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Revision rate following unipolar versus bipolar hemiarthroplasty Hip Int. (IF 1.5) Pub Date : 2024-03-14 David Kugelman, Joseph X Robin, Benjamin C Schaffler, Roy Davidovitch, Kenneth Egol, Ran Schwarzkopf
Introduction:There has been much debate on use of bipolar or unipolar femoral heads in hemiarthroplasty for the treatment of femoral neck fractures. The outcome of these implants should be studied in the America Joint Replacement Registry (AJRR).Methods:All primary femoral neck fractures treated with hemiarthroplasty between January 2012 and June 2020 were searched in the AJRR. All cause-revision of
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“Stuck in the middle”: the missing lumbosacral link in total hip arthroplasty Hip Int. (IF 1.5) Pub Date : 2024-03-12 Christopher M Scanlon, Thomas Christensen, Thomas Bieganowski, Weston Buehring, Morteza Meftah, Matthew S Hepinstall
Introduction:Spinopelvic mobility drives functional acetabular position, influencing dislocation risk after total hip arthroplasty (THA). Patients have been described as “stuck sitting” or “stuck standing” based on pelvic tilt (PT). We hypothesised that some patients are “stuck in the middle,” meaning their PT changes minimally from sitting to standing – increasing their risk of dislocation.Methods:We
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Which factors are associated with a successful outcome following total hip arthroplasty in patients with early radiographic osteoarthritis? Hip Int. (IF 1.5) Pub Date : 2024-03-11 Martin Sharrock, Tim N Board
Background:It is unclear which factors are associated with a successful total hip arthroplasty (THA) in patients with early radiographic osteoarthritis (OA).Methods:70 patients with early OA (Kellgren and Lawrence [KL] grades 0–2) who underwent THA were compared with 200 patients with advanced OA (KL grades 3–4). Outcomes were Oxford Hip Scores (OHS), EQ-5D and EQ-VAS scores; compared preoperatively
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MRI spectrum of avascular necrosis of femoral head in patients treated for COVID-19 Hip Int. (IF 1.5) Pub Date : 2024-03-08 Khan Akhtar Ali, Lingxiao He, Jianwen Li, Weikai Zhang, Bahebieergan Tasiken, Hui Huang
Background and purpose:This prospective observational study aimed to investigate the occurrence of avascular necrosis (AVN) of the femoral head in COVID-19 patients through MRI scans. The study examined the patterns of AVN in 110 individuals who had undergone conventional COVID-19 therapy and reported hip discomfort. This study highlights the importance of considering AVN as a potential complication
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Comparison of osteolysis around 3 different cement restrictors in total hip arthroplasty Hip Int. (IF 1.5) Pub Date : 2024-02-28 Wybren Prins, Maarten P Cornelissen, W Alexander Goudriaan, Mireille A Edens, Jeremy Amaya, Paul E Zollinger, Cees C P M Verheyen, Harmen B Ettema
Background and aim:Several studies reported osteolysis around polyethylene glycol/polybutylene terephthalate (PEG/PBT) based femoral cement restrictors. Our goal was to evaluate and compare osteolysis around 3 different plug designs: the slow biodegradable PEG/PBT cement restrictor; the fast biodegradable gelatin cement restrictor; and the non-biodegradable polyethylene plug.Patients and methods:In
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The accuracy and diagnostic value of gram staining joint aspirates in suspected joint infections Hip Int. (IF 1.5) Pub Date : 2024-02-28 James Zhang, Anna Stevenson, Andrew Kailin Zhou, Faris Khan, Rahul Geetala, Matija Krkovic
Background:Septic arthritis is a debilitating condition with prolonged treatment and adverse outcomes. A gram stain is often performed from the joint aspirate sample, followed by a definitive culture. In our study, we assessed the accuracy of gram staining for suspected septic arthritis and explored factors associated with positive culture growth and false negatives in the gram stain.Methods:We retrospectively
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PENG for chronic pain: the clinical effectiveness of pericapsular nerve group block in chronic hip pain Hip Int. (IF 1.5) Pub Date : 2024-02-21 Mustafa Karaoğlan, Bilge Küçükçay Karaoğlan
Objectives:To evaluate the efficiency and tolerability of pericapsular nerve group block (PENG) for the treatment of chronic hip pain.Methods:This is a retrospective, single-centre, 4-group study conducted over a 3-month period to find out the most typical cause of chronic hip pain. A total of 112 patients with symptomatic hip osteoarthritis (OA), Stage 2–3, greater trochanteric pain (GTPS) and chronic
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Optimal retractor insertion point for nerve safety during total hip arthroplasty: an anatomical study on the femoral and sciatic nerves in relation to hip motion Hip Int. (IF 1.5) Pub Date : 2024-02-19 Masakazu Okamoto, Yoshinobu Uchihara, Kenichiro Saito, Yusuke Inagaki, Pasuk Mahakkanukrauh, Yasuhito Tanaka
Background:Nerve injury is one of the most serious complications of total hip arthroplasty (THA). It is suspected to be a result from nerve compression or direct injury caused by an acetabular retractor. The anatomical relationship between the acetabular rim and the femoral and sciatic nerves, including hip motion, has not been investigated. This study aimed to identify the optimal position for retractor
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Trends in prevalence and complications for smokers who underwent total hip arthroplasty from 2011 to 2019: an analysis of 243,163 patients Hip Int. (IF 1.5) Pub Date : 2024-02-19 Matthew J Hadad, Daniel Grits, Ahmed K Emara, Melissa N Orr, Trevor G Murray, Nicolas Santiago Piuzzi
Background:Smoking is an established risk factor for postoperative complications after total hip arthroplasty (THA). It is unknown if the decreasing prevalence of adult smoking in the United States is reflected in the elective THA patient population. We aimed to investigate recent trends in: (1) the prevalence of smoking pre-THA, stratified by patient demographics; and (2) rates of 30-day complications
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Reconstruction of proximal hamstring ruptures restores joint biomechanics during various walking conditions Hip Int. (IF 1.5) Pub Date : 2024-02-19 Marlene Mauch, Corina Nüesch, Linda Bühl, Tomas Chocholac, Annegret Mündermann, Karl Stoffel
Purpose:We aimed to examine the functional outcome in different walking conditions in elderly adults who underwent surgical repair after a non-contact hamstring injury. Our objective was to compare lower limb kinematics and kinetics over the entire gait cycle between the injured and contralateral leg in overground and level and uphill treadmill walking.Methods:12 patients (mean ± SD, age: 65 ± 9 years;
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Does-dual mobility still offer improved stability in smaller cup sizes? A computer modelling comparison of stability with 22-mm versus 28-mm inner heads in dual-mobility versus single-bearing constructs Hip Int. (IF 1.5) Pub Date : 2024-02-19 Amit Atrey, Alessandro Navacchia, Sarah E Ward, David Rister, Jacqueline Brillantes, Alexandra Stavrakis, Amir Khoshbin
Purpose:Dislocation remains 1 of the leading causes of revision after primary total hip arthroplasty (THA) and there is clear evidence the dual-mobility (DM) is used more frequently to minimise this. But in smaller cups, whether the use of DM with smaller 22-mm heads imparts any increased stability compared to standard bearing is unknown; especially when those smaller cups now allow for large single-bearing
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Cam-type hip morphology in asymptomatic patients Hip Int. (IF 1.5) Pub Date : 2024-01-24 Sulaiman A AlMousa, Tarek Hegazi, Hashem A AlKhamis, Ziyad A AlTayyar, Mutlaq D AlMutairi, Salim A AlGhamdi, Mona I Almuhaish, Mohammed M Alzaid, Shayma S Alsubaie, Mohammad M Alzahrani
Background:The alpha angle has been widely used in the assessment of cam-type of impingement, but recent studies have shown that this angle may also be high in asymptomatic patients. The aim of this study is to report the prevalence of cam-type morphology in asymptomatic volunteers and explore its correlation with hip clinical and radiological parameters.Methods:This single-centre prospective study
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Pain management after total hip arthroplasty: comparative study of analgesic efficacy and tolerability between oral tramadol/dexketoprofen and injectable paracetamol + tramadol Hip Int. (IF 1.5) Pub Date : 2024-01-11 George A Macheras, Dimitrios Tzefronis, Chrysoula Argyrou, Elena Nikolakopoulou, Alejandro Gálvez Miravete, Thefilos S Karachalios
Background:Multimodal analgesia for total hip arthroplasty (THA) is increasingly employed to reduce early postoperative pain and promote fast patient discharge. The aim of this study was to compare the efficacy and tolerability of tramadol/dexketoprofen (TRAM/DKP, Group A) versus paracetamol + tramadol (PARA+TRAM, Group B) in patients undergoing THA using minimally invasive direct anterior approach
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Long-term follow-up and survival of delayed total hip arthroplasty following acetabular fracture: a matched cohort study of 552 cases from the Norwegian Arthroplasty Register. Hip Int. (IF 1.5) Pub Date : 2023-11-21 Ragnhild Loven Kirkeboe,Lars Nordsletten,Jan Erik Madsen,Eva Dybvik,Stein Atle Lie,Geir Hallan,John Clarke-Jenssen
BACKGROUND Operative treatment of acetabular fractures generally yields good results, but several authors report up to 15-20% of patients developing post-traumatic osteoarthritis (OA). Previous studies have shown that total hip arthroplasty (THA) following post-traumatic OA have inferior results compared to THA for primary OA. The aim of this study was to report on long-term outcome of THA following
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Fracture of femoral neck in modular total hip arthroplasty: a systematic review of the literature. Hip Int. (IF 1.5) Pub Date : 2023-11-06 Konstantina Solou,Andreas Panagopoulos,Irini Tatani,Panagiotis Megas
BACKGROUND Modular femoral stems have the advantage of anatomic hip reconstruction by restoring the femoral offset thus minimising the bearing surface wear, implant loosening and dislocation. AIM This study aims to investigate the existing literature on modular neck fractures, to identify predisposing factors and guide the decision-making process in the management of these difficult cases. METHODS
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Acetabular erosion after bipolar hip hemiarthroplasty for femoral neck fracture in elderly patients: a retrospective study. Hip Int. (IF 1.5) Pub Date : 2023-11-06 George A Macheras,Dimitrios Pallis,Konstantinos Tsivelekas,Margarita M Ampadiotaki,Panagiotis Lepetsos,Dimitrios Tzefronis,Konstantinos Kateros,Stamatios A Papadakis
BACKGROUND The choice between total hip arthroplasty (THA) and hemiarthroplasty (HA) to treat displaced femoral neck fractures, particularly among the elderly, is still controversial. Acetabular erosion consists of a late multifactorial process that may happen after hip HA resulting in significant postoperative burden. This study aims to investigate the impact of acetabular erosion progress after hip
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Statistical fragility analysis of reported outcomes associated with surgical management of acetabular labral pathology. Hip Int. (IF 1.5) Pub Date : 2023-11-06 Rahul Bhale,Michael Kain
INTRODUCTION The purpose of this study was to analyse the robustness of comparative research that evaluated arthroscopic labral reconstruction versus other surgical management of labral pathology. Key measures of statistical fragility include the fragility index and fragility quotient.ß. METHODS 12 comparative studies that evaluated the use of arthroscopic labral reconstruction were included in this
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Increasing femoral head size from 32 mm to 36 mm does not increase the revision risk for total hip replacement: a New Zealand joint registry study. Hip Int. (IF 1.5) Pub Date : 2023-11-06 Robert Tr English,Jacob T Munro,Andrew P Monk
BACKGROUND The use of larger femoral heads in total hip replacement (THR) has increased over the last decade. While the relationship between increasing head size and increased stability is well known, the risk of revision with increasing head size remains poorly understood. The aim of this study was to compare the outcome of total hip joint replacement with 32-mm and 36-mm heads. METHODS We carried
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Step-cut osteotomy of the anterior superior iliac spine for increased visualisation in the levine approach for bernese periacetabular osteotomy surgery. Hip Int. (IF 1.5) Pub Date : 2023-11-01 Shelby R Smith,E Bailey Terhune,Joel C Williams,Keith A Mayo
BACKGROUND Hip dysplasia can lead to pain and dysfunction in the young adult. Acetabular undercoverage leads to abnormal joint loading and results in joint degeneration, accelerating need for arthroplasty in this patient population. Conceptually, treatment focuses on increasing acetabular coverage in the form of periacetabular osteotomy. The procedure can be performed through the iliofemoral approach
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Outcome of hip resurfacing revision through the Hueter-anterior approach. Hip Int. (IF 1.5) Pub Date : 2023-10-05 Marc-Antoine Ricard,James Ardell,Pierre Laboudie,Roger Wei,Paul E Beaulé
BACKGROUND The Hueter-Anterior Approach (HAA) with its limited soft tissue and internervous dissection has been shown to be an effective approach for primary total hip and hip resurfacing arthroplasty (HRA). The purpose of this study is to evaluate the clinical outcome of patients requiring revision of HRA to total hip replacement using the HAA, assessing function and complications. METHODS We performed
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Influence of immigrant background on the outcome of total hip arthroplasty: better outcome in 280 native patients in Bosnia and Herzegovina than in 449 immigrants living in Sweden. Hip Int. (IF 1.5) Pub Date : 2023-10-05 Krupic Ferid,Manojlovic Slavko,Custovic Svemir,Fazlic Mirsad,Sadic Sahmir,Kärrholm Johan
BACKGROUND Despite the overall success of THA, between 5 and 20% report unsatisfactory results. Several factors may cause this variable outcome. 1 of them might be ethnicity which, because of its potential social impact on living conditions, may influence quality of life too. It should be studied whether patients born and being operated in their home country Bosnia and Herzegovina (BH) had similar
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Effect of operative time in outcomes following surgical fixation of hip fractures: a multivariable regression analysis of 35,710 patients. Hip Int. (IF 1.5) Pub Date : 2023-10-05 Alvaro Ibaseta,Ahmed Emara,Pedro J Rullán,Daniel C Santana,Mitchell K Ng,Daniel Grits,Viktor E Krebs,Robert M Molloy,Nicolas S Piuzzi
BACKGROUND Prolonged operative time is a risk factor for increased morbidity and mortality after open reduction and internal fixation (ORIF) of hip fractures. However, the quantitative nature of such association, including graduated risk levels, has yet to be described. This study outlines the graduated associations between operative time and (1) healthcare utilisation, and (2) 30-day complications
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Quantification of trunnion damage in a series of intact total hip arthroplasty femoral stems previously identified to be at risk of catastrophic failure. Hip Int. (IF 1.5) Pub Date : 2023-10-02 Brent A Lanting,Olawale A Sogbein,Steven J MacDonald,Nirmit Shah,Tea-Lyn Kok,Ryan Willing,Matthew G Teeter
BACKGROUND Corrosion at the head-neck junction of femoral stems is a rare complication of total hip arthroplasty (THA) with manifestations ranging from subclinical wear to failure. Prior studies have identified a single femoral component design with an increased propensity for catastrophic trunnion failure. The purpose of the present study was to quantify trunnion damage of this femoral component retrieved
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The increasing complexity of femoral fragility fractures: incidence, fracture patterns and management over a 10-year period. Hip Int. (IF 1.5) Pub Date : 2023-10-02 Alexandria Gibson,Megan Guest,Trenton Taylor,Fraser Harrold,David Gwynne Jones
INTRODUCTION The purpose of this study was to determine whether there have been changes in the numbers and complexity of femoral fragility fractures presenting to our department over a period of 10 years. METHODS Patients >60 years presenting with femoral fragility fractures to our institution in 2018-2019 (397 fractures) were compared with respect to demographic data, incidence rates, fracture classification
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The effect of 3 commonly used surgical approaches for total hip arthroplasty on mid- to long-term patient-reported outcome measures. Hip Int. (IF 1.5) Pub Date : 2023-09-25 Isaac Rhee,Oren Tirosh,Andy Ho,Andrew Griffith,Lily Salehi,Amalie Jensen,Libby Spiers,Phong Tran
INTRODUCTION The most effective surgical approach for total hip arthroplasty (THA) remains controversial. Comparisons of surgical approach based on patient-reported outcome measures (PROMs) have been limited to short- to mid-term outcomes or the comparison of only 2 approaches. The aim of this study was to compare PROMs for the 3 main approaches for THA with up to 10 years follow-up. METHODS A total
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Clinical characteristics and long-term outcomes of septic arthritis of the native hip joint: a 20-year retrospective review. Hip Int. (IF 1.5) Pub Date : 2023-09-20 Gabriel B Burdick,Lindsay M Maier,Noah A Kuhlmann,Ayooluwa S Ayoola,Bushra Fathima,Stephanie J Muh
BACKGROUND The primary purpose of this retrospective case series was to describe the prevalence and outcomes of single-stage hip arthroplasty in patients who were previously treated for septic arthritis of the native hip at our institution over a 20-year period. This study also examined rates of persistent or recurrent infection, reoperation, and mortality for septic arthritis of the native hip. METHODS
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Association of affected and non-affected side ability with postoperative outcomes in patients undergoing total hip arthroplasty. Hip Int. (IF 1.5) Pub Date : 2023-09-18 Kohei Nozaki,Yuta Nanri,Masashi Kawabata,Manaka Shibuya,Manami Nihei,Takehiro Shirota,Hiroyoshi Masuma,Takuya Maeda,Kensuke Fukushima,Katsufumi Uchiyama,Naonobu Takahira,Masashi Takaso
BACKGROUND Although several reports have examined the association between preoperative function and postoperative outcomes in patients undergoing total hip arthroplasty (THA), it is unclear whether the ability of the affected or non-affected side particularly impacts on outcomes. We aimed to investigate the association between affected and non-affected side ability and walking independence. METHODS
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Fewer native and periprosthetic femoral fracture patients receive an orthogeriatric review and expedited surgery compared to hip fracture patients. Hip Int. (IF 1.5) Pub Date : 2023-09-18 Muhamed M Farhan-Alanie,Sam C Jonas,Daniel Gallacher,Michael R Whitehouse,Tim Js Chesser
INTRODUCTION Disproportionate emphasis has been attributed to hip fracture over other femoral fractures through implementation of Best Practice Tariff (BPT).This retrospective comparative observational cohort study aimed to evaluate the epidemiology of native and periprosthetic femoral fractures and establish any disparities in their management relative to hip fractures. METHODS All patients ⩾60 years
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Improvements in networking processes for hip or knee revision arthroplasty: a silver lining of the COVID-19 pandemic. Hip Int. (IF 1.5) Pub Date : 2023-09-13 Urjit Chatterji,Darren Puttock,Amin Kheiran,Darren Sandean,Gary Mundy,Dipen Menon,Andrew Brown
BACKGROUND Improvements in outcomes following hip and knee revision arthroplasties have been demonstrated following the introduction of specialised orthopaedic services in the form of 'hub and spoke' networking models. In light of the COVID-19 pandemic, these networks have undergone some inevitable adaptations. We investigated the impact of recent adaptations on the performance of our regional revision
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The Exeter-Trident THA with ceramic-on-ceramic-bearings: 10-year outcomes in 275 total hip arthroplasties. Hip Int. (IF 1.5) Pub Date : 2023-09-11 Stephen K McHale,Sarah L Whitehouse,Jonathan R Howell,Matthew Jw Hubble,A John Timperley,Matthew J Wilson
AIMS This study reports on the Exeter-Trident total hip arthroplasty (THA) using an alumina ceramic-on-ceramic bearing with 10-year clinical and radiographic follow-up. PATIENTS AND METHODS Between January 2001 and January 2006, 275 THAs were performed. Mean age at surgery was 52.7 (17-86) years, with 84 patients (33.6%) aged <50 years. The primary outcome was all-cause construct survival at minimum
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Technical note: acetabular augmentation with customisable cementless all-polyethylene insert. Hip Int. (IF 1.5) Pub Date : 2023-09-08 David T Wallace,Karl Stoffel,Joe Baines
Acetabular augmentation is a challenge for complex primary and revision hip surgery. Several methods exist to recreate a supportive, hemispherical acetabulum where a defect exists, however, these can be complex, expensive, time consuming, and limited by available size and shape. We present a simple, inexpensive, quick and customisable method of acetabular augmentation using cementless polyethylene
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Emergency department prediction model for 30-day mortality after hip fracture: the Spanish National Hip Fracture Registry (RNFC) cohort. Hip Int. (IF 1.5) Pub Date : 2023-09-05 Javier Sanz-Reig,Jesus Mas-Martinez,Cristina Ojeda-Thies,Maria P Saez-Lopez,Noelia Alonso-García,Juan I Gonzalez-Montalvo
INTRODUCTION The aim of this study was to design and validate a predictive model for 30-day mortality in a cohort of patients from the Spanish National Hip Fracture Registry (RNFC) with variables collected at the Emergency Department. METHODS Retrospective study of a prospective database of hip fracture patients ⩾75 years old between 1 January 2017 and 30 September 2019. Patient characteristics, type
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Gluteus maximus tendon transfer as a salvage option for painful chronic hip abductor insufficiency: clinical and MRI results with a minimum follow-up of 24 months. Hip Int. (IF 1.5) Pub Date : 2023-09-05 Dominik Kaiser,Armando Hoch,Reto Sutter,Patrick O Zingg
INTRODUCTION Chronic hip abductor insufficiency is a rare debilitating condition. In cases refractory to conservative treatment and not amenable to direct repair an augmentation becomes necessary. The preferred salvage method at our institution is augmentation with the anterior third of the gluteus maximus tendon. The aim of this study is to describe the results of 8 patients, treated for painful chronic
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Utility of histopathological examination in aseptic revision total hip arthroplasty: a preliminary analysis. Hip Int. (IF 1.5) Pub Date : 2023-09-05 Markus Rossmann,Alaa Aljawabra,Hans Mau,Mustafa Citak,Thorsten Gehrke,Till Orla Klatte,Hussein Abdelaziz
INTRODUCTION The utility of a routine histopathological examination in aseptic revision total hip arthroplasty (THA) has not been well explored. We aim to describe the approach and present the results of histopathological examination, focusing on its clinical usefulness in the setting of aseptic revision THA. METHOD We retrospectively reviewed 285 performed aseptic revision THA with available histopathological
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Polyethylene thickness does not influence aseptic revision rate with highly cross-linked liners in THA with 36-mm femoral heads. Hip Int. (IF 1.5) Pub Date : 2023-09-03 Willem R Six,Iris Koenraadt-van Oost,Leonieke C van Boekel,Stefan B T Bolder
BACKGROUND To reduce the risk of dislocation, larger head size can be used in total hip arthroplasty (THA). However, larger head size leads to thinner acetabular liners. With conventional polyethylene, thickness of >8 mm has been advocated to reduce stress and wear rate of the polyethylene. Modern polyethylene has become more wear-resistant. In this study, we investigated if the thickness of sequentially
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Effect of cam resection depth on clinical outcomes after primary hip arthroscopy. Hip Int. (IF 1.5) Pub Date : 2023-09-03 Emre Acar,Onur Hapa,Onur Gürsan,Ali Balcı,Selahaddin Aydemir,Alaa Mukat,Selahattin Ağca,Mustafa Çeltik,Gökay Gedik
BACKGROUND The amount of resection or the starting point of the resection on the femoral head for cam lesions in femoroacetabular impingement (FAI) is controversial. AIM The purpose of this study was to study the effect of postoperative resection depth, and resection arc ratio of cam lesion on the frequency of achieving substantial clinical benefit (SCB), patient acceptable state (PASS) in modified
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Spinal fusion and total hip arthroplasty: why timing is important. Hip Int. (IF 1.5) Pub Date : 2023-08-29 Nequesha S Mohamed,Christopher G Salib,Oliver C Sax,Ethan A Remily,Scott J Douglas,Ronald E Delanois
BACKGROUND There is increasing debate among orthopaedic surgeons over the temporal relationship between lumbar spinal fusion (LSF) and total hip arthroplasty (THA) for patients with hip-spine syndrome. Few large studies have directly compared the results of patients who undergo LSF prior to THA (LSF-THA) to those who undergo LSF after THA (THA-LSF). The current study matched THA patients with a prior
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Quantification and severity grading of femoral vessel compression by adverse reactions to metal debris in metal-on-metal total hip arthroplasty. Hip Int. (IF 1.5) Pub Date : 2023-08-07 Yousef Al-Khatib,Ben Tyas,Nicholas S Kalson,Nickil Agni,Priyesh Bhutani,Timothy Petheram,Ian Carluke,Paul Partington
INTRODUCTION Metal-on-metal (MoM) total hip arthroplasty (THA) may cause adverse reactions to metal debris (ARMD). ARMD causing femoral vessel compression with serious complications has been described in case reports, but the rate of compression by ARMD is not known. This study aims to investigate the rate, and quantify the severity, of femoral vessel compression in MoM hips with ARMD lesions. METHODS
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Controversies around hip fracture treatment; clinical evidence versus trends from national registries. Hip Int. (IF 1.5) Pub Date : 2023-06-14 Peter P Schmitz,Matthijs P Somford,Simon S Jameson,B Willem Schreurs,Job L C van Susante
PURPOSE Several controversies in the optimal treatment of femoral neck fractures persist, together with large variations in clinical practice. METHODS A narrative literature review covering 4 current controversies in the surgical management of femoral neck fractures (total hip arthroplasty (THA) versus hemiarthroplasty (HA), cemented versus uncemented HA, internal fixation versus arthroplasty, operative
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Implant breakage and revision factors for modular fluted tapered stems in revision total hip arthroplasty. Hip Int. (IF 1.5) Pub Date : 2023-06-12 Thibaut Lucena,Etienne Cavaignac,Louis Courtot,Vincent Marot,Philippe Chiron,Nicolas Reina
PURPOSE Modular stems in revision total hip arthroplasties allow diaphyseal fixation and optimal restoration of the architecture of the proximal femur. Several studies report metaphyseal implant breakage having a negative impact on survivorship. The aim of the study was to evaluate the outcome of an uncemented modular fluted tapered stem (MFT) in revision surgery. METHODS In a retrospective study,
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Pain, function and quality of life are impaired in adults undergoing periacetabular osteotomy (PAO) for hip dysplasia: a systematic review and meta-analysis. Hip Int. (IF 1.5) Pub Date : 2023-06-12 Michael Jm O'Brien,Adam I Semciw,Inger Mechlenburg,Lisa Cu Tønning,Chris Jw Stewart,Joanne L Kemp
BACKGROUND Hip dysplasia is a common condition in active adults with hip pain that can lead to joint degeneration. Periacetabular osteotomy (PAO) is a common surgical treatment for hip dysplasia. The effect of this surgery on pain, function and quality of life (QOL) has not been systematically analysed. PURPOSE In adults with hip dysplasia: (1) evaluate differences in pain, function and QOL in those
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Proximal radiolucent lines around fully hydroxyapatite-coated tapered femoral stems: should we be concerned? Hip Int. (IF 1.5) Pub Date : 2023-06-12 Zachary P Berliner,Muhammad Umar Jawad,Chelsea Matzko,H John Cooper,Jose A Rodriguez,Matthew S Hepinstall
INTRODUCTION Radiolucent lines occasionally develop around the proximal aspect of fully hydroxyapatite (HA)-coated tapered femoral stems after total hip arthroplasty (THA). It was hypothesised that distal wedging of stems may predispose to proximal radiolucent line formation, which may negatively impact clinical outcome. METHODS All primary THA performed with a collarless fully HA-coated stem that
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Stem alignment with short tapered-wedge cementless stems affects bone mineral density continuously for at least 5 years after primary total hip arthroplasty. Hip Int. (IF 1.5) Pub Date : 2023-06-09 Sho Masuda,Kentaro Iwakiri,Yoichi Ohta,Yukihide Minoda,Akio Kobayashi,Hiroaki Nakamura
AIM This study aimed to assess the relationship between the three-dimensional (3D) alignment of short tapered-wedge cementless stems and bone mineral density (BMD) changes in patients followed up for 5 years after total hip arthroplasty (THA). METHODS We retrospectively analysed the hips of 52 patients who underwent THA using short tapered-wedge cementless stems at our institution from 2013 to 2016
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Medium-term outcomes of conventional versus short uncemented femoral stems for primary total hip arthroplasty in patients younger than 55 years. Hip Int. (IF 1.5) Pub Date : 2023-06-09 Fernando Diaz-Dilernia,Carlos Lucero,Pablo A Slullitel,Gerardo Zanotti,Fernando Comba,Francisco Piccaluga,Martin Buttaro
BACKGROUND Short stems are designed with a bone preservation philosophy in mind. This study aims to compare the outcomes/complications and survival of a collarless fully hydroxyapatite (HA)-coated conventional tapered stem and a HA-coated partial neck-retaining uncemented short stem in patients ⩽55 years old at medium-term follow-up. METHODS We retrospectively studied 247 uncemented THAs operated between
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Grit and postoperative opioid use after total joint arthroplasty. Hip Int. (IF 1.5) Pub Date : 2023-06-06 Andrew J Ernst,Avery M Briggs,Rebecca Spooner,George C Balazs,Ashton H Goldman
INTRODUCTION Perioperative multimodal protocols following total joint replacements have significantly decreased the amount of perioperative and postoperative opioids. Further identification of those requiring more or less opioids through individualisation, may further aid in reducing the amount prescribed. Therefore, the purpose of the study was to evaluate whether a patient's grit, the measurable
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Arthroplasty for femoral neck fractures is at risk for under restoration of lateral femoral offset Hip Int. (IF 1.5) Pub Date : 2023-04-26 Harsh N Shah, Andrew A Barrett, Andrea K Finlay, Prerna Arora, Michael J Bellino, Julius A Bishop, Michael J Gardner, Matthew D Miller, James I Huddleston, 3rd, William J Maloney, Stuart B Goodman, Derek F Amanatullah
Purpose:The aim of the study was to determine the restoration of hip biomechanics through lateral offset, leg length, and acetabular component position when comparing non-arthroplasty surgeons (NAS...
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The effectiveness of hydrotherapy on return to play in sports following hip arthroscopic surgery: a comparative study Hip Int. (IF 1.5) Pub Date : 2023-04-10 Alexandra Dimitrakopoulou, Bryan English, Christiana Kartsonaki, Adam Gledhill, Ernest Schilders
Background:The postoperative management of femoroacetabular impingement (FAI) is variable with favourable surgical outcomes. Yet there is no evidence on the efficacy of hydrotherapy in athletes und...
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Acetabular cup fixation with and without screws following primary total hip arthroplasty: migration evaluated by radiostereometric analysis Hip Int. (IF 1.5) Pub Date : 2023-04-05 Jennifer S Polus, Edward M Vasarhelyi, Brent A Lanting, Matthew G Teeter
Background:Early cup migration after total hip arthroplasty (THA) is correlated to late revision due to aseptic loosening. However, the use of screws for increased cup stability remains unclear and...
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Femoral head size and surgical approach affect dislocation and overall revision rates in total hip arthroplasty: up to 9-year follow-up data of 269,280 procedures in the Dutch Arthroplasty Register (LROI) Hip Int. (IF 1.5) Pub Date : 2023-03-19 Liza N van Steenbergen, Ilse MA de Reus, Gerjon Hannink, Stephan BW Vehmeijer, Berend W Schreurs, Wierd P Zijlstra
Background:Femoral head size and surgical approach might affect the revision rate for dislocation and for any other reason after total hip arthroplasty (THA). We penetrated this question based on r...
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The floating hip injury: a descriptive study and case-control analysis Hip Int. (IF 1.5) Pub Date : 2023-03-13 Mark Y Z Wong, Marios Ghobrial, Win M Han, Joseph Alsousou, Andrew Carrothers, Peter Hull, Daud Chou, Jaikirty Rawal
Purpose:A “floating hip” (FH) injury is a rare injury describing the simultaneous ipsilateral fracture of the femur and pelvis or acetabulum (P/A). We describe our experience with patients presenti...
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Direct anterior approach associated with lower dislocation risk after primary total hip arthroplasty in patients with prior lumbar spine fusion Hip Int. (IF 1.5) Pub Date : 2023-03-08 Jose M Iturregui, Ronnie Sebro, Morgan Baranek, Hillary W Garner, Rupert O Stanborough, Krista A Goulding, Cameron K Ledford, Benjamn K Wilke
Background:While there has been much interest in the increased dislocation rate in total hip arthroplasty (THA) patients with a lumbar spine fusion (LSF), there is minimal literature comparing the ...
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Less groin pain with dual-mobility bearings versus fixed bearings in total hip arthroplasty Hip Int. (IF 1.5) Pub Date : 2023-03-08 Jeremy A Dubin, Geoffrey H Westrich
Introduction:The relationship between implant type, dual mobility (DM) or fixed bearing (FB), and postoperative groin pain remains unexplored. We examined the incidence of groin pain in DM implants...
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Contemporary, non-navigation, cup orientation techniques improve accuracy and eliminate differences seen between the anterior and posterior approach in THA Hip Int. (IF 1.5) Pub Date : 2023-02-28 Stephanie Antoniades, Niall P McGoldrick, Geert Meermans, Paul E Beaulé, George Grammatopoulos
Background:This study aimed to: (1) Determine the ability to achieve the surgeons’ desired cup orientation, without navigation, using contemporary measures with the anterior- (AA) and posterior- ap...
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Partial retention of the acetabular cement mantle in aseptic revision hip arthroplasty: is it a viable option? Hip Int. (IF 1.5) Pub Date : 2023-02-19 Eric Swanton, Sarah L Whitehouse, Matthew JW Hubble
Introduction:Choosing the most appropriate reconstruction method when addressing a cemented cup at hip revision surgery can be a difficult decision. The aim of this study is to look into the practi...
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Validation and updating of the Older Person’s Emergency Risk Assessment (OPERA) score to predict outcomes for hip fracture patients Hip Int. (IF 1.5) Pub Date : 2023-02-14 Khushal Arjan, Stefan Weetman, Luke Hodgson
Introduction:Hip fractures are associated with significant morbidity and mortality in older people. Accurate risk stratification is important for planning of care, informed decision-making and comm...
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A history of eponym usage in hip and pelvis radiography part 2: the adult hip Hip Int. (IF 1.5) Pub Date : 2023-01-31 Andrew S Bi, Michael K Ryan, Pablo G Castañeda, Thomas Youm
Eponyms, while inherently flawed, remain a constant in medical vernacular, especially in orthopaedic surgery. It is essential to understand how these eponyms came to be named and for whom they were...
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A history of eponym usage in hip and pelvis radiography part 1: the paediatric hip Hip Int. (IF 1.5) Pub Date : 2023-01-31 Andrew S Bi, Cordelia Carter, Andrew E Price, Jody Litrenta, Mara Karamitopoulos, Pablo G Castañeda
Eponyms, while inherently flawed, remain a constant in medical vernacular, especially in orthopaedic surgery. It is essential to understand how these eponyms came to be named and for whom they were...
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30-day to 10-year mortality rates following total hip arthroplasty: a meta-analysis of the last decade (2011–2021) Hip Int. (IF 1.5) Pub Date : 2023-01-27 Oguz Turan, Xuankang Pan, Kyle N Kunze, Pedro J Rullan, Ahmed K Emara, Robert M Molloy, Nicolas S Piuzzi
Background:Mortality after total hip arthroplasty (THA) is a rare but devastating complication. This meta-analysis aimed to: (1) determine the mortality rates at 30 days, 90 days, 1 year, 5 years a...
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COVID-19 Vaccination Improved Outcomes in the Treatment of Geriatric Hip Fractures Between December 2020 and January 2022 Hip Int. (IF 1.5) Pub Date : 2023-01-26 Sanjit R. Konda, Ariana T. Meltzer Bruhn, Garrett W. Esper, Sara J. Solasz, Abhishek Ganta, Kenneth A. Egol
Introduction:Geriatric hip fracture patients are at high risk for perioperative morbidity and mortality from COVID-19. This study analyses the impact of COVID-19 vaccination on geriatric hip fractu...