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functional outcome after revision hip arthroplasty

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https://www.readbyqxmd.com/read/29119371/risk-of-revision-and-dislocation-in-single-dual-mobility-and-large-femoral-head-total-hip-arthroplasty-systematic-review-and-network-meta-analysis
#1
Kwanchai Pituckanotai, Alisara Arirachakaran, Harit Tuchinda, Chinundorn Putananon, Nitiphol Nualsalee, Kittipong Setrkraising, Jatupon Kongtharvonskul
Postoperative dislocation is a challenging complication after total hip arthroplasty (THA) that affects patient outcome worldwide. Instability is one of the main complications with rates exceeding 20% in some series. Currently, alternative acetabular components are available with dual mobility (DMTHA) bearing surfaces and larger femoral head size that may reduce the risk of dislocation, yet provide the functional benefit of standard single mobility (STHA) bearing surface THA. However, whether STHA, big femoral head (BTHA) and DMTHA should be used is still controversial...
November 8, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29043506/fatigue-failure-of-the-cephalomedullary-nail-revision-options-outcomes-and-review-of-the-literature
#2
Adam Tucker, Michael Warnock, Sinead McDonald, Laurence Cusick, Andrew P Foster
Cephalomedullary nail (CMN) failure is a rare entity following hip fracture treatment. However, it poses significant challenges for revision surgery, both mechanically and biologically. Nail failure rates have been reported at < 2%; however, no published studies have reported revision surgery procedures and their respective outcomes. We present a regional experience, with outcomes, of the revision options. We identified 20 fatigued CMNs that underwent four different revision procedures. Mean age was 73 ± 15...
October 17, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/28933329/-mid-term-to-long-term-results-of-revision-total-hip-arthroplasty-using-the-oval-shaped-acetabular-cup-tc-type
#3
E Šťastný, T Trč, J Frýdl, Z Kopečný, T Philippou, J Lisý
INTRODUCTION The purpose of our paper is to evaluate the mid-term to long-term results and to confirm the basic criteria of a high-quality revision implant: safe bridging of bone defects, achievement of reliable primary fixation of revision acetabular cup, achievement of good secondary stability with documentable osteointegration of cup and demonstration of remodelling of transplanted bone tissue in the area of defects and in spaces between the implant ribs. MATERIAL AND METHODS Altogether 36 patients (38 cups) were evaluated who had undergone revision hip arthroplasty in the period from 2004 to 2010...
2017: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://www.readbyqxmd.com/read/28795909/reduced-revision-rate-and-maintained-function-after-hip-arthroplasty-for-femoral-neck-fractures-after-transition-from-posterolateral-to-direct-lateral-approach
#4
Sebastian Mukka, Björn Knutsson, Ammar Majeed, Arkan S Sayed-Noor
Background and purpose - The direct lateral (DL) approach to the hip for femoral neck fractures (FNF) has been shown to reduce the rate of dislocation and reoperations. We evaluate the effect of transition from the posterolateral (PL) to DL approach on reoperation and dislocation rates and patients' reported outcome. Patients and methods - In a prospective cohort study between 2012 and 2015, we enrolled 362 patients (median age 83 years, 70% women, mean follow-up 25 months) with a displaced FNF. The first group of 146 patients were operated using the PL and the second group of 216 patients with a DL approach, after change of our routines...
December 2017: Acta Orthopaedica
https://www.readbyqxmd.com/read/28766067/cementless-total-hip-arthroplasty-in-the-treatment-after-acetabular-fractures
#5
Wael Salama, Paolo Ditto, Shazly Mousa, Abdelrahman Khalefa, Ahmed Sleem, Laura Ravera, Alessandro Masse
INTRODUCTION: The outcomes of total hip arthroplasty (THA) for the treatment of posttraumatic arthritis after acetabular fractures were inferior to those after primary non-traumatic THA. METHODS: This study was performed in academic level I trauma center. From January 2011 to December 2014, a consecutive series of 21 patients (9 females), with average age of 56.7 years (range 29-75 years) who had posttraumatic hip joint arthritis after acetabular fractures, were included in our study...
August 1, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/28759976/correcting-pelvic-obliquity-in-the-lateral-position-to-improve-acetabular-component-orientation-during-total-hip-arthroplasty
#6
Yanguo Qin, Xuezhou Li, Shangjun Chen, Liang Liu, Zhongli Gao, Jincheng Wang, Jianlin Xiao
BACKGROUND: The acetabular component orientation during total hip arthroplasty (THA) impacts future hip function and early revision. Correcting pelvic obliquity may improve outcomes. OBJECTIVE: To correct pelvic obliquity in the lateral position by applying a gradienter and plumb during THA using fluoroscopy. METHODS: Fifty patients undergoing THA were randomized and divided into 2 groups. In controls, acetabular components were placed using traditional methods...
July 21, 2017: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://www.readbyqxmd.com/read/28711340/revision-total-hip-arthroplasty-using-the-kerboull-acetabular-reinforcement-device-and-structural-allograft-for-severe-defects-of-the-acetabulum
#7
Hiroyuki Makita, Marcel Kerboull, Yutaka Inaba, Taro Tezuka, Tomoyuki Saito, Luc Kerboull
BACKGROUND: The purpose of this study is to review our experience with Kerboull reinforcement device combined with bulk allograft for management of severe acetabular defects. METHODS: We investigated the results of revision total hip arthroplasty (THA) in 65 hips of 59 patients (10 male, 49 female) with Paprosky type 3A or 3B acetabular bone defects. Functional outcome was assessed using the Merle d'Aubigne hip score. Post-operative radiographs were examined for evidence of cup loosening...
November 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28708200/periacetabular-bone-densitometry-after-total-hip-arthroplasty-with-highly-porous-titanium-cups-a-2-year-follow-up-prospective-study
#8
Leo Massari, Alessandro Bistolfi, Pier Paolo Grillo, Alda Borré, Gaetano Gigliofiorito, Carlotta Pari, Andrea Francescotto, Piermario Tosco, Davide Deledda, Laura Ravera, Araldo Causero
INTRODUCTION: Trabecular Titanium is an advanced cellular solid structure, composed of regular multiplanar hexagonal interconnected cells that mimic the morphology of the trabecular bone. This biomaterial demonstrated improved mechanical properties and enhanced osteoinduction and osteoconduction in several in vitro and in vivo studies. The aim of this study was to assess Trabecular Titanium osseointegration by measuring periacetabular changes in bone mineral density (BMD) with dual-emission X-ray absorptiometry (DEXA)...
July 1, 2017: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/28707829/-total-hip-arthroplasty-in-patients-younger-than-50-years
#9
Matthieu Zingg, Morgan Gauthier, Didier Hannouche
Total hip replacement can provide pain relief and restore function in patients suffering from hip arthritis, including in those under the age of 50. However, shortened implant longevity in this age group has been a concern because the clinical results after revision surgery are inferior to those after primary hip arthroplasty. Technical choices (approach, implants, type of fixation and bearing couple) must be made to maximise longevity based on published data and thoroughly discussed with the patient. Finally, long term results (clinical outcome and implant longevity) associated with this surgery are such that it appears unnecessary to postpone the surgery once the indication is established...
December 14, 2016: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28690039/retained-antibiotic-spacers-after-total-hip-and-knee-arthroplasty-resections-high-complication-rates
#10
Stephen M Petis, Kevin I Perry, Mark W Pagnano, Daniel J Berry, Arlen D Hanssen, Matthew P Abdel
BACKGROUND: Prolonged retention of an antibiotic spacer is occasionally chosen during treatment of periprosthetic joint infections after total hip arthroplasty (THA) and total knee arthroplasty (TKA). The purpose of our study was to evaluate the outcome of extended spacer retention. METHODS: We reviewed 1106 cases of periprosthetic joint infection after THA (n = 308) and TKA (n = 798) and identified 17 (5.5%) retained hip and 34 (4.3%) retained knee spacers. Most patients (35 of 51, 69%) underwent spacer retention because they were medically unfit for further surgery...
November 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28602531/outcomes-of-hip-arthroplasty-after-failed-hip-arthroscopy-a-case-control-study
#11
Simon J M Parker, George Grammatopoulos, Owain L I Davies, Karen Lynch, Tom C B Pollard, Antonio J Andrade
BACKGROUND: Hip arthroscopy is increasingly being used in joint preservation surgery with clear benefits in the treatment of prearthritic conditions. A number of patients, however, will still go on to require subsequent hip arthroplasty, and at present, little evidence exists determining the impact that prior hip arthroscopy may have on the outcomes of a subsequent arthroplasty. METHODS: Using prospectively collated data, we identified 35 patients who had a hip arthroplasty (22 total hip arthroplasties and 13 hip resurfacing arthroplasties) after prior ipsilateral hip arthroscopy (cases)...
May 18, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28556582/precision-and-accuracy-of-imageless-navigation-versus-freehand-implantation-of-total-hip-arthroplasty-a-systematic-review-and-meta-analysis
#12
REVIEW
Thom Snijders, S M van Gaalen, A de Gast
BACKGROUND: Total hip arthroplasty (THA) is named the most successful surgical procedure of the twentieth century. To remain a success in the twenty-first century THA should meet the higher demands of patients and society with regard to technical and functional outcome, costs and implant survival. To meet these demands optimal acetabular cup positioning is necessary. An imageless navigation system (NAV) might prevent malpositioning of the acetabular cup in THA. The aim of this study has been to compare the precision and accuracy of the anteversion and inclination of the acetabular cup position after NAV implantation and after freehand implantation of THA...
May 29, 2017: International Journal of Medical Robotics + Computer Assisted Surgery: MRCAS
https://www.readbyqxmd.com/read/28552443/trochanteric-fixation-with-a-third-generation-cable-plate-system-an%C3%A2-independent-experience
#13
Andrew D Stewart, Hesham Abdelbary, Paul E Beaulé
BACKGROUND: Greater trochanteric fracture/nonunion can be a devastating complication with significant functional impact after total hip arthroplasty, and their fixation remains a challenge because of the significant forces being transmitted as well as the poor bone quality often associated with these fractures. The objective of this study is to investigate the rates of reoperation and trochanteric nonunion using a third-generation cable-plate system at one center. METHODS: Thirty-five patients, mean age 72...
April 27, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28509833/minimum-five-year-outcomes-with-porous-tantalum-acetabular-cup-and-augment-construct-in-complex-revision-total-hip-arthroplasty
#14
Derek R Jenkins, Andrew N Odland, Rafael J Sierra, Arlen D Hanssen, David G Lewallen
BACKGROUND: The use of a trabecular metal revision shell with metal augmentation to fill segmental or irregular defects during complex revision hip arthroplasty has been shown to provide good short-term results in prior published series. Longer-term results of the several cup-augment constructs used clinically are not known. The objective of this study was to report, with minimum 5-year radiographic and clinical follow-up, the outcome of these various constructs in revision total hip arthroplasty...
May 17, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28489745/adverse-local-tissue-reaction-after-2-revision-hip-replacements-for-ceramic-liner-fracture-a-case-report
#15
Iulian Antoniac, Mihai Negrusoiu, Mihai Mardare, Claudiu Socoliuc, Ancuţa Zazgyva, Marius Niculescu
INTRODUCTION: In younger patients, ceramic-on-ceramic (CoC) bearing surfaces are usually recommended for total hip replacement (THR) because of their low wear rate and longer expected functional life. Although technical advancements have reduced the risk of ceramic bearings fracture, this complication remains a major concern. CASE DESCRIPTION: We present the case of a 56-year-old patient undergoing 3 revision hip arthroplasties of the right hip due to ceramic liner fractures...
May 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28410835/modified-extended-trochanteric-osteotomy-for-the-treatment-of-vancouver-b2-b3-periprosthetic-fractures-of-the-femur
#16
Andreas Ladurner, Pia Zurmühle, Vilijam Zdravkovic, Karl Grob
BACKGROUND: Femoral component revision is the treatment of choice for Vancouver type B2/B3 periprosthetic femur fractures (PFFs). The purpose of this study was to report the clinical outcome of revision total hip arthroplasty with the use of a modified extended trochanteric osteotomy (ETO) in PFF treatment. METHODS: A total of 43 cases between 2000 and 2014 were analyzed. Clinical and radiographic evaluation was performed with a mean follow-up of 40 months. Patient survival after revision surgery, complications, radiographic outcomes, and quality of life and hip function were assessed...
August 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28385469/the-impact-of-subsidence-on-straight-and-curved-modular-cementless-revision-stems-in-hip-revision-surgery
#17
A Fraile Suari, S Gil González, D Pérez Prieto, A León García, C Mestre Cortadellas, M Tey Pons, F Marqués López
Subsidence is one of the potential complications in femoral stem revision total hip arthroplasty surgery, and can affect stability and osseointegration. A retrospective study was conducted on the outcomes at one year and 5 years (specifically subsidence and clinical relevance) of 40 consecutive femoral total hip arthroplasty revisions, comparing two modular cementless revision stems, Straight vs. Curved, with 20 patients in each group. No mechanical failure was observed, and there was an improvement in functional outcomes...
April 3, 2017: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/28349181/hip-fusion-takedown-to-a-total-hip-arthroplasty-is-it-worth-it-a-systematic-review
#18
Julio J Jauregui, Joseph K Kim, William P Shield, Matthew Harb, Emmanuel M Illical, Farshad Adib, Aditya V Maheshwari
INTRODUCTION: Patients with surgically or spontaneously fused hips are often dissatisfied with their overall function and the debilitating effect on adjacent joints. Therefore, in properly selected patients, hip fusion-takedown and conversion to total hip arthroplasty (THA) can result in improved function and decreased pain. We aimed to (1) evaluate the indications for conversion, (2) evaluate the clinical outcomes, (3) analyze the overall complications, and (4) identify the overall satisfaction following the procedure...
August 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28341264/total-hip-arthroplasty-survival-in-femoral-head-avascular-necrosis-versus-primary-hip-osteoarthritis-case-control-study-with-a-mean-10-year-follow-up-after-anatomical-cementless-metal-on-metal-28-mm-replacement
#19
COMPARATIVE STUDY
D Ancelin, N Reina, E Cavaignac, S Delclaux, P Chiron
BACKGROUND: Total hip arthroplasty is the most widely used procedure to treat avascular necrosis (AVN) of the femoral head. Few studies have compared the outcomes of THA in femoral head AVN and primary hip osteoarthritis. Therefore we performed a case-control study to compare THA for femoral head AVN vs. primary hip osteoarthritis in terms of: (1) prosthesis survival, (2) complication rates, (3) functional outcomes and radiographic outcomes, (4) and to determine whether specific risk factors for THA failure exist in femoral head AVN...
December 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28260601/outcomes-of-different-bearings-in-total-hip-arthroplasty-implant-survival-revision-causes-and-patient-reported-outcome
#20
REVIEW
Claus Varnum
Total hip arthroplasty (THA) is a common and successful treatment of patients suffering from severe osteoarthritis that significantly reduces pain and improves hip function and quality of life. Traditionally, the outcome of THA has been evaluated by orthopaedic surgeons and assessed in morbidity and mortality rates, and implant survival. As patients and surgeons may assess outcome after THA differently, patient-reported outcomes (PROMs) have gained much more interest and are today recognized as very important tools for evaluating the outcome and satisfaction after THA...
March 2017: Danish Medical Journal
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