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Akio Kanda, Kazuo Kaneko, Osamu Obayashi, Atsuhiko Mogami, Itaru Morohashi
Acetabular fracture is usually treated with osteosynthesis. However, in the case of an intra-articular fracture, osteosynthesis can result in arthropathy of the hip joint and poor long-term results, hence, total hip arthroplasty is required. However, in total hip arthroplasty for postoperative acetabular fracture, sciatic nerve palsy tends to develop more commonly than after primary total hip arthroplasty. This is a case report of a 57-year-old Japanese male who had internal skeletal fixation for a left acetabular fracture that had occurred 2 years earlier...
November 2016: Annals of Medicine and Surgery
Grégoire Ficheur, Alexandre Caron, Jean-Baptiste Beuscart, Laurie Ferret, Sophie Putman, Régis Beuscart, Emmanuel Chazard
Prophylactic anticoagulation is recommended up to 35days after total hip replacement (THR). Although several observational studies have assessed the incidence of thrombotic events or bleeding events after THR, the corresponding measures of association have never been studied concomitantly. Here, we evaluated the duration of the elevated risks (relative to the baseline risk) of both venous thromboembolic events and bleeding events after THR for coxarthrosis among middle-aged patients. This was a population-based, cross-over cohort study of data extracted from the French national inpatient database between 2007 and 2013...
September 6, 2016: Preventive Medicine
Joo-Hyoun Song, Suk Ku Han, Kyung-Hoon Lee, Jae-Min Lee, Kee-Haeng Lee
PURPOSE: The purpose of this study is to compare the perioperative blood loss in primary non-cemented total hip arthroplasty (THA) performed for rapidly destructive coxarthrosis (RDC) with the perioperative blood loss in primary non-cemented THA for typical osteonecrosis of the femoral head (ONFH). MATERIALS AND METHODS: From January 2000 to December 2013, 19 patients were diagnosed with RDC (group 1) and 40 patients were diagnosed typical Ficat stage IV ONFH (group 2), comparison of perioperative blood loss between group 1 and group 2 in primary noncemented THA was done...
September 2015: Hip Pelvis
Marek Łyp, Ryszard Kaczor, Anna Cabak, Piotr Tederko, Ewa Włostowska, Iwona Stanisławska, Jan Szypuła, Wiesław Tomaszewski
BACKGROUND Pain associated with coxarthrosis, typically occurring in middle-aged and elderly patients, very commonly causes considerable limitation of motor fitness and dependence on pharmacotherapy. This article provides an assessment of a rehabilitation program with tailored water exercises in patients with osteoarthritis before and after total hip replacement. MATERIAL AND METHODS A total of 192 patients (the mean age 61.03±10.89) suffering from hip osteoarthritis (OA) were evaluated before and after total hip replacement (THR)...
2016: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
Michał Murawa, Lechosław B Dworak, Jarosław Kabaciński, Małgorzata Syczewska, Agata Rzepnicka
PURPOSE: Patient recovery after a surgical procedure depends, among other factors, on the amount of the body weight with which patient loads lower limb. Research studies report different results of the degree of body weight with which lower limb is loaded during three-point crutch gait. The aim of this study was to evaluate the level of the ground reaction forces (GRF) during crutch gait used by patients after total hip arthroplasty (THA) in the first week after discharge from the orthopaedic units...
2016: Acta of Bioengineering and Biomechanics
A H Krieg, F Hefti
BACKGROUND: Hip dysplasia is the most common congenital deformity requiring surgical correction osteotomy in order to prevent early onset of secondary hip arthrosis. The shape of the acetabulum can be modified by Dega or Pemberton osteotomy and is indicated for hip dysplasia and luxation with irregularities of the socket for children aged between 2 and 12 when the y‑physis is still open. METHOD: We will describe indication, contra-indication, preoperative planning as well as details of the Pemberton technique...
August 2016: Der Orthopäde
Toshiyuki Sawai, Junko Nakahira, Toshiaki Minami
Total paraplegia after epidural or spinal anesthesia is extremely rare. We herein report a case of total paraplegia caused by a giant intradural herniation of a lumbar disk at the L3-L4 level after total hip arthroplasty for coxarthrosis. The patient had no preoperative neurologic abnormalities. Intraoperative anesthetic management involved combined spinal-epidural anesthesia at the L3-L4 level with continuous intravenous propofol administration. Postoperatively, the patient complained of numbness and total paraplegia of the lower extremities...
August 2016: Journal of Clinical Anesthesia
Roberto Luigi Cazzato, Guillaume Koch, Xavier Buy, Nitin Ramamurthy, Georgia Tsoumakidou, Jean Caudrelier, Vittorio Catena, Julien Garnon, Jean Palussiere, Afshin Gangi
AIM: To review outcomes and local evolution of treated lesions following percutaneous image-guided screw fixation (PIGSF) of pathological/insufficiency fractures (PF/InF) and impeding fractures (ImF) in cancer patients at two tertiary centres. MATERIALS AND METHODS: Thirty-two consecutive patients (mean age 67.5 years; range 33-86 years) with a range of tumours and prognoses underwent PIGSF for non/minimally displaced PF/InF and ImF. Screws were placed under CT/fluoroscopy or cone-beam CT guidance, with or without cementoplasty...
October 2016: Cardiovascular and Interventional Radiology
A I Dubikov, M A Kabalyk, T Yu Koretskaya
AIM: To estimate the rate of articular cartilage microcrystallization in osteoarthritis (OA). SUBJECTS AND METHODS: The investigation included 110 people who had undergone total endoprosthetic replacement for coxarthrosis. A total of 50 patients with total hip endoprosthetic replacement for femoral neck fractures were recruited as a comparison group. An X-ray diffractometer was used to detect crystals. RESULTS: Cartilage mineralization was seen in 72% of the patients with late-stage OA...
2016: Terapevticheskiĭ Arkhiv
Robert Döring, Thorsten Jentzsch, Max J Scheyerer, William Pfäffli, Clément M L Werner
BACKGROUND: Displaced femoral neck fractures are common in the elderly patient. The surgical treatment options consist of a hemiarthroplasty (HA) or total hip arthroplasty (THA). However, the best surgical choice is still under debate. Bipolar HAs do not address preexisting arthritic changes of the acetabulum, which may lead to an unfavorable clinical outcome. The purpose of the present study was to conduct a long term follow-up analysis of the bipolar hemiarthroplasty with particular focus on the influence of preoperative acetabular osteoarthritis on the functional outcome...
May 23, 2016: BMC Musculoskeletal Disorders
Akio Kanda, Kazuo Kaneko, Osamu Obayashi, Atsuhiko Mogami
A 61-year-old Japanese man underwent right total hip arthroplasty for hereditary multiple exostosis. At first presentation, he had suffered from coxalgia for a long time. On radiographic images, there was a gigantic femoral head, increased shaft angle, and large diameter of the femoral neck. He had also developed coxarthrosis and severe pain of the hip joint. The transformation of the proximal femur bone causes difficulty in setting a cementless total hip prosthesis. Therefore, total hip arthroplasty using a cemented polished tapered stem was performed via a direct lateral approach...
2016: Case Reports in Orthopedics
T Yuasa, K Maezawa, M Nozawa, K Kaneko
PURPOSE: To compare the midterm outcome in 12 women who underwent total hip arthroplasty (THA) for rapidly destructive coxarthrosis (RDC) and in 12 controls who underwent THA for osteoarthritis. METHODS: Records of 12 women aged 50 to 80 (mean, 72.3) years who underwent THA for RDC after a mean of 9 (range, 4-11) months since symptom onset were reviewed. They were compared with 12 age-and sex-matched controls who underwent THA for primary or secondary osteoarthritis...
April 2016: Journal of Orthopaedic Surgery
Michael C Parry, Mihai H Vioreanu, Donald S Garbuz, Bassam A Masri, Clive P Duncan
BACKGROUND: Splined conical stems offer design features that facilitate their use in the misshapen, dysplastic proximal femur. METHODS: This study assessed the survivorship of a conical prosthesis when applied to secondary coxarthrosis because of a range of pathologies. Fifty-one prostheses were implanted in 50 patients with a mean age of 50 (range, 15-80) and a median follow-up of 34 months (range, 24-73 months). Indications for the stem included developmental (36), neuromuscular (7), post-traumatic or surgical (7), and inflammatory conditions (1)...
August 2016: Journal of Arthroplasty
Mehmet Nuri Konya, Bahattin Kerem Aydn, Timur Yldrm, Hakan Sofu, Sarper Gürsu
Hip dysplasia (HD) is 1 of the major reasons of coxarthrosis. The goal of the treatment of HD by Tönnis triple pelvic osteotomy (TPAO) is to improve the function of hip joint while relieving pain, delaying and possibly preventing end-stage arthritis. The aim of this study is to compare the clinical and radiological results of TPAO to determine if previous surgery has a negative effect on TPAO.Patients operated with TPAO between 2005 and 2010, included in this study. Patients divided into 2 groups: primary acetabular dysplasia (PAD) and residual acetabular dysplasia (RAD)...
March 2016: Medicine (Baltimore)
V D Sidorov, S B Pershin
Under the term "osteoarthritis" (OA) is currently meant a clinical syndrome resulting from the combined effect of articular pain and disordered functional activity leading to the deterioration of the quality of life of the patients. The principal objective of rehabilitation of the patients presenting with GA in which all patients with this condition are in need practically after each next aggravation of the pathological process is to relive pain syndrome and restore the functional ability of the joints lost or deteriorated after each exacerbation in order to eventually improve the quality of life of the patients experiencing the constantly progressing degenerative process in the musculoskeletal system...
September 2015: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
Nemandra Sandiford, S K Muirhead-Allwood, J A Skinner
BACKGROUND: Hip resurfacing arthroplasty (HRA) is primarily indicated for young, active patients with disabling coxarthrosis who wish to remain active and return to sports after surgery. Relatively few prospective studies have assessed return to sporting activity and impact of gender and age on this. MATERIALS AND METHODS: Seventy-nine consecutive patients treated with HRA were included. Patients were reviewed clinically and radiologically. Function was assessed using the modified University of California Los Angeles (UCLA) activity score...
November 2015: Indian Journal of Orthopaedics
Vivek Chadayammuri, Tigran Garabekyan, Asheesh Bedi, Cecilia Pascual-Garrido, Jason Rhodes, John O'Hara, Omer Mei-Dan
BACKGROUND: Orientation abnormalities of the acetabulum and femur have been implicated in early-onset coxarthrosis. The purpose of this study was to identify clinical examination findings predictive of such hip morphologies. METHODS: A consecutive cohort of 221 patients (442 hips) undergoing hip arthroscopy was included. Demographic characteristics including age, diagnosis, sex, height, weight, body mass index (BMI), and physical activity level were recorded. Passive range of motion was measured for all hips...
January 20, 2016: Journal of Bone and Joint Surgery. American Volume
Gokhan Polat, Hasan Huseyin Ceylan, Safak Sayar, Fatih Kucukdurmaz, Mehmet Erdil, Ibrahim Tuncay
AIM: To evaluate the body mass index (BMI) change in arthroplasty patients and its impact on the patients' functional results. METHODS: Between October 2010 and May 2013, 606 patients who were operated due to gonarthrosis, coxarthrosis, aseptic loosening of the total knee and hip prosthesis were evaluated prospectively. Patients were operated by three surgeons in three medical centers. Patients who were between 30-90 years of age and who were underwent total knee arthroplasty, total hip arthroplasty, revision knee arthroplasty, or revision hip arthroplasty were included in the study...
December 18, 2015: World Journal of Orthopedics
Carlo Biz, Davide Pavan, Antonio Frizziero, Ala Baban, Claudio Iacobellis
BACKGROUND: Our purpose was to record the incidence of heterotopic ossification (HO) following hip replacement by different variables to identify patient groups that are likely to develop HO in the absence of a prophylactic protocol. METHODS: Radiographically, we studied 651 patients having undergone hip joint replacement, evaluating three kinds of implants: ceramic-ceramic-coupled total hip replacement (THR), TriboFit® with polycarbonate urethane-ceramic coupling and endoprosthesis...
2015: Journal of Orthopaedic Surgery and Research
G V D'iachkova, N V Sazonova, T A Larionova, K A D'iachkov
The purpose of the study was to review quantitative and qualitative radiological manifestations of coxarthrosis and gonarthritis in patients aged over 60 years. Radiography, computed tomography and multislice computed tomography were performed for 48 patients aged 60-70 years with deforming arthritis of the hip and knee joints. Idiopathic and dysplastic cases prevailed. The results of the study showed that roentgen anatomical changes in the hip and knee joints were accompanied by changes in the density of femoral head, typical restructuring of the femoral and tibial condyles, patella that could earlier be detected with computed tomography...
2015: Advances in Gerontology, Uspekhi Gerontologii
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