Document Detail


Integrity of repaired posterior structures after THA.
MedLine Citation:
PMID:  16741473     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Various studies have questioned the benefit of repairing the posterior structures after total hip arthroplasty because their integrity can appear disrupted at followup. However, these studies did not directly examine the posterior structures. We hypothesized that repaired posterior structures remain intact after total hip arthroplasty, and that their integrity could be evaluated by ultrasonography. We performed evaluations in the hips of 18 patients that had either the short external rotators and capsule repaired, or the capsule, short external rotators, and quadratus femoris repaired. Nine patients in each group were examined using ultrasonography at 6 weeks and 3 months postoperatively. The short external rotators and capsule were intact in 89% of patients in both groups at 6 weeks and 3 months postoperatively. At both time points, the quadratus femoris had continuity in 44% of hips with the standard posterior repair and 78% of hips with the enhanced posterior repair (p = 0.15). Ultrasonography can be used to effectively assess the integrity of the posterior repair after total hip arthroplasty. The posterior structures were intact in the majority of patients 3 months after total hip arthroplasty.
Authors:
Edwin P Su; Craig R Mahoney; Ronald S Adler; Douglas E Padgett; Paul M Pellicci
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  447     ISSN:  0009-921X     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-06-02     Completed Date:  2006-07-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  43-7     Citation Subset:  AIM; IM    
Affiliation:
Hospital for Special Surgery, New York, NY 10021, USA. sue@hss.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip / adverse effects*,  methods
Chi-Square Distribution
Cohort Studies
Female
Follow-Up Studies
Hip Prosthesis
Humans
Joint Capsule / surgery*,  ultrasonography
Joint Instability / prevention & control*
Male
Middle Aged
Osteoarthritis, Hip / surgery,  ultrasonography
Probability
Prospective Studies
Prosthesis Design
Prosthesis Failure*
Range of Motion, Articular / physiology
Reoperation / methods
Risk Assessment
Tendons / surgery*,  ultrasonography
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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