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Results 201 - 250 of 2067
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Hsu Shan-Ling - - 2010
Cocktail therapy consists of extracorporeal shock wave treatment (ESWT), hyperbaric oxygen therapy (HBO) and alendronate. We hypothesized that this combined therapy may produce better results than ESWT alone when treating hip necrosis. This prospective, randomized study evaluated the effectiveness of cocktail therapy in early hip necrosis, and then compared it ...
Thomson Jeffrey D - - 2010
The management of orthopedic problems in spina bifida has seen a dramatic change over the past 10 years. The negative effects of spasticity, poor balance, and the tethered cord syndrome on ambulatory function are better appreciated. There is less emphasis on the hip radiograph and more emphasis on the function ...
Bihl Florian - - 2010
BACKGROUND: Hepatitis B immune globulins (HBIG) in combination with nucleos(t)ide analogues (NA) are effectively used for the prevention of hepatitis B virus (HBV) recurrence after liver transplantation (LT). However, associated treatment costs for HBIG are exceedingly high. METHODS: Fresh frozen plasma obtained from blood donors with high anti-HBs levels (hyperimmune ...
Visuri Tuomo - - 2010
All patients with total hip arthroplasty (THA), especially those with metal-on-metal (MM) THA, are exposed to metallic particles and ions, which may cause total or site-specific mortality. We analyzed the causes of total and site-specific mortality among a cohort of patients with MM and with metal-on-polyethylene (MP) THA after a ...
Cimolin Veronica - - 2010
Prader-Willi (PWS) and Down Syndrome (DS) are two genetic disorders characterised by some common clinical and functional features. A quantitative description and comparison of their patterns would contribute to a deeper understanding of the determinants of motor disability in these two syndromes. The aim of this study was to measure ...
Achten Juul - - 2010
Hip replacement (arthroplasty) surgery is a highly successful treatment for patients with severe symptomatic arthritis of the hip joint. For older patients, several designs of Total Hip Arthroplasty have shown excellent results in terms of both function and value for money. However, in younger more active patients, there is approximately ...
Nilsdotter Anna-K - - 2010
To investigate prospectively the patient-relevant outcome 7 years after total hip replacement (THR) for osteoarthritis (OA). 219 consecutive patients (120 women) with primary OA, mean age 71 (range 50-92) were assigned for THR. They were examined preoperatively, at 3, 6, 12 months, and at 4, 5 and 7 years postoperatively ...
Aghayev Emin - - 2010
Total joint replacements represent a considerable part of day-to-day orthopaedic routine and a substantial proportion of patients undergoing unilateral total hip arthroplasty require a contralateral treatment after the first operation. This report compares complications and functional outcome of simultaneous versus early and delayed two-stage bilateral THA over a five-year follow-up ...
van den Akker-Scheek Inge - - 2010
Preoperative expectations of outcome of total hip and knee arthroplasty are important determinants of patients' satisfaction and functional outcome. Aims of the study were (1) to translate the Hospital for Special Surgery Hip Replacement Expectations Survey and Knee Replacement Expectations Survey into Dutch and (2) to study test-retest reliability and ...
Herickhoff Paul K - - 2010
Survey studies have concluded that a lack of consensus exists between orthopaedic surgeons on indications for total hip and knee arthroplasty. Geographic variation in the rates of these operations has raised concerns that some surgeons inappropriately indicate healthier patients for surgery than others. The objective of this study was to ...
Ornetti P - - 2010
OBJECTIVE: To translate and adapt the Hip disability and Osteoarthritis Outcome Score (HOOS) into French and to evaluate the psychometric properties of this new version, by testing feasibility, internal consistency, construct validity, reliability and responsiveness, in patients with hip osteoarthritis (OA). METHODS: The French version of the HOOS was developed ...
Rosendahl Karen - - 2010
OBJECTIVE: We conducted a blinded, randomized, controlled trial to examine whether mildly dysplastic but stable or instable hips would benefit from early treatment, as compared with watchful waiting. PATIENTS AND METHODS: A total of 128 newborns with mild hip dysplasia (sonographic inclination angle [alpha angle] of 43 degrees -49 degrees ...
Nadeau Sylvie - - 2010
BACKGROUND: Spontaneous activity originating from the spinal cord has been sporadically reported in humans. OBJECTIVES: Investigation of such rhythmic activity of the trunk and legs in a 49-year-old male patient who had a complete severance of the spinal cord at the fifth thoracic vertebra. METHODS: A multichannel electromyography (EMG) study ...
Philippon Marc J - - 2010
Hip injuries are common among professional hockey players in the National Hockey League (NHL). Professional hockey players will return to a high level of function and ice hockey after arthroscopic labral repair and treatment of femoroacetabular impingement. Case series; Level of evidence, 4. Twenty-eight professional hockey players (NHL) were unable ...
Bubbar V - - 2009
Total hip replacement in patients with Gaucher's disease with symptomatic osteonecrosis of the femoral head is controversial because of the high early failure rates. We describe four patients who had an uncemented total hip replacement following enzyme replacement therapy for a median of two years and one month (1 to ...
Marsh Jackie - - 2009
BACKGROUND: In clinical trials, use of patient recall data would be beneficial when the collection of baseline data is impossible, such as in trauma situations. We investigated the ability of older patients to accurately recall their preoperative quality of life, function, and general health status at six weeks following total ...
Ververeli Prodromos A - - 2009
Currently, many rehabilitation protocols for total hip replacements (THRs) include activity restrictions to prevent postoperative dislocation. There is increasing demand for more efficient and safe rehabilitation protocols. This randomized prospective study evaluates the need for hip restrictions following a modified anterolateral procedure. From 2004 to 2008, 81 patients seeking elective ...
Lingard E A - - 2009
This study compared the demographic, clinical and patient-reported outcomes after total hip replacement (THR) and Birmingham Hip Resurfacing (BHR) carried out by a single surgeon. Patients completed a questionnaire that included the WOMAC, SF-36 scores and comorbid medical conditions. Data were collected before operation and one year after. The outcome ...
Casaletto John A - - 2009
BACKGROUND: The principal complications that follow the treatment of developmental dysplasia of the hip are redislocation and growth disturbance of the femoral head and neck as a result of osteonecrosis of the femoral epiphysis. Growth disturbance secondary to osteonecrosis is difficult to determine until long after the treatment episode has ...
Hunt Gillian R - - 2009
OBJECTIVE: To compare outcomes from hip arthroplasty between a surgical unit with a rapid discharge policy and two comparison units to test the hypothesis that the centre with rapid discharge has outcomes that are not inferior to the comparison sites. DESIGN: Prospective cohort study. SUBJECTS: Consecutive consenting patients receiving primary ...
Chotanaphuti Thanainit - - 2009
BACKGROUND: Although hip fracture surgery treatments have been improved, the mortality rate remains high because of a high risk of complications, such as myocardial infarction and venous thromboembolism. Many studies have identified the benefit of thromboembolism prophylaxis. OBJECTIVE: To determine the 1-year mortality rate of thromboembolism prophylaxis and non-prophylaxis after ...
Kishida Y - - 2009
OBJECTIVE: Preoperative autologous blood donation is a widely used alternative to allogenic transfusion in hip surgery. However, it has been reported that autologous blood donation may induce preoperative anemia. Juzentaihoto (TJ-48) (Tsumura Co., Tokyo, Japan) is a Japanese herbal medicine that has been used to alleviate anemia. We investigated the ...
Lachiewicz Paul F - - 2009
Orthopedists have expressed concerns regarding the utility for and applicability to their practices of guidelines from the American College of Chest Physicians (ACCP) for thromboprophylaxis in the settings of total hip and total knee arthroplasty (THA and TKA, respectively). These concerns include the acceptance by the ACCP of venographically assessed ...
Blondel B - - 2009
Most computer-assisted navigation systems used in total hip arthroplasty (THA) reference the anterior pelvic plane, which connects the anterior superior iliac spines and the pubic symphysis. The pelvic tilt is defined as the angle between this anterior pelvic plane (APP) and a vertical line in the standing position. Important interindividual ...
Di Schino M - - 2009
Hip dislocation is one of the most frequent complications of total hip replacement. The direction of dislocation matters. Most dislocations are posterior; anterior dislocation remains rare and its treatment is controversial. To clinically and radiologically evaluate the outcomes of the conservative (orthopaedic without revision surgery) treatment of anterior hip dislocations ...
Jenkins P J PJ Victoria Hospital, Hayfield Road, Kirkcaldy, KY2 5AH. - - 2009
Socioeconomic inequality through deprivation and access to healthcare is an aetiological factor in many disease processes. It is associated with the development of osteoarthritis, the need for joint arthroplasty and poorer access to secondary healthcare. Few studies have investigated the influence of deprivation on the function of patients undergoing total ...
Matsushita Isao - - 2011
Range of motion (ROM) of the hip joint after total hip arthroplasty (THA) could be increased by using a larger prosthetic femoral head, but it is not known whether the activities of daily living (ADL) are influenced by THA with different head sizes. Our objective was to compare postoperative ADL ...
Lee Dam Seon - - 2009
To evaluate the usefulness of the modified lateral pillar classification as a prognostic factor in Legg-Calvé-Perthes disease (LCPD). Thirty nine patients diagnosed with lateral pillar C in LCPD from May, 1977, to October, 2001 were reviewed, and their skeletal maturity was followed. The mean follow up duration was 12 years ...
Raphael Bradley S - - 2010
Patients with cerebral palsy (CP) are at risk for hip arthrosis secondary to the loss of joint congruity. We asked whether THA relieved pain, improved function, and provided durable improvements. We retrospectively identified 56 patients (59 hips) with CP who had THAs for painful hips. Chart review determined the preoperative, ...
Imrie Meghan - - 2010
To review our incidence of developmental dysplasia of the hip (DDH) in breech infants referred for ultrasound screening and to determine if subsequent follow-up radiographs are necessary in these patients with normal clinical and ultrasound examinations. A review of the clinical data and imaging studies of all children with the ...
Ghanem Ismat - - 2010
To evaluate the efficacy and safety of lateral shelf acetabuloplasty in Legg-Calvé-Perthes (LCP) hips classically associated with poor prognosis. A retrospective study was conducted on 30 consecutive pediatric patients (average age 8.6 years) presenting with a severe and progressive form of LCP disease, with (16 hips) or without (14 hips) femoral ...
Manzotti Alfonso - - 2011
Leg length discrepancy following total hip replacement (THR) can contribute to poor hip function. Abnormal gait, pain, neurological disturbance and patient dissatisfaction have all been described as a result of leg length inequality after THR. The purpose of this study was to determine whether the use of computer navigation in ...
Nakamura Nobuo - - 2010
The benefits of robotic techniques for implanting femoral components during THA are still controversial. The purpose of this study was to prospectively compare the results and complications of robotic-assisted and hand-rasping stem implantation techniques. The minimum followup was 5 years (mean, 67 months; range, 60-85 months). One hundred forty-six primary ...
Roy L - - 2010
In recent years, the concept of minimally invasive surgery has invaded the orthopaedic field and literature on the subject is spawning. Mini-incision surgery for total hip arthroplasty has been studied without a clear consensus on the efficacy, safety and advantage of that technique. To our knowledge, the efficacy and safety ...
Rutz Erich - - 2009
BACKGROUND: Back pain and knee pain are typical secondary degeneration symptoms after hip ankylosis. Take down of hip ankylosis and implantation of a total hip arthroplasty (THA) is believed to be a promising treatment option. METHODS: A total of 22 hip ankylosis patients [15 men, mean age 53.7 years (range ...
Biring G S - - 2009
We report the outcome at ten to 15 years of two-stage revision for hip infection in 99 patients using the Prostalac articulated hip spacer system. All the patients were contacted to determine their current functional and infection status using the Oxford-12, Short form-12, and Western Ontario and McMaster University Osteoarthritis ...
Bialik Gad M - - 2009
We retrospectively assessed babies treated according to Pavlik's method and followed up in our outpatient clinic between the years 2001 and 2005, investigating the influence of age at onset of treatment and severity of sonographic pathologies on the rates of avascular necrosis and treatment duration of 343 pathological hips in ...
Aly Tarek A - - 2009
It is hypothesized that the interruption of the blood supply is an important factor causing femoral head osteonecrosis in the early stages of Legg-Calv?-Perthes disease. Currently, treatment by containment is recommended to direct and guide remodeling of the softened femoral head as it evolves from fragmentation through ossification. The goal ...
Maeyama A - - 2009
We compared the dynamic instability of 25 dysplastic hips in 25 patients using triaxial accelerometry before and one year after periacetabular osteotomy. We also evaluated the hips clinically using the Harris hip score and assessed acetabular orientation by radiography before surgery and after one year. The mean overall magnitude of ...
Rancour Jessica - - 2009
Stretching is performed in rehabilitation and sports conditioning programs. It is not known how often during a week stretching needs to be performed to maintain flexibility. Therefore, the purpose of this study was to determine the influence of intermittent stretching (i.e., 2-3 days/week) on hip range of motion (ROM) following ...
Parker Martyn J - - 2010
In a prospective randomised trial, 455 patients presenting to one hospital with a displaced intracapsular fracture were randomised to either closed reduction and internal fixation with three cancellous screws or replacement with an uncemented hemiarthroplasty. Follow-up of surviving patients was for between 9 and 15 years to determine the long-term ...
Chang Jen-Huei - - 2011
Containment and preservation of hip range of motion have been the principles governing the treatment of Legg-Calvé-Perthes disease. The Staheli's slotted acetabular augmentation (SAA) procedure is an alternative approach for older children with Perthes disease with lateral subluxation, incongruent hip, and abduction hinge. It provides effective coverage, restricts lateral displacement ...
Yang C - - 2010
BACKGROUND: The rehabilitation of patients for total hip arthroplasty is unsatisfactory, especially the prolonged rehabilitation. AIMS: To explore indications and key points of anterolateral minimally-invasive total hip arthroplasty. METHODS: 110 patients admitted for unilateral total hip arthroplasty were randomly selected for surgery with either anterolateral minimally-invasive incision or standard posterolateral ...
Hall David - - 2009
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 ...
Kudrnov? Zuzana - - 2009
Twenty-three patients with fondaparinux prophylaxis over 75 years of age who underwent hip fracture surgery were enrolled in the study. Fondaparinux sodium (2.5 mg) was administered subcutaneously 6 h postoperatively and then every 24 h for 28 days. Coagulation and inflammatory parameters were measured preoperatively, then 10 h, 2, 7, ...
Yang Shuhua - - 2010
Seventy-six patients with femoral head necrosis were allocated to a program of either core decompression (control group) or core decompression and implantation of a biomaterial-loaded allograft threaded cage (treatment group). All patients were followed up prospectively clinically and radiographically. In the control group, no significant improvement in Harris hip score ...
Patel Rahul V - - 2010
Intraoperative cerebral microembolization occurs in a substantial proportion of patients undergoing THA. Historically, postoperative cognitive dysfunction has been attributed to different factors, including anesthesia, but the influence of the surgery has not been thoroughly examined. We conducted a prospective, controlled clinical trial to assess intraoperative cerebral microembolization during THA and ...
Akkaya T - - 2010
In this study, we present the 3-month follow-up results of a retrospective analysis of obturator nerve (ON) phenol neurolysis performed between 2000 and 2007 in patients with adductor spasticity. The study was performed by retrospective investigation of the clinical follow-up results of 80 ON phenol treatments in 62 patients. Neurolysis ...
Murray Eoghan - - 2009
OBJECTIVE: To investigate whether amateur golfers with self-reported low back pain have reduced hip rotation compared to asymptomatic controls. DESIGN: Observational case-control study. SETTING: Data collection took place at 2 amateur golf clubs in southern England. PARTICIPANTS: On initial contact, all participants completed a screening questionnaire used to allocate participants ...
Mukisi-Mukaza M - - 2009
The young age of patients, total arthroplasties complications risks, and implant costs justify evaluation of the results of core decompression in the treatment of sickle-cell disease avascular necrosis of the femoral head (ONFH). In sickle-cell disease necrosis, core decompression offers good relief from pain and delays the use of total ...
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