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Hip arthroplasty up to the age of 30 and considerations in relation to subsequent revision.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract. We reviewed a series of 17 hip arthroplasties in 16 patients performed when the patients were 30 years old or younger who presented to us for consideration of revision. The mean age was 23.1years (14 to 30) at the initial arthroplasty. At the time of the original procedure there were 4 sequelae of septic arthritis, 7 old traumatic hip injures, 3 cases of developmental dysplasia (DDH), 1 case of rheumatoid arthritis (RA), 1 steroid-induced avascular necrosis, and 1 old slipped upper femoral epiphysis (SUFE) The implants inculded 11 total hip arthroplasties (THA), 3 double cup arthroplasties, 1 bipolar arthropl...
Source: Hip International - October 21, 2009 Category: Orthopaedics Authors: Tabutin J, Cambas P Tags: Hip Int Source Type: journals

The Mayo cementless femoral component in active patients with osteoarthritis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This prospective study reports the clinical and radiological results of a single-surgeon series using the Mayo conservative hip stem in a district hospital. 30 total hip arthroplasties were performed in 26 physically active patients. There were 18 women and 8 men, with a mean age of 57.4 years (range 36-79). 4 cases were bilateral. The operation was performed for severe primary or secondary osteoarthritis of the hip. Duration of follow-up ranged from 67-87 months (mean 81 months). There were no early complications relating to the surgical procedure. There was one case of traumatic fracture of the femur during rehabilit...
Source: Hip International - October 21, 2009 Category: Orthopaedics Authors: Goebel D, Schultz W Tags: Hip Int Source Type: journals

The Mayo conservative hip: experience from a district general hospital.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract. The Mayo Conservative Hip femoral prosthesis has been designed to optimise proximal femoral loading as well as preserving proximal femoral bone stock. Between October 2003 and May 2006, 42 patients (49 hips) underwent total hip replacement (THR) using the Mayo Conservative Hip femoral component. The mean age at operation was 57.8 years (range 44 to 74) and the mean clinical follow up was 3.1 years (range 2.3 to 4.7 years). The aim of our study was to review the short term results of this unorthodox femoral component. We found that 18% degrees of stems were malaligned >/= 5 degrees and the prevalence of int...
Source: Hip International - October 21, 2009 Category: Orthopaedics Authors: Gilbert R, Salehi-Bird S, Gallacher P, Shaylor P Tags: Hip Int Source Type: journals

Impacted bone allografts and a cemented stem after failure of an uncemented stem: preliminary results.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract. We reviewed the results of impaction bone grafting technique and a cemented stem in 27 consecutive patients with a failed uncemented femoral component. At an average follow-up of 55 months (25 to 94) none of the femoral components were removed or revised because of aseptic loosening or deep infection. In one hip a non progressive radiolucent line was observed in Gruen zone 5 with no clinical evidence of failure. The average postoperative Merle d’Aubigné and Postel Hip Score was 5.8 points for pain, 5.5 points for mobility and 5.4 points for gait. Revision of a failed uncemented stem with ...
Source: Hip International - October 21, 2009 Category: Orthopaedics Authors: Buttaro M, Marcos L, Farfalli G, Comba F, Piccaluga F Tags: Hip Int Source Type: journals

Medium term results of revision total hip replacement using radial impaction grafting and a collared textured stem.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present our results with the use of a radial impaction grafting technique and a collared textured component. 107 consecutive cases of Revision Total Hip Arthroplasty, who underwent radial impaction grafting and had a textured collared implant inserted for femoral deficiencies were assessed. The average follow up was seven years and four months (3 to 11 years). All the patients experienced a significant improvement in the clinical scores. Oxford Hip scores improved from an average of 41.2 (30 - 56) to 19.3 (12 - 32). Harris Hip scores improved from an average of 40.8 (28 - 65) to 83.4 (60 - 99). There were no cases of su...
Source: Hip International - October 21, 2009 Category: Orthopaedics Authors: Kakwani R, Saquib M, Kashyap S Tags: Hip Int Source Type: journals

Resurfacing and uncemented arthroplasty for young hip arthritis: functional outcomes at 5 years.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study found no statistically significant difference in the levels of function (p= 0.82) or activity pursued (p= 0.60) after surgery between uncemented THA and hip resurfacing. The potential complications unique to hip resurfacing may be avoided by the use of uncemented THA which in itself has longer follow-up compared to resurfacing. PMID: 19876877 [PubMed - as supplied by publisher] (Source: Hip International)
Source: Hip International - October 21, 2009 Category: Orthopaedics Authors: Killampalli V, Kundra R, Chaudhry F, Chowdhry M, Fisher N, Reading A Tags: Hip Int Source Type: journals

Early results of a new highly porous modular acetabular cup in revision arthroplasty.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion. The ‘Tritanium’acetabular cup has been successful in achieving rapid osseointegration with few complications. The management of pelvic discontinuity continues to be a challenge. PMID: 19876878 [PubMed - as supplied by publisher] (Source: Hip International)
Source: Hip International - October 21, 2009 Category: Orthopaedics Authors: Ramappa M, Bajwa A, Kulkarni A, McMurtry I, Port A Tags: Hip Int Source Type: journals

Patient-reported outcome following metal-on-metal resurfacing of the hip and total hip replacement.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract. Patient-reported outcome and satisfaction scores have become increasingly important in evaluating successful surgery. This case-matched control study compared patient-reported outcome and satisfaction data following hip resurfacing and total hip arthroplasty. Thirty-three consecutive patients selected for hip resurfacing were compared with 99 patients undergoing cemented total hip replacement (THR), matched for age, sex and pathology. Participants completed a Short-Form 12 Health Survey (SF-12) and Oxford Hip Score questionnaire preoperatively and 6 months post operatively with an additional patient satisfact...
Source: Hip International - October 21, 2009 Category: Orthopaedics Authors: Hall D, Srikantharajah D, Anakwe R, Gaston P, Howie C Tags: Hip Int Source Type: journals

Radiographic assessment of biomechanical parameters following hip resurfacing and cemented total hip arthroplasty.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study assesses the accuracy of leg length and offset restoration after either a Birmingham Hip Resurfacing (BHR) or a cemented total hip replacement (THR). Standardised antero-posterior radiography was performed on two groups of 30 patients with unilateral primary osteoarthritis undergoing either a cemented total hip or resurfacing. The normal contra-lateral hip was used as the control. Leg length and offset were measured pre-operatively with no significant difference between the two groups. Cup offset, femoral offset, total offset and leg length of the prosthesis and normal side were measured by two observers and mea...
Source: Hip International - October 21, 2009 Category: Orthopaedics Authors: Robb C, Harris R, O'Dwyer K, Aslam N Tags: Hip Int Source Type: journals

Modification of pelvic orientation after total hip replacement in primary osteoarthritis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective goal of our study was to investigate changes in pelvic orientation after total hip replacement for primary osteoarthritis. We studied 89 patients who underwent total hip replacement for primary unilateral osteoarthritis. Lateral pelvic X-rays that included the hips were performed pre-operatively and one year post-operatively. Reference values were calculated by carrying out the same analysis in 100 asymptomatic healthy volunteers. Pelvic orientation was analyzed using the sacral slope. Patients having surgery for osteoarthritis had a decreased pelvic range of motion pre-operatively and post-operatively when c...
Source: Hip International - October 21, 2009 Category: Orthopaedics Authors: Sariali E, Lazennec JY, Khiami F, Gorin M, Catonne Y Tags: Hip Int Source Type: journals

Leg length discrepancy in total hip arthroplasty with the use of cemented and uncemented femoral stems. A prospective radiological study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract. Leg length discrepancy may occur following total hip arthroplasty, with a potentially impaired functional outcome as a result. The aim of this study was to compare the leg length discrepancy between both cemented and uncemented femoral stems when used in total hip arthroplasty. A prospective radiological study of 200 consecutive primary total hip arthroplasties was performed between June 2005 and December 2006. Pre and post-operative radiographs were analysed. 56 (56%) of the total hip arthroplasties where an uncemented femoral stem was used had a leg length discrepancy over 1 cm. However only 23 (23%) of the...
Source: Hip International - October 21, 2009 Category: Orthopaedics Authors: Ahmad R, Sharma V, Sandhu H, Bishay M Tags: Hip Int Source Type: journals

Bed exercises following total hip replacement: 1 year follow-up of a single-blinded randomised controlled trial.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract. This paper presents the results of a study assessing whether bed exercises after primary THR (total hip replacement) improves function or quality of life, during the first post-operative year. Sixty patients undergoing primary THR were randomised to receive either a gait re-education programme and bed exercises (Group A) or a gait re-education programme without bed exercises (Group B) post-operatively. The Iowa Level of Assistance Scale (ILOA) and Short Form-12 Health Survey (SF-12) were assessed at baseline, 3 days, 6 weeks and 1 year post-operatively. There was no statistically significant difference in eit...
Source: Hip International - October 21, 2009 Category: Orthopaedics Authors: Smith TO, Mann CJ, Clark A, Donell ST Tags: Hip Int Source Type: journals

Osteolysis of the greater trochanter following reattachment of hip abductors using polyester suture in total hip arthroplasty.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a specific pattern of osteolysis around bone tunnels on the lateral cortex of the greater trochanter following abductor reattachment using a polyester suture.  Radiographs of 395 patients who underwent cemented THA during a four year period between 1999 and 2003 were reviewed. 27 patients had abductor reattachment using number 5 EthibondTM suture through bone tunnels. These patients displayed a predominantly osteolytic pattern of bone reaction around the greater trochanter bone tunnels. All patients were subsequently reviewed in clinic at 4-7 years following surgery. Three patterns of response were obser...
Source: Hip International - October 21, 2009 Category: Orthopaedics Authors: Kundra RK, Karim SN, Lawrence T Tags: Hip Int Source Type: journals

Bilateral total hip arthroplasty in Severe Hereditary Multiple Exostosis: a report of two cases.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
the hip secondary to the development of hip dysplasia in Hereditary Multiple Exostosis (HME). Both patients had near ankylosis of their hips with pain and difficulty in performing activities of daily living. A proximal femur replacing prosthesis was implanted through an extended trochanteric osteotomy, with preservation of as much proximal bone stock as possible. At latest follow up (two to five years), there was a sustained improvement in range of motion and symptoms. The Harris Hip Scores improved from 25 and 31 to 83 and 78. The Toronto Extremity Salvage Scores improved from 49% and 55% to 88% and 75%. Radiographs s...
Source: Hip International - October 21, 2009 Category: Orthopaedics Authors: Moran M, Krieg AH, Boyle RA, Stalley PD Tags: Hip Int Source Type: journals

Intraosseous myelolipoma within proximal femoral metaphysis in a patient with previous prostate cancer: a case report.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report on a case of an osteolytic lesion of the femur in a patient with previous prostate cancer, affected by hip osteoarthritis. Computed tomography of the femur demonstrated the presence of fat in the lesion. Computed tomography-guided fine needle aspiration biopsy revealed mature adipose tissue along with hematopoietic precursor cells. Surgical management consisted of curettage and packing with allograft, followed later by total hip arthroplasty. This is the third case of intraosseous myelolipoma reported in the literature. PMID: 19876886 [PubMed - as supplied by publisher] (Source: Hip International)
Source: Hip International - October 21, 2009 Category: Orthopaedics Authors: Papapietro N, Martinelli N, Ippolito M, Amato C, Denaro V Tags: Hip Int Source Type: journals

Late instability of bilateral metal on metal hip resurfacings due to progressive local tissue effects.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This report describes a case of localised tissue destruction of abductor muscle probably due to the metal debris causing late onset subluxation/dislocation of a hip resurfacing. Late instability of hip resurfacing should raise concerns relating to possible local tissue reaction and muscle damage, and early revision may be recommended. PMID: 19876887 [PubMed - as supplied by publisher] (Source: Hip International)
Source: Hip International - October 21, 2009 Category: Orthopaedics Authors: Killampalli VV, Reading AD Tags: Hip Int Source Type: journals

Two stage one component revision in infected total hip replacements - two case reports and literature review.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present two cases of infected primary total hip replacements (THR) where only one of the two components exhibited loosening. Both were revised using a two stage, one component revision technique, replacing the loose component only. In the first case the acetabular component was revised leaving the original femoral stem in situ. In the second case, the femoral component was revised, leaving the original acetabular cup undisturbed. Both patients remained infection free at three and half and three years follow up respectively. PMID: 19876888 [PubMed - as supplied by publisher] (Source: Hip International)
Source: Hip International - October 21, 2009 Category: Orthopaedics Authors: Faroug R, Shah Y, McCarthy MJ, Halawa M Tags: Hip Int Source Type: journals

The DePuy Proxima hip: a Short Stem for Total Hip Arthroplasty. Early experience and technical considerations.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a consecutive series of 65 THAs inserted mainly for osteoarthritis with the DePuy Proxima? hip, a short, anatomic implant with a pronounced lateral flare. Patients were assessed preoperatively and postoperatively at 3, 6 and 12 months and annually thereafter, using the Harris Hip Score (HHS), the Oxford Hip Score (OHS) and standard radiographs. No thigh pain was reported. At a mean follow-up of 1.7 years the HHS improved from a preoperative mean value of 51 to 91 and the OHS decreased from a mean value of 42.5 to 12.4. Complications included 1 intraoperative fracture, 1 superficial infection, and 3 deep vein thro...
Source: Hip International - September 29, 2009 Category: Orthopaedics Authors: Ghera S, Pavan L Tags: Hip Int Source Type: journals

Conservative stems in total hip replacement.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract. Arthritis of the hip primarily involves the joint surfaces. Intuitively the principal objective in the surgical management of arthritis is to replace the damaged articular surfaces. However, early attempts at conservative replacement failed both because of inadequate fixation and failure of the articulation. Conservative hip implants take less bone at the time of surgery and preserve bone in the longer term with more physiological loading. In addition, the implants are usually easier to insert with soft tissue sparing surgery. While these implants potentially offer an additional option in the surgical managem...
Source: Hip International - September 29, 2009 Category: Orthopaedics Authors: Learmonth ID Tags: Hip Int Source Type: journals

Periprosthetic femoral fractures around hip arthroplasty: current concepts in their management.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present the principles of management of both intra and post-operative PFFs, including surgical techniques and published outcomes. PMID: 19462362 [PubMed - in process] (Source: Hip International)
Source: Hip International - March 31, 2009 Category: Orthopaedics Authors: Tsiridis E, Pavlou G, Venkatesh R, Bobak P, Gie G Tags: Hip Int Source Type: journals

The condition of the cement mantle in femoral hip prosthesis implantations--a post mortem retrieval study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Despite numerous studies demonstrating the characteristics of the optimal cement mantle in joint replacement, the clinical state of the cement mantle is rarely assessed. A random sample of 214 cemented implanted femoral hip components was retrieved post mortem from Hamburg, Germany, and sectioned to investigate the quality of the cement mantle. The most common observation made in at least one measured region per retrieval was debonding (82% of stems), followed by a thin cement mantle (74%), stem-bone contact (48%), soft tissue at the stem interface (44%), no cement-bone interdigitation (30%), a gap at the stem interfac...
Source: Hip International - March 31, 2009 Category: Orthopaedics Authors: Bishop NE, Schoenwald M, Schultz P, Püschel K, Morlock MM Tags: Hip Int Source Type: journals

A new classification system for the adult dysplastic hip requiring total hip arthroplasty: a reliability study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe a new classification system for adult DDH that divides the acetabulum and femur into separate components. The acetabular classification comprises: AI: Dysplastic acetabulum; AII: The acetabulum associated with a low femoral dislocation; AIII: The post-surgical acetabulum, with (AIIIa) or without retained metalwork (AIIIb). The femoral classification consists of: FI: Dysplastic femur but contained within true or low acetabulum; FII: The high femur; FIII: Post-surgical femur, again with or without metalwork (FIIIa and FIIIb). 50 pre-operative radiographs of hips with DDH about to undergo total hip replacement wer...
Source: Hip International - March 31, 2009 Category: Orthopaedics Authors: Gaston MS, Gaston P, Donaldson P, Howie CR Tags: Hip Int Source Type: journals

Mid-term results of hydroxyapatite-coated threaded cup implanted without supplementary supporting screws.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We retrospectively reviewed the clinical, radiographic, and survivorship outcomes in a series of 180 patients that underwent 204 primary Total Hip Arthroplasties with the use of a second generation threaded hydroxyapatite-coated acetabular cup that was implanted without any supplementary supporting screws. At an average follow-up period of 10.2 (range: 8-14) years, one hundred and seventy-four patients (198 cups) were available for assessment. All patients underwent detailed physical and radiographic examination; their functional status was evaluated according to the Harris Hip Score (HHS). Following their digitization...
Source: Hip International - March 31, 2009 Category: Orthopaedics Authors: Trapotsis SJ, Petsatodis GE, Antonarakos PD, Givissis PK, Christodoulou AG, Pournaras JD Tags: Hip Int Source Type: journals

Revision for recurrent dislocation of total hip replacement.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
BACKGROUND AND PURPOSE: Dislocation is one of the commonest complications of total hip arthroplasty with an incidence of between 0.5 and 9.2%. Despite this, little is known of the outcome of treatment strategies for dislocation. The aim of this study was to establish the optimal strategy for the operative management of recurrent dislocation following THA taking account of the surgical approach employed in the replacement that became unstable and the direction of the instability that followed. METHODS: We reviewed 70 patients who underwent revision surgery for recurrent dislocation after total hip arthroplasty (THA), 38...
Source: Hip International - March 31, 2009 Category: Orthopaedics Authors: Rogers M, Blom AW, Barnett A, Karantana A, Bannister GC Tags: Hip Int Source Type: journals

Use of irradiated bone graft for impaction grafting in acetabular revision surgery: a review of fifty consecutive cases.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Impaction bone grafting is a useful technique in the armament of a revision hip surgeon. Traditionally fresh frozen allograft has been used for this technique. However there are concerns about the transmission of viral proteins and prions through this form of allograft. As a result irradiated bone graft has been favoured in some centres. There is no long term series describing the results of impaction bone grafting using irradiated bone. This paper reviews a consecutive series of 50 cases of acetabular revision surgery performed between 1995 and 2001 and followed up over a mean period of 45 months. The preoperative bon...
Source: Hip International - March 31, 2009 Category: Orthopaedics Authors: Mehendale S, Learmonth ID, Smith EJ, Nedungayil S, Maheshwari R, Hassaballa MA Tags: Hip Int Source Type: journals

Long term results of cementless total hip replacement for reversal of hip ankylosis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Fifteen patients (16 hips) with an ankylosed hip joint for a mean of 36 years (3.5 to 65), had their hips converted to a cementless Total Hip Replacement (THR). They were followed-up for a median of 10.75 years (5.0 to 19) with none lost to follow-up. All patients showed improved mobility and function post-operatively. The Harris Hip Score improved from 70 (SEM 3.4) to 83 post-operatively (SEM 4.4), which was statistically significant (p < 0.05). There was one acetabular cup revision at 5 years post implantation for aseptic loosening. All other femoral and acetabular components remained clinically and radiographical...
Source: Hip International - March 31, 2009 Category: Orthopaedics Authors: Rajaratnam SS, Sexton SA, Waters TS, Walter WL, Zicat BA, Walter WK Tags: Hip Int Source Type: journals

Early failure of the Dual coat Cormet 2000 metal on metal acetabular component.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a 10% failure rate for aseptic loosening and overall revision rate of 15% at 5 years mean follow up in 190 patients using the Cormet 2000 Dual coat acetabular component. Between 2001 and 2004, the original Dual coat component was used in our region by 4 experienced arthroplasty surgeons. 142 were used with resurfacing heads. The average age was 54 and 99 were male. Revision for aseptic loosening was required in 20 cups (10%) at a mean interval of 23 months including five within 2 months. Persistent groin pain was seen in a further three patients who have declined further surgery. Failure of the backing of this im...
Source: Hip International - March 31, 2009 Category: Orthopaedics Authors: Dixon SM, Jeavons L, Reddy RP, Williams D, Fern ED, Norton MR Tags: Hip Int Source Type: journals

Hip resurfacing using the trochanteric flip osteotomy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the early results and complications of resurfacing arthroplasty using the 'Trochanteric Flip Osteotomy' approach to the hip. There are no published clinical results of this approach used for resurfacing arthroplasty. One hundred consecutive patients were assessed prospectively for a minimum follow-up of 2 years (range 2-5 years). The Oxford Hip Score fell from a median of 30 pre-operatively to 5 at two years. Similar improvement was found in the UCLA Activity Score. There were no cases of component failure or fractures. However, nine patients had minor complications related to the osteotomy. Resurfacing Arthropla...
Source: Hip International - March 31, 2009 Category: Orthopaedics Authors: Killampalli VV, Hayes A, Parsons N, Costa ML, Prakash U Tags: Hip Int Source Type: journals

Leg length and offset following hip resurfacing and hip replacement.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We measured and compared critical parameters on antero-posterior radiographs from 28 patients who had undergone hybrid hip replacement (CPS/EPF), with 28 patients who had undergone cemented hip resurfacing (Cormet). All operations were performed by a single surgeon or under his supervision. We measured the femoral offset, acetabular offset, cup height and leg length on pre and post operative radiographs. The mean difference in femoral offset post-operatively was 3.52 mm (95% CI: -1.10 to 8.14 mm) in the hybrid group and -1.30 mm (95%CI: -2.88 to 0.29 mm) in the resurfacing group. Using the independent sample t test (tw...
Source: Hip International - March 31, 2009 Category: Orthopaedics Authors: Ahmad R, Gillespie G, Annamalai S, Barakat MJ, Ahmed SM, Smith LK, Spencer RF Tags: Hip Int Source Type: journals

Minimally invasive management of unstable proximal femoral extracapsular fractures using reverse LISS femoral locking plates.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The efficacy of the reverse Less Invasive Plating System in the management of unstable proximal femoral extracapsular fractures was retrospectively evaluated. Twenty-seven patients with complex proximal femoral fractures were identified. There were three open fractures. The mean age was 71 years (range; 65-79). The mean follow up was 24 months (range; 15-32). The main outcome measures were union, union time, requirement for secondary procedures, development of deep infection, pain, and functional impairment. Nonunion was observed in one patient. The average Harris hip score at the last assessment was 73 points (range 5...
Source: Hip International - March 31, 2009 Category: Orthopaedics Authors: Ozkaya U, Bilgili F, Kilic A, Parmaksizoglu AS, Kabukcuoglu Y Tags: Hip Int Source Type: journals

Salvage of a hip following pathological fracture through a large aneurysmal bone cyst: a case report.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A young lady aged 20 presented to us in 2004 with a pathological fracture of the left femoral neck through a large aneurysmal bone cyst. Instead of total hip arthroplasty, we performed one-stage reconstruction surgery combining internal fixation and free vascularized fibular grafting. At 4 years the structure and function of the hip had been preserved. PMID: 19462373 [PubMed - in process] (Source: Hip International)
Source: Hip International - March 31, 2009 Category: Orthopaedics Authors: Xu J, Zhang CQ Tags: Hip Int Source Type: journals

Cemented total hip arthroplasty in a patient with alpha-mannosidosis: a case report.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present here such a case of a 27-year-old male that highlights the challenges in management of hip joint destruction secondary to Mannosidosis. PMID: 19462374 [PubMed - in process] (Source: Hip International)
Source: Hip International - March 31, 2009 Category: Orthopaedics Authors: Desai AS, Dramis A, Board TN, Kay PR Tags: Hip Int Source Type: journals

Hip arthroplasty in a patient with congenital pubic diastasis and bladder exstrophy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a total hip arthroplasty performed for arthritis and osteonecrosis in a patient with congenital pubic diastasis and bladder exstrophy. A satisfactory outcome was achieved after appropriate consideration of the technical and biomechanical issues involved. PMID: 19462375 [PubMed - in process] (Source: Hip International)
Source: Hip International - March 31, 2009 Category: Orthopaedics Authors: Camera A, Grappiolo G, Santoro G Tags: Hip Int Source Type: journals

A manoeuvre to facilitate acetabular component retrieval following intra-pelvic migration.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe a closed reduction of the acetabular component using a traction/manipulation technique. This manoeuvre can be used in cases of intra-pelvic acetabular component migration where the surface contour of the acetabular component is uncomplicated and an interposition membrane separates the implant from adjacent intra-pelvic structures. PMID: 19462376 [PubMed - in process] (Source: Hip International)
Source: Hip International - March 31, 2009 Category: Orthopaedics Authors: Ahmad MA, Biant LC, Tayar R, Thomas PR, Field RE Tags: Hip Int Source Type: journals

Developmental dysplasia of the hip: ultrasound screening and treatment. How are they related?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
An assessment of the current clinical and ultrasound screening programmes. Early treatment by splintage is advocated for instability and Graf type III dysplasia of the hip. PMID: 19306241 [PubMed - in process] (Source: Hip International)
Source: Hip International - January 1, 2009 Category: Orthopaedics Authors: Paton RW Tags: Hip Int Source Type: journals

Septic arthritis of the hip - current concepts.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Septic arthritis of the hip is the commonest septic condition during growth, reaching a distinct peak in frequency during infancy. The aetiology is a haematogenous joint infection. Indicative signs are severe pain when moving the joint, septic appearance and a poor general condition of these small and young patients. The diagnosis often can be difficult in infants since septic temperatures are not always present. An ultrasound scan shows the hip joint effusion and the capsular distension. X-ray investigation helps to exclude defective situations. Therapeutic options are: in patients with short history without radiologi...
Source: Hip International - January 1, 2009 Category: Orthopaedics Authors: Rutz E, Brunner R Tags: Hip Int Source Type: journals

Slipped Upper Femoral Epiphysis (SUFE): to do or not to do in sufe.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Slipped upper femoral epiphysis (SUFE) is not an uncommon hip disease in adolescence. Usually, diagnosis of SUFE is delayed, has high risk of sequela and poor long-term results. This paper reviews the literature with a focus on epidemiology, aetiology, diagnosis, treatment and results regarding SUFE. PMID: 19306243 [PubMed - in process] (Source: Hip International)
Source: Hip International - January 1, 2009 Category: Orthopaedics Authors: Pelillo F, De Sanctis N, Benazzo F, Portinaro N Tags: Hip Int Source Type: journals

Proximal focal femoral deficiency (PFFD): management options and controversies.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Proximal focal femoral deficiency (PFFD) is a rare congenital anomaly characterised by failure of normal development of the proximal femur and hip joint. Significant variability in the clinical presentation and degree of deficiency is common. Current management strategies aimed at improving functional ambulation are largely dependent on the degree of femoral shortening and the status of the hip and knee joint. Treatment of acetabular deficiency and proximal femoral deformity in cases of PFFD must be individualised. Reconstruction of the hip joint with pelvic and femoral osteotomies may be possible in mild cases of PFFD...
Source: Hip International - January 1, 2009 Category: Orthopaedics Authors: Westberry DE, Davids JR Tags: Hip Int Source Type: journals

The hip in osteochondrodysplasias: general rules for diagnosis and treatment.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The management of hip pathology in osteochondrodysplasia (skeletal dysplasia) is complex and a multidisciplinary approach is vital. Thorough clinical assessment and knowledge of the natural history of the different disorders provides the basis for this. PMID: 19306245 [PubMed - in process] (Source: Hip International)
Source: Hip International - January 1, 2009 Category: Orthopaedics Authors: Sheridan BD, Gargan MF, Monsell FP Tags: Hip Int Source Type: journals

Tumours and tumour-like lesions of the hip in the paediatric age: a review of the Rizzoli experience.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Bone tumours and tumour-like lesions of the hip in children are rare. Signs and symptoms of these tumours are generally nonspecific. Delay of diagnosis is not uncommon. A high index of suspicion in young patients presenting with persistent pain and without history of trauma, that is unresolved with conservative therapy should prompt further investigation, including radiographs or computed tomography scan of the pelvis. In the experience of the Istituto Rizzoli, in patients less than 14 years (mean 9 years, ranged from 6 months to 14 years), 752 tumours and tumours-like lesions occurred in the pelvis or proximal femur, ...
Source: Hip International - January 1, 2009 Category: Orthopaedics Authors: Ruggieri P, Angelini A, Montalti M, Pala E, Calabrò T, Ussia G, Abati CN, Mercuri M Tags: Hip Int Source Type: journals

Strategies of hip management in neuromuscular disorders: Duchenne Muscular Dystrophy, Spinal Muscular Atrophy, Charcot-Marie-Tooth Disease and Arthrogryposis Multiplex Congenita.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Joint contractures, subluxation and dislocation are common problem in children with neuromuscular disorders. Medical, surgical and rehabilitative approaches can be used to maintain patient function and comfort. Contracture release, hip dysplasia correction and procedures to address or prevent hip subluxation or dislocation, are not always necessary since patients can be asymptomatic and surgical treatment will not always be successful in maintaining a reduced hip. In fact, controversy surrounds the management of hip disorder in children with Duchenne Muscular Dystrophy, Spinal Muscular Atrophy, Charcot-Marie-Tooth Dise...
Source: Hip International - January 1, 2009 Category: Orthopaedics Authors: Canavese F, Sussman MD Tags: Hip Int Source Type: journals

Strategies of hip management in myelomeningocele: to do or not to do.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Paralytic hip dislocation in myelomeningocele is common and can be a complicated problem. This review summarizes results of surgical techniques employed in this patient population in order to achieve and maintain reduction of paralytic hip dislocations. This review also examines the controversial question of whether or not hip surgery in patients with myelomeningocele provides improved functional results. Finally this paper suggest appropriate goals and recommendations for treatment of the paralytic hip dislocation in myelomeningocele. PMID: 19306248 [PubMed - in process] (Source: Hip International)
Source: Hip International - January 1, 2009 Category: Orthopaedics Authors: Swaroop VT, Dias LS Tags: Hip Int Source Type: journals

"Postural Management" to prevent hip dislocation in children with cerebral palsy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Muscolo-skeletal disorders and hip deformity play a key role on future development of motor and adaptive functions in children with cerebral palsy (CP). Lateral migration of the femoral head increases on average 7.7% per year and may progress in association with acetabular dysplasia to hip dislocation. Conservative preservation of muscle length and balance may prevent or reduce femoral head migration and acetabular dysplasia. Equipment for position lying, sitting, and standing is an established method of maintaining muscle length and joint range. French approach (Le Métayer et al) include the use of customised pla...
Source: Hip International - January 1, 2009 Category: Orthopaedics Authors: Picciolini O, Albisetti W, Cozzaglio M, Spreafico F, Mosca F, Gasparroni V Tags: Hip Int Source Type: journals

Relationship between kinematic knee deviations and femoral anteversion in children with cerebral palsy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The aim of the study was to determine the possible correlation between the degree of femoral anteversion and the quantitative data obtained by 3D Gait Analysis (GA) and then to investigate the relationship between femoral anteversion and the reduced knee flexion during swing phase in children with Cerebral Palsy. Twenty-seven diplegic children with severe rectus femoris spasticity and 20 healthy children (CG) were considered. Clinical evaluation of femoral anteversion, Duncan Ely test and Gait Analysis were performed in all patients. From Gait Analysis data some indices were identified and calculated and statistical an...
Source: Hip International - January 1, 2009 Category: Orthopaedics Authors: Piccinini L, Cimolin V, Turconi AC, Galli M Tags: Hip Int Source Type: journals

D.D.S.H.: developmental dysplasia of the spastic hip: strategies of management in cerebral palsy. A new suggestive algorithm.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Hip problems in cerebral palsy are relatively frequent (25-75%). Subluxation and dislocation of the hip is proportional to the neuromuscular involvement and is often due to alteration caused by spastic muscle forces acting on the femoral head in the acetabular cavity. The EMMA approach (Early Multilevel Minimally-invasive Approach) has been designed to restore muscle balance, decrease hip migration and prevent bone deformities thereby avoiding future pain with minimal biological cost to the patient. EMMA is suitable for most patients, especially those with increased tone, poor muscle control and selectivity, Reimer Ind...
Source: Hip International - January 1, 2009 Category: Orthopaedics Authors: Portinaro N, Panou A, Gagliano N, Pelillo F Tags: Hip Int Source Type: journals

Acute Q-fever and history taking--a lesson learned.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 50-year-old patient underwent a routine primary total hip replacement. Soon after surgery, he developed acute respiratory failure from post-operative sepsis. His condition deteriorated rapidly despite supportive management and he required admission into intensive care unit for assisted ventilation. It took almost one week before the underlying cause of the deterioration was determined to be unrelated to complications of surgery. A diagnosis of Q-fever was made following detailed attention to the clinical history. Appropriate treatment was started and the patient made a full recovery. The diagnosis was confirmed later...
Source: Hip International - October 1, 2008 Category: Orthopaedics Authors: Chee Y, Clayton RA, Watson D, Porter DE Tags: Hip Int Source Type: journals

Role of hip arthrodesis in current practice: long term results following conversion to total hip arthroplasty.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Arthrodesis remains a sensible and safe treatment option maintaining independent mobility without multiple operations or significant bone loss for 20-30 years which subsequently can be successfully converted to an arthroplasty. PMID: 19097003 [PubMed - in process] (Source: Hip International)
Source: Hip International - October 1, 2008 Category: Orthopaedics Authors: Sirikonda SP, Beardmore SP, Hodgkinson JP Tags: Hip Int Source Type: journals

The polished tri-tapered stem for cement-in-cement revision hip arthroplasty, a reliable and reproducible technique?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The object of this study was to determine the short to medium term outcome of cementing a highly polished tapered implant into the old cement mantle once damaged cement is removed at the time of revision hip surgery. A consecutive series of 36 patients underwent c-stem cement-in-cement revision hip arthroplasty between June 2000 and April 2006. The primary outcome measure was the validated shortened Western Ontario and McMaster Universities (WOMAC) score, secondary outcomes were the Orthowave company patient satisfaction survey, radiological analysis, and general complications. The follow-up period was between 12 and 8...
Source: Hip International - October 1, 2008 Category: Orthopaedics Authors: Young J, Vallamshetla VR, Lawrence T Tags: Hip Int Source Type: journals

Femoral revision with impaction allografting and an uncemented femoral component.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A technique for uncemented revision of the femoral component which combines impaction allografting and the use of a long-stemmed proximally coated titanium prostheses (Bimetric(R), Biomet Inc.) is described. The results after a mean follow-up of 112 months are reported. From 1991 to 1995 femoral component revision for aseptic loosening was performed on 100 hips. In 14 cases (14%) an intraoperative fracture occurred and 7 patients (7%) had other postoperative complications. Seventeen patients (17%) required further revision, 10 because of aseptic loosening. Of 50 surviving patients with retained implants 88% had no pain...
Source: Hip International - October 1, 2008 Category: Orthopaedics Authors: Nickelsen TN, Erenbjerg M, Retpen JB, Solgaard S Tags: Hip Int Source Type: journals

Optimizing for head height, head offset, and canal fit in a set of uncemented stemmed femoral components.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
When inserting an uncemented hip stem, the objectives are to obtain a close fit of the stem in the canal and anatomic head placement. Our goals were to formulate a set of stems which would satisfy these two objectives, and to test the resulting templates on sequential radiographs of hip replacement patients. Using 98 cases for which a custom primary hip had been designed, thirteen dimensional parameters for a hip stem were defined, most importantly proximal medial width (PMW), proximal lateral width (PLW), head offset (HOF), head height (HHT), mid-stem diameter (BD), and distal diameter (DD). These parameters were anal...
Source: Hip International - October 1, 2008 Category: Orthopaedics Authors: Khmelnitskaya E, Mohandas P, Walker PS, Muirhead-Allwood SK Tags: Hip Int Source Type: journals