Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Hip 719 articles


Hip Resurfacing versus Total Hip Arthroplasty: A Systematic Review Comparing Standardized Outcomes

Deborah A. Marshall PhD, Karen Pykerman MPH, Jason Werle MD, Diane Lorenzetti MLS, Tracy Wasylak CHE, MSc, BN, Tom Noseworthy MD, MSc, MPH, Donald A. Dick MD, Greg O’Connor MD, Aish Sundaram BMSc, Sanne Heintzbergen MSc, Cy Frank MD

Metal-on-metal hip resurfacing was developed for younger, active patients as an alternative to THA, but it remains controversial. Study heterogeneity, inconsistent outcome definitions, and unstandardized outcome measures challenge our ability to compare arthroplasty outcomes studies.

Fewer Postoperative Fevers: An Unexpected Benefit of Multimodal Pain Management?

Joseph A. Karam MD, Benjamin Zmistowski BS, Camilo Restrepo MD, William J. Hozack MD, Javad Parvizi MD

Elevated temperatures after total joint arthroplasty (TJA) are common and can be a source of anxiety both for the patient and the surgical team. Although such fevers rarely are caused by acute infection, many patients are subjected to extensive testing for elevated body temperature after surgery. We recently implemented a multimodal pain management regimen for TJA, which includes acetaminophen, pregabalin, and celecoxib or toradol, and because some of these medications have antipyrexic properties, it was speculated that this protocol might influence the frequency of postoperative pyrexia.

Psychologic Distress Reduces Preoperative Self-assessment Scores in Femoroacetabular Impingement Patients

Michael Q. Potter MD, James D. Wylie MD, Grant S. Sun BS, James T. Beckmann MD, Stephen K. Aoki MD

In several areas of orthopaedics, including spine and upper extremity surgery, patients with greater levels of psychologic distress report worse self-assessments of pain and function than patients who are not distressed. This effect can lead to lower than expected baseline scores on common patient-reported outcome scales, even those not traditionally considered to have a psychologic component.

Is Changing Hospitals for Revision Total Joint Arthroplasty Associated With More Complications?

Christopher J. Dy MD, MPH, Kevin J. Bozic MD, MBA, Douglas E. Padgett MD, Ting Jung Pan MPH, Robert G. Marx MD, Stephen Lyman PhD

Many patients change hospitals for revision total joint arthroplasty (TJA). The implications of changing hospitals must be better understood to inform appropriate utilization strategies.

Are Patients Satisfied With a Web-based Followup after Total Joint Arthroplasty?

Jacquelyn Marsh PhD, Dianne Bryant PhD, Steven J. MacDonald MD, FRCSC, Douglas Naudie MD, FRCSC, Alliya Remtulla MSc, Richard McCalden MD, FRCSC, James Howard MD, FRCSC, Robert Bourne MD, FRCSC, James McAuley MD, FRCSC

A web-based followup assessment may be a feasible, cost-saving alternative of tracking patient outcomes after total joint arthroplasty. However, before implementing a web-based program, it is important to determine patient satisfaction levels with the new followup method. Satisfaction with the care received is becoming an increasingly important metric, and we do not know to what degree patients are satisfied with an approach to followup that does not involve an in-person visit with their surgeons.

Does Fluoroscopy With Anterior Hip Arthoplasty Decrease Acetabular Cup Variability Compared With a Nonguided Posterior Approach?

Parthiv A. Rathod MD, Sean Bhalla BS, Ajit J. Deshmukh MD, Jose A. Rodriguez MD

The direct anterior approach for THA offers some advantages, but is associated with a significant learning curve. Some of the technical difficulties can be addressed by the use of intraoperative fluoroscopy which may improve the accuracy of acetabular component placement.

Education Attainment is Associated With Patient-reported Outcomes: Findings From the Swedish Hip Arthroplasty Register

Meridith E. Greene BA, Ola Rolfson MD, PhD, Szilard Nemes PhD, Max Gordon MD, Henrik Malchau MD, PhD, Göran Garellick MD, PhD

Age, sex, and medical comorbidities may be associated with differences in patient-reported outcome scores after THA. Highest level of education may be a surrogate for socioeconomic status, but the degree to which this is associated with patient-reported outcomes after THA is not known.

Acetabular Component Thickness Does Not Affect Mid-term Clinical Results in Hip Resurfacing

Mariam Al-Hamad BS, Michel J. Duff MA, Karren M. Takamura BA, Harlan C. Amstutz MD

The benefits of using thin acetabular components for hip resurfacing have been shown in terms of bone conservation, but there currently are little data available in the literature addressing the mid-term clinical results of these devices.

Topical Tranexamic Acid Reduces Blood Loss and Transfusion Rates Associated With Primary Total Hip Arthroplasty

Chih-Hsiang Chang MD, Yuhan Chang MD, PhD, Dave W. Chen MD, PhD, Steve W. N. Ueng MD, Mel S. Lee MD, PhD

Systemic tranexamic acid can decrease blood loss and rates of transfusion in patients undergoing total hip arthroplasty (THA). However, the efficacy of topical tranexamic acid in THA has only recently been characterized in a small number of studies.

Magnetic Resonance Imaging of the Hip: Poor Cost Utility for Treatment of Adult Patients With Hip Pain

James A. Keeney MD, Ryan M. Nunley MD, Muyibat Adelani MD, Nathan Mall MD

Although MRI is frequently used to diagnose conditions affecting the hip, its cost-effectiveness has not been defined.