Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Hip 725 articles


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.

Do Activity Levels Increase After Total Hip and Knee Arthroplasty?

Paula Harding D Clin Physio, Anne E. Holland PhD, Clare Delany PhD, Rana S. Hinman PhD

People with osteoarthritis (OA) often are physically inactive. Surgical treatment including total hip arthroplasty or total knee arthroplasty can substantially improve pain, physical function, and quality of life. However, their impact on physical activity levels is less clear.

Development of a Valid Simplified Chinese Version of the Oxford Hip Score in Patients With Hip Osteoarthritis

Wei Zheng MD, Jia Li MD, Jinzhu Zhao MD, Denghui Liu MD, Weidong Xu MD

Although the Oxford Hip Score has been translated and validated in several languages, there is currently no Chinese version of the outcomes measurement. Our study aims to crossculturally adapt and validate the Oxford Hip Score into a simplified Chinese version.

Risk of Impingement and Third-body Abrasion With 28-mm Metal-on-metal Bearings

Ian C. Clarke PhD, Jean-Yves Lazennec MD, Adrien Brusson MSc, Christina Savisaar PhD, John G. Bowsher PhD, Michelle Burgett BA, Thomas K. Donaldson MD

Concerns have been raised about the sequelae of metal-on-metal (MoM) bearings in total hip arthroplasty (THA). However, retrieval studies, which offer the best insight into the clinically relevant mechanisms of MoM wear, have followed predictable trends to date such as indicting cobalt-chromium (CoCr) metallurgy, cup design, high conformity between the head and cup, “steep cups,” “microseparation,” and “edge wear.”

Developing a Pathway for High-value, Patient-centered Total Joint Arthroplasty

Aricca D. Van Citters MS, Cheryl Fahlman PhD, Donald A. Goldmann MD, Jay R. Lieberman MD, Karl M. Koenig MD, MS, Anthony M. DiGioia MD, Beth O’Donnell MPH, John Martin MPH, Frank A. Federico RPh, Richard A. Bankowitz MD, Eugene C. Nelson DSc, MPH, Kevin J. Bozic MD, MBA

Total joint arthroplasty (TJA) is one of the most widely performed elective procedures; however, there are wide variations in cost and quality among facilities where the procedure is performed.