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Hip arthroscopy

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https://www.readbyqxmd.com/read/29780621/thromboembolism-prophylaxis-in-orthopaedics-an-update
#1
Dimitrios A Flevas, Panayiotis D Megaloikonomos, Leonidas Dimopoulos, Evanthia Mitsiokapa, Panayiotis Koulouvaris, Andreas F Mavrogenis
Venous thromboembolism (VTE) is a serious complication during and after hospitalization, yet is a preventable cause of in-hospital death.Without VTE prophylaxis, the overall VTE incidence in medical and general surgery hospitalized patients is in the range of 10% to 40%, while it ranges up to 40% to 60% in major orthopaedic surgery. With routine VTE prophylaxis, fatal pulmonary embolism is uncommon in orthopaedic patients and the rates of symptomatic VTE within three months are in the range of 1.3% to 10%.VTE prophylaxis methods are divided into mechanical and pharmacological...
April 2018: EFORT Open Reviews
https://www.readbyqxmd.com/read/29780619/hip-arthroscopy-for-femoroacetabular-impingement
#2
Rima Nasser, Benjamin Domb
The purpose of this article is to give a general overview of femoroacetabular impingement (FAI) and how it could be treated arthroscopically, with some details about indications, the procedure itself and some of the complications associated with the surgery.FAI is a dynamic condition of the hip that can be a source of pain and disability and could potentially lead to arthritis.When symptomatic, and if conservative treatment fails, FAI can be addressed surgically.The goal of surgical treatment for FAI is to recreate the spherical contour of the femoral head, improve femoral offset, normalize coverage of the acetabulum, repair/reconstruct chondral damage and repair/reconstruct the labrum to restore normal mechanics and joint sealing...
April 2018: EFORT Open Reviews
https://www.readbyqxmd.com/read/29768929/current-concepts-in-revision-hip-arthroscopy
#3
Renato Locks, Ioanna Bolia, Hajime Utsunomiya, Karen Briggs, Marc J Philippon
Hip arthroscopy is an evolving procedure and its indications have expanded. The number of patients undergoing this procedure has increased significantly as well as the number of surgeons being trained. This has resulted in a notable increase in post-operative complication rates creating the need to develop advanced hip arthroscopic techniques. Revision hip arthroscopy is often complex and many factors should be considered to achieve a satisfactory clinical outcome. Careful pre-operative planning and agreement of expectations between the physician and patient regarding the procedure are important...
May 1, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29768026/return-to-play-and-performance-outcomes-of-professional-athletes-in-north-america-after-hip-arthroscopy-from-1999-to-2016
#4
Michael S Schallmo, Thomas H Fitzpatrick, Hunter B Yancey, Alejandro Marquez-Lara, T David Luo, Allston J Stubbs
BACKGROUND: The effect of hip arthroscopy on athletic performance compared with preinjury levels for professional athletes in different sports remains unknown. In addition, while return rates have been reported for professional baseball, football, and hockey players, return rates have not been reported for professional basketball players. HYPOTHESIS: Professional athletes in 4 major North American sports would be able to return to their sport and preoperative level of performance at a high rate after arthroscopic hip surgery...
May 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29730220/assessing-the-outcome-of-hip-arthroscopy-for-labral-tears-in-femoroacetabular-impingement-using-the-minimum-dataset-of-the-british-non-arthroplasty-hip-register-a-single-surgeon-experience
#5
Julian F Maempel, Jason Z Ting, Paul Gaston
PURPOSE: The aim of this study was to assess changes in British Non-arthroplasty Hip Register (NAHR) minimum dataset (MDS) patient-reported outcome measures (PROMs) after hip arthroscopy for femoroacetabular impingement (FAI) and define the relation between these and patient satisfaction. Secondary aims included exploring the impact of patient characteristics (age, sex, and social deprivation status) on MDS PROMs and satisfaction and determining the Net Promoter Score for hip arthroscopy for FAI...
May 2, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29730219/prevalence-of-high-grade-cartilage-defects-in-patients-with-borderline-dysplasia-with-femoroacetabular-impingement-a-comparative-cohort-study
#6
Ioanna K Bolia, Karen K Briggs, Renato Locks, Jorge Chahla, Hajime Utsunomiya, Marc J Philippon
PURPOSE: To compare the prevalence, size, and location of Outerbridge grade III and IV cartilage defects on the femoral head and acetabulum between patients with borderline acetabular dysplasia and patients with non-borderline dysplasia who underwent hip arthroscopy for femoroacetabular impingement (FAI). METHODS: Patients aged 18 years or older who underwent primary hip arthroscopy for correction of FAI and labral repair from November 2005 to April 2016 were included...
May 2, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29730217/perioperative-opioid-analgesics-and-hip-arthroscopy-trends-risk-factors-for-prolonged-use-and-complications
#7
Victor Anciano Granadillo, Jourdan M Cancienne, F Winston Gwathmey, Brian C Werner
PURPOSE: The purpose of this article is to (1) examine trends in preoperative and prolonged postoperative opioid analgesic use in patient undergoing hip arthroscopy, (2) characterize risk factors for prolonged opioid analgesic use following hip arthroscopy, and (3) explore preoperative and prolonged postoperative opioid analgesic use as independent risk factors for complications following hip arthroscopy. METHODS: A private insurance database was queried for patients undergoing hip arthroscopy from 2007 to 2015 with a minimum of 6 months of follow-up...
May 2, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29730209/posterior-bony-impingement-potential-mechanism-of-ligamentum-teres-tears
#8
Kostas Economopoulos, John O'Donnell
PURPOSE: To describe a potential causal mechanism of ligamentum teres (LT) tears, a specific treatment for posterior impingement of the LT, and to report the minimum 2-year outcome of this treatment. METHODS: We retrospectively reviewed data collected from 1,251 hip arthroscopies performed by the senior surgeon over a 26-month period. During this time, 424 LT tears were identified including 9 patients with isolated partial LT tears caused by impingement of the LT against a prominent acetabular fossa posterior wall and no other intra-articular pathology...
May 2, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29727415/radiographic-and-clinical-outcomes-of-adolescents-with-acetabular-retroversion-treated-arthroscopically
#9
Jody Litrenta, Brian Mu, Austin W Chen, Victor Ortiz-Declet, Itay Perets, Benjamin G Domb
BACKGROUND: Retroversion of the acetabulum is a cause of pincer impingement. Symptomatic retroversion has traditionally been treated with anteverting periacetabular osteotomy (PAO). However, arthroscopic rim trimming can also treat pincer impingement associated with acetabular retroversion. The purpose of this study was to report the outcomes and radiographic findings in a series of adolescent patients with symptomatic acetabular retroversion treated arthroscopically. METHODS: Data were prospectively gathered at a single institution using an established hip preservation registry...
April 30, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29726692/midterm-outcomes-and-return-to-sports-among-athletes-undergoing-hip-arthroscopy
#10
Itay Perets, Matthew J Craig, Brian H Mu, David R Maldonado, Jody M Litrenta, Benjamin G Domb
BACKGROUND: Hip arthroscopy is an established surgical treatment for pathologic hip conditions in athletes. There is a paucity in the literature regarding outcomes and return to sport for athletes in the midterm. PURPOSE: To report minimum 5-year outcomes, return to sport, and level of sport among athletic patients who underwent hip arthroscopy. In addition, we compared 2- and 5-year outcomes to evaluate whether there is a deterioration in functional status. STUDY DESIGN: Case series; Level of evidence, 4...
May 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29723044/are-results-of-arthroscopic-labral-repair-durable-in-dysplasia-at-midterm-follow-up-a-2-center-matched-cohort-analysis
#11
Mario Hevesi, David E Hartigan, Isabella T Wu, Bruce A Levy, Benjamin G Domb, Aaron J Krych
BACKGROUND: Studies assessing dysplasia's effect on hip arthroscopy are often limited to the short term and unable to account for demographic factors that may vary between dysplastic and nondysplastic populations. PURPOSE: To determine the midterm failure rate and patient-reported outcomes of arthroscopic labral repair in the setting of dysplasia and make subsequent failure and outcome comparisons with a rigorously matched nondysplastic control group. STUDY DESIGN: Cohort study; Level of evidence, 3...
May 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29696319/danish-hip-arthroscopy-registry-predictors-of-outcome-in-patients-with-femoroacetabular-impingement-fai
#12
Bjarne Mygind-Klavsen, Bent Lund, Torsten Grønbech Nielsen, Niels Maagaard, Otto Kraemer, Per Hölmich, Søren Winge, Martin Lind
PURPOSE: Predictors of outcome after femoroacetabular impingement (FAI) surgery are not well-documented. This study presents data from the Danish Hip Arthroscopy Registry (DHAR) for such analyses. The purpose of this study was to identify predictors of poor outcome after FAI surgery in a Danish FAI population. The primary hypothesis was that older patients, patients with severe cartilage damage and female patients might have inferior outcome results compared with younger patients, patients with minor cartilage damage and male patients...
April 25, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29691165/acetabular-focal-chondral-lesions-are-not-associated-with-worse-outcomes-after-periacetabular-osteotomy-a-matched-group-analyses
#13
Michael D Hellman, Jeffery J Nepple, Cecilia Pascual-Garrido, Rafael J Sierra, John C Clohisy
BACKGROUND: The purpose of this study was to assess the outcomes of patients who underwent combined hip arthroscopy and periacetabular osteotomy with acetabular focal chondral defects and compare these outcomes with a group of patients without focal chondral defects. METHODS: A retrospective review looking at patients who underwent hip arthroscopy and/or periacetabular osteotomy was performed. Minimum 2-year follow-up, Tönnis grade 0-1, and a Beck chondromalacia stages 4-5 were included...
March 14, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29685837/outcomes-of-hip-arthroscopy-in-a-military-population-are-similar-to-those-in-the-civilian-population-matched-paired-analysis-at-2-years
#14
Jun-Il Yoo, Tae-Ho Lee, Jae-Yoon Kim, Jae-Hyung Kim, Yong-Chan Ha
PURPOSE: The purpose of this study was to compare the clinical outcomes, including the visual analog pain score, University of California Los Angeles activity, modified Harris hip score, and radiologic outcomes after hip arthroscopy in male patients whose symptoms developed during military services with those in a matched-pair control group of active young, nonmilitary patients at a minimum postoperative follow-up of 2 years. METHODS: From September 2009 to December 2014, 28 male patients with mechanical symptoms that developed during military service underwent hip arthroscopic surgery...
April 20, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29673359/developing-a-risk-prediction-model-for-the-functional-outcome-after-hip-arthroscopy
#15
Patrick Stephan, Maarten A Röling, Nina M C Mathijssen, Gerjon Hannink, Rolf M Bloem
BACKGROUND: Hip arthroscopic treatment is not equally beneficial for every patient undergoing this procedure. Therefore, the purpose of this study was to develop a clinical prediction model for functional outcome after surgery based on preoperative factors. METHODS: Prospective data was collected on a cohort of 205 patients having undergone hip arthroscopy between 2011 and 2015. Demographic and clinical variables and patient reported outcome (PRO) scores were collected, and considered as potential predictors...
April 19, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29665766/relationship-between-synovial-inflammatory-cytokines-and-progression-of-osteoarthritis-after-hip-arthroscopy-experimental-assessment
#16
Kensuke Fukushima, Gen Inoue, Kentaro Uchida, Hisako Fujimaki, Masayuki Miyagi, Naoshige Nagura, Katsufumi Uchiyama, Naonobu Takahira, Masashi Takaso
PURPOSE: Synovial membrane inflammation is the most commonly presenting finding during hip arthroscopy and may have a role in the pathomechanism of hip osteoarthritis (OA). The aim of this study was to determine the relationship between synovial cytokine levels and progression of OA after hip arthroscopy. METHODS: We prospectively examined 20 patients (20 hips) who underwent arthroscopic hip surgery. For all patients, radiographs and severity of pain were evaluated preoperatively...
May 2018: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29651906/return-to-sport-rates-in-physically-active-individuals-six-months-after-arthroscopy-for-femoroacetabular-impingement-syndrome
#17
Kathryn R Glaws, Thomas J Ellis, Timothy E Hewett, Stephanie L Di Stasi
CONTEXT: Six-months is the expected timeframe to return to sport (RTS) after hip arthroscopy for femoroacetabular impingement syndrome (FAIS). OBJECTIVE: The primary aims of this study were to (1) report the RTS rate of physically active individuals six-months after arthroscopic surgery for FAIS, and (2) compare the self-reported hip function between those who were able to RTS versus those who had not. DESIGN: cohort study. SETTING: XXX...
April 13, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29644385/postoperative-alpha-angle-not-associated-with-patient-centered-midterm-outcomes-following-hip-arthroscopy-for-fai
#18
Karen K Briggs, Eduardo Soares, Sanjeev Bhatia, Marc J Philippon
PURPOSE: The most commonly used parameter for defining cam-type femoroacetabular impingement(FAI) has been the alpha angle. The purpose of this study was to determine if patient-reported outcomes 5 years following hip arthroscopy for FAI were associated with postoperative alpha angle. We hypothesized that patient-reported outcomes would not be influenced by postoperative alpha angle in patients with FAI. METHODS: 230 patients had primary hip arthroscopy for FAI and chondrolabral dysfunction...
April 11, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29629574/acetabular-delamination-epidemiology-histological-features-and-treatment
#19
Eugenio Jannelli, Antonina Parafioriti, Alberto Acerbi, Alessandro Ivone, Alberto Fioruzzi, Andrea Fontana
Objective The International Cartilage Repair Society classification is the one mainly used to define chondral defects. However, this classification does not include delamination. The objective of the study is to describe the characteristics of this lesion to better explain its classification in the context of chondral lesions of the hip. Design We performed a retrospective analysis of 613 patients who underwent hip arthroscopy. In this group, the incidence, localization, histological characteristics, and association to femoroacetabular impingement as well as to other intraarticular lesions of acetabular delamination (AD) were analyzed...
April 1, 2018: Cartilage
https://www.readbyqxmd.com/read/29627931/athletes-experience-a-high-rate-of-return-to-sport-following-hip-arthroscopy
#20
REVIEW
Muzammil Memon, Jeffrey Kay, Philip Hache, Nicole Simunovic, Joshua D Harris, John O'Donnell, Olufemi R Ayeni
PURPOSE: The purpose of this systematic review was to evaluate the rate at which patients return to sport following arthroscopic hip surgery. METHODS: The databases MEDLINE, EMBASE, and PubMed were searched by two reviewers, and titles, abstracts, and full-text articles screened in duplicate. English language studies investigating hip arthroscopy with reported return to sport outcomes were included. A meta-analysis of proportions was used to combine the rate of return to sports using a random effects model...
April 7, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
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