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https://www.readbyqxmd.com/read/28525667/functional-results-in-periacetabular-osteotomy-is-it-possible-to-obtain-a-normal-gait-after-the-surgery
#1
Aydın Gahramanov, Fatma İnanıcı, Ömür Çağlar, Cemalettin Aksoy, Ahmet Mazhar Tokgözoğlu, Senem Güner, Aysun Baki, Bülent Atilla
INTRODUCTION: Gait analysis is one of the poorly understood dimensions of the functional results obtained after periacetabular osteotomy (PAO) due to dysplasia of the hip. MATERIALS AND METHODS: Spatiotemporal parameters as well as coronal and sagittal plane kinematics and moments were compared among three demographically similar groups of subjects: (i) 23 patients with excellent results according to the Harris Hip Score (HHS) (mean 6.6 years of follow-up); (ii) 12 patients with good and fair results according to the HHS (mean 9...
May 19, 2017: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/28524823/prevalence-of-developmental-dysplasia-of-the-hip-in-chinese-adults-a-cross-sectional-survey
#2
Feng-De Tian, De-Wei Zhao, Wei Wang, Lin Guo, Si-Miao Tian, Ao Feng, Fan Yang, Dong-Yi Li
BACKGROUND: The prevalence of developmental dysplasia of the hip (DDH) is unknown in China. We aimed to determine the prevalence of DDH in Chinese adults. METHODS: In this study, we performed a cross-sectional survey of a nationally representative sample of Chinese adults. All participants underwent questionnaire investigation, physical examination, and X-ray examination. Factors associated with DDH were analyzed with logistic regression. RESULTS: We invited 29,180 individuals aged 18 years and over to participate, randomly selected from 18 primary sampling units (street districts in urban areas and townships in rural areas)...
June 5, 2017: Chinese Medical Journal
https://www.readbyqxmd.com/read/28512691/complete-circumferential-osseous-extension-in-the-acetabular-rim-occurs-regardless-of-acetabular-coverage
#3
Keisuke Watarai, Fumihiko Kimura, Yuho Kadono, Yoon Taek Kim, Mamoru Niitsu, Hiromi Oda, Hirohiko Azuma
BACKGROUND: Complete circumferential osseous extension in the acetabular rim has been reported to occur in the deep hip with pincer impingement. However, this phenomenon occasionally is observed in dysplastic hips without pincer impingement, and the degree to which this finding might or might not be associated with hip pain, and how often it occurs bilaterally among patients, are not well characterized. QUESTIONS/PURPOSES: (1) To determine the proportion of patients with complete circumferential osseous extension in the acetabular rim using three-dimensional (3-D) CT in patients with and without hip pain who had CT scans obtained for various reasons...
May 16, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28508763/radiological-outcomes-of-overhead-traction-therapy-for-developmental-dysplasia-of-the-hip-in-non-ambulatory-children
#4
Marcin K Waśko, Szymon Pietrzak, Anna Szarejko, Waldemar Przybysz, Tomasz Parol, Jarosław Czubak
BACKGROUND: Infants with a dislocated and unstable hip that does not lend itself to stabilisation may be treated using overhead traction to achieve gradual reduction of the hip joint. The aim of this paper was to analyse the radiological outcomes of overhead traction therapy and the effect of duration of traction on the occurrence of complications and final treatment outcomes. Material and methodd. A retrospective analysis of medical records of 26 children (34 affected hips) involved three independent observers assessing radiological parameters before the surgery and at follow-up visits at least two years after the therapy...
April 12, 2017: Ortopedia, Traumatologia, Rehabilitacja
https://www.readbyqxmd.com/read/28507642/diagnostic-imaging-of-pregnant-women-the-role-of-magnetic-resonance-imaging
#5
Monika Bekiesińska-Figatowska, Anna Romaniuk-Doroszewska, Sylwia Szkudlińska-Pawlak, Agnieszka Duczkowska, Jarosław Mądzik, Martyna Szopa-Krupińska, Tomasz M Maciejewski
BACKGROUND: Presentation of magnetic resonance imaging (MRI) findings in pregnant women in the Department of Diagnostic Imaging, Institute of Mother and Child, Warsaw, Poland. MATERIAL/METHODS: Forty-three symptomatic pregnant women underwent MRI between 9 and 33 weeks of gestation (mean of 23 weeks). Moreover, we included 2 pregnant women who underwent fetal MRI and had incidental abnormalities. RESULTS: In 9 cases, we excluded the suspected brain abnormalities...
2017: Polish Journal of Radiology
https://www.readbyqxmd.com/read/28506617/arthroscopic-treatment-of-hip-pain-in-adolescent-patients-with-borderline-dysplasia-of-the-hip-minimum-2-year-follow-up
#6
Peter T Evans, John M Redmond, Jon E Hammarstedt, Yuan Liu, Edwin O Chaharbakhshi, Benjamin G Domb
PURPOSE: To examine arthroscopic treatment of hip pain in patients with borderline hip dysplasia (lateral center edge angle [LCEA] between 20° and 25°). METHODS: From 2008 to 2013, patients below 18 years of age who underwent arthroscopic hip surgery with an LCEA between 20° and 25° were retrospectively matched 1:1 to a control group without dysplasia (LCEA ≥25°) based on age, gender, femoroplasty, labral treatment, and capsular plication. Indications for surgery included failure to improve with nonoperative treatments and anti-inflammatory medications after 3 months...
May 12, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28506616/outcomes-of-hip-arthroscopy-in-competitive-athletes
#7
Itay Perets, David E Hartigan, Edwin O Chaharbakhshi, Lyall Ashberg, Victor Ortiz-Declet, Benjamin G Domb
PURPOSE: To evaluate the minimum 2-year postoperative clinical outcomes and the rate of return to sports in athletes who underwent capsular plication for the treatment of ligamentous laxity and/or borderline dysplasia during hip arthroscopy for the treatment of femoroacetabular impingement and labral pathology. METHODS: Since 2008, data were prospectively collected on patients who underwent hip arthroscopy for the treatment of femoroacetabular impingement and/or labral tears...
May 12, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28506299/developmental-hip-dysplasia-treated-by-total-hip-arthroplasty-using-a-cementless-wagner-cone-stem-in-young-adult-patients-with-a-small-physique
#8
Ping Zhen, Jun Liu, Hao Lu, Hui Chen, Xusheng Li, Shenghu Zhou
BACKGROUND: Developmental hip dysplasia (DDH) may lead to severe acetabular and femoral abnormalities that can render total hip arthroplasty (THA) challenging, especially in DDH patients with a small physique. Most conventional cemented or cementless femoral components are often difficult to implant in the narrow femoral canal and require slight version correction during surgery. The aim of this study was to present the mid-term results of THA in the treatment of DDH patients with a small physique using a cementless Wagner cone prosthesis (Zimmer®, US)...
May 15, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28506238/ten-year-survival-rate-after-rotational-acetabular-osteotomy-in-adulthood-hip-dysplasia
#9
Masamitsu Tomioka, Yutaka Inaba, Naomi Kobayashi, Taro Tezuka, Hyonmin Choe, Hiroyuki Ike, Tomoyuki Saito
BACKGROUND: Rotational acetabular osteotomy (RAO) is an effective joint-preserving surgical treatment for adulthood hip dysplasia (AHD). Despite sufficient correction of acetabular dysplasia, some patients still experience osteoarthritis (OA) progression and require total hip arthroplasty (THA). The purposes of the current study were to investigate the survival rate and the risk factors for OA progression or THA requirement after RAO and to explore whether acetabular overcorrection relates to OA progression...
May 15, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28501788/dynamic-femoral-head-translations-in-dysplastic-hips
#10
Tatsuya Sato, Hiromasa Tanino, Yasuhiro Nishida, Hiroshi Ito, Takeo Matsuno, Scott A Banks
BACKGROUND: Developmental dysplasia of the hip is an important disease leading to osteoarthritis. Recently, researchers have focused on hip instability as a potentially important dynamic factor for osteoarthritis, but the detailed kinematics of dysplastic hips during weight-bearing gait have not been reported. The purpose of this research is to contrast femoral translation in contralateral healthy hips and dysplastic hips during weight-bearing stepping. METHODS: Twelve dysplastic hips and eight healthy hips were investigated...
May 5, 2017: Clinical Biomechanics
https://www.readbyqxmd.com/read/28497456/survivorship-and-complications-of-total-hip-arthroplasty-in-patients-with-dwarfism
#11
Ronuk M Modi, Michael M Kheir, Timothy L Tan, Gregory S Penny, Chi-Lung Chen, Hongyi Shao, Antonia F Chen
BACKGROUND: Total hip arthroplasty (THA) is a common procedure used to treat bony hip deformities and skeletal dysplasia in dwarfism. These surgeries are often more difficult than conventional THA as they may involve malformed joints and poor bone quality, and may require smaller prostheses. This study aims to investigate whether implant survivorship and revision rates vary among patients with and without dwarfism undergoing THA. METHODS: A retrospective case-control study was performed for 102 THAs completed between 1997 and 2014 in patients under the height threshold of 147...
May 10, 2017: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/28497455/hip-sonography-background-technique-and-common-mistakes-results-debate-and-politics-challenges
#12
Reinhard Graf
Developmental dysplasia of the hip (DDH) is the commonest 'congenital' disease of the locomotor system throughout the world. According to the World Health Organisation (WHO) Bone & Joint Decade (2000-2010) 10%-15% of patients who are under the age of 50 when they require a hip replacement do so because of infant hip dysplasia.The background; technique and common mistakes; results; debate and politics; and the challenges of infant hip sonography are reviewed.
May 8, 2017: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/28497452/an-attempt-to-throw-light-on-congenital-hip-disease-terminology-and-anticipation-of-clinical-outcomes-when-treated-with-total-hip-arthroplasty
#13
George Hartofilakidis, Kalliopi Lampropoulou-Adamidou, Theofilos S Karachalios
The terminology of the wide spectrum of hip deformities seen during the neonatal, infantile and adult life period remains controversial, mainly due to the indiscriminate use of the terms dysplasia, subluxation, congenital hip disease, developmental hip disease, congenital dislocation, etc. This has a serious implication on the anticipation of clinical outcomes, complications and comparison of different reconstructive techniques when these patients are treated with total hip arthroplasty in adulthood. Journals, specialising in this field, should publish homogeneous series (type of the disease, reconstruction technique, implants) in order to clarify arguments and anticipate clinical outcomes...
May 8, 2017: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/28479005/-risk-of-developmental-dysplasia-of-the-hip-in-patients-subjected-to-the-external-cephalic-version
#14
Nerea Sarmiento Carrera, Eva González Colmenero, José Luis Vázquez Castelo, Ana Concheiro Guisán, Emilio Couceiro Naveira, José Ramón Fernández Lorenzo
INTRODUCTION: Developmental dysplasia of the hip (DDH) refers to the spectrum of abnormalities of maturation and development of the hip. Breech presentation is associated with DDH. This risk factor can be modified by external cephalic version (ECV). The aim of this study is to evaluate the incidence of DDH in patients who successfully underwent ECV, as well as to evaluate need for these children (breech for a period during gestation) to be included in the DDH screening protocol. MATERIAL AND METHODS: A prospective cohort study was conducted in the Hospital Universitario de Vigo from January 1, 2015 to December 31, 2015...
May 3, 2017: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/28478819/subclinical-developmental-dysplasia-of-the-hip-could-predispose-to-femoroacetabular-impingement
#15
Simon Erridge, En Lin Goh, Swathikan Chidambaram
Developmental dysplasia of the hip (DDH) and femoroacetabular impingement (FAI) are separate causes of premature osteoarthritis. There is a paucity of literature describing potential ways in which an individual can be predisposed to FAI. This hypothesis aims to outline how subclinical DDH may predispose a patient to FAI. In DDH the acetabular malformation of the hip joint alters the weight distribution superiorly in the loading axis. In accordance with Wolff's Law, we propose that this change in loading may result in the formation of protrusions on either the acetabular rim or femoral head and neck, predisposing to impingement of the hip during to certain movements and consequently, FAI...
May 2017: Medical Hypotheses
https://www.readbyqxmd.com/read/28463920/presence-of-the-ossific-nucleus-and-risk-of-osteonecrosis-in-the-treatment-of-developmental-dysplasia-of-the-hip-a-meta-analysis-of-cohort-and-case-control-studies
#16
Cynthia Chen, Shevaun Doyle, Daniel Green, John Blanco, David Scher, Ernest Sink, Emily R Dodwell
BACKGROUND: Concern for increased risk of osteonecrosis in hips with an absent ossific nucleus has led some surgeons to delay reduction in the treatment of developmental dysplasia of the hip (DDH) until the ossific nucleus is present. A previous meta-analysis reported a potential protective effect against high-grade osteonecrosis (II to IV) when the ossific nucleus was present. With a greater number of publications on this topic, revisiting this analysis is warranted. The aim of this meta-analysis was to systematically review and analyze the best clinical evidence regarding the association between the status of the ossific nucleus and development of osteonecrosis following the treatment of DDH...
May 3, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28460694/etiopathogenesis-of-canine-hip-dysplasia-prevalence-and-genetics
#17
REVIEW
Michael D King
First identified in 1935, canine hip dysplasia is thought to be the most common orthopedic condition diagnosed in the dog. It is most prevalent in large and giant breed dogs, with a complex polygenic mode of inheritance, and relatively low heritability. External factors including caloric intake when growing have a significant effect on phenotypic expression. Initial joint laxity progresses to osteoarthritis due to subluxation and abnormal wearing. Selective breeding programs to attempt to decrease prevalence have shown modest results so far...
April 28, 2017: Veterinary Clinics of North America. Small Animal Practice
https://www.readbyqxmd.com/read/28455481/use-of-inlet-radiographs-in-the-assessment-of-reduction-after-the-surgical-treatment-of-developmental-dysplasia-of-the-hip
#18
B S F Massa, R Guarniero, R M Godoy, J C Rodrigues, N B Montenegro, F G Cordeiro
AIMS: This pilot study aimed to evaluate prospectively the use of inlet radiographs of the hip as an alternative method of the assessment of reduction after the surgical treatment of developmental dysplasia of the hip (DDH). PATIENTS AND METHODS: The children in this study underwent surgery between January 2013 and January 2015. All had inlet radiographs and CT scans post-operatively. Data were analysed by determining inter-observer reliability and intra-observer reproducibility, using the kappa value (K)...
May 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28448705/-results-of-the-salters-osteotomy-as-a-definitive-treatment-for-the-developmental-dysplasia-of-the-hip
#19
E M Valles-Mata, L A Valles-Flores, R F Montes-Del Bosque
OBJECTIVE: Evaluate the results of open reduction associated to a Salter osteotomy at nine months of age for treatment of the developmental Dysplasia of the Hip. MATERIAL AND METHODS: Case- series of unilateral Developmental Dysplasia of the hip treated between July 2004- December 2008 with follow-up at 3, 6 and 9 months postop. RESULTS: 16 patients, 13 females (81%) 3 males (19%). we did an open reduction and Salters osteotomy at 9 months on average (8- 10 months); the most effected side were the left hip on 75%...
September 2016: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/28442161/zurich-cementless-total-hip-replacement
#20
REVIEW
David Hummel
Total hip replacement (THR) is the gold standard treatment of intractable pain from hip dysplasia. THR procedures are divided into 2 main categories: cemented and cementless, with hybrid a combination. The Zurich Cementless THR system uses a combination of press-fit (acetabular component) and locking screw (femoral component) fixation designed to address the main challenge facing cemented systems (aseptic loosening) while providing the benefit of immediate stability with its novel locking screw implantation system for the femoral stem...
April 22, 2017: Veterinary Clinics of North America. Small Animal Practice
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