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Since it was first described by Offierski and MacNab in 1983, the OBJECTIVE hip-spine syndrome has been well researched. Today, strong evidence links hip and spine pathology symptoms to postsurgical outcomes. Hip dislocation in patients who had undergone total hip arthroplasty with lumbar fusion surgery has increased in recent studies. This research was done to determine the incidence of future THA in patients with preexisting hip osteoarthritis. THA survival curves were generated by comparing the no lumbar fusion cohort with the lumbar fusion cohort. The lumbar fusion cohort was then stratified to determine the effect of fusion construct length, according to the number of levels treated. THA levels remained stable throughout time between the no lumbar fusion cohort and the lumbar fusion cohort, according to a log-rank study, there was no significant change in the rates of THA over time between the no lumbar fusion cohort and the lumbar fusion cohort. No differences in the incidence rates of THA throughout the study period were determined when patients were stratified according to the number of factors treated. Although lumbar fusion was expected to have a significant effect on THA levels, the need for future THA in patients with pre-existing hip osteoarthritis was not present. Although lumbar fusion increases the chance of hip dislocation in patients with prior THA, these findings indicate that lumbar fusion does not necessarily induce native hip degeneration.
Source link: https://doi.org/10.3171/2020.12.spine201735
Background: As the prevalence of total hip replacement in younger patients continues to rise, less invasive implants are becoming more popular. Primary stem stability is a significant factor in final stem stability and is directly related to the prosthesis's clinical findings. According to our recently published short-stem classification, we conducted a systematic review of the literature to find evidence concerning primary implant stability in short stems u2013 as described by implant micromotion and stem subsidence u2013. Results: Mechanical in vitro studies on stem micromotion are very few and limited to type 2 u201d short stems, according to the paper. The clinical findings regarding stem migration patterns are also limited to some of the commercially available short stems. Conclusion: The initial microbiology of short stems, as well as medical findings of stem migration patterns, are promising results regarding biomechanical research and stem migration patterns.
Source link: https://doi.org/10.1177/1120700018811811
Adverse Reaction to Metal Debris is one of the most common problems following Total Hip Replacement and often a cause of surgical revision. ArmD is not caused by tribo-corrosion between bearing surfaces, but rather, by constant strain at the junction between neck and stem of dissimilar metals in these non-MoM implants. In this case report, a case of a serious ARMD related to a 73-year-old female patient with CoC bearing THR at the right hip is presented. After more than two years of sequel-up, complete recovery of hip Range of Motion, and normalization of chromium and cobalt levels in blood and urine were achieved, many patients were also hospitalized. Given the brief follow-up period, this may be considered a fruitful therapy of a significant and misdiagnosed ARMD in a non-MoM hip replacement.
Source link: https://doi.org/10.3390/jfb13030145
During the trial, which included 6,703 Australian participants aged u2265 years old, 698 participants received hip replacement and 677 age- and sex-matched controls without knee or hip replacement. Participants receiving hip replacement had significantly lower pre- and post-replacement PCS scores when compared to controls. Following hip replacement, 46. 7 percent of participants saw clinically significant improvement in PCS score, while 15. 5% had worsened PCS results. The degree of preoperative physical impairment was a determinant of senior citizens who were likely to benefit from hip replacement surgery.
Source link: https://doi.org/10.3390/jcm11175117
Abstract The complete hip arthroplasty procedure in the context of fracture is associated with increased case complexity, worse results, and higher costs in comparison to THA treatment for osteoarthritis. This research was designed to determine the wrVU per minute rates and reimbursement in dollars per minute for THA fractured patients compared to THA treated for osteoarthritis. All patients with primary THA for osteoarthritis or fractures were identified by the National Surgical Quality Improvement Program's database from 2006 to 2018, allowing researchers to identify all patients who received primary THA for osteoarthritis or fractures. THA for osteoarthritis was also worth more than $ 9. 22/min for fracture versus $8. 83/min for fracture. According to this report, wRVU rates and reimbursement in dollars per minute for THA exercises in the case of fracture were lower than those for osteoarthritis in osteoarthritis.
Source link: https://doi.org/10.1055/s-0042-1756276
Abstract The complete hip replacement is one of the most common surgical procedures. It is marketed as the most cost-effective treatment of hip joint osteoarthritis at end-stage. The aim of this essay is to specify which prosthetic placement constituents can be easily measured on postoperative radiographs and advise how to interpret reported findings. On surgical radiographs, various mechanical parameters, such as center of rotation, femoral offset, acetabular offset, acetabular inclination, acetabular inclination, acetabular inclination, acetabular inclination, and leg length discrepancy, can be measured.
Source link: https://doi.org/10.1007/s11604-022-01332-8
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