Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Hip 719 articles

Articles

High Survivorship With Cementless Stems and Cortical Strut Allografts for Large Femoral Bone Defects in Revision THA

Young-Hoo Kim MD, Jang-Won Park MD, Jun-Shik Kim MD, Devarshi Rastogi MD

Numerous studies have investigated the clinical and radiographic results of revision THAs with use of cementless stems and cortical strut allografts. However, to our knowledge, no long-term followup studies have evaluated patients undergoing revision THA with use of cortical strut allografts where the allografts provided the primary stability for extensively coated femoral stems in the presence of extensive femoral diaphyseal bone defects.

John Charnley Award: Preoperative Patient-reported Outcome Measures Predict Clinically Meaningful Improvement in Function After THA

Jonathan L. Berliner MD, Dane J. Brodke BA, Vanessa Chan MPH, Nelson F. SooHoo MD, Kevin J. Bozic MD, MBA

Despite the overall effectiveness of total hip arthroplasty (THA), a subset of patients remain dissatisfied with their results because of persistent pain or functional limitations. It is therefore important to develop predictive tools capable of identifying patients at risk for poor outcomes before surgery.

Frequent Femoral Neck Osteolysis With Birmingham Mid-head Resection Resurfacing Arthroplasty in Young Patients

Asaad Asaad MD, MSc, Alister Hart MA, MD, Michael M. Y. Khoo BSc, MBBS, Kevin Ilo BSc, Gavin Schaller BSc, Jonathan D. J. Black MBBS, MSc, Sarah Muirhead-Allwood BSc, MBBS

Mid-head resection total hip resurfacing arthroplasty was promoted as an alternative to traditional total hip resurfacing for patients with poor femoral head bone quality or abnormal femoral head morphology, because those patients are at high risk of failure with traditional total hip resurfacing. It is a large-headed metal-on-metal device that uses a short, bone-conserving stem. Good performance of the implant has been reported at short-term followup, but no information on the implant performance in the mid- or long-term is available.

Does Arthroplasty Provide Better Outcomes Than Internal Fixation At Mid- and Long-term Followup? A Meta-analysis

Jin Jiang MD, PhD, Chen-hui Yang MD, Qiao Lin MD, Xiang-dong Yun MD, PhD, Ya-yi Xia MD, PhD

Arthroplasty has been shown to be superior regarding low risk of reoperation and better function score to internal fixation for treatment of displaced femoral neck fractures at short-term followup. However, there are unanswered questions regarding the efficacy of arthroplasty in the longer term compared with internal fixation.

Complications of Total Hip Arthroplasty: Standardized List, Definitions, and Stratification Developed by The Hip Society

William L. Healy MD, Richard Iorio MD, Andrew J. Clair MD, Vincent D. Pellegrini MD, Craig J. Della Valle MD, Keith R. Berend MD

Reporting of complications after total hip arthroplasty (THA) is not standardized, and it is done inconsistently across various studies on the topic. Advantages of standardizing complications include improved patient safety and outcomes and better reporting in comparative studies.

Intraoperative Synovial C-reactive Protein Is as Useful as Frozen Section to Detect Periprosthetic Hip Infection

Martin A. Buttaro MD, Gabriel Martorell MD, Mauricio Quinteros MD, Fernando Comba MD, Gerardo Zanotti MD, Francisco Piccaluga MD

Synovial quantification of C-reactive protein (SCRP) has been recently published with high sensitivity and specificity in the diagnosis of periprosthetic joint infection. However, to our knowledge, no studies have compared the use of this test with intraoperative frozen section, which is considered by many to be the best intraoperative test now available.

Does Tranexamic Acid Reduce Blood Loss and Transfusion Requirements Associated With the Periacetabular Osteotomy?

Scott A. Wingerter MD, Angela D. Keith MS, Perry L. Schoenecker MD, Geneva R. Baca BA, John C. Clohisy MD

Tranexamic acid (TXA) has shown safety and efficacy in reducing blood loss associated with various surgical procedures. However, to our knowledge there are no studies evaluating the effect of TXA on blood loss and transfusion requirements associated with periacetabular osteotomy (PAO).

Acetate Templating on Digital Images Is More Accurate Than Computer-based Templating for Total Hip Arthroplasty

Robert Petretta BASc, MD, Jason Strelzow BSc, MD, Nicholas E. Ohly MSc, FRCSEd, Peter Misur MD, Bassam A. Masri MD

Templating is an important aspect of preoperative planning for total hip arthroplasty and can help determine the size and positioning of the prosthesis. Historically, templating has been performed using acetate templates over printed radiographs. As a result of the increasing use of digital imaging, surgeons now either obtain additional printed radiographs solely for templating purposes or use specialized digital templating software, both of which carry additional cost.

Wear and Osteolysis of Highly Crosslinked Polyethylene at 10 to 14 Years: The Effect of Femoral Head Size

Paul F. Lachiewicz MD, Elizabeth S. Soileau BSN, John M. Martell MD

Highly crosslinked polyethylene (XLPE) was introduced to decrease periprosthetic osteolysis related to polyethylene wear, a major reason for revision of total hip arthroplasty. However, there are few reports of wear and osteolysis at 10 years postoperatively.

Satisfying Outcomes Scores and Survivorship Achieved With Impaction Grafting for Revision THA in Young Patients

Martijn A. J. Stroet MD, Wim H. C. Rijnen MD, PhD, Jean W. M. Gardeniers MD, PhD, Albert Kampen MD, PhD, B. Willem Schreurs MD, PhD

The increasing number of total hip arthroplasties (THAs) performed in younger patients will inevitably generate larger numbers of revision procedures for this specific group of patients. Unfortunately, no satisfying revision method with acceptable survivorship 10 years after revision has been described for these patients so far.