phenotypes-necessitate-maximum-surgical-stability
#8
EDITORIAL
Vehniah K Tjong
Hip capsular preservation literature shows varying outcome. Capsular preservation is most common in the United States. Different surgeons prefer, and different patients require simple periportal capsulotomies versus wider exposure with T-type capsulotomy and traction stitches. Revision cases require wider expose. Paramount is adequate bony decompression in patients with FAI, but capsular preservation may also be universally recommended. Finally, in addition to revision indications, some hip phenotypes may require more aggressive capsular management...
March 16, 2024: Arthroscopy
https://read.qxmd.com/read/38491445/equity-in-the-recovery-of-elective-and-oncological-surgery-volumes-after-the-covid-19-lockdown-a-multicentre-cohort-study-in-italy
#9
JOURNAL ARTICLE
Chiara Di Girolamo, Roberta Onorati, Tania Landriscina, Roberto Gnavi, Giulia Cesaroni, Enrico Calandrini, Lucia Bisceglia, Caterina Fanizza, Teresa Spadea
BACKGROUND: The COVID-19 pandemic has had, and still has, a profound impact on national health systems, altering trajectories of care and exacerbating existing inequalities in health. Postponement of surgeries and cancellation of elective surgical procedures have been reported worldwide. In Italy, the lock-down measures following the COVID-19 pandemic caused cancellations of surgical procedures and important backlogs; little is known about potential social inequalities in the recovery process that occurred during the post-lockdown period...
March 15, 2024: International Journal for Equity in Health
https://read.qxmd.com/read/38478173/effects-of-different-volumes-of-ropivacaine-for-pericapsular-nerve-group-block-on-incidence-of-quadriceps-weakness-and-analgesic-efficacy-following-hip-arthroplasty-a-randomized-controlled-trial
#10
JOURNAL ARTICLE
Huaichang Wen, Weihua Zhang, Yi Wang, Meijing Lu
INTRODUCTION: The pericapsular nerve group (PENG) block has been shown to be an effective approach to alleviating pain and reducing the need for opioids among older adults following hip surgery, with possible motor-sparing effects. No reports to date, however, have described appropriate ropivacaine volumes for use in the context of PENG block. The present prospective randomized controlled study was thus developed to assess the quadriceps muscle strength and analgesic efficacy associated with PENG block performed using three different volumes of 0...
March 13, 2024: Pain and Therapy
https://read.qxmd.com/read/38464920/bipolar-hip-arthroplasty-using-conjoined-tendon-preserving-posterior-lateral-approach-in-treatment-of-displaced-femoral-neck-fractures
#11
JOURNAL ARTICLE
Ting-Xin Yan, Sheng-Jie Dong, Bo Ning, Yu-Chi Zhao
BACKGROUND: Hip fractures account for 23.8% of all fractures in patients over the age of 75 years. More than half of these patients are older than 80 years. Bipolar hemiarthroplasty (BHA) was established as an effective management option for these patients. Various approaches can be used for the BHA procedure. However, there is a high risk of postoperative dislocation. The conjoined tendon-preserving posterior (CPP) lateral approach was introduced to reduce postoperative dislocation rates...
February 26, 2024: World Journal of Clinical Cases
https://read.qxmd.com/read/38459690/modern-hip-arthroscopy-for-fais-may-delay-the-natural-history-of-osteoarthritis-in-25-of-patients-a-12-year-follow-up-analysis
#12
JOURNAL ARTICLE
Prem N Ramkumar, Reena J Olsen, Hashim J F Shaikh, Danyal H Nawabi, Bryan T Kelly
BACKGROUND: Little is known about the effect of modern hip arthroscopy on the natural history of femoroacetabular impingement syndrome (FAIS) with respect to joint preservation. PURPOSE: To (1) characterize the natural history of FAIS and (2) understand the effect of modern hip arthroscopy by radiographically comparing the hips of patients who underwent only unilateral primary hip arthroscopy with a minimum follow-up of 10 years. STUDY DESIGN: Cohort study; Level of evidence, 3...
March 8, 2024: American Journal of Sports Medicine
https://read.qxmd.com/read/38450061/outcomes-following-open-acetabular-labrum-reconstruction-comparing-fresh-frozen-tendon-with-fresh-meniscus-allograft-transplantation
#13
JOURNAL ARTICLE
James L Cook, Kylee Rucinski, Robert Wissman, Cory Crecelius, Steven DeFroda, Brett D Crist
BACKGROUND: Symptomatic acetabular labral insufficiency in young, active patients is often treated with labral repair or reconstruction using fresh-frozen allografts. However, fresh-frozen tendon allografts do not have tissue or material properties that closely mimic acetabular labral fibrocartilage. Recent studies suggest meniscal allografts may be a better biomechanical, geometric, and material alternative for acetabular labrum reconstruction (ALR). HYPOTHESIS: Patients undergoing open ALR using fresh meniscus allograft transplants (MAT) will have better outcomes than those using fresh-frozen tendon allografts transplants (TAT) when comparing initial treatment success, diagnostic imaging assessments, and patient-reported pain and function scores...
July 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38447625/trends-in-hip-arthroscopy-require-rapid-dissemination-from-higher-volume-and-academic-surgeons-to-the-greater-orthopaedic-community
#14
EDITORIAL
Christopher M Larson
Trends in hip arthroscopy show that labral repair and preservation, capsular repair and preservation, and treatment of FAI during hip arthroscopy are associated with superior short-term and mid- to longer-term outcomes. Hip arthroscopy, and in particular arthroscopic femoroacetabular impingement (FAI) correction, is in its infancy compared to many other orthopaedic procedures. As we assimilate knowledge, data, and evidence-based research, it is critical to evaluate surgical trends and how they affect our management of these patients and pathologies...
March 4, 2024: Arthroscopy
https://read.qxmd.com/read/38442246/can-robotic-arm-assistance-decrease-iatrogenic-soft-tissue-damage-during-direct-anterior-total-hip-arthroplasty
#15
JOURNAL ARTICLE
Emily L Hampp, Melanie Caba, Laura Scholl, Ahmad Faizan, Benjamin M Frye, Joseph P Nessler, Sean B Sequeira, Michael A Mont
INTRODUCTION: Manual techniques for total hip arthroplasty (THA) have been widely utilized and proven to be clinically successful. However, the use of advanced computed tomography (CT) scan-based planning and haptically-bounded reamers in robotic-arm assisted total hip arthroplasty (RTHA) holds promise for potentially limiting surrounding soft-tissue damage. This cadaver-based study aimed to compare the extent of soft-tissue damage between a robotic-arm assisted, haptically-guided THA (RTHA) and a manual, fluoroscopic-guided THA (MTHA) direct anterior approach...
March 1, 2024: Surgical Technology International
https://read.qxmd.com/read/38438578/fused-hip-conversion-to-total-hip-arthroplasty-with-the-direct-anterior-approach-surgical-technique-on-a-regular-surgical-table-under-fluoroscopic-guidance
#16
JOURNAL ARTICLE
Iñaki Mimendia, Víctor Barro, Martin Sierra, Andrés Aliaga-Martínez, Ernesto Guerra-Farfán, Alejandro Hernández
PURPOSE: Conversion of a fused hip to a total hip arthroplasty (THA) is technically challenging due to the loss of anatomical references. Here, a reproducible technique using the direct anterior approach (DAA) with a regular surgical table under fluoroscopic guidance is described, which has several advantages over traditional such as lateral or posterior approaches. METHODS: There were reported 11 cases of ankylosis hip that were converted to THA using the same surgical technique protocol...
March 4, 2024: International Orthopaedics
https://read.qxmd.com/read/38437034/femoral-head-core-decompressions-characterization-of-subsequent-conversion-to-total-hip-arthroplasty-and-related-complications
#17
JOURNAL ARTICLE
Will Jiang, Joshua Sanchez, Meera M Dhodapkar, Mengnai Li, Daniel Wiznia, Jonathan N Grauer
BACKGROUND: Core decompression is a minimally invasive joint-preserving approach for early-stage osteonecrosis. The rate at which core decompression patients require total hip arthroplasty (THA) and rates of perioperative adverse outcomes have not been well-characterized. METHODS: Adult patients undergoing core decompression and/or THA with osteonecrosis of the femoral head were identified from the 2015 to 2021 Q3 PearlDiver M157 database. Those undergoing THA without or with antecedent core decompression were identified and matched 4:1 on age, sex, and Elixhauser Comorbidity Index...
March 1, 2024: Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews
https://read.qxmd.com/read/38425069/-analysis-of-the-efficacy-of-high-tibial-osteotomy-combined-with-medial-meniscus-centralization-in-knee-osteoarthritis
#18
JOURNAL ARTICLE
Li-Ming Zhu, Jie Guan, Yi-Min Chen, Hai-Tao Ma, Jia-Kuan Ye
OBJECTIVE: To explore the efficacy of high tibial osteotomy (HTO) combined with medial meniscus centralization in knee osteoarthritis. METHODS: A total of 26 patients who underwent surgery from October 2018 to October 2020 were reviewed. Among them, 14 patients underwent high tibial osteotomy combined with arthroscopic meniscus centralization surgery were centralized group, including 8 males and 6 females, with an average age of (50.2±1...
February 25, 2024: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://read.qxmd.com/read/38423117/optimal-hip-capsular-release-for-joint-exposure-in-hip-resurfacing-via-the-direct-anterior-approach
#19
JOURNAL ARTICLE
Kabelan J Karunaseelan, Rima Nasser, Jonathan R T Jeffers, Justin P Cobb
AIMS: Surgical approaches that claim to be minimally invasive, such as the direct anterior approach (DAA), are reported to have a clinical advantage, but are technically challenging and may create more injury to the soft-tissues during joint exposure. Our aim was to quantify the effect of soft-tissue releases on the joint torque and femoral mobility during joint exposure for hip resurfacing performed via the DAA. METHODS: Nine fresh-frozen hip joints from five pelvis to mid-tibia cadaveric specimens were approached using the DAA...
March 1, 2024: Bone & Joint Journal
https://read.qxmd.com/read/38420736/the-value-of-computed-tomography-scan-in-three-dimensional-planning-and-intraoperative-navigation-in-primary-total-hip-arthroplasty
#20
REVIEW
Fabio Mancino, Andreas Fontalis, Ahmed Magan, Ricci Plastow, Fares S Haddad
Total hip arthroplasty (THA) is a frequently performed procedure; the objective is restoration of native hip biomechanics and achieving functional range of motion (ROM) through precise positioning of the prosthetic components. Advanced three-dimensional (3D) imaging and computed tomography (CT)-based navigation are valuable tools in both the preoperative planning and intraoperative execution. The aim of this study is to provide a thorough overview on the applications of CT scans in both the preoperative and intraoperative settings of primary THA...
March 1, 2024: Hip & Pelvis
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