46,497 results match your criteria Hip Replacement

Identification and treatment of potentially destabilizing Vancouver B-lesser trochanter periprosthetic fracture ("New B2"): a 33-case series.

Orthop Traumatol Surg Res 2022 Jun 24:103357. Epub 2022 Jun 24.

Service de Chirurgie Orthopédique et Traumatologie, Centre Hospitalier de Cannes, 15 Avenue des Broussailles, CS 50008, 06414 Cannes Cedex, France.

Introduction: A new type of periprosthetic fracture, between Vancouver-SoFCOT types A and B, was recently described and labeled 'new B2'. It occurs intraoperatively or in the early postoperative period, on cementless implants, and features a posteromedial cortical fragment around the lesser trochanter. The main aim of the present study was to report clinical and radiological results in a series of 33 cases of what is better called Vancouver B-lesser trochanter (VB-LT) fracture. Read More

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Self-Reported Health of Severely Obese US Adults with Osteoarthritis.

J Arthroplasty 2022 Jun 24. Epub 2022 Jun 24.

Institute of Etiological Research; Boca Raton, FL.

Background: Severe obesity is associated with complications following arthroplasty, leading surgeons to increasingly counsel patients regarding weight loss. For patients seeking arthroplasty, learning that severe obesity may be a relative contraindication to surgery can create a challenging clinical interaction. We sought to describe the self-reported health of United States (US) adults who had severe obesity and osteoarthritis (OA) to better understand patient perspectives. Read More

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The Effect of CMS' Comprehensive Care for Joint Replacement (CJR) Bundled Payment Model on Trajectories of Post-acute Rehabilitation Care after Total Hip Arthroplasty.

Arch Phys Med Rehabil 2022 Jun 24. Epub 2022 Jun 24.

Institute for Health and Equity, Medical College of Wisconsin.

Objective: To evaluate the impact of the CJR policy on the 90-day trajectory of post-acute care following a total hip arthroplasty (THA).

Design: Multivariable difference-in-difference models applied to Medicare beneficiaries undergoing a THA prior to (2014-2015) and post-CJR implementation (2017) in areas subjected to or exempt from the policy.

Setting: Hospitals in Standard Metropolitan Statistical Areas (SMSAs). Read More

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[Patient optimization before hip revision arthroplasty: : How to handle comorbidities].

Orthopadie (Heidelb) 2022 Jun 27. Epub 2022 Jun 27.

Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Bonn, Venusberg Campus 1, 53129, Bonn, Deutschland.

Preoperative optimization of the therapeutic regime of comorbidities can lead to an improvement of the postoperative outcome and has the potential to reduce the financial burden on the health care system in revision hip arthroplasty. Patient-related factors and an increasing incidence of comorbidities lead to a higher risk of implant failure and revision for all causes. Important and potentially modifiable risk factors like preoperative anemia, coagulopathy, infectious disease (dental status, urinary tract infections, colonization with staphylococcus), metabolic conditions (obesity, malnutrition, diabetes mellitus, osteoporosis), and smoking need to be addressed. Read More

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Minimally Invasive Surgery to Remove a Broken and Retained Epidural Catheter Fragment.

Cureus 2022 May 23;14(5):e25255. Epub 2022 May 23.

Department of Orthopaedics and Traumatology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, IND.

Epidural anaesthesia (EA) has consistently been used for treatments affecting the pelvis, lower limbs, lower abdomen, and perineum; however, it is progressively employed as a single anaesthetic or supplement to general and spinal anaesthesia for a broader range of procedures. The retention of a broken epidural catheter piece is an uncommon but well-known complication. In this report, we present a 30-year-old male with avascular necrosis (AVN) of the hip who was referred for total hip replacement (THR). Read More

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Predictors of a forgotten joint after medial fixed-bearing unicompartmental knee arthroplasty.

Knee 2022 Jun 23;37:103-111. Epub 2022 Jun 23.

Department of Orthopedics, General Hospital of Chinese PLA, No. 28 Fuxing Road, Beijing 100853, China; National Clinical Research Center for Orthopedics, Sports Medicine & Rehabilitation, No. 28 Fuxing Road, Beijing 100853, China.

Background: A forgotten joint is considered the ultimate goal of joint replacement. We aim to explore the predictive factors of a forgotten joint after fixed-bearing unicompartmental knee arthroplasty (UKA).

Methods: This retrospective cohort study used prospectively collected data from 302 cases of medial-compartment UKA with a minimum of 2-year follow-up. Read More

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Incremental net monetary benefit of direct oral anticoagulants for the prevention of venous thromboembolism after total knee or hip replacement: A systematic review and meta-analysis.

Thromb Res 2022 Jun 21;216:74-83. Epub 2022 Jun 21.

Department of Pharmacotherapy, College of Pharmacy, University of Utah, Salt Lake City, UT, USA; IDEAS Center, Veterans Affairs Salt Lake City Healthcare System, Salt Lake City, UT, USA. Electronic address:

Introduction: This meta-analysis was conducted to quantitatively pool the incremental net benefit (INB) of using direct oral anticoagulants (DOACs) for the prevention of venous thromboembolism (VTE) in patients undergoing total knee or hip replacements (TKR or THR).

Materials And Methods: We performed a comprehensive search in several databases published before June 2021. Studies were included if they were cost-effectiveness analyses reporting cost per quality-adjusted life-year or life-year of DOACs compared to low molecular-weight heparins (LMWHs) or other anticoagulant agents for the prevention of VTE after TKR or THR. Read More

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Development of bony range of motion (B-ROM) boundary for total hip replacement planning.

Comput Methods Programs Biomed 2022 Jun 8;222:106937. Epub 2022 Jun 8.

WMG, The University of Warwick, Coventry CV4 7AL, UK.

Background And Objective: Pre-operative surgical planning using computer simulation is increasingly standard practice before Total Hip Arthroplasty (THA), in order to determine the optimal implant positions, and thereby minimise post-operative complications such as dislocation, wear and leg length discrepancy. One of the limitations of current methods, however, is the lack of information on the subject-specific reference range of motion (ROM) that could be used as targets for surgical planning. Only a limited number of hip motions are considered, which are neither subject-specific, nor representative of all the hip motions associated with all the activities of daily livings (ADLs). Read More

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Associations of body shape phenotypes with sex steroids and their binding proteins in the UK Biobank cohort.

Sci Rep 2022 Jun 24;12(1):10774. Epub 2022 Jun 24.

Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, St Mary's Campus, Norfolk Place, London, W2 1PG, UK.

Associations of sex steroids and their binding proteins with body shape are unclear, because waist and hip circumference are correlated strongly with body size. We defined body shape using "a body shape index" (ABSI) and hip index (HI), which are independent of weight and height by design, and examined associations in multivariable generalised linear models for the UK Biobank cohort (179,902 men, 207,444 women). Total testosterone was associated inversely with ABSI, especially in men. Read More

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Surgical Resection Combined with Adjuvant Radiotherapy and Non-Steroidal Anti-Inflammatory Drugs in the Treatment of Heterotopic Ossification Following Total Hip Arthroplasty.

Acta Med Port 2022 Jun 24. Epub 2022 Jun 24.

Orthopaedics Department. Hospital José Joaquim Fernandes. Unidade Local de Saúde do Baixo Alentejo. Beja. Portugal.

Heterotopic ossification (HO) is a well-known complication following total hip arthroplasty (THA), with an average incidence of 30%. Patients are classified according to Brooker's staging system. In advanced stages (III and IV), HO may limit hip motion and cause intolerable pain. Read More

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Same-day discharge after early mobilisation and increased frequency of physiotherapy following hip and knee arthroplasty.

S Afr J Physiother 2022 31;78(1):1755. Epub 2022 May 31.

Department of Physiotherapy, Faculty of Health Science, University of the Witwatersrand, Parktown, South Africa.

Background: Advanced rehabilitation pathway (ARP) after hip and knee arthroplasties is popular globally and is gaining ground in South Africa (SA). A multidisciplinary team in Rustenburg, SA, has implemented an ARP with the first same-day discharge (SDD) from hospital. The lack of evidence of physiotherapy protocols within an ARP determined our study. Read More

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Image-Less THA Cup Navigation in Clinical Routine Setup: Individual Adjustments, Accuracy, Precision, and Robustness.

Medicina (Kaunas) 2022 Jun 20;58(6). Epub 2022 Jun 20.

Department of Orthopaedic Surgery, Inselspital, Bern University Hospital, University of Bern, 3010 Bern, Switzerland.

: Even after the 'death' of Lewinnek's safe zone, the orientation of the prosthetic cup in total hip arthroplasty is crucial for success. Accurate cup placement can be achieved with surgical navigation systems. The literature lacks study cohorts with large numbers of hips because postoperative computer tomography is required for the reproducible evaluation of the acetabular component position. Read More

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Effect of Prehabilitation in Form of Exercise and/or Education in Patients Undergoing Total Hip Arthroplasty on Postoperative Outcomes-A Systematic Review.

Medicina (Kaunas) 2022 May 30;58(6). Epub 2022 May 30.

Klinik Für Muskuloskelettale und Internistische Rehabilitation, Rehabilitationszentrum Walenstadtberg, Kliniken Valens, 8881 Walenstadtberg, Switzerland.

: The aim of this systematic review was to determine whether prehabilitation before total hip arthroplasty, in the form of exercise therapy, education alone, or both together, improves postoperative outcomes, such as physical functioning, compared with no intervention. : A systematic literature search was performed in the online databases PubMed, PEDro and Cochrane Library using the following search keywords: "prehabilitation", "preoperative care", and "total hip replacement". : A total of 400 potentially relevant studies were identified. Read More

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MRI Findings of Muscle Damage after Total Hip Arthroplasty Using the Complete Muscle Preserving Anterolateral Supine Approach.

Medicina (Kaunas) 2022 May 26;58(6). Epub 2022 May 26.

Department of Orthopaedic Surgery, Nihon University Itabashi Hospital, 30-1, Ohyaguchikami-cho, Itabashi-ku, Tokyo 173-8610, Japan.

We performed anterolateral total hip arthroplasty (ALS THA) with the purpose of complete muscle-tendon preservation without muscle-tendon dissection. This study aimed to evaluate muscle damage in the periprosthetic hip joint muscles of patients undergoing ALS THA at 1-year post-operative hip magnetic resonance imaging (MRI). We evaluated changes in the muscle cross-sectional area (M-CSA) and fatty atrophy of the periprosthetic muscles. Read More

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Large intraosseous chronic expanding hematoma after total hip arthroplasty presenting with chronic disseminated intravascular coagulation: a case report and literature review.

BMC Musculoskelet Disord 2022 Jun 24;23(1):609. Epub 2022 Jun 24.

Department of Orthopedic Surgery, Kanazawa University, Takaramachi 13-1, Kanazawa, Ishikawa, 920-8641, Japan.

Background: A chronic expanding hematoma (CEH) is a rare complication caused by surgery or trauma; it mostly affects the soft tissues, such as those in the trunk or extremities. We present the first case of a large intraosseous CEH presenting with chronic disseminated intravascular coagulation (DIC), 22 years after total hip arthroplasty (THA); the CEH was treated with a single-stage excision and revision THA.

Case Presentation: A 67-year-old man presented to our hospital with left thigh pain and an enlarging mass. Read More

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Incidence and treatment of intracapsular femoral neck fractures in Germany.

Arch Orthop Trauma Surg 2022 Jun 23. Epub 2022 Jun 23.

Department of Trauma Surgery, University Medical Centre Regensburg, Franz‑Josef‑Strauss Allee 11, 93053, Regensburg, Germany.

Introduction: Intracapsular femoral neck fractures are one of the most common fractures in Germany. Nevertheless, the epidemiology and treatment modalities are not described comprehensively. For this reason, this study highlights the epidemiology of femoral neck fractures in different age groups and summarizes treatment strategies within the period from 2009 to 2019 based on nationwide data. Read More

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[Postoperative outcomes and survival rates after aseptic revision total hip arthroplasty : What can patients expect from revision surgery?]

Orthopadie (Heidelb) 2022 Jun 23. Epub 2022 Jun 23.

Zentrum für Orthopädie, Unfallchirurgie und Rehabilitationsmedizin, Universitätsmedizin Greifswald, Ferdinand-Sauerbruch-Str., 17475, Greifswald, Deutschland.

Background: In 2020, more than 14,000 aseptic revision procedures for total hip arthroplasty (THA) were registered in Germany. Patient expectations of revision hip arthroplasty are not substantially different from expectations of primary hip replacement.

Outcome: However, revision surgery is associated with increased complication rates and a higher proportion of dissatisfied patients. Read More

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The current and future role of nurses within enhanced recovery after surgery pathways.

Br J Nurs 2022 Jun;31(12):656-659

Professor, Department of Surgical Pathophysiology, Rigshospitalet, Copenhagen University, Denmark, and Chair, Lundbeck Foundation Centre for Fast-track Hip and Knee Replacement, Copenhagen, Denmark.

Background: Enhanced recovery after surgery (ERAS) pathways have been proven to expedite recovery after many procedures and reduce lengths of stay in hospital and surgical complications. However, improvements are still needed, especially in postoperative ERAS components delivered by nurses such as early mobilisation and oral feeding. This article summarises the current and possible future role of nurses within ERAS, and recommends areas for future research. Read More

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Outcomes of Hip Reconstruction for Metastatic Acetabular Lesions: A Scoping Review of the Literature.

Curr Oncol 2022 May 26;29(6):3849-3859. Epub 2022 May 26.

Department of Anatomy, National and Kapodistrian University of Athens, 157 72 Athens, Greece.

(1) Background: Management of metastatic periacetabular lesions remains a challenging area of orthopaedics. This study aims to evaluate and summarize the currently available reconstructive modalities, including their indications and outcomes. (2) Methods: A scoping review was carried out in accordance with PRISMA guidelines. Read More

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Higher risk of knee arthroplasty during ten-year follow-up if baseline radiographic osteoarthritis involves the patellofemoral joint: a CHECK Cohort Study.

BMC Musculoskelet Disord 2022 Jun 22;23(1):600. Epub 2022 Jun 22.

Department of General Practice, Erasmus University Medical Center Rotterdam, Doctor Molewaterplein 40, 3015 GD, Rotterdam, Netherlands.

Background: Patellofemoral OA is a strong risk factor for progression to generalized whole knee OA, but it is unknown whether involvement of the patellofemoral joint in early radiographic OA (ROA) is associated with risk of undergoing future knee arthroplasty. This is clinically relevant because patellofemoral OA likely requires a different treatment approach than tibiofemoral OA, and identifying prognostic factors for future arthroplasty might assist clinicians with prioritizing and guiding early interventions that could improve long-term outcomes. Therefore, we evaluated association of baseline patellofemoral or tibiofemoral ROA with undergoing knee arthroplasty over 10 years. Read More

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Pharmacological thromboprophylaxis as a risk factor for early periprosthetic joint infection following primary total joint arthroplasty.

Sci Rep 2022 Jun 22;12(1):10579. Epub 2022 Jun 22.

Department of Orthopaedics and Traumatology, Taipei Veterans General Hospital, No. 201, Sec 2, Shi-Pai Road, Taipei, 112, Taiwan.

Venous thromboembolism (VTE) prophylaxis has been suggested for patients who underwent total join arthroplasty (TJA). However, the morbidity of surgical site complications (SSC) and periprosthetic joint infection (PJI) has not been well evaluated. We aimed to evaluate the impact of VTE prophylaxis on the risk of early postoperative SSC and PJI in a Taiwanese population. Read More

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Application of Ga-citrate PET/CT for differentiating periprosthetic joint infection from aseptic loosening after joint replacement surgery.

Bone Joint Res 2022 Jun;11(6):398-408

Department of Nuclear Medicine, The Affiliated Hospital of Southwest Medical University, Luzhou, China.

Aims: We aimed to evaluate the utility of Ga-citrate positron emission tomography (PET)/CT in the differentiation of periprosthetic joint infection (PJI) and aseptic loosening (AL), and compare it with Tc-methylene bisphosphonates (Tc-MDP) bone scan.

Methods: We studied 39 patients with suspected PJI or AL. These patients underwent Ga-citrate PET/CT, Tc-MDP three-phase bone scan and single-photon emission CT (SPECT)/CT. Read More

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The use of intrathecal morphine for acute postoperative pain in lower limb arthroplasty surgery: a survey of practice at an academic hospital.

J Orthop Surg Res 2022 Jun 21;17(1):323. Epub 2022 Jun 21.

Department of Anaesthesiology, University of the Witwatersrand, Johannesburg, South Africa.

Background And Purpose Of The Study: Intrathecal morphine (ITM) provides optimal postoperative analgesia in patients who are scheduled for total knee and hip operation with spinal anaesthesia. However, the ideal dose at which maximal analgesic effect occurs with minimal side effects is not known. This study aimed to describe the use of two doses of ITM and side effect profile in patients undergoing elective hip and knee arthroplasty. Read More

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Risk factors differ for Gram-negative surgical site infection following hip and knee arthroplasty: an observational study from a national surveillance system.

N Z Med J 2022 Feb 25;135(1550):47-61. Epub 2022 Feb 25.

Clinical Microbiologist, Department of Microbiology, Auckland District Health Board, Auckland City Hospital, Auckland; Clinical Lead New Zealand Surgical Site Infection Improvement Programme, Health Quality & Safety Commission, Wellington.

Aim: To describe risk factors for surgical site infection (SSI) caused by aerobic Gram-negative organisms after hip and knee arthroplasty.

Method: Publicly funded hip and knee arthroplasties (performed between 1 July 2013 and 31 December 2017) that developed SSIs were compared to those that did not. SSIs were grouped by causative organism: Gram-negative (Pseudomonas spp. Read More

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February 2022

Patient-reported outcome of 95% of young patients improves after primary total hip arthroplasty: identification of 3 recovery trajectories in 3,207 patients younger than 55 years from the Dutch Arthroplasty Register.

Acta Orthop 2022 Jun 20;93:560-567. Epub 2022 Jun 20.

Department of Operating Rooms, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, The Netherlands.

Background And Purpose: Little is known about the outcome after receiving total hip arthroplasty (THA), specifically in young patients. We identified different recovery trajectories in young patients using data from the Dutch Arthroplasty Register (LROI). We also explored whether risk factors commonly associated with functional outcome were associated with recovery trajectory. Read More

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Two-Level Pedicle Subtraction Osteotomy in Lateral Position for an Ankylosing Spondylitis Patient With Severe Thoracolumbar Kyphosis and Hip Flexion Contracture: A Case Report.

Oper Neurosurg (Hagerstown) 2022 Jul 20;23(1):e72-e76. Epub 2022 Apr 20.

The Orthopedic Hospital, The First Affiliated Hospital of Nanchang University, Jiangxi, China.

Background And Importance: Spinal osteotomy and total hip replacement (THR) are the most common surgical interventions for ankylosing spondylitis (AS). It is recommended that patients with AS with severe thoracolumbar kyphotic deformity (TLKD) and flexed hips receive spinal osteotomy before THR to reduce the risk of hip prosthesis dislocation after THR. Standardly, spinal osteotomy is performed in the prone position; however, it is impractical to place patients with AS with kyphosis and closed hips in a prone position. Read More

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An Enhanced Understanding of Culture-Negative Periprosthetic Joint Infection with Next-Generation Sequencing: A Multicenter Study.

J Bone Joint Surg Am 2022 Jun 20. Epub 2022 Jun 20.

Rothman Institute at Thomas Jefferson, Philadelphia, Pennsylvania.

Background: The challenges of culture-negative periprosthetic joint infection (PJI) have led to the emergence of molecular methods of pathogen identification, including next-generation sequencing (NGS). While its increased sensitivity compared with traditional culture techniques is well documented, it is not fully known which organisms could be expected to be detected with use of NGS. The aim of this study was to describe the NGS profile of culture-negative PJI. Read More

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Are there really specific risk factors for heterotopic ossifications? A case report of 'non-risk factor' after total hip replacement.

J Int Med Res 2022 Jun;50(6):3000605221095225

Department of Adult Orthopaedics, District Hospital of Orthopaedics and Trauma Surgery, Piekary Śląskie, Poland.

Femoral neck fractures are one of the most common fractures in the elderly population. Due to frequent complications of the fixation of these fractures, patients are more and more often eligible for hip replacement surgery. One of the most frequently mentioned postoperative complication is the formation of heterotopic ossification. Read More

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Effect of Painless Rehabilitation Nursing for Hip Replacement Patients.

Comput Math Methods Med 2022 11;2022:5164973. Epub 2022 Jun 11.

Nursing College of Shanxi Medical University, Shanxi, China.

Objective: To analyze the effect of painless rehabilitation nursing for hip replacement patients.

Method: 124 elderly patients who underwent total knee arthroplasty in our hospital from June 2019 to June 2020 were selected as study subjects. They were randomly divided into observation group and control group. Read More

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Diagnosis and Treatment Options of Abductor Insufficiency After Total Hip Replacement.

Orthop Clin North Am 2022 Jul 27;53(3):255-265. Epub 2022 May 27.

Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, 4301 West Markham Street, Box 531, Little Rock, AR 72205, USA.

Abductor insufficiency can cause abnormal gait, lateral hip pain, and abduction weakness in both native and prosthetic hips. In the setting of total hip arthroplasty (THA), abductor insufficiency may occur secondary to iatrogenic injury to the superior gluteal nerve or gluteus medius muscle, adverse local tissue reactions owing to metal-associated prosthetics, and osteolysis owing to bearing wear or infection. Surgical reconstruction of the abductor complex is indicated for patients with chronic tears who have pain, weakness, limp, and/or instability. Read More

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