Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Hip 723 articles


Hip Dysplasia Is More Severe in Charcot-Marie-Tooth Disease Than in Developmental Dysplasia of the Hip

Eduardo N. Novais MD, Sara D. Bixby MD, John Rennick MSc, Patrick M. Carry BA, Young-Jo Kim MD, PhD, Michael B. Millis MD

Patients with Charcot-Marie-Tooth disease may develop hip dysplasia. Hip geometry in these patients has not been well described in the literature.

Causes and Frequency of Unplanned Hospital Readmission After Total Hip Arthroplasty

William W. Schairer MD, David C. Sing BS, Thomas P. Vail MD, Kevin J. Bozic MD, MBA

Total hip arthroplasty (THA) is a beneficial and cost-effective procedure for patients with osteoarthritis. Recent initiatives to improve hospital quality of care include assessing unplanned hospital readmission rates. Patients presenting for THA have different indications and medical comorbidities that may impact rates of readmission.

Local Alendronic Acid Elution Increases Net Periimplant Bone Formation: A Micro-CT Analysis

J. Dennis Bobyn PhD, Rebecca Thompson MEng, Letitia Lim MD, Jenny Ann Pura BSc, Kristian Bobyn BA, Michael Tanzer MD

Fixation of cementless orthopaedic implants is not always achieved, particularly in challenging scenarios such as revision surgery, trauma, and tumor reconstruction. An adjunct therapy for improving implant fixation would improve the reliability and durability of certain reconstructive procedures.

Taper Design Affects Failure of Large-head Metal-on-metal Total Hip Replacements

Nader A. Nassif MD, Danyal H. Nawabi MD, Kirsten Stoner MEng, Marcella Elpers BS, Timothy Wright PhD, Douglas E. Padgett MD

Large-head metal-on-metal (MoM) hip arthroplasties have demonstrated poor survival. Damage at the taper-trunnion junction is a contributing factor; however, the influence of junction design is not well understood.

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 d├ębridement 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 d├ębridement 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.