Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Hip 721 articles


The Bernese Periacetabular Osteotomy: Is Transection of the Rectus Femoris Tendon Essential?

Eduardo N. Novais MD, Young-Jo Kim MD, PhD, Patrick M. Carry BA, Michael B. Millis MD

The Bernese periacetabular osteotomy (PAO) traditionally is performed using the iliofemoral or the ilioinguinal approach with transection of the rectus femoris tendon attachments. Although a rectus-preserving approach has been developed, there is limited direct comparison data regarding the surgical safety, radiographic correction, and improvement in hip pain and function between the rectus-preserving and the classic approaches.

What is the Survivorship of Fully Coated Femoral Components in Revision Hip Arthroplasty?

Paul F. Lachiewicz MD, Elizabeth S. Soileau BSN

Femoral revision using fully coated femoral components offers distinct advantages in patients with notable bone loss. With the increasing concerns being raised about the problems of stem modularity, the results and complications of revision arthroplasty using devices with limited modularity are important.

The Surgical Options and Clinical Evidence for Treatment of Wear or Corrosion Occurring With THA or TKA

Charles A. Engh MD, Henry Ho MSc, Douglas E. Padgett MD

Wear and corrosion occurring in patients with hip and knee arthroplasty are common causes of failure leading to revision surgery. A variety of surgical approaches to these problems have been described, with varying efficacy. Polyethylene wear, metal-on-metal (MoM) hip bearing wear, and problems associated with modular taper corrosion are the areas of greatest clinical impact; results of revisions for these problems are likely to dictate a large portion of revision resources for the foreseeable future, and so they call for specific study.

High Early Failure Rate After Cementless Hip Replacement in the Octogenarian

Esa Jämsen MD, PhD, Antti Eskelinen MD, PhD, Mikko Peltola MSc, Keijo Mäkelä MD, PhD

Use of cementless hip replacements is increasing in many countries, but the best method for fixation for octogenarian patients remains unknown.

Do Jumbo Cups Cause Hip Center Elevation in Revision THA? A Radiographic Evaluation

Chima D. Nwankwo BSc, Michael D. Ries MD

Acetabular revision THA with use of a large (jumbo) cup is an effective treatment for many cavitary and segmental peripheral bone defects. However, hip center elevation may occur with use of a jumbo cup owing to reaming superiorly and/or because of the increased diameter of the jumbo cup compared with the native acetabulum.

Screening for Deep Vein Thrombosis After Periacetabular Osteotomy in Adult Patients: Is It Necessary?

Gregory G. Polkowski MD, MSc, Stephen T. Duncan MD, Adam D. Bloemke MD, Perry L. Schoenecker MD, John C. Clohisy MD

The periacetabular osteotomy has become a common procedure for treating symptomatic acetabular dysplasia. Like other major hip procedures, there is concern regarding the risk of associated venous thromboembolic disease. Nevertheless, there is limited information regarding the need for screening, and optimal prophylactic measures have not been established.

What Are the Current Clinical Issues in Wear and Tribocorrosion?

Daniel J. Berry MD, Matthew P. Abdel MD, John J. Callaghan MD

Wear and corrosion in joint arthroplasty are important causes of failure. From the standpoint of current clinical importance, there are four main categories of wear and tribocorrosion: polyethylene wear, ceramic-on-ceramic (CoC) bearing wear, metal-on-metal (MoM) bearing wear, and taper tribocorrosion. Recently, problems with wear in the knee have become less prominent as have many issues with hip polyethylene (PE) bearings resulting from the success of crosslinked PE. However, MoM articulations and taper tribocorrosion have been associated with soft tissue inflammatory responses, and as a result, they have become prominent clinical concerns.

Increased Rates of Periprosthetic Joint Infection in Patients With Cirrhosis Undergoing Total Joint Arthroplasty

Shirley L. Jiang MD, William W. Schairer MD, Kevin J. Bozic MD, MBA

Total joint arthroplasty (TJA) is becoming more prevalent, with additional increases in procedure rates expected as the US population ages. Small series have suggested increased risk of periprosthetic joint infections in patients with liver cirrhosis after TJA. However, the rates of periprosthetic joint infections and use of TJA for patients with cirrhosis have not been evaluated on a larger scale.

Hospital Costs of Total Hip Arthroplasty for Developmental Dysplasia of the Hip

Ali Ashraf MD, A. Noelle Larson MD, Hilal Maradit-Kremers MD, MSc, Walter K. Kremers PhD, David G. Lewallen MD

Developmental dysplasia of the hip (DDH) is a leading cause of total hip arthroplasty (THA) in younger patients. It is unknown how the hospital costs of THA in patients with DDH compare with patients with degenerative arthritis.

What Are the Advantages and Disadvantages of Imaging Modalities to Diagnose Wear-related Corrosion Problems?

Denis Nam MD, Robert L. Barrack MD, Hollis G. Potter MD

Adverse tissue reactions are known to occur after total hip arthroplasty using both conventional and metal-on-metal (MoM) bearings and after MoM hip resurfacing arthroplasty (SRA). A variety of imaging tools, including ultrasound (US), CT, and MRI, have been used to diagnose problems associated with wear after MoM hip arthroplasty and corrosion at the head-trunnion junction; however, the relative advantages and disadvantages of each remain a source of controversy.