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functional outcome after revision hip arthroplasty

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https://www.readbyqxmd.com/read/27909123/comparative-study-of-computer-assisted-total-knee-arthroplasty-after-opening-wedge-osteotomy-versus-after-unicompartmental-arthroplasty
#1
R Pailhé, J Cognault, J Massfelder, A Sharma, R-C Rouchy, B Rubens-Duval, D Saragaglia
AIMS: The role of high tibial osteotomy (HTO) is being questioned by the use of unicompartmental knee arthroplasty (UKA) in the treatment of medial compartment femorotibial osteoarthritis. Our aim was to compare the outcomes of revision HTO or UKA to a total knee arthroplasty (TKA) using computer-assisted surgery in matched groups of patients. PATIENTS AND METHODS: We conducted a retrospective study to compare the clinical and radiological outcome of patients who underwent revision of a HTO to a TKA (group 1) with those who underwent revision of a medial UKA to a TKA (group 2)...
December 2016: Bone & Joint Journal
https://www.readbyqxmd.com/read/27892748/are-porous-tantalum-cups-superior-to-conventional-reinforcement-rings
#2
Anders Brüggemann, Erik Fredlund, Hans Mallmin, Nils P Hailer
Background and purpose - Porous tantalum cups have been introduced as an alternative to various reinforcement rings in revision hip surgery. We hypothesized that porous tantalum cups would be superior to Müller acetabular roof reinforcement rings (MARRs) in revision hip surgery with re-revision for aseptic loosening as the primary outcome measure. Patients and methods - 207 hips operated with either a porous tantalum cup (TM cup, n = 111) or a MARR (n = 96) at index procedure were identified in our local arthroplasty register...
November 28, 2016: Acta Orthopaedica
https://www.readbyqxmd.com/read/27886353/patient-reported-outcomes-after-revision-surgery-compared-to-primary-total-hip-arthroplasty
#3
Anne E Postler, Franziska Beyer, Tim Wegner, Jörg Lützner, Albrecht Hartmann, Ishaq Ojodu, Klaus-Peter Günther
INTRODUCTION: Patients who undergo either primary or revision total hip arthroplasty (THA) mainly expect improvement in pain, function/activity and quality of life. The purpose of the study was to measure the degree of short-term and medium-term improvement and the differences in patient-reported outcome that can be expected in patients undergoing revision THA, compared to patients undergoing primary THA. METHODS: In this study, the results of patient-reported outcome measurements were compared in 124 matched patients, who underwent revision surgery and primary THA between 01/2007 and 12/2009...
November 22, 2016: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/27853130/health-related-quality-of-life-and-functional-outcomes-in-short-stem-versus-standard-stem-total-hip-arthroplasty-an-18-month-follow-up-cohort-study
#4
Brandon Michael Henry, Waldemar Wrażeń, Leif Hynnekleiv, Michał Kłosiński, Przemysław A Pękała, Ewa Kucharska, Edward B Golec, Krzysztof A Tomaszewski, Maria Pąchalska
BACKGROUND Osteoarthritis (OA) progressively produces symptoms and disability that may significantly reduce health-related quality of life (HRQoL). Total hip arthroplasty (THA) is an important treatment for symptomatic OA. An alternative to standard-stem THA for younger patients is short-stem THA. The aim of this study was to investigate potential HRQoL and functional outcome differences between these patient groups to provide additional data that will be clinically useful in the decision making between the types of prosthesis...
November 17, 2016: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/27817993/patient-reported-outcomes-after-revision-of-metal-on-metal-total-bearings-in-total-hip-arthroplasty
#5
Ana Mata-Fink, Daniel J Philipson, Benjamin J Keeney, Dipak B Ramkumar, Wayne E Moschetti, Ivan M Tomek
BACKGROUND: Failure of metal-on-metal (MOM) total hip arthroplasty (THA) bearings is often accompanied by an aggressive local reaction associated with destruction of bone, muscle, and other soft tissues around the hip. Little is known about whether patient-reported physical and mental function following revision THA in MOM patients is compromised by this soft tissue damage, and whether revision of MOM THA is comparable with revision of hard-on-soft bearings such as metal-on-polyethylene (MOP)...
October 11, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27795449/a-review-of-the-clinical-approach-to-persistent-pain-following-total-hip-replacement
#6
REVIEW
Y F Lam, P K Chan, H Fu, C H Yan, K Y Chiu
Total hip arthroplasty is effective in reducing pain and improving functional outcome for a variety of hip pathologies. Approximately 27% patients, however, complain of pain at follow-up 6 months following surgery. The pain may worsen over time and can become severe and chronic in around 4% of patients who ultimately require revision surgery. Therefore, it is important for clinicians to comprehensively assess patients undergoing total hip arthroplasty in order to identify the underlying pathology of a painful hip and then offer prompt treatment...
October 31, 2016: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/27785537/previous-arthroscopic-repair-of-femoro-acetabular-impingement-does-not-affect-outcomes-of-total-hip-arthroplasty
#7
Ryan Charles, Scott LaTulip, James A Goulet, Aidin Eslam Pour
BACKGROUND: Total hip arthroplasty (THA) is commonly elected following failed arthroscopic treatment of femoro-acetabular impingement (FAI). The purpose of this study was to evaluate post-operative outcomes of primary THA in patients who had previously undergone arthroscopic treatment for FAI. METHODS: A retrospective, matched case-control study was conducted. The case group included 39 patients who underwent THA after previous hip arthroscopy for FAI. Thirty-nine patients who had a primary THA without previous hip arthroscopy served as a control group and were matched for age, sex and body mass index...
October 26, 2016: International Orthopaedics
https://www.readbyqxmd.com/read/27776903/delayed-total-hip-arthroplasty-for-failed-acetabular-fractures-the-influence-of-initial-fracture-management-on-outcome-after-arthroplasty
#8
Ashok S Gavaskar, Hitesh Gopalan, Bhupesh Karthik, Parthasarathy Srinivasan, Naveen C Tummala
BACKGROUND: Total hip arthroplasty (THA) provides a successful salvage option for failed acetabular fractures. The complexity of arthroplasty for a failed acetabular fracture will depend on the fracture pattern and the initial management of the fracture. Our objective was to compare the midterm outcome of THA between patients who presented with failed acetabular fractures following initial surgical or nonsurgical treatment. METHODS: Forty-seven patients underwent cementless THA ± acetabular reconstruction following failed treatment of acetabular fractures...
September 28, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27756273/19%C3%A2-years-outcome-after-cementless-total-hip-arthroplasty-with-spongy-metal-structured-implants-in-patients-younger-than-65%C3%A2-years
#9
Ludger Gerdesmeyer, Munjed Al Muderis, Hans Gollwitzer, Norbert Harrasser, Martin Stukenberg, Maria-Angela Clifford, Andreas Toepfer
BACKGROUND: Cementless fixation of total hip arthroplasties (THAs) is often favored in young, high-demanding patients due to the conservation of valuable bone-stock and easier revision if loosening has occurred. Long-term outcome data of the spongy metal structured implant used in the present study in patients younger than 65 years are still lacking. METHODS: We conducted a retrospective chart review and functional investigation (Merle d'Aubigné score, SF-12) of patients younger than 65 years at implantation treated with a spongy metal structured THA (n = 79) from one orthopedic university center from 1985 to 1989...
October 18, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27739571/short-term-results-with-a-constrained-acetabular-liner-in-patients-at-high-risk-of-dislocation-after-primary-total-hip-arthroplasty
#10
Kathryn Gill, Sarah L Whitehouse, Matthew J W Hubble, Matthew J Wilson
BACKGROUND: Dislocation following primary total hip arthroplasty (THA) is a complication with an incidence of 2%-5%. This study examines the clinical and radiological outcome of a constrained acetabular implant used in primary THA in high-risk patients to prevent dislocation. METHODS: 54 patients with 55 constrained implants for primary THA were reviewed clinically and radiologically. Oxford, Harris Hip and Charlson scores were recorded. RESULTS: 54 patients, with an average age of 83...
October 8, 2016: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/27650276/retention-of-the-well-fixed-implant-in-the-single-stage-exchange-for-chronic-infected-total-hip-arthroplasty-an-average-of-five%C3%A2-years-of-follow-up
#11
Baochao Ji, Boyong Xu, Wentao Guo, Aili Rehei, Wenbo Mu, Desheng Yang, Li Cao
PURPOSE: Removal of an infected prosthesis was considered the gold standard for eradication of infection. However, removal of well-fixed components can result in structural bone damage and compromised reconstruction. In these situations we questioned whether the infection after the total hip arthroplasty could be treated effectively and retain the well-fixed implant in a single-stage exchange. METHODS: A retrospective analysis which included 31 patients with chronic infected THA who underwent major partial single-stage revision, including routinely exchanged femoral head and liner components, aggressive soft tissue debridement, removal of the femoral stem or acetabular cup and retention of the well-fixed component, thorough exposed component brushing, and adequate surgical soaking...
September 20, 2016: International Orthopaedics
https://www.readbyqxmd.com/read/27644425/hypertrophy-of-the-tensor-fascia-lata-muscle-as-a-complication-of-total-hip-arthroplasty
#12
Juan Miguel Rodríguez-Roiz, Guillem Bori, Xavier Tomas, Jenaro A Fernández-Valencia, Ana Isabel García-Díez, Jaume Pomés, Sebastián Garcia
INTRODUCTION: Hypertrophy of the tensor fascia lata muscle (HTFLM) is a rare complication after total hip arthroplasty (THA) and is a potential source of pain, palpable mass, or both. MATERIALS AND METHODS: We retrospectively analyzed 1285 primary THAs and 482 THA revisions (THAR) performed at our center from 2008 to 2014. Among these, five patients had HTFLM (average age 68.8 years). The type of surgery and symptoms were evaluated, as were imaging studies (CT or MRI) of both hips (10 hips), and functional outcomes with the Merle d'Aubigné score...
September 19, 2016: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/27639306/the-extended-direct-anterior-approach-for-column-augmentation-in-the-deficient-pelvis-a-novel-surgical-technique-and-case-series-report
#13
Jonathon M Spanyer, Christopher M Beaumont, Jonathan G Yerasimides
BACKGROUND: Anterior column deficiency of the pelvis may pose a serious threat to the stability of the acetabular component after total hip arthroplasty and, thus, jeopardize the overall success of the procedure. METHODS: After Institutional Review Board approval, a retrospective review was undertaken to identify all patients undergoing revision total hip arthroplasty with anterior column augmentation through an extended direct anterior approach. Demographics and surgical details were collected, and subjects were followed for a 2-year minimum period to measure patient outcomes and to evaluate for the stability of construct fixation...
August 20, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27632667/-the-role-of-a-modular-universal-tumour-and-revision-system-mutars%C3%A2-in-lower-limb-endoprosthetic-revision-surgery-outcome-analysis-of-25-patients
#14
J Schmolders, S Koob, P Schepers, S Gravius, D C Wirtz, C Burger, P H Pennekamp, A C Strauss
Introduction/Background: With extended life expectancy, the number of primary joint arthroplasties has also increased. Revision surgery is also more often necessary, due to aseptic or septic loosening of the prosthesis or periprosthetic fracture. Large bone defects often occur in these patients and several non-modular, conventional implants are available to handle this difficult situation. Custom made implants offer an individually designed and defect-adapted shape with perfect covering of the lesion, but may delay the operation...
September 15, 2016: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/27492583/total-hip-arthroplasty-in-patients-with-ankylosing-spondylitis-midterm-radiologic-and-functional-results
#15
Yavuz Saglam, Irfan Ozturk, Mehmet Fevzi Cakmak, Mustafa Ozdemir, Onder Yazicioglu
INTRODUCTION: The aim of this study was to evaluate the clinical and radiological outcomes of total hip arthroplasty (THA) in patients with Ankylosing Spondylitis (AS). PATIENTS AND METHODS: One hundred five hips of 61 AS patients (mean age: 41.3 ± 10.2 years) who underwent THA between 1997 and 2012 were included into the study. Dorr's classification of proximal femoral geometry, acetabular protrusio, bone ankylosis, acetabular protrusion, Brooker classification of heterotopic ossification (HO), Gruen and Charnley classifications of implant loosening were used in radiographic assessments...
August 2016: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/27476136/freeze-dried-proximal-femoral-allografts-in-revision-of-femoral-stems
#16
Imran Ilyas, Husam Alrumaih, Samar Rabbani
BACKGROUND: Femoral bone deficiency is a challenging problem in revision femoral arthroplasty in younger patients. We evaluated outcomes of revision femoral arthroplasty using a freeze-dried allograft prosthetic composite (APC). METHODS: This was a retrospective review of 16 patients (12 men and 4 women) who had unilateral proximal femoral deficiencies (Paprosky type III B, 13 patients; type IV, 3 patients) revised with freeze-dried APC. Follow-up at mean 7 years included assessment with Merle D'Aubigné score and radiographs...
June 22, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27373276/similar-rate-of-infection-eradication-for-functional-articulating-prefabricated-and-custom-made-spacers-in-2-stage-revision-of-the-infected-total-hip-a-literature-review
#17
Ewout S Veltman, Dirk Jan F Moojen, Mathias Glehr, Rudolf W Poolman
BACKGROUND: 2-stage revision with the use of an antibiotic-loaded interval spacer is therapy of choice in late periprosthetic joint infection for most surgeons. For the spacer, either a prefabricated, functional articulating or custom-made spacer can be used. Little is known about which type of spacer provides optimal outcome after 2-stage revision. The aim of this study was to determine which type of spacer provides the best results, when used in 2-stage revision of an infected THA. METHODS: We performed a systematic review of the literature to analyse which type of interval spacer provides highest infection eradication rate and best functional outcome after a minimum 2 year follow-up...
July 25, 2016: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/27241335/thirteen-year-follow-up-of-a-cementless-femoral-stem-and-a-threaded-acetabular-cup-in-patients-younger-than-fifty%C3%A2-years-of-age
#18
Jan Schmolders, Grigoris Amvrazis, Peter H Pennekamp, Andreas Christian Strauss, Max Julian Friedrich, Matthias D Wimmer, Yorck Rommelspacher, Dieter Christian Wirtz, Thomas Wallny
PURPOSE: Compared to older patients undergoing total hip arthroplasty (THA) younger patients are considered to be more active, thereby exposing the implant to significantly higher loads over a much longer period of time. Additionally, cases of secondary osteoarthritis caused by hip dysplasia, femoral head necrosis or rheumatic diseases are much more frequent than among the average patient population. Therefore, durable implant fixation and low wear rates are extremely important to achieve good long-term implant survival in this group of patients...
May 30, 2016: International Orthopaedics
https://www.readbyqxmd.com/read/27239380/outcome-of-the-cementless-zweym%C3%A3-ller-bicon-plus-cup-and-sl-plus-stem-in-the-very-elderly-individuals
#19
Egbert J D Veen, Joost C M Schrier, Esther Van't Riet, Mark J Breslau, Alexander F W Barnaart
INTRODUCTION: There is current debate about which type of total hip prosthesis implants are best for the elderly patient. Implanting uncemented total hip arthroplasty (THA) in elderly people remains contested. The aim of present study was to evaluate the outcome of the uncemented Zweymüller BICON-PLUS THA in those with a minimum of 80 years of age. MATERIALS AND METHODS: A retrospective data collection was performed in a regional teaching hospital in the Netherlands...
June 2016: Geriatric Orthopaedic Surgery & Rehabilitation
https://www.readbyqxmd.com/read/27235518/porous-tantalum-uncemented-acetabular-components-in-revision-total-hip-arthroplasty-a-minimum-ten-year-clinical-radiological-and-quality-of-life-outcome-study
#20
S Konan, C P Duncan, B A Masri, D S Garbuz
AIMS: Reconstruction of the acetabulum after failed total hip arthroplasty (THA) can be a surgical challenge in the presence of severe bone loss. We report the long-term survival of a porous tantalum revision acetabular component, its radiological appearance and quality of life outcomes. PATIENTS AND METHODS: We reviewed the results of 46 patients who had undergone revision of a failed acetabular component with a Paprosky II or III bone defect and reconstruction with a hemispherical, tantalum acetabular component, supplementary screws and a cemented polyethylene liner...
June 2016: Bone & Joint Journal
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