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minimal invasive surgery of hip

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https://www.readbyqxmd.com/read/28081584/-mini-open-approach-shows-good-results-in-treatment-of-femoroacetabular-impingement
#1
Stephanie Maria Kirschbaum, Frank Sitterlee, Carsten Perka, Michael Müller
Background Femoroacetabular impingement (FAI) describes a painful, abnormal (bony) contact between the femoral neck and acetabulum, which, if left untreated, contributes to early osteoarthritis (OA) of the hip. Despite its flat learning curve and long operation times, hip arthroscopy has been used increasingly often in recent years in the surgery of femoroacetabular impingement. The mini-open technique (MOT) offers a possible alternative that addresses the abnormal morphological prominence and allows minimally invasive clearance of hip motion...
January 12, 2017: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/28053386/early-clinical-and-radiological-results-of-minimally-invasive-total-hip-replacement
#2
Özgür Karakoyun, Mehmet Fatih Erol, Ahmet Aslan, Mesut Karıksız, Burak Günaydın
INTRODUCTION: It is critical to achieve both proper component positioning and intact muscle balance if satisfactory results are to be attained after total hip replacement (THR). There have been fewer studies on minimally invasive (MI) THR than standard approaches. The objective of this paper is to present the early clinical and radiological results of posterolateral MI THR. MATERIALS AND METHODS: The retrospective analysis of the records of patients undergoing posterolateral MI THR surgery between 2011 and 2014 was the basis of this study...
October 2016: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/28053253/minimally-invasive-periacetabular-osteotomy-using-a-modified-smith-petersen-approach-technique-and-early-outcomes
#3
O H Khan, A Malviya, P Subramanian, D Agolley, J D Witt
AIMS: Periacetabular osteotomy is an effective way of treating symptomatic hip dysplasia. We describe a new minimally invasive technique using a modification of the Smith-Peterson approach. We performed a prospective, longitudinal cohort study to assess for any compromise in acetabular correction when using this approach, and to see if the procedure would have a higher complication rate than that quoted in the literature for other approaches. We also assessed for any improvement in functional outcome...
January 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28002919/is-a-minimally-invasive-anterior-approach-effective-in-old-patients-a-pilot-study
#4
C Faldini, F Perna, F Pilla, N Stefanini, C Pungetti, V Persiani, F Traina
Minimally invasive approach to the hip is a blood preserving surgery, with rapid rehabilitation, and low dislocation rate. Intuitively, these characteristics render this approach extremely suitable in the elderly patient. The aim of this study was to analyze the early clinical and radiographic results in the first 30 consecutive patients above 70 years of age undergoing THR through a minimally invasive anterior approach. Clinical evaluations showed an improvement of the Harris Hip Score and WOMAC score after surgery...
October 2016: Journal of Biological Regulators and Homeostatic Agents
https://www.readbyqxmd.com/read/27900306/a-new-anterolateral-surgical-approach-for-total-hip-replacement
#5
Giovanni F Grano, Maria Pavlidou, Alberto Todesco, Augusto Palermo, Luigi Molfetta
PURPOSE: the purpose of the present paper is to present the short-term results of a "detachment-free" (DF) anterolateral approach for primary total hip replacement (THR) performed in a large series of patients. METHODS: two hundred patients submitted to primary THR were retrospectively reviewed for the present study. In all cases, the surgery was performed using a minimally invasive DF anterolateral approach, which entails no disconnection of tendons and no muscle damage...
July 2016: Joints
https://www.readbyqxmd.com/read/27868077/platelet-rich-plasma-injections-with-needle-tenotomy-for-gluteus-medius-tendinopathy-a-registry-study-with-prospective-follow-up
#6
James J Lee, Julian R Harrison, Kwadwo Boachie-Adjei, Elizabeth Vargas, Peter J Moley
BACKGROUND: Gluteal tendinopathy is a prevalent condition that can be associated with significant pain and disability. To date, no studies have prospectively assessed the efficacy of intratendinous platelet-rich plasma (PRP) injections as a minimally invasive treatment for gluteus medius tendinopathy. PURPOSE: To prospectively assess the efficacy of intratendinous PRP injections as treatment for chronic recalcitrant gluteus medius tendinopathy. STUDY DESIGN: Case series; Level of evidence, 4...
November 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27867137/minimally-invasive-internal-fixation-of-distal-femur-fractures
#7
REVIEW
Guy Piétu, Mathieu Ehlinger
Fractures of the distal femur remain a daunting challenge. Since 1970, operative treatment has been recommended. Unfortunately it is fraught with complications, and techniques have been developed to limit incidence of non-union, infection and stiffness. A soft-tissue friendly approach is the key point, with minimally invasive surgery as the ultimate goal: its biological and anatomical advantages have; been demonstrated, but clinical studies have been less convincing, being based on historical series. At present, retrograde nailing and minimally invasive percutaneous plate osteosynthesis (ideally by locking plate) are the two main techniques...
November 17, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27795553/intra-gastric-balloon-as-an-adjunct-to-lifestyle-support-in-severely-obese-adolescents-impact-on-weight-physical-activity-cardio-respiratory-fitness-and-psychosocial-wellbeing
#8
L J Reece, N P Wright, P Sachdev, M Thomson, J K Wales, R J Copeland
BACKGROUND: Severe adolescent obesity (BMI>99.6th centile) is a significant public health challenge. Current non-invasive treatments, including community-based lifestyle interventions, are often of limited effectiveness in this population, with NICE guidelines suggesting the use of bariatric surgery as the last line of treatment (NICE, 2013). Health professionals are understandably reluctant to commission bariatric surgery and as an alternative, the use of an intra-gastric balloon as an adjunct to a lifestyle programme might offer a reversible, potentially safer and less invasive option...
October 31, 2016: International Journal of Obesity: Journal of the International Association for the Study of Obesity
https://www.readbyqxmd.com/read/27783841/reconstruction-using-expandable-endoprostheses-for-skeletally-immature-patients-with-sarcoma
#9
Alexander P Decilveo, Bartlomiej W Szczech, Jacob Topfer, James C Wittig
Expandable endoprostheses have become an acceptable modality to address the issue of limb-length inequality in limb-sparing procedures for skeletally immature patients afflicted with lower extremity bone sarcomas. This study retrospectively analyzed postoperative outcomes and complications for 7 patients (8 limbs) who underwent minimally invasive or noninvasive reconstruction during a 12-year period. Musculoskeletal Tumor Society (MSTS) scores and complication rates were reported. Mean functional outcome (MSTS scores) at final follow-up was 93...
October 25, 2016: Orthopedics
https://www.readbyqxmd.com/read/27664796/fully-porous-3d-printed-titanium-femoral-stem-to-reduce-stress-shielding-following-total-hip-arthroplasty
#10
Sajad Arabnejad, Burnett Johnston, Michael Tanzer, Damiano Pasini
Current hip replacement femoral implants are made of fully solid materials which all have stiffness considerably higher than that of bone. This mechanical mismatch can cause significant bone resorption secondary to stress shielding, which can lead to serious complications such as peri-prosthetic fracture during or after revision surgery. In this work, a high strength fully porous material with tunable mechanical properties is introduced for use in hip replacement design. The implant macro geometry is based off of a short stem taper-wedge implant compatible with minimally invasive hip replacement surgery...
September 24, 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/27620469/all-arthroscopic-amic-%C3%A2-at-amic-%C3%A2-technique-with-autologous-bone-graft-for-talar-osteochondral-defects-clinical-and-radiological-results
#11
Federico Giuseppe Usuelli, Riccardo D'Ambrosi, Camilla Maccario, Michele Boga, Laura de Girolamo
PURPOSE: Autologous Matrix-Induced Chondrogenesis (AMIC(®)) is known to provide satisfactory clinical results for the treatment of knee, hip, and ankle cartilage lesions. The purpose of this study was to evaluate clinical and radiological outcomes of patients treated with a new all-arthroscopic AMIC(®) (AT-AMIC(®)) technique with autologous bone graft for talar osteochondral defects at a follow-up of 24 months. METHODS: Twenty patients underwent the AT-AMIC(®) procedure and autologous bone graft for type III and IV talar osteochondral lesions...
September 12, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27489755/arthroscopic-bullet-removal-from-the-central-and-peripheral-compartments-of-the-hip-joint
#12
Elizabeth A Howse, Jason P Rogers, Austin V Stone, Sandeep Mannava, Allston J Stubbs
Recent advances in hip arthroscopy offer an approach for treating an uncommon but highly disabling injury from intra-articular missile injury to the hip. Hip arthroscopy affords the patient the benefit of minimally invasive surgery while allowing for the diagnosis and treatment of concomitant pathology, which may be either acute, from the trauma of the missile, or chronic. We present a technique for the removal of projectiles from the central and peripheral compartments of the hip joint. Through a surgical series of a variety of gunshot wounds, we detail the unique aspects of retrieval for the various missile endpoints...
April 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27471413/durable-intermediate-to-long-term-outcomes-after-minimally-invasive-transiliac-sacroiliac-joint-fusion-using-triangular-titanium-implants
#13
Donald Sachs, Don Kovalsky, Andy Redmond, Robert Limoni, S Craig Meyer, Charles Harvey, Dimitriy Kondrashov
BACKGROUND: Sacroiliac joint (SIJ) fusion (SIJF), first performed 95 years ago, has become an increasingly accepted surgical option for chronic SIJ dysfunction. Few studies have reported intermediate- or long-term outcomes after SIJF. OBJECTIVE: The objective of this study is to determine patient-based outcomes after SIJF for chronic SIJ dysfunction due to degenerative sacroiliitis or SIJ disruption at ≥3 years of follow-up. METHODS: Consecutive patients who underwent SIJF prior to December 2012 were contacted over phone or through email...
2016: Medical Devices: Evidence and Research
https://www.readbyqxmd.com/read/27441874/complications-of-hip-arthroscopy-patient-perspectives
#14
Zachary T Sharfman, Eyal Amar, Oren Tsvieli, Nassim Alkrinawi, Ofer Levy, Ehud Rath
BACKGROUND: In recent years, hip arthroscopy has rapidly evolved, offering patients evidence-based interventions with the merits of minimally invasive surgery and a relatively short rehabilitation period. Although considered a safe procedure, hip arthroscopy has associated complications that may be underreported depending on how patients are asked about their complications. PURPOSE: The aim of this study was to evaluate hip arthroscopy complications from the patient's perspective...
July 2016: Orthopaedic Nursing
https://www.readbyqxmd.com/read/27338223/when-is-the-stability-of-a-fracture-fixation-limited-by-osteoporotic-bone
#15
Lukas Konstantinidis, Peter Helwig, Anja Hirschmüller, Elia Langenmair, Norbert P Südkamp, Peter Augat
This article is concerned with the search for threshold values for bone quality beyond which the risk of fixation failure increased. For trochanteric fractures we recognized a BMD lower than 250mg/cm(3) as an additional risk for cut out. For medial femoral neck fractures since joint replacement surgery is available and produces excellent functional results, we see no indication for further differentiation or analysis of bone quality in relation to fracture fixation. In the area of osteoporotic vertebral body fractures, there are many experimental studies that try to identify BMD limits of screw fixation in the cancellous bone on the basis of QCT analysis...
June 2016: Injury
https://www.readbyqxmd.com/read/27312191/three-dimensional-planning-guided-total-hip-arthroplasty-through-a-minimally-invasive-direct-anterior-approach-clinical-outcomes-at-five%C3%A2-years-follow-up
#16
Elhadi Sariali, Yves Catonne, Hugues Pascal-Moussellard
PURPOSE: The direct anterior approach is an attractive option for total hip arthroplasty (THA) in order to achieve a quicker rehabilitation. However, this surgical technique presents a longer learning curve and a higher complications rate compared with the standard approach. We investigated whether three-dimensional (3D) planning anticipated the surgical difficulties and helped to achieve a low complications rate with respect to intra-operative complications, dislocation risk and lower limb discrepancy (LLD)...
June 16, 2016: International Orthopaedics
https://www.readbyqxmd.com/read/27289199/short-term-comparison-of-postural-effects-of-three-minimally-invasive-hip-approaches-in-primary-total-hip-arthroplasty-direct-anterior-posterolateral-and-r%C3%A3-ttinger
#17
S Van Driessche, F Billuart, L Martinez, H Brunel, P Guiffault, J Beldame, J Matsoukis
INTRODUCTION: There is renewed interest in total hip arthroplasty (THA) with the development of minimally invasive approaches. The anterior and Röttinger approaches are attractive for their anatomical and minimally invasive character, but with no comparative studies in the literature definitely suggesting superiority in terms of quality of functional recovery. We therefore performed a case-control study, assessing: 1) whether the postural parameters of patients operated on with the anterior, Röttinger and posterior minimally invasive approaches were similar to those of asymptomatic subjects, and 2) whether there were any differences in postural parameters between the three approaches at short-term follow-up...
October 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27277071/the-clinical-results-of-a-novel-method-for-minimal-invasive-dynamic-hip-screw-fixation-of-intertrochanteric-fractures-compared-to-the-conventional-one
#18
N Acar, A Harb, A Albaya, H Kaskin
PURPOSE: Hip intertrochanteric fractures are very frequent. Early mobilization reduces the associated mortality and morbidity rate. DHS is still commonly used in many centers. We describe a new minimal invasive DHS technique (MIDHS) depending on radiological land marks, facilitating the application of DHS in a proper way without the use of an angle guide and we retrospectively compared the functional results of the new technique with that of the conventional DHS (CDHS) technique. METHODS: 116 patients (MIDHS n = 56; CDHS n = 60) with stable intertrochanteric fractures were followed up for at least 12 months...
June 8, 2016: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/27239018/hip-arthrodiastasis-in-legg-calv%C3%A3-perthes-disease
#19
I Aguado-Maestro, J C Abril, A Bañuelos Diaz, M García Alonso
INTRODUCTION AND OBJECTIVE: Arthrodiastasis consists of the mobilisation of the hip while distracted by a hinged distractor. The aim of our study is to show the results of the treatment of late-onset Perthes disease with this technique in our institution. MATERIAL AND METHODS: Ambispective review of all the cases that underwent this surgery in our Department of Paediatric Orthopaedics between 2010 and 2014 with the following inclusion criteria: patients over 8 years old, with minimal deformity, and poor prognosis...
July 2016: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/27233599/functional-and-clinical-outcomes-following-anterior-hip-replacement-a-5-year-comparative-study-versus-posterior-approach
#20
Umatheepan Balasubramaniam, Michelle Dowsey, Francis Ma, Anthony Dunin, Peter Choong
BACKGROUND: With the evolution of total hip joint replacement techniques, there has been a trend towards minimally invasive surgery. The anterior approach (AA) to total hip arthroplasty has been widely associated with less soft tissue damage. The aim of our study was to compare clinical and 1-year functional outcomes for AA hip arthroplasty versus a posterior approach (PA). METHOD: We retrospectively reviewed 92 (50 anterior and 42 posterior) total hip replacements performed at our centre between 2006 and 2011...
July 2016: ANZ Journal of Surgery
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