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Neurovascular complication hip surgery

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https://www.readbyqxmd.com/read/27876582/subperitoneal-approach-in-revision-arthroplasty-for-acetabular-component-protrusion-analysis-of-practiceswithin-the-french-hip-and-knee-society-sfhg
#1
F Gouin, V Crenn, J Tabutin
INTRODUCTION: The complications related to revision for acetabular component protrusion with material migrating into the intrapelvic region remain rare but potentially serious. Today, the literature reports no epidemiological data on the subperitoneal approach (SPA) in revision total hip arthroplasty (RTHA) for protrusion. Therefore we conducted a retrospective study on a large revision arthroplasty database to answer the following questions: 1) What is the frequency of this approach in this population? 2) What are the factors related to this procedure? 3) Is morbidity and mortality of the SPA higher than for an isolated conventional approach? HYPOTHESIS: Major protrusions with material in the superomedial quadrant (SMQ)have a higher probability of being operated using a SPA...
November 19, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/26465811/removing-a-broken-guidewire-in-the-hip-joint-treatment-options-and-recommendations-for-preventing-an-avoidable-surgical-catastrophe-a-case-report
#2
Abhijeet Ashok Salunke, Prem Haridas Menon, Gurunathampalayam Ilango Nambi, Junhao Tan, Vivek Patel, Yongsheng Chen, Jay Kumar
CONTEXT: Hardware breakage during hip surgery can pose challenging and difficult problems for orthopedic surgeons. Apart from technical difficulties relating to retrieval of the broken hardware, complications such as adjacent joint arthritis and damage to neurovascular structures and major viscera can occur. Complications occurring during the perioperative period must be informed to the patient and proper documentation is essential. The treatment options must be discussed with the patient and relatives and the implant company must be informed about this untoward incident...
November 2015: São Paulo Medical Journal, Revista Paulista de Medicina
https://www.readbyqxmd.com/read/26347838/an-unexpected-complication-of-hip-arthroplasty-knee-dislocation
#3
Serdar Yilmaz, Deniz Cankaya, Alper Deveci, Mahmut Ozdemir, Murat Bozkurt
An increasing number of patients with hip fracture have been seen with osteoporosis associated with osteoarthritis. Although knee dislocation is related to high-energy trauma, low-grade injuries can also lead to knee dislocation which is defined as "ultra-low velocity dislocation." The case reported here is of an 82-year-old patient who presented with a left intertrochanteric hip fracture. Partial arthroplasty was planned because of osteoporosis. In the course of surgery, degenerative arthritic knee was dislocated during the hip reduction maneuver with the application of long traction...
2015: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/26150335/oblique-femoral-shortening-osteotomy-in-total-hip-arthroplasty-for-high-dislocation-in-patients-with-hip-dysplasia
#4
Luigi Zagra, Luca Bianchi, Andrea Mondini, Roberto Giacometti Ceroni
PURPOSE: The aim of this study was to evaluate outcomes after implantation of total hip arthroplasty for developmental dysplasia with high dislocation of the hip using conical stems combined with oblique subtrochanteric shortening osteotomy. METHODS: We retrospectively reviewed the functional scores, radiographic results, and complications in a consecutive series of 16 hips (12 patients) with Crowe IV developmental dysplasia of the hip. The average age at surgery was 53...
September 2015: International Orthopaedics
https://www.readbyqxmd.com/read/25684250/modified-anterolateral-approach-in-minimally-invasive-total-hip-arthroplasty
#5
Shang-Wen Tsai, Cheng-Fong Chen, Po-Kuei Wu, Tain-Hsiung Chen, Chien-Lin Liu, Wei-Ming Chen
PURPOSE OF THE STUDY: Minimally invasive procedures for total hip arthroplasty (THA) provide less surgery related trauma, and perhaps a fast recovery and satisfaction. Using modified instruments, we reported clinical follow-up data for a modified anterolateral approach. BASIC PROCEDURES: Using specialised retractors to expose the acetabulum and femur, this single-incision technique preserved more gluteus medius tendon and provided access for soft tissue repair. The demographic data for 1003 patients undergoing THA with this technique are presented, including operative variables, complications, Harris Hip Score for clinical evaluation and cup inclination angle for radiographic evaluation...
May 2015: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/25164350/minimally-invasive-medial-hip-approach
#6
P Chiron, J Murgier, E Cavaignac, R Pailhé, N Reina
The medial approach to the hip via the adductors, as described by Ludloff or Ferguson, provides restricted visualization and incurs a risk of neurovascular lesion. We describe a minimally invasive medial hip approach providing broader exposure of extra- and intra-articular elements in a space free of neurovascular structures. With the lower limb in a "frog-leg" position, the skin incision follows the adductor longus for 6cm and then the aponeurosis is incised. A slide plane between all the adductors and the aponeurosis is easily released by blunt dissection, with no interposed neurovascular elements...
October 2014: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/24822797/indications-for-a-long-stem-femoral-component-in-total-hip-replacement
#7
EDITORIAL
W C Edwards, S J Bethea, L L Fleming
A series of 11 patients who underwent total hip arthroplasty with a long stem femoral component was reviewed. The longest period of followup was five years, average three years. Patients included two women and eight men whose ages ranged from 41 to 67 years. The indications for a long stem femoral component resulted from motor vehicle trauma in three patients, iatrogenic trauma in two patients, neoplastic involvement of the femoral shaft in two patients, and weakened bony stock in four patients. Average hospital stay was five weeks...
January 1, 1981: Orthopedics
https://www.readbyqxmd.com/read/24754148/-clinical-apprehension-on-application-of-tri-lock-bps-total-hip-arthroplasty
#8
Wen-Liang Chen, Lei Zhang, Yi-Jiang Huang, Chun-Yuan Cai, Rui-Xin Lin, Guo-Jing Yang
OBJECTIVE: To study short-term results and clinical application of Tri-lock BPS in total hip arthoplasty. METHODS: From May 2010 to July 2011, 32 hips in 31 patients (18 males and 13 females, ranging in age from 50 to 77 years old, with an average of 60.5 years old) were treated by total hip arthroplasty with Tri-lock BPS, including 8 patients with osteonecrosis (ON), 13 patients with fresh femoral neck fracture, 10 patients with developmental dysplasia of the hip (DDH)...
January 2014: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/24384891/-blood-vessel-and-nerve-damage-in-total-hip-arthroplasty
#9
S Dietze, C Perka, H Baecker
Blood vessel and nerve damage are uncommon complications in total hip arthroplasty (THA). With an incidence between 0.1 and 0.2 % in primary THA these complications are rare but can be serious with a high mortality risk. The individual risk is determined by multiple factors depending on the surgeon's skills, the number of previous surgeries and the approach itself. The anatomy of the defect is an essential risk factor. Some procedures, such as the use of screws for cup fixation are associated with a higher risk of vascular and neural damage...
January 2014: Der Orthopäde
https://www.readbyqxmd.com/read/24245451/-neurovascular-lesion-after-total-hip-arthroplasty-in-congenital-hip-dysplasia-case-report
#10
Tatjana Stojković Jovanović, Dobrivoje Martinov, Ksenija Bosković
INTRODUCTION: Nowadays, the total hip arthroplasty is a very frequent surgical intervention. In some cases, vascular and nerve injuries may happen around the hip with total hip arthroplasty. Although they are very rare, they may be very dangerous for the patient in some cases. This paper presents a case of a female patient, in whom the nervous fibularis lesion was detected after the total hip arthroplasty, and the occlusion of the iliac femoral artery was revealed later during physical therapy...
September 2013: Medicinski Pregled
https://www.readbyqxmd.com/read/24015658/-mid-long-term-curative-effect-analysis-of-complex-acetabular-fracture
#11
Gui-Fu Lei, A-Bing Xu, Ji-He Ban, Gang Shi, Ming Fang
OBJECTIVE: To discuss clinical effects of complex acetabular fracture. METHODS: From January 2005 to December 2010, totally 31 patients with complex acetabular fracture received surgery. There were 21 males and 10 females with an average age of 38.6 years old (ranged, 31 to 57). X-ray, CT, operation scheme and clinical efficiacy were retrospectively analyzed. American Academy of Orthopaedic Surgery standard was used to evaluate hip joint function. RESULTS: All patients were followed up from 12 to 36 months with an average of 17...
June 2013: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/23989168/-current-treatment-of-pelvic-ring-fractures
#12
REVIEW
U Culemann, H J Oestern, T Pohlemann
Pelvic injuries are often associated with multiple injuries of other body regions, neurovascular and visceral lesions, as well as hemodynamic instability. The use of a standardized classification characterizing the severity and stability of pelvic fractures and the early stabilization of pelvic ring injuries in appreciation of damage control principles has helped to improve the number of survivors. This is particularly necessary due to the higher number of older patients.Complex pelvic trauma still represents a life-threatening situation for the patient, particularly in multiple traumatized patients...
September 2013: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/23590770/use-of-3-dimensional-stereolithographic-polymer-models-for-heterotopic-ossification-surgical-excision
#13
Mark E Fleming, Scott S Waterman, Louis R Lewandowski, Benjamin B Chi
Heterotopic ossification is a known complication of traumatic injuries. To minimize iatrogenic complications during excision, an understanding of anatomic relationships is essential. Current imaging modalities, such as computed tomography and plain radiographs, are limited to providing a 2-dimensional representation of a 3-dimensional problem. This study describes the benefits of 3-dimensional stereolithography in the perioperative management of symptomatic heterotopic ossification using models were that were fabricated based on high-resolution computed tomography scans...
April 2013: Orthopedics
https://www.readbyqxmd.com/read/23571394/documenting-informed-consent-in-elective-hip-replacement-surgery-a-simple-change-in-practice
#14
Jennifer Isherwood, Benjamin Dean, Hemant Pandit
Adequate documentation of informed consent is an important aspect of many doctors' work and failings in this area may result in patient dissatisfaction or litigation. In 2009 the documentation of risks and complications on the consent forms of patients undergoing primary hip replacement was audited at a specialist centre. Following this audit procedure-specific complication stickers were introduced in an attempt to improve the documentation of the consent process. This article discusses the results of a re-audit and aims to determine if this change in practice had resulted in any significant improvement in documentation...
April 2013: British Journal of Hospital Medicine
https://www.readbyqxmd.com/read/23451432/intertrochanteric-valgus-lengthening-femoral-neck-osteotomy-for-developmental-and-posttraumatic-conditions-of-the-hips
#15
Chanchit Sangkaew, Peerapong Piyapittayanun
OBJECTIVE: To review the results of the treatment of coxa vara associated with femoral neck shortening and high-standing greater trochanter using the new technique of intertrochanteric valgus-lengthening-femoral neck osteotomy. MATERIAL AND METHOD: Twelve of the fifteen hips treated by the present technique of osteotomy were reviewed. Seven of the twelve cases were posttraumatic (four malunion, two nonunion and one childhood fracture of the femoral neck) and five were developmental conditions (three ischemic necrosis of the femoral head and one physeal dysplasia, all of which secondary to DDH and one coxa plana)...
October 2012: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/23218623/new-minimally-invasive-option-for-the-treatment-of-gluteal-muscle-contracture
#16
Bin Ye, Panyu Zhou, Yan Xia, Youyan Chen, Jun Yu, Shuogui Xu
Gluteal muscle contracture is a clinical syndrome that involves contracture and distortion of the gluteal muscles and fascia fibers due to multiple causes. Physical examination demonstrates a characteristic gait due to hip adduction and internal thigh rotation. This study introduces a new minimally invasive method for surgical release of gluteal muscle contracture. Patients with gluteal muscle contracture were assigned to 4 categories: type A, contracture occurred mainly in the iliotibial tract; type B, contracture occurred in the Iliotibial tract and gluteus maximus; type C1, movement of the contraction band was palpable and a snapping sound was audible during squatting; and type C2, movement of the contraction band was not palpable or almost absent and a snapping sound was audible during squatting...
December 2012: Orthopedics
https://www.readbyqxmd.com/read/23086213/surgical-technique-endoscopic-gluteus-maximus-tendon-release-for-external-snapping-hip-syndrome
#17
Giancarlo C Polesello, Marcelo C Queiroz, Benjamin G Domb, Nelson K Ono, Emerson K Honda
BACKGROUND: While many authors have recommended surgery for patients with persistent symptoms of external snapping hip, it is unclear which one best relieves symptoms. Concerns with iliotibial band (ITB)-modifying techniques include altering the shape of the lateral thigh and overload of the contralateral abduction mechanism. We describe a new endoscopic technique that decreases the tension of the ITB complex by releasing the femoral insertion of the gluteus maximus tendon (GMT). DESCRIPTION OF TECHNIQUE: Via an endoscopic approach, we tenotomize the GMT near its insertion at the linea aspera through two trochanteric portals, developing a space beneath the ITB...
August 2013: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/23065630/cementless-total-hip-replacement-for-severe-developmental-dysplasia-of-the-hip-our-experience-in-crowe-s-group-iv
#18
Daniele Imarisio, Andrea Trecci, Luigi Sabatini, Marco Uslenghi, Calogero Leone, Roberto Scagnelli
Total hip replacement in developmental dysplasia of the hip grade IV of Crowe's classification presents some difficulties. In this study, we present our results of the treatment for this pathology, also describing the surgical techniques used and the complication we had. In this paper, 18 total hip replacements in developmental dysplasia of the hip Crowe IV were studied clinically and radiologically before and after surgery, with a mean follow-up of 4.2 years (min: 1 year). The average Harris Hip Score improved from 52 to 89...
April 2013: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/23001195/a-safe-technique-of-anterior-column-lag-screw-fixation-in-acetabular-fractures
#19
Ramesh Kumar Sen, Sujit Kumar Tripathy, Sameer Aggarwal, Tarun Goyal, Dharm S Meena, Santosh Mahapatra
PURPOSE: Conventional anterior column lag screw fixation in acetabular fracture is a difficult technique that has potential risks of vascular injury, hip joint penetration and excessive radiation exposure. We propose a safe technique of anterior column lag screw fixation (in-out-in technique) and present the outcome. MATERIALS AND METHODS: Twenty-seven acetabular fractures were operated through an iliofemoral approach, where the 'in-out-in technique' of lag screw fixation was a part of the surgical procedure...
November 2012: International Orthopaedics
https://www.readbyqxmd.com/read/22972513/a-misdiagnosed-iliac-pseudoaneurysm-complicated-lumbar-disc-surgery-performed-13-years-ago
#20
Jing Yuan Luan, Xuan Li
STUDY DESIGN: Case report. OBJECTIVE: To describe a unique case of iliac pseudoaneurysm-complicated lumbar disc surgery performed 13 years ago. SUMMARY OF BACKGROUND DATA: Major vascular injury is an unusual but life-threatening complication of lumbar disc surgery. If a major vascular injury is unnoticed, the late complications, pseudoaneurysm, may be diagnosed years after primary lumbar disc surgery. Pseudoaneurysm can lead to compression of adjacent neurovascular structures; however, erosion into the adjacent vertebras and presentation with symptoms of nerve root irritation are rare...
December 1, 2012: Spine
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