Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Hip 724 articles

Articles

Does a Plastic Drape Reduce Incidence of Heterotopic Ossification After Hip Resurfacing?

John S. Shields MD, Ali Mofidi MB, BAO, BCh, M Med Sci, FRCS(Orth), William G. Ward MD, Riyaz H. Jinnah MD, FRCS

High rates of heterotopic ossification have been associated with hip resurfacing as compared to THA. Bone debris from femoral head reamings is cited as one of the risk factors linked to increased rates of heterotopic ossification.

Do Large Heads Enhance Stability and Restore Native Anatomy in Primary Total Hip Arthroplasty?

Adolph V. Lombardi MD, FACS, Michael D. Skeels DO, Keith R. Berend MD, Joanne B. Adams BFA, Orlando J. Franchi MD

Dislocation remains a serious complication in hip arthroplasty. Resurfacing proponents tout anatomic femoral head restoration as an advantage over total hip arthroplasty. However, advances in bearings have expanded prosthetic head options from traditional sizes of 22, 26, 28, and 32 mm to diameters as large as 60 mm. Large heads reportedly enhance stability owing to increased range of motion before impingement and increased jump distance to subluxation. Available larger diameter material combinations include metal- or ceramic-on-highly crosslinked polyethylene and metal-on-metal, each with distinct advantages and disadvantages.

Long-term Results for Minor Column Allografts in Revision Hip Arthroplasty

Paul T. H. Lee MB BCh, FRCS (Eng), FRCS (Orth), Guy Raz MD, Oleg A. Safir MD, MED, FRCSC, David J. Backstein MD, MED, FRCSC, Allan E. Gross MD, FRCSC, OOnt

While acetabular structural allografts provide an important alternative for reconstructions, concerns remain with long-term graft resorption, collapse, and failure. Midterm studies of minor column (shelf) allograft suggest reasonable survival but long-term survival is unknown.

Preoperative Radiographic Assessment of Limb-length Discrepancy in Total Hip Arthroplasty

Geert Meermans MD, Ahmad Malik MRCS, Johan Witt FRCS, Fares Haddad FRCS

Pelvic radiographs are helpful in assessing limb-length discrepancy (LLD) before and after THA but are subject to variation. Different methods are used to determine LLDs. As a pelvic reference, both ischial tuberosities and the teardrops are used, and as a femoral reference, the lesser trochanter and center of the femoral head are used.

Can the Change in Center-edge Angle During Pincer Trimming Be Reliably Predicted?

Alexis C. Colvin MD, Steven M. Koehler BA, Justin Bird MD

Femoroacetabular impingement is recognized as a cause of hip pain in young adults and as a precursor to osteoarthritis although many questions persist regarding its management. One in particular is when to resect a pincer lesion and how much to resect. Instability can result from overresection and persistent impingement can result from underresection.

Ceramic-on-Ceramic Total Hip Arthroplasty: Incidence of Instability and Noise

David Schroder MD, Lindsey Bornstein BA, Mathias P. G. Bostrom MD, Bryan J. Nestor MD, Douglas E. Padgett MD, Geoffrey H. Westrich MD

Alternative bearing materials in THA have been developed to reduce the incidence of osteolysis. Alumina-on-alumina bearings exhibit extremely low wear rates in vitro, but concerns exist regarding component impingement with the potential for dislocation and the occurrence of noise.

Incidence of Postthrombotic Syndrome in Patients Undergoing Primary Total Hip Arthroplasty for Osteoarthritis

Steven J. Fitzgerald MD, Christopher M. McAndrew MD, Matthew J. Kraay MD, Victor M. Goldberg MD

Postthrombotic syndrome (PTS) is a chronic condition in the lower extremity that develops after deep vein thrombosis (DVT). The incidence of PTS after total hip arthroplasty (THA) is not well established.

Acetabular UHMWPE Survival and Wear Changes With Different Manufacturing Techniques

John B. Meding MD, E. Michael Keating MD, Kenneth E. Davis MS

Polyethylene wear may be affected by the type of polyethylene resin, manufacturing technique, degree of thermal stabilization, and sterilization technique.

Perivascular Lymphocytic Infiltration Is Not Limited to Metal-on-Metal Bearings

Vincent Y. Ng MD, Adolph V. Lombardi MD, Keith R. Berend MD, Michael D. Skeels DO, Joanne B. Adams BFA

Perivascular lymphocytic infiltration (PVLI) suggests an adaptive immune response. Metal hypersensitivity after THA is presumed associated with idiopathic pain and aseptic loosening, but its incidence and relationship to metallic wear leading to revision are unclear as are its presence and relevance in non-metal-on-metal arthroplasty.

High Complication Rate With Anterior Total Hip Arthroplasties on a Fracture Table

Brian A. Jewett MD, Dennis K. Collis MD

Recent attention in THA has focused on minimally invasive techniques and their short-term outcomes. Despite much debate over the outcomes and complications of the two-incision and the mini-lateral and mini-posterior approaches, complications arising from use of the anterior THA on a fracture table are not well documented.