keyword
https://read.qxmd.com/read/38529209/long-term-outcomes-of-birmingham-hip-resurfacing-arthroplasty-a-systematic-review-of-independent-series-with-at-least-10-years-of-follow-up
#1
JOURNAL ARTICLE
J Molloy, C Handford, J Coolican, T Molloy, W Walter
BACKGROUND: Hip resurfacing arthroplasty (HRA) provides an attractive alternative to total hip arthroplasty (THA) for the management of osteoarthritis in younger, more active patients; however, concerns persist over complications specific to HRA. The aims of this systematic review were to assess the documented long-term survival rates of the metal-on-metal BIRMINGHAM HIP Resurfacing System at a follow-up of at least 10 years and to analyze the functional outcomes and cause of failures...
2024: JB & JS Open Access
https://read.qxmd.com/read/38513108/surgical-hip-dislocation-in-the-era-of-hip-arthroscopy-demonstrates-high-survivorship-and-improvements-in-patient-reported-outcomes-for-complex-femoroacetabular-impingement
#2
JOURNAL ARTICLE
Zachary Trotzky, Brian Muffly, Nora Cao, Ernest Sink
BACKGROUND: Over the past decade, hip arthroscopy has become more commonly used in the treatment of patients with femoroacetabular impingement (FAI) as well as those with many other intra-articular hip pathologies. As such, the indications for open surgical hip dislocation have narrowed to include complex intra-articular and extra-articular bony morphologies and revision hip preservation. Although surgical hip dislocation has been established as an effective approach, previous research using contemporary indications has been limited primarily to smaller cohorts with short-term follow-up...
March 21, 2024: Clinical Orthopaedics and related Research
https://read.qxmd.com/read/38425296/clinical-outcomes-and-return-to-dance-after-total-hip-arthroplasty-or-hip-resurfacing-in-professional-dancers
#3
JOURNAL ARTICLE
Scott M LaValva, Drake G LeBrun, Haley G Canoles, Renee Ren, Douglas E Padgett, Edwin P Su
AIMS: Professional dancers represent a unique patient population in the setting of hip arthroplasty, given the high degree of hip strength and mobility required by their profession. We sought to determine the clinical outcomes and ability to return to professional dance after total hip arthroplasty (THA) or hip resurfacing arthroplasty (HRA). METHODS: Active professional dancers who underwent primary THA or HRA at a single institution with minimum one-year follow-up were included in the study...
March 1, 2024: Bone & Joint Journal
https://read.qxmd.com/read/38423117/optimal-hip-capsular-release-for-joint-exposure-in-hip-resurfacing-via-the-direct-anterior-approach
#4
JOURNAL ARTICLE
Kabelan J Karunaseelan, Rima Nasser, Jonathan R T Jeffers, Justin P Cobb
AIMS: Surgical approaches that claim to be minimally invasive, such as the direct anterior approach (DAA), are reported to have a clinical advantage, but are technically challenging and may create more injury to the soft-tissues during joint exposure. Our aim was to quantify the effect of soft-tissue releases on the joint torque and femoral mobility during joint exposure for hip resurfacing performed via the DAA. METHODS: Nine fresh-frozen hip joints from five pelvis to mid-tibia cadaveric specimens were approached using the DAA...
March 1, 2024: Bone & Joint Journal
https://read.qxmd.com/read/38423104/metal-levels-and-glomerular-filtration-rate-after-unilateral-birmingham-hip-resurfacing
#5
JOURNAL ARTICLE
Charles A Engh, Vinay Bhal, Robert H Hopper
AIMS: The first aim of this study was to evaluate whether preoperative renal function is associated with postoperative changes in whole blood levels of metal ions in patients who have undergone a Birmingham Hip Resurfacing (BHR) arthroplasty with a metal-on-metal bearing. The second aim was to evaluate whether exposure to increased cobalt (Co) and chromium (Cr) levels for ten years adversely affected renal function. METHODS: As part of a multicentre, prospective post-approval study, whole blood samples were sent to a single specialized laboratory to determine Co and Cr levels, and the estimated glomerular filtration rate (eGFR)...
March 1, 2024: Bone & Joint Journal
https://read.qxmd.com/read/38416136/prevalence-of-anemia-and-association-with-outcome-in-joint-arthroplasty-is-there-a-difference-between-primary-and-revision-cases
#6
JOURNAL ARTICLE
Tom Schmidt-Braekling, Elham Sabri, Paul R Kim, Wade T Gofton, Paul E Beaulé, George Grammatopoulos
PURPOSE: Anemia has been shown to be a modifiable pre-operative, patient factor associated with outcome following arthroplasty. The aims of this retrospective study were to (1) ascertain the prevalence of preoperative anemia in patients undergoing primary and revision hip and knee arthroplasty at a tertiary referral center and (2) to test the association with outcome and whether it differs between primary and revision cases. METHODS: All hip and knee primary and revision arthroplasties performed at a Canadian academic, tertiary-care, arthroplasty center between 2012 and 2017 were included in this study...
February 28, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38392145/towards-the-first-generation-of-biomimetic-fixation-for-resurfacing-arthroplasty-endoprostheses
#7
REVIEW
Ryszard Uklejewski, Mariusz Winiecki, Mikołaj Dąbrowski, Piotr Rogala
This paper presents advances in designs of resurfacing arthroplasty endoprostheses that occurred through their historical generations. The critical characteristics of contemporary generation hip resurfacing arthroplasty endoprostheses are given and the failures resulting from the specific generation cemented and short stem fixation of the femoral component are reviewed. On the background of these failures, the critical need arises for an alternative approach to the fixation of components of resurfacing arthroplasty leading towards the first generation of biomimetic fixation for resurfacing arthroplasty endoprostheses...
February 8, 2024: Biomimetics
https://read.qxmd.com/read/38366978/comparison-of-iliopsoas-tendonitis-after-hip-resurfacing-arthroplasty-and-total-hip-arthroplasty-a-case-controlled-investigation-using-a-validated-simulation
#8
JOURNAL ARTICLE
Max Hardwick-Morris, Joshua Twiggs, Brad Miles, Rami M A Al-Dirini, Mark Taylor, Jitendra Balakumar, William L Walter
Iliopsoas tendonitis, typically caused by impingement with the acetabular cup, occurs in up to 18% of patients after total hip arthroplasty (THA) and up to 30% of patients after hip resurfacing arthroplasty (HRA). We have developed a simulation for detecting iliopsoas impingement and validated it in a previous study of THA patients. However, due to the difference in incidence between HRA and THA, this study had two aims. First, to validate the simulation in a cohort of HRA patients and, second, to comparethe results of the HRA and THA patients to understand any differences in their etiology...
February 17, 2024: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://read.qxmd.com/read/38356757/scaled-telephysical-therapy-program-a-promising-option-for-post-acute-care-of-lower-extremity-arthroplasty-patients
#9
JOURNAL ARTICLE
Charles Fisher, Catherine Wysin, Lauren Moeller, Joseph Nguyen
BACKGROUND: Post-acute care for orthopedic surgery patients continues to evolve with the reduction in hospital length of stay (LOS), shift to ambulatory surgery, increased number of surgeries, and focus on value-based care. PURPOSE: We sought to examine outcomes of a cohort of lower-extremity arthroplasty patients receiving telephysical therapy (TelePT) according to hospital LOS, as a means of exploring the viability of TelePT as a value-based discharge option. METHODS: A retrospective review was conducted of patients who participated in our institution's HSS@Home TelePT program after undergoing primary unilateral hip or knee arthroplasty, unicondylar knee replacement, or hip resurfacing...
February 2024: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://read.qxmd.com/read/38320777/total-hip-arthroplasty-with-monobloc-press-fit-acetabular-components-and-large-diameter-bearings-for-atypical-acetabula-is-safe-a-consecutive-case-series-of-125-hips-with-mean-follow-up-of-9-years
#10
JOURNAL ARTICLE
Paul-André Synnott, Marc-Olivier Kiss, Maged Shahin, Mina W Morcos, Benoit Binette, Pascal-André Vendittoli
BACKGROUND: Large-diameter head (LDH) total hip arthroplasty (THA) with a monobloc acetabular component improves hip stability. However, obtaining initial press-fit stability is quite challenging in atypical acetabula. The purpose of this study was to assess primary and secondary fixation of monobloc cups in atypical acetabula. METHODS: In this consecutive case series, the local arthroplasty database was used to retrospectively identify patients with secondary osteoarthritis who underwent primary hip replacement with press-fit only LDH monobloc acetabular components between 2005 and 2018 and who had a minimum of 2 years of follow-up...
2024: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/38300289/the-unintentional-effect-of-unicompartmental-knee-arthroplasty-on-extraarticular-deformity-and-of-high-tibial-osteotomy-on-intraarticular-deformity-for-the-treatment-of-anteromedial-osteoarthritis
#11
JOURNAL ARTICLE
Mohammed Anter Abdelhameed, Christophe Jacquet, Matthieu Ollivier, Jean-Noel Argenson
INTRODUCTION: Unicompartmental Knee Arthroplasty (UKA) and High Tibial Osteotomy (HTO) are two valid options in the treatment of Anteromedial Osteoarthritis (AMOA) of the knee with UKA being mainly performed in cases of Intraarticular deformity (IA) and HTO in cases of Extraarticular deformity (EA). The exact unintentional effect of UKA on EA deformity and HTO on IA deformity is still not well understood. The aim of this study was to assess this unintentional effect of UKA on EA and HTO on IA deformities respectively...
February 1, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38235918/assessing-brain-integrity-in-patients-with-long-term-and-well-functioning-metal-based-hip-implants
#12
JOURNAL ARTICLE
Shahnaz Taleb, Gabriel Varela-Mattatall, Abbigail Allen, Roy Haast, Ali R Khan, Vishal Kalia, James L Howard, Steven J MacDonald, Ravi S Menon, Brent A Lanting, Matthew G Teeter
Production of metal debris from implant wear and corrosion processes is now a well understood occurrence following hip arthroplasty. Evidence has shown that metal ions can enter the bloodstream and travel to distant organs including the brain, and in extreme cases, can induce sensorial and neurological diseases. Our objective was tosimultaneously analyze brain anatomy and physiology in patients with long-term and well-functioning implants. Included were subjects who had received total hip or hip resurfacing arthroplastywith an implantation time of a minimum of 7 years (n = 28) and age- and sex-matched controls (n = 32)...
January 18, 2024: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://read.qxmd.com/read/38205745/birmingham-hip-resurfacing-a-systematic-review-of-outcomes-at-minimum-10-years-follow-up
#13
JOURNAL ARTICLE
M S Davey, K Mohan, E Gavin, F R Power, W Curtin, K Kaar, C G Murphy
Although controversy surrounding the use of metal-on-metal (MoM) arthroplasty implants continues to exist, satisfactory clinical and radiological outcomes have been reported following Birmingham Hip Resurfacing (BHR) at long-term follow-up, leading to an Orthopaedic Data Evaluation Panel (ODEP) rating of 13A. The purpose of this study was to systematically review the literature to evaluate the functional outcomes, radiological outcomes and revision rates following BHR at a minimum of 10 years follow-up. Using the PRISMA guidelines, two independent reviewers performed a literature search using Pubmed, Embase and Scopus databases...
December 2023: Acta Orthopaedica Belgica
https://read.qxmd.com/read/38202294/a-comparative-analysis-of-osteochondritis-dissecans-and-avascular-necrosis-a-comprehensive-review
#14
REVIEW
Wojciech Konarski, Tomasz Poboży, Klaudia Konarska, Andrzej Śliwczyński, Ireneusz Kotela, Jan Krakowiak
Musculoskeletal disorders, standing as the fifth leading cause of disability-adjusted life years globally, present significant challenges in orthopedics. Osteochondritis dissecans (OCD) and avascular necrosis (AVN) are distinct but closely related conditions within this spectrum, impacting patients' quality of life with pain, limited mobility, and dysfunction. OCD, involving cartilage and bone detachment in joints, predominantly affects young athletes, but its exact etiology and optimal management remain subjects of ongoing research...
January 4, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38165447/is-there-still-an-indication-for-the-birmingham-hip-resurfacing-in-femoral-head-osteonecrosis
#15
JOURNAL ARTICLE
Serhat Akçaalan, Mehmet Can Kengil, Ceyhun Çağlar, Mahmut Uğurlu
PURPOSE: Osteonecrosis of the femoral head (ONFH) is a progressive hip disease. Hip resurfacing arthroplasty (HRA) is a preferred surgical procedure among hip arthroplasty performed in young patients. The aim of this study is to show the long-term clinical and radiological results of HRA procedures performed for patients suffering from ONFH. METHODS: Forty-five patients who underwent hip resurfacing with the diagnosis of femoral head osteonecrosis were included in the study...
January 2, 2024: International Orthopaedics
https://read.qxmd.com/read/38053213/editorial-factors-influencing-the-outcome-of-total-hip-and-knee-arthroplasty
#16
EDITORIAL
Nicholas D Clement, Chloe E H Scott
BACKGROUND: Total hip and knee arthroplasty for end stage arthritis are among the most cost-effective interventions available in all of medicine. Success of hip and knee arthroplasties is not universal and approximately one in ten patients are not satisfied with their arthroplasty and 10 to 34% of patients have an unfavourable long term pain outcome. The aim of this edition of Arthroplasty was to identify factors associated with: (1) poor joint specific outcome, (2) poor health related quality of life outcome and (3) dissatisfaction following total hip and knee arthroplasty...
December 6, 2023: Arthroplasty
https://read.qxmd.com/read/38004019/effects-of-unrestricted-kinematically-aligned-total-knee-arthroplasty-with-a-modified-soft-tissue-respecting-technique-on-the-deformity-of-limb-alignment-in-japanese-patients
#17
JOURNAL ARTICLE
Masahiro Ishikawa, Masaaki Ishikawa, Hideaki Nagashima, Shinya Ishizuka, Kazuhiko Michishita, Yoshinori Soda, Takafumi Hiranaka
Background and Objectives : Unrestricted kinematic alignment total knee arthroplasty (KA-TKA) with a soft-tissue respecting technique (STRT) is a soft-tissue-dependent tibial resection entailing the restoration of the original soft-tissue tension using ligamentotaxis after resurfacing the femur, based on the concept of restoring the native or pre-osteoarthritis alignment in each patient. However, there is no consensus on the indications of unrestricted KA-TKA with the STRT. We modified the STRT, followed by an investigation of the effects of surgery on the postoperative hip-knee-ankle angle (HKAA)...
November 8, 2023: Medicina
https://read.qxmd.com/read/37944559/survivorship-and-risk-factors-for-revision-of-metal-on-metal-hip-resurfacing
#18
JOURNAL ARTICLE
Hariharan Subbiah Ponniah, Kartik Logishetty, Thomas C Edwards, Gian C Singer
AIMS: Metal-on-metal hip resurfacing (MoM-HR) has seen decreased usage due to safety and longevity concerns. Joint registries have highlighted the risks in females, smaller hips, and hip dysplasia. This study aimed to identify if reported risk factors are linked to revision in a long-term follow-up of MoM-HR performed by a non-designer surgeon. METHODS: A retrospective review of consecutive MoM hip arthroplasties (MoM-HRAs) using Birmingham Hip Resurfacing was conducted...
November 10, 2023: Bone & joint open
https://read.qxmd.com/read/37929272/metal-on-metal-hip-arthroplasty-a-comprehensive-review-of-the-current-literature
#19
REVIEW
Timothy P Davis
Metal-on-metal (MoM) total hip arthroplasty has been widely used since the end of the 20th century, although rates have now decreased due to concerns regarding adverse reactions and failure rates. The MoM implant has been replaced with other materials, such as ceramic-on-ceramic (CoC) and metal-on-polyethylene (MoP). This literature review looks at the past and present use of MoM prostheses to assess whether the turn away from MoM use is justified. Online literature searches were performed on PubMed, Ovid Medical Literature Analysis and Retrieval System Online (MEDLINE), and Web of Science online databases using the search terms "MoM and (ARMD and ALVAL)" (ARMD: adverse reaction to metal debris; ALVAL: aseptic lymphocyte-dominant vasculitis-associated lesion)...
November 2023: Curēus
https://read.qxmd.com/read/37873807/advancement-in-total-hip-implant-a-comprehensive-review-of-mechanics-and-performance-parameters-across-diverse-novelties
#20
REVIEW
Md Mohiuddin Soliman, Mohammad Tariqul Islam, Muhammad E H Chowdhury, Abdulrahman Alqahtani, Farayi Musharavati, Touhidul Alam, Ahmed S Alshammari, Norbahiah Misran, Mohamed S Soliman, Sakib Mahmud, Amith Khandakar
The UK's National Joint Registry (NJR) and the American Joint Replacement Registry (AJRR) of 2022 revealed that total hip replacement (THR) is the most common orthopaedic joint procedure. The NJR also noted that 10-20% of hip implants require revision within 1 to 10 years. Most of these revisions are a result of aseptic loosening, dislocation, implant wear, implant fracture, and joint incompatibility, which are all caused by implant geometry disparity. The primary purpose of this review article is to analyze and evaluate the mechanics and performance factors of advancement in hip implants with novel geometries...
October 24, 2023: Journal of Materials Chemistry. B, Materials for Biology and Medicine
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