Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Hip 719 articles

Articles

Which Patients Are at Risk for Kidney Dysfunction After Hip Fracture Surgery?

George A. Macheras MD, PhD, Konstantinos Kateros MD, PhD, Stefanos D. Koutsostathis MD, PhD, Stamatios A. Papadakis MD, PhD, Eleftherios Tsiridis MD, PhD, FRCS

Kidney dysfunction (KD) after hip fracture surgery is a major complication. However, the incidence and risk factors of KD in this population are unclear.

The 2013 Frank Stinchfield Award: Diagnosis of Infection in the Early Postoperative Period After Total Hip Arthroplasty

Paul H. Yi BA, Michael B. Cross MD, Mario Moric MS, Scott M. Sporer MD, MS, Richard A. Berger MD, Craig J. Della Valle MD

Diagnosis of periprosthetic joint infection (PJI) can be difficult in the early postoperative period after total hip arthroplasty (THA) because normal cues from the physical examination often are unreliable, and serological markers commonly used for diagnosis are elevated from the recent surgery.

Tapered Fluted Titanium Stems in the Management of Vancouver B2 and B3 Periprosthetic Femoral Fractures

Jacob T. Munro MBChB, Donald S. Garbuz MD, MHSc, Bassam A. Masri MD, Clive P. Duncan MD, MSc

Surgeons have several implant choices when managing Vancouver B2 and B3 periprosthetic fractures about the hip. Few long-term studies have reported outcomes for tapered fluted titanium stems.

Hip Resurfacing Does Not Improve Proprioception Compared With THA

Brian Larkin MD, Humaa Nyazee MPH, John Motley PT, ATC, Ryan M. Nunley MD, John C. Clohisy MD, Robert L. Barrack MD

Proposed benefits of total hip resurfacing arthroplasty over total hip arthroplasty (THA) include better proprioception, but this has not been rigorously tested or validated.

Risk Factors for Early Revision After Primary Total Hip Arthroplasty in Medicare Patients

Kevin J. Bozic MD, MBA, Edmund Lau MS, Kevin Ong PhD, Vanessa Chan MPH, Steven Kurtz PhD, Thomas P. Vail MD, Harry E. Rubash MD, Daniel J. Berry MD

Patient, surgeon, health system, and device factors are all known to influence outcomes in THA. However, patient-related factors associated with an increased risk of early failure are poorly understood, particularly in elderly patients.

Outcome of One-stage Cementless Exchange for Acute Postoperative Periprosthetic Hip Infection

Erik Hansen MD, Matthew Tetreault BS, Benjamin Zmistowski BS, Craig J. Della Valle MD, Javad Parvizi MD, Fares S. Haddad MD, William J. Hozack MD

Acute postoperative infection after total hip arthroplasty (THA) is typically treated with irrigation and débridement and exchange of the modular femoral head and acetabular liner. Given a rate of failure exceeding 50% in some series, a one-stage exchange has been suggested as a potential alternative because it allows more thorough débridement and removal of colonized implants. To date, most studies published on the one-stage exchange have used microbe-specific antibiotic-laden bone cement with only one small single-institution series that reported outcomes after a cementless one-stage exchange.

Does Femoral Neck to Cup Impingement Affect Metal Ion Levels in Hip Resurfacing?

Michel J. Le Duff MA, Alicia J. Johnson BA, Andrew J. Wassef MD, Harlan C. Amstutz MD

Impingement of the femoral neck with the acetabular component after metal-on-metal hip resurfacing arthroplasty (HRA) is a possible cause of edge loading and accelerated bearing wear. No attempt has been made to correlate radiographic impingement signs and blood metal ion levels.

Restoration of the Hip Center During THA Performed for Protrusio Acetabuli Is Associated With Better Implant Survival

Yaser M. K. Baghdadi MD, A. Noelle Larson MD, Rafael J. Sierra MD

Acetabular protrusio is an uncommon finding in hip arthritis. Several reconstructive approaches have been used; however the best approach remains undefined.

Complication Rates After Hip or Knee Arthroplasty in Morbidly Obese Patients

Richard J. Friedman MD, Susanne Hess MD, Scott D. Berkowitz MD, Martin Homering MSPH

Morbid obesity has been shown to be a risk factor for increased complications after THA and TKA; however, large studies that would determine the effect size are lacking.

Patients With Unstable Slipped Capital Femoral Epiphysis Have Antecedent Symptoms

Thomas G. McPartland MD, Wudbhav N. Sankar MD, Young-Jo Kim MD, PhD, Michael B. Millis MD

The characteristics of patients who sustain unstable slipped capital femoral epiphyses (SCFEs) are not well described compared to their counterparts who sustain stable SCFE. Although patients with unstable slips are usually identified owing to acute symptoms, it is unclear whether these patients have premonitory symptoms that could heighten the awareness of treating physicians to the possibility of an unstable slip and lead to timely diagnosis and treatment.