Search Results
Results 451 - 500 of 2066
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Lugade Vipul - - 2008
Hip osteoarthritis leads to chronic pain and deteriorated joint function, which affect weightbearing and balance during gait. THA effectively restores hip function but it is not known whether THA restores balance during gait. We hypothesized patients would have greater frontal plane and smaller sagittal plane center of mass-center of pressure ...
Okano Kunihiko - - 2009
Long-term results of periacetabular osteotomy for advanced-stage osteoarthritis secondary to developmental dysplasia of the hip are reportedly unsatisfactory compared with results for early-stage osteoarthritis. Other preoperative information that can be used to determine indications for periacetabular osteotomy is therefore important to avoid performing osteotomy in young patients with advanced-stage osteoarthritis ...
Castañeda Pablo - - 2008
We sought to determine if a varus-producing osteotomy of the proximal femur was related to a better outcome than non-operative treatment for LCP disease. This was a retrospective review of 121 patients; clinical outcome was determined with the Iowa Hip Score, and radiographic outcome was determined with the Stulberg classification. ...
Heilpern G N A - - 2008
We report the outcome at a minimum of five years of 110 consecutive metal-on-metal Birmingham Hip Resurfacing arthroplasties in 98 patients. The procedures were performed between October 1999 and June 2002 by one surgeon. All patients were followed up clinically and radiologically. The mean follow-up was 71 months (60 to ...
Clohisy John C - - 2008
BACKGROUND: Periodic clinical and radiographic evaluation is commonly recommended by orthopaedic surgeons to monitor patients following total joint arthroplasty, yet the compliance with and efficacy of patient follow-up protocols have not been well defined. The purpose of this study was to evaluate patient compliance with early clinical follow-up after total ...
Meneghini R Michael - - 2008
Purported advantages of total hip arthroplasty performed with minimally invasive surgical (MIS) approaches are less muscle damage and faster recovery. There are little data scientifically evaluating these claims. Twenty-four consecutive hips were randomized to total hip arthroplasty through 1 of 3 MIS approaches (2-incision, mini-posterior, and mini-anterolateral). Each patient underwent ...
Ogino Daisuke - - 2008
BACKGROUND: The number of people eighty years of age and older in developed countries is increasing, with a concomitant increased demand for total hip replacement. We analyzed the outcomes of total hip arthroplasty for patients in this age group using data from the Finnish National Arthroplasty Registry. METHODS: Data from ...
Freeman Robert T - - 2008
BACKGROUND: The management of patients with Perthes disease remains controversial. In children with hinge abduction and the potential for remodeling, we have performed a shelf acetabuloplasty, in an effort to contain the hip and allow remodeling. We report our medium-term results in a consecutive series of 27 children with severe ...
Misaki Tomonori - - 2008
BACKGROUND: Venous thromboembolism (VTE) is a critical complication after hip replacement surgery, so both early diagnosis and prophylaxis are important. The purpose of this study was to clarify the rapid changes of the fibrin monomer complex (FMC) and soluble fibrin (SF) during the perioperative period of hip replacement surgery. METHODS: ...
Bhan Surya - - 2008
We retrospectively reviewed 54 patients (92 hips) who underwent cementless total hip arthroplasty for bony ankylosis in ankylosing spondylitis between September 1988 and 2002. The mean age of the patients was 25.5 years. The mean duration of follow-up was 8.5 years. The average preoperative Harris Hip Score of 49.5 improved ...
Nakamura Junichi - - 2008
Hinge abduction is widely accepted as a poor prognostic factor in Legg-Calvé-Perthes disease (LCPD), whereas the exact definition of hinge abduction remains ill defined. The purpose of this diagnostic study was to refine the definition of hinge abduction in LCPD using conventional hip arthrography under general anesthesia. Among 350 hips ...
Naal Florian D - - 2009
Patients with osteoarthritis secondary to developmental dysplasia of the hip (DDH) typically are young and active, which might affect functional ratings or failure rates after resurfacing arthroplasty. We therefore evaluated 24 patients (32 hips; mean age, 44.2 years) after hip resurfacing performed for osteoarthritis secondary to DDH. We used the ...
Sambandam Senthil Nathan - - 2009
There is no clear evidence regarding the outcome of Bernese periacetabular osteotomy (PAO) in different patient populations. We performed systematic meta-regression analysis of 23 eligible studies. There were 1,113 patients of which 61 patients had total hip arthroplasty (THA) (endpoint) as a result of failed Bernese PAO. Univariate analysis revealed ...
Maxwell M J - - 2008
BACKGROUND: Hip fractures are common in the elderly and have a high 30 day postoperative mortality. The ability to recognize patients at high risk of poor outcomes before operation would be an important clinical advance. This study has determined key prognostic factors predicting 30 day mortality in a hip fracture ...
Remmel Edgar - - 2009
The purpose of this study was to evaluate the long-term results of 43 patients who underwent two-stage operative treatment of late developmental displacement of the hip (LDH). The average age at the time of open reduction was 20.7 months. An intertrochanteric osteotomy was performed after an average of 6.7 weeks. ...
Brinker Mark R - - 2009
We report the results of Ilizarov gradual distraction to regain 6.7 cm of leg length in a severely contracted hip 11 months after a resection arthroplasty. Restoration of leg length allowed revision hip arthroplasty. At 24 months after the revision arthroplasty, the patient is ambulating independently and pain free. The ...
Xu Wei-Dong - - 2008
BACKGROUND: Recently, the new generation of metal-on-metal total hip resurfacing arthroplasty is well known for preserving the proximal femoral bone stock, minimizing the risk of postoperative dislocation using large femoral heads, and expecting low wear of metal-on-metal articulation for longer prosthesis survival. It also has the advantage in biomechanical loading ...
Nizam Ikram - - 2009
The success of hip resurfacings in the older population is still to be determined, although it has been an attractive option in the much younger patients with arthrosis of the hip. We present a 95-year-old active, independent patient who underwent a Birmingham hip resurfacing at 88 years of age. More ...
Chen Dave Weichih - - 2009
Studies comparing the minimally invasive surgery with 2-incision technique (MIS-2) technique with the conventional transgluteal technique are lacking in the literatures. We compared the clinical outcomes in a series of 166 hips, including 83 MIS-2 total hip arthroplsty (THA) (group I) and another 83 matched-pair series (group II) using conventional ...
Sayed-Noor Arkan S - - 2009
Measurement of leg length discrepancy is an important part in planning a successful total hip arthroplasty (THA). Many clinical and radiological methods with variable degrees of accuracy have been advocated to carry out this measurement. We studied the accuracy of a commonly used clinical method by comparing it to a ...
McGrath Mike S - - 2008
BACKGROUND: Metal-on-metal total hip resurfacing arthroplasty has been associated with excellent early results in patients who are younger than sixty years of age, but it remains controversial whether this procedure is appropriate in older patients. The purpose of the present study was to compare the clinical and radiographic outcomes after ...
Stulberg Bernard N - - 2008
BACKGROUND: Improvements in metal-on-metal bearings have made hybrid hip surface replacement a potential alternative for the young active patient with end-stage hip disease. Possible advantages include greater hip joint stability, bone preservation, and decreased osteolysis. In this study, we compared the clinical and radiographic results of a new resurfacing device ...
Amstutz Harlan C - - 2008
BACKGROUND: The purpose of this study was to determine the influence of improved femoral fixation techniques on the survivorship of metal-on-metal total hip resurfacing prostheses in patients with developmental dysplasia of the hip and to report the long-term results of our patients managed earlier with first-generation fixation techniques. METHODS: One ...
Hamel Mary Beth - - 2008
BACKGROUND: Osteoarthritis (OA) of the hip and knee is a common cause of pain and disability in elderly patients. Joint replacement surgery can alleviate pain and restore function but is associated with risks and discomfort. METHODS: We conducted a prospective cohort study to examine decision making and clinical outcomes for ...
Sayed-Noor Arkan S - - 2009
INTRODUCTION: The development of greater trochanteric pain (GTP) after total hip arthroplasty (THA) represents a special category. Despite that treatment is mainly conservative, some patients show poor response and surgical intervention should be considered. We propose a new method consisting of distal lengthening of ilio-tibial band (ITB) by Z-plasty. MATERIAL ...
Okano Kunihiko - - 2008
Radiographic evaluation of preoperative joint space width is believed important to predict the long-term results of osteotomy. We asked whether joint space width differs in the supine and standing positions in patients with Crowe Type-1 osteoarthritis (OA) secondary to developmental dysplasia of the hip (DDH). Joint space width was measured ...
Rampal V - - 2008
The treatment of developmental dysplasia of the hip diagnosed after the first year of life remains controversial. A series of 36 children (47 hips), aged between one and 4.9 years underwent gradual closed reduction using the Petit-Morel method. A pelvic osteotomy was required in 43 hips (91.5%). The patients whose ...
Smith Michael P - - 2008
BACKGROUND: Recent publications have focused on increased operating room (OR) throughput without increasing total OR time. The authors hypothesized that a system of parallel processing for lower extremity joint arthroplasties sustainably reduces nonoperative time and increases throughput. METHODS: The high-throughput parallel processing strategy included neuraxial anesthesia performed in an "induction ...
Forlin Edilson - - 2008
BACKGROUND: The sequelae of septic arthritis of the hip in children are diverse and represent a complex problem. A classification of the deformities is important to plan treatment and to give prognostic information. The radiographic main classification used provides detailed information of the deformities, but it is complicated and not ...
Al-Ani Amer N - - 2008
BACKGROUND: The outcome for many patients with a hip fracture remains poor. The aim of the present study was to investigate whether the timing of surgery in such patients could influence the short-term clinical outcome. METHODS: We included 850 consecutive patients with a hip fracture who were admitted to the ...
Bozinovski Z - - 2008
Hip reduction in cerebral palsy patients with a soft tissue procedure was analysed during operative procedure. Eleven patients with unilateral dislocation of the hip and a quadriplegic form of cerebral palsy underwent soft tissue operation on the hips. Tenotomy of the adductor and flexor muscles of the hip was performed. ...
Zamzam Mohammed M - - 2008
BACKGROUND: A new method of arthrographic measurement, the acetabular cartilaginous angle (ACA), is described here in an effort to find a simple, reliable, and reproducible measurement that can predict future acetabular development after successful closed reduction of developmental dysplasia of the hip (DDH). METHODS: A prospective study was conducted for ...
Ansari A - - 2008
A retrospective study was carried out to evaluate the role of varus proximal femoral osteotomy in relieving symptoms and improving function in adults affected by hip dysplasia. A group of 24 patients were identified that underwent 26 varus proximal femoral osteotomies between the period May 1979 and January 2001. All ...
Huang Shier-Chieg - - 2008
BACKGROUND/PURPOSE: Treatment of adult neglected developmental dysplasia of the hip (DDH) with high dislocation is still not established. The main concern of young patients is leg-length discrepancy (LLD), which leads to limping gait and impaired body image. Such patients usually ask for a minimally invasive treatment that can improve the ...
Lilikakis Anastasios K - - 2008
We wished to assess if an intensive rehabilitation regimen alone, or one combined with modified anaesthetic and surgical techniques, can change the speed of rehabilitation or the length of hospital stay after total hip replacement. We compared 44 patients who had followed a traditional care pathway, with 38 patients who ...
Nakata Katsuya - - 2009
We classified 182 consecutive patients (195 hips) treated by primary cementless minimally invasive total hip arthroplasty (MIS-THA) into 2 groups via the surgical approaches: direct anterior approach (DAA, 99 hips) and a mini-posterior approach (MPA, 96 hips). Ninety-nine percent of the cups in the DAA group and 91% in the ...
Novicoff Wendy M - - 2008
The purpose of this study was to assess the prevalence and seriousness of adverse outcomes owing to mandatory venous thromboembolism (VTE) prophylaxis. A retrospective study of administrative claims data was conducted to look at the rate of VTEs and other complications in patients undergoing hip and knee arthroplasty. Additional analysis ...
Sandell Jörgen - - 2008
This study investigates the effect of chiropractic treatment on hip joint extension ability and running velocity. This was a prospective, randomized, controlled experimental pilot study. Seventeen healthy male junior athletes (age, 17-20 years) training in middle distance running were recruited from local Swedish athletic associations. Hip extension ability and running ...
Baek Seung-Hoon - - 2008
BACKGROUND: There are conflicting reports with respect to the outcomes of total hip arthroplasties with ceramic bearings in young patients with osteonecrosis of the femoral head. We prospectively investigated the outcomes after cementless total hip arthroplasties with contemporary alumina bearings in patients with osteonecrosis of the femoral head in this ...
McBryde C W - - 2008
Metal-on-metal hip resurfacing was performed for developmental dysplasia in 96 hips in 85 patients, 78 in women and 18 in men, with a mean age at the time of surgery of 43 years (14 to 65). These cases were matched for age, gender, operating surgeon and date of operation with ...
Vicente Jose Ricardo Negreiros - - 2008
Our primary aim was to evaluate whether there is really less bleeding in patients for whom the minimally invasive posterior approach is used in comparison with the direct lateral approach for primary total hip arthroplasty. Our secondary aim was to evaluate the clinical functional results after six months as well ...
May Ole - - 2008
The aim of the study was to examine whether moving during a 2-hour observation period in bed after coronary angiography was associated with a higher incidence of bleeding complications compared to a standard regimen, where the patients were told not to move. In both regimens a 4.5 kg sandbag 25 ...
Salihu, M N; ;
As the age of the population increases, total hip arthroplasty as a treatment option for osteoarthritis will assume greater significance. The aim of this study is to document the problems encountered with total hip arthroplasty in treating patients with osfeoarthrifis ofthe hip at the National Orthropaedic Hospital, Dala Kanso thestudy ...
Solarino Giuseppe - - 2008
The Authors describe the case of a 14-year-old girl who developed a multifocal osteonecrosis (ON), after treatment with chemotherapy and corticosteroids for acute lymphoblastic leukemia (ALL). She came to our attention about 6 months after the beginning of treatment complaining of pain in her left knee and later in both ...
Hunter Kathleen F - - 2008
PURPOSE: We undertook a feasibility study to explore the prevalence of preoperative and postoperative lower urinary tract symptoms (LUTS) in older adults undergoing elective hip arthroplasty and to determine whether a larger prospective study was warranted. METHOD: Subjects awaiting elective hip arthroplasty were recruited preoperatively from an orthopedic office and ...
Pagnano Mark W - - 2008
BACKGROUND: It has been claimed that the two-incision total hip arthroplasty technique provides quicker recovery than other methods do. To date, however, there have been no studies that have directly compared the two-incision technique with another method in similar groups of patients managed with the same advanced anesthetic and rehabilitation ...
Steppacher Simon D - - 2008
The goal of the Bernese periacetabular osteotomy is to correct the deficient acetabular coverage in hips with developmental dysplasia to prevent secondary osteoarthrosis. We determined the 20-year survivorship of symptomatic patients treated with this procedure, determined the clinical and radiographic outcomes of the surviving hips, and identified factors predicting poor ...
Madhusudhan T R - - 2008
Upper gastrointestinal (GI) bleeding in patients who undergo hip and knee arthroplasty tends to be associated with non-steroidal anti-inflammatory drug use, steroid intake, pre-existing peptic ulcers and smoking. The use of aspirin for thromboprophylaxis is an added risk for the occurrence of GI bleed. The aim of this study was ...
Meek R M D - - 2008
Instability after total hip arthroplasty is a troublesome complication. It commonly occurs in the first 3 postoperative months, but the risk continues over time. There are numerous treatment options, but they have relatively unpredictable outcomes. Numerous factors have been associated with dislocation, but research has mainly focused on the surgical ...
Rama Krishna Reddi Boddu Siva - - 2009
With a randomized clinical trial, we compared the incidence and severity of heterotopic ossification in cohorts of patients who have undergone either surface replacement arthroplasty or total hip arthroplasty at a minimum follow-up of 1 year. Surface replacement arthroplasty group had a significantly higher rate of severe heterotopic ossification (Brooker ...
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