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https://www.readbyqxmd.com/read/28197751/rotational-acetabular-osteotomy-for-acetabular-dysplasia-and-osteoarthritis-a-mean-follow-up-of-20%C3%A2-years
#1
Takahito Yuasa, Katsuhiko Maezawa, Kazuo Kaneko, Masahiko Nozawa
INTRODUCTION: Rotational acetabular osteotomy (RAO), a joint-conserving surgery in which the femoral head coverage by autologous cartilage is improved to achieve joint stability, is one of the most common joint-conserving surgeries for acetabular dysplasia of the hip in adult patients. Favorable outcome of RAO for pre- and initial coxarthrosis has been reported with middle- to long-term observation; however, surgery should be selected for advanced coxarthrosis. The objective of this study was to investigate the long-term clinical outcomes and radiological arthritis changes in patients who were treated with RAO and could be followed for 15 years or longer, and to investigate the joint conservation rate by preoperative arthritis stage...
February 14, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28197624/-nerve-distribution-and-density-in-the-canine-hip-joint-capsule-comparison-of-healthy-and-dysplastic-hip-joints
#2
Felix Giebels, Andreas Prescher, Stefan Wagenpfeil, Arno Bücker, Sylvia Kinzel
OBJECTIVE: The hip-joint capsule is exposed to increased tension forces during canine hip dysplasia, resulting in inflammation of the capsular tissue. It has been postulated that inflammation is associated with an increased nerve-distribution density. Therefore, it could be supposed that the nerve-distribution density in the hip-joint capsule is higher in dogs with dysplastic hip compared to healthy dogs. MATERIAL AND METHODS: In 16 Labrador Retriever dogs that had been euthanised due to unrelated reasons, the hip joints were classified as normoplastic (group 1, n = 18) or dysplastic (group 2, n = 14) based on radiography...
February 15, 2017: Tierärztliche Praxis. Ausgabe K, Kleintiere/Heimtiere
https://www.readbyqxmd.com/read/28092250/-osteoarthrosis-implementation-of-current-diagnostic-and-therapeutic-algorithms
#3
Gilberto Meza-Reyes, Jorge Aldrete-Velasco, Rolando Espinosa-Morales, Fernando Torres-Roldán, Alejandro Díaz-Borjón, Manuel Robles-San Román
In the modern world, among the different clinical presentations of osteoarthritis, gonarthrosis and coxarthrosis exhibit the highest prevalence. In this paper, the characteristics of osteoarthritis and the different scales of assessment and classification of this pathology are exposed, to provide an exhibition of current evidence generated around diagnostic algorithms and treatment of osteoarthritis, with emphasis set out in the knee and hip, as these are the most frequent; a rational procedure for monitoring patients with osteoarthritis based on characteristic symptoms and the severity of the condition is also set...
January 2017: Revista Médica del Instituto Mexicano del Seguro Social
https://www.readbyqxmd.com/read/27995035/clinical-and-imaging-analysis-of-subclinical-hemophilia-combined-with-coxarthrosis-case-report-and-literature-review
#4
Cheng Liu, Jun Guo, Qiu Cui, Dingfeng Li, Yanjun Zeng
INTRODUCTION: The incidence of subclinical hemophilic arthritis is low, with this case reports and literature review, we hope clinicians could pay more attention to the diagnosis of subclinical hemophilic arthritis and prevent the misdiagnosis and mistreatment. CASE PRESENTATION: We analyzed the imaging feature, and therapy of a subclinical hemophilia case with hip lesion by reporting its clinical manifestations, imaging features and therapy procedure, and reviewing literatures...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27935873/comparison-of-biocompatibility-of-cemented-vs-cementless-hip-joint-endoprostheses-based-on-postoperative-evaluation-of-proinflammatory-cytokine-levels
#5
Jan Szypuła, Anna Cabak, Marek Kiljański, Dariusz Boguszewski, Wiesław Tomaszewski
BACKGROUND The yearly increase in the number of procedures involving implantation of hip joint endoprostheses forces prosthetics manufacturers to search for biologically neutral implants. The goal of this study was to assess the concentration of Interleukin-6 (IL-6) and its correlation with C-reactive protein (CRP), depending on the type of hip joint endoprosthesis (cemented or cementless endoprosthesis) in order to determine implant biotolerance during the early postoperative period. MATERIAL AND METHODS The sample comprised 200 patients [mean age=64 (31-81) years] with coxarthrosis...
December 9, 2016: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/27890891/mid-term-clinical-results-of-versys-hip-system-zimmer-uncemented-total-hip-replacement-arthroplasty
#6
Hidemi Kawaji, Takuya Uematsu, Naoya Hoshikawa, Hiroshi Watanabe, Shinro Takai
Recent reports suggest that uncemented total hip replacement arthroplasty (THR) results in favorable short- to mid-term clinical results. In the present study, we assessed the mid-term clinical results of VerSys Hip System uncemented THR at our hospital. MATERIALS AND METHODS: We studied patients who received THR using VerSys Hip System and who could be followed-up more than 3 years. Clinical records were used to retrospectively identify patient characteristics, which included age, gender, disease requiring THR, preoperative and postoperative pain score of the Japan Orthopaedic Association scoring system, range of motion in flexion and abduction, operating time, intraoperative complication, and additional operation or revision surgery...
2016: Journal of Nippon Medical School, Nippon Ika Daigaku Zasshi
https://www.readbyqxmd.com/read/27834459/histological-changes-of-the-acetabular-labrum-in-coxarthrosis-labral-degeneration-and-repair
#7
Marcin E Domzalski, Marek Synder, Anna Karauda, Wielislaw Papierz
INTRODUCTION: The current study was designed to describe types of histological changes within the acetabular labrum in the advanced stages of coxarthrosis, in patients requiring total hip arthroplasty (THA). METHODS: 77 consecutive patients without systemic disorders or prior hip surgery, scheduled for THA with 3 types of coxarthrosis: avascular necrosis (AVN), idiopathic, and dysplastic coxarthrosis were analysed. Patient's data: age, gender, side of the involvement, duration of the symptoms were recorded, and standard anteroposterior (AP) radiographic views of the pelvis were obtained...
November 9, 2016: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/27818982/total-hip-arthroplasty-complications-in-patients-with-or-without-controlled-diabetes-mellitus-during-hospitalization
#8
Fernanda Rezende Campos Falcão, Bruno Anderson Gomes Dias, Liz Araujo Wolfovitch, David Sadigursky
INTRODUCTION: Total hip arthroplasty (THA) is a procedure that aims to restore the function of the hip joint. Diabetes mellitus (DM) is one of the most prevalent comorbidities among patients undergoing THA. DM involves various immunological and metabolic aspects, which lead to limitations and surgical complications. OBJECTIVE: To evaluate the association between THA complications and controlled DM during hospitalization period. METHODS: Cross-sectional research through the analysis of retrospective records of a private hospital in Salvador, Bahia...
September 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27804942/-morphometric-and-molecular-biological-features-of-femoral-head-tissue-in-different-nosological-entities-of-coxarthrosis
#9
D A Davydov, A M Avdalyan, V V Agadzhanyan, E L Lushnikova, I M Ust'yantseva
AIM: to comparatively analyze the morphometric and molecular biological characteristics of femoral head tissue in different nosological entities of coxarthrosis. MATERIAL AND METHODS: A total of 95 samples of femoral head tissue extirpated during hip endoprosthesis in patients with coxarthrosis were investigated. Clinical findings were used to identify the following nosological entities of coxarthrosis: dysplastic, postischemic and posttraumatic. Histological, immunohistochemical and morphometric studies were used...
2016: Arkhiv Patologii
https://www.readbyqxmd.com/read/27672438/treatment-of-postoperative-sciatic-nerve-palsy-after-total-hip-arthroplasty-for-postoperative-acetabular-fracture-a-case-report
#10
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
https://www.readbyqxmd.com/read/27612575/the-risks-of-pulmonary-embolism-and-upper-gastrointestinal-bleeding-beyond-35days-after-total-hip-replacement-for-coxarthrosis-among-middle-aged-patients-a-cross-over-cohort
#11
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...
December 2016: Preventive Medicine
https://www.readbyqxmd.com/read/27536617/comparison-of-perioperative-blood-loss-in-primary-non-cemented-total-hip-arthroplasty-for-rapidly-destructive-coxarthrosis-and-osteonecrosis-of-the-femoral-head
#12
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
https://www.readbyqxmd.com/read/27455419/a-water-rehabilitation-program-in-patients-with-hip-osteoarthritis-before-and-after-total-hip-replacement
#13
RANDOMIZED CONTROLLED TRIAL
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)...
July 25, 2016: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/27405882/dynamic-parameters-of-three-point-crutch-gait-in-female-patients-after-total-hip-arthroplasty
#14
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
https://www.readbyqxmd.com/read/27385388/-acetabuloplasty-the-dega-and-pemberton-technique
#15
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
https://www.readbyqxmd.com/read/27290969/paraplegia-caused-by-giant-intradural-herniation-of-a-lumbar-disk-after-combined-spinal-epidural-anesthesia-in-total-hip-arthroplasty
#16
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
https://www.readbyqxmd.com/read/27256104/percutaneous-image-guided-screw-fixation-of-bone-lesions-in-cancer-patients-double-centre-analysis-of-outcomes-including-local-evolution-of-the-treated-focus
#17
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
https://www.readbyqxmd.com/read/27239924/-microcrystalline-stress-in-the-pathogenesis-of-osteoarthritis
#18
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
https://www.readbyqxmd.com/read/27215472/the-value-of-modular-hemiarthroplasty-for-unstable-femoral-neck-fractures-in-elderly-patients-with-coxarthrosis
#19
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
https://www.readbyqxmd.com/read/27127668/total-hip-arthroplasty-using-a-polished-tapered-cemented-stem-in-hereditary-multiple-exostosis
#20
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
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