• Dr. Levine is fellowship trained in Adult Joint Reconstruction at Rush University Medical Center, and is one of the leading experts in revision hip replacement procedure. (brettlevinemd.com)
  • For patient education resources, see Total Hip Replacement . (medscape.com)
  • In both the hip and the knee, removal and replacement of the PE liner are frequently necessary to provide access to the complete joint for thorough débridement, and this is the reason why arthroscopic débridement has fallen into disfavor in the knee. (medscape.com)
  • During his fellowship, he focused on complex hip and knee replacement surgery, partial knee replacements, as well as minimally invasive surgical techniques. (massgeneral.org)
  • Dr. Melnic's practice focuses on minimally invasive joint replacement that enables less pain and faster recovery times, complex primary and revision hip and knee replacement, partial knee replacements and robotic assisted surgery. (massgeneral.org)
  • The effect of patient age at intervention on risk of implant revision after total replacement of the hip or knee: a population-based cohort study. (aofoundation.org)
  • Background: Acetabular bone defects are one of the most difficult problems in both primary and revision Total Hip Replacement (THR). (alliedacademies.org)
  • Ito H, Shimizu A: Malignant lymphoma at the site of a total hip replacement. (karger.com)
  • Syed AA, Agarwal M, Fenelon G, Toner M: Osseous malignant non-Hodgkin's B-cell lymphoma associated with total hip replacement. (karger.com)
  • Proposed revisions to the Centers for Medicare and Medicaid Services (CMS) rules for joint replacement surgery will change the way surgeons bill for and price knee and hip replacements, but COVID-19 is delaying the process. (medscape.com)
  • The original comprehensive care for joint replacement model came into effect in April 2016, with the goal of providing better, more efficient care for Medicare and Medicaid patients undergoing hip and knee replacements. (medscape.com)
  • Total hip replacement surgery commonly performed with one of two methods, direct lateral (from the side) or posterior (from the back). (eorthopod.com)
  • This is argued to decrease pain and improve the speed of recovery following a total hip replacement. (eorthopod.com)
  • In summary the DAA technique is a viable option, especially with recent improvements in surgical tools for a successful hip replacement. (eorthopod.com)
  • Although the actual pathology behind femoral osteonecrosis is not yet understood, the disease typically follows a progression to eventual femoral collapse, which results in the need for a total hip replacement. (eorthopod.com)
  • Advances in hip replacement surgery have allowed thousands to maintain an active lifestyle. (todaysgeriatricmedicine.com)
  • In 2007, The Lancet termed total hip replacement surgery, which is performed each year on approximately 285,000 arthritis sufferers in the United States, "the operation of the century. (todaysgeriatricmedicine.com)
  • The most common reason to need hip replacement is osteoarthritis, the wear and tear of the joint," says Scott Ball, MD, an associate clinical professor and the chief of adult joint reconstruction at the University of California, San Diego School of Medicine. (todaysgeriatricmedicine.com)
  • Other types of arthritis can hasten the need for hip replacement. (todaysgeriatricmedicine.com)
  • Although the average age of a hip replacement patient is 60, recommendations for the procedure are based on levels of pain and disability. (todaysgeriatricmedicine.com)
  • The Principle of Low Friction Torque in the Charnely Total Hip Replacement. (stryker.com)
  • Assess the surgical technique of proximal femoral replacement for failed total hip arthroplasty. (healio.com)
  • Currently, failed total hip arthroplasty in elderly and less active patients, nonunion of the proximal femur with multiple failed attempts at osteosynthesis, resection arthroplasty, and massive proximal femoral bone loss can be salvaged with proximal femoral replacement using a megaprosthesis. (healio.com)
  • Researchers identify risk factors for revision surgery, prosthetic joint infection, and death after hip or knee replacement. (hcplive.com)
  • After hip or knee replacement, patients with rheumatoid arthritis (RA) had lower rates of joint revision surgery than patients with osteoarthritis. (hcplive.com)
  • However, patients with RA had higher rates of death and prosthetic joint infections following hip or knee replacement compared with patients with osteoarthritis. (hcplive.com)
  • They also hoped to define the mortality risk for patients with RA following hip or knee replacement. (hcplive.com)
  • 2% of patients with RA and 2.5% of patients with osteoarthritis underwent surgical revision of a primary hip or knee replacement for reasons other than infection. (hcplive.com)
  • Patients with RA can be reassured, however, that they are not at higher risk for requiring a joint revision following primary knee or hip replacement. (hcplive.com)
  • Relationship Between Testosterone and Rotator Cuff Tears Patients receiving testosterone replacement therapy may be more likely to sustain rotator cuff tears and have a higher rate of repairs and revisions, a new study reports. (medscape.com)
  • The recommendations also highlight patient populations who may have greater risk associated with hip replacement surgery. (medscape.com)
  • Hip osteoarthritis is a common cause of disability in US adults, and the leading cause for joint replacement surgery. (medscape.com)
  • Corticosteroid injections, physical therapy, and nonnarcotic anti-inflammatory medications like ibuprofen and naproxen were all treatment modalities that had the highest levels of evidence to support their use prior to hip replacement surgery," Gregory Polkowski, MD, from Vanderbilt University, Nashville, Tennessee, told Medscape Medical News . (medscape.com)
  • The guideline authors also looked at factors that contribute to complications associated with hip replacement surgery, such as infection, blood clots, dislocation, pain, and the need for reoperation. (medscape.com)
  • That's not to say that patients with those conditions don't benefit from hip replacement surgery. (medscape.com)
  • Obese patients may have lower absolute outcome scores, but similar levels of satisfaction and improvement in pain and function after total hip replacement compared with nonobese patients. (medscape.com)
  • Increased age is associated with lower functional and quality-of-life outcomes after total hip replacement. (medscape.com)
  • Materials and methods The study was based on the Nordic Arthroplasty Register Association (NARA) dataset. (uib.no)
  • This article is the author's final published version in Arthroplasty Today, Volume 20, March 2023, Article number 101109. (jefferson.edu)
  • Herein, we describe the case of a 76-year-old man who developed diffuse large B cell lymphoma in the tibia 3 years after total knee arthroplasty for osteoarthritis. (karger.com)
  • Also known as degenerative joint disease, osteoarthritis is localized in weight-bearing joints such as the hip and knee. (todaysgeriatricmedicine.com)
  • Symptomatic osteoarthritis (OA) of the hip and degenerative lumbar spine disorders can commonly co-exist. (medpagetoday.com)
  • Early osteoarthritis (OA) due to developmental dysplasia of the hip (DDH) is a known indication for total hip arthroplasty ( THA ). (bvsalud.org)
  • The document, published on the Academy's website on April 5, represents the first time the AAOS has issued guidelines for hip osteoarthritis and is part of a wider effort to systematically evaluate the evidence and provide recommendations on clinically relevant topics for practicing orthopedic surgeons. (medscape.com)
  • Increasing life expectancy means that the prevalence of hip osteoarthritis will likely continue to rise. (medscape.com)
  • In contrast, the group does not recommend use of hyaluronic acid injections and glucosamine sulfate for the nonsurgical treatment of hip osteoarthritis, as the literature review showed they were not effective. (medscape.com)
  • To draw up the guidelines, the group searched four databases for articles about the surgical treatment of hip osteoarthritis in adults, published between January 1990 and April 2016. (medscape.com)
  • In revisions, the 5-year survival of the cementless hip prosthesis improved over time: it was 85 (82-87)% in 1985-1989, 89 (88-91)% in 1990-1994 and 92 (88-95)% in 1995-1999. (nih.gov)
  • In these patients, a revision prosthesis has already been implanted for presumed aseptic loosening before the results of the intraoperative cultures become available. (medscape.com)
  • [ 63 ] In general, it appears that the longer that the infection has been present in the hip, the more difficult it is to eradicate it without removal of the prosthesis. (medscape.com)
  • The Charnley Low Friction Arthroplasty prosthesis clinically demonstrated that smaller diameter heads produce lower torque force shell and consequently less wear in acetabular implants. (stryker.com)
  • Natural History of the Dysplastic Hip Following Modern Periacetabular Osteotomy. (utah.edu)
  • Correction of mildly dysplastic hips with periacetabular osteotomy demonstrates promising outcomes, achievement of correction goals, and excellent five-year survivorship. (utah.edu)
  • There is evidence that prior osteotomy might be associated with a higher revision rate. (bvsalud.org)
  • The entire increase in risk of revision due to infection was within 1 year of primary surgery, and most notably in the first 3 months. (uib.no)
  • Proper evaluation and management of acetabular bone loss at the time of revision surgery will be an increasing challenge facing orthopaedic surgeons. (sogacot.org)
  • Contraindications for revision hip surgery are those medical conditions that would prohibit elective surgery. (medscape.com)
  • There is still in controversy about the selection of bearing surfaces when conducting revision surgery. (biomedcentral.com)
  • 38-year-old male patient who had total hip arthroplasty surgery for the treatment of coxarthrosis 5 years ago due to a childhood hip septic arthritis was admitted to our department. (clinmedjournals.org)
  • After the treatment of the infection 9 months later with appropriate intravenous antibiotics, the patient was re-operated again with a revision hip arthroplasty surgery (Figure 1C). (clinmedjournals.org)
  • In the surgery, acetabular reconstruction was achieved with a modular coned hemi-pelvic implant (MUTARS ® ) (Modular Universal Tumor And Revision System, Implant cast, Buxtehude, Germany). (clinmedjournals.org)
  • Figure 1: Hip arthroplasty surgery. (clinmedjournals.org)
  • Such results caution us that patients who receive their primary THA at a younger age are more likely to require a revision surgery during their lifetime-not just because they have a longer life expectancy, but also because they are likely to be more active, and therefore, implants in young patients will have more cycles of usage and need to sustain higher load in comparison to implants in older patients. (aofoundation.org)
  • The plot, stratified by gender, shows estimates of lifetime risk of revision against age (in 5-year age bands) at the time of primary surgery. (aofoundation.org)
  • In the event of a revision, the cementless feature can lead to an easier surgery, and the retention of proximal bone stock allows anchoring and osseointegration of the revisional THA stems [1, 4-8]. (aofoundation.org)
  • An Alternate Technique for Total Hip Surgery: The Direct Anterior Approach. (eorthopod.com)
  • Another consideration is for patients with previous hip surgery as it is not possible to remove plates that are on the side of the hip or femur with this technique. (eorthopod.com)
  • Ball says potential problems following THA include dislocation (an approximate 1% risk), infection (0.5% risk), and blood vessel or nerve injury (0.5% risk), complications that usually require revision surgery. (todaysgeriatricmedicine.com)
  • In most cases, a 1- or 2-stage revision surgery is necessary for eradicating the megaprosthetic infection. (orthosupersite.com)
  • BACKGROUND: Femoral neck fractures are associated with high rates of revision surgery after management with internal fixation. (healthpartners.com)
  • Using data from the Fixation using Alternative Implants for the Treatment of Hip fractures (FAITH) trial evaluating methods of internal fixation in patients with femoral neck fractures, we investigated associations between baseline and surgical factors and the need for revision surgery to promote healing, relieve pain, treat infection or improve function over 24 months postsurgery. (healthpartners.com)
  • METHODS: We identified 15 potential factors a priori that may be associated with revision surgery, 7 with hardware removal, and 14 with implant exchange. (healthpartners.com)
  • When surgical treatment is indicated for both, it's uncertain whether arthroplasty of the hip or spinal surgery needs to be performed first. (medpagetoday.com)
  • The question of 'hip or spinal surgery first' elicits relatively consistent answers in some clinical scenarios, but remains controversial in others, even for experienced surgeons," the authors wrote. (medpagetoday.com)
  • Regarding the patients with symptomatic OA of the hip and concomitant lumbar spinal disorders, there are no established guidelines on whether arthroplasty of the hip or spinal surgery needs to be performed first. (medpagetoday.com)
  • A multi-disciplinary approach for providing personalized care can be very helpful to address whether hip or spine is the predominant pathology and to address controversial topics such as risk of hip dislocations after spinal surgery. (medpagetoday.com)
  • So which surgery comes first -- the spine or the hip? (medpagetoday.com)
  • The hypothesis was that surgeons specializing in [total hip arthroplasty] THA would have different preferences for the sequence of treatment than surgeons specializing in spinal surgery," authors N. Liu, et al. (medpagetoday.com)
  • Aspirin to Prevent DVT After Lumbar Spinal Stenosis Surgery Aspirin is commonly used to prevent DVT formation after total joint arthroplasty, but how useful is it among patients undergoing lumbar spinal surgery? (medscape.com)
  • Limited evidence also suggested that younger age may be associated with a higher risk for surgical revision, and increased age may be associated with a higher risk for mortality after surgery. (medscape.com)
  • Recent data from the Finnish Arthroplasty Register indicate that the results of total hip replacements are improving in Finland. (nih.gov)
  • Dr. Christopher Melnic is a fellowship-trained hip and knee surgeon specializing in minimally invasive hip and knee replacements as well as complex revision surgeries. (massgeneral.org)
  • Lubrication and wear of ultra-high molecular weight polyethylene in total joint replacements. (stryker.com)
  • The researchers conducted a register-based cohort study, which ultimately included 3913 patients with RA who had primary total hip or knee replacements. (hcplive.com)
  • Tissues adjacent to hip replacements consist of synovial and fibrous tissue, lymphocytes, and foreign body inflammatory cells. (medscape.com)
  • The device is intended for primary reconstruction of the proximal femur or revision of a previous total hip arthroplasty. (fda.gov)
  • We compared equivalent stress and strain energy density (SED) to bone mineral density (BMD) in the femur after total hip arthroplasty (THA) using subject-specific finite element analysis (FEA). (intechopen.com)
  • Proximal femoral bone loss during revision hip arthroplasty often requires bypassing the deficient metaphyseal bone to obtain distal fixation. (biomedcentral.com)
  • Proximal femoral bone loss during revision total hip arthroplasty is a common and challenging problem. (biomedcentral.com)
  • Summarize the preoperative workup of patients with failed total hip arthroplasty and massive proximal femoral bone loss. (healio.com)
  • Despite recent advances in device manufacturing and surgical techniques, the management of proximal femoral bone loss in revision total hip arthroplasty remains challenging. (healio.com)
  • The Finnish Arthroplasty Register considers all reasons for revisions as the end-point of survival, but the Swedish register takes into account only aseptic loosening, so direct comparisons between registers are not possible. (nih.gov)
  • Posttraumatic arthritis, resulting from a hip fracture or injury, and avascular necrosis, in which the surface of the bone underlying the cartilage of the femoral head collapses because of a lack of blood, also cause disabling hip pain that may be relieved by THA. (todaysgeriatricmedicine.com)
  • Hip fractures are a very prevalent (~150,000 annually) and costly (~ six billion dollars annually) problem in the United States. (eorthopod.com)
  • Unfortunately, hip fractures are not often straight-forward and the determination of whether the fracture is stable or not and which screw to use is left up to the surgeon. (eorthopod.com)
  • They concluded that for stable and questionably stable hip fractures a sliding hip screw is the best choice. (eorthopod.com)
  • This can happen from trauma (like a hip dislocation or fracture), a blood clot blocking blood flow, or high blood pressure at the level of the bone tissue from excessive alcohol or corticosteroid use. (eorthopod.com)
  • MDM is designed to help prevent dislocation and assist your operative goals of stability, longevity and advanced fixation for primary or revision total hip arthroplasty cases. (stryker.com)
  • 2009). The Use of a Dual Articulation Acetabular Cup System to Prevent Dislocation After Primary Total Hip Arthroplasty: Analysis of 384 Cases at a Mean Following-Up of 15 years. (stryker.com)
  • Highly porous metal acetabular components have emerged for revision hip arthroplasty. (elsevierpure.com)
  • 46). In acetabular revision, highly porous tantalum acetabular components provide superior mechanical stability. (elsevierpure.com)
  • Do trabecular metal acetabular components reduce the risk of re-revision following revision total hip arthroplasty? (ox.ac.uk)
  • Is the rate of revision of 36 mm metal-on-metal total hip arthroplasties with Pinnacle acetabular components related to the year of the initial operation? (ox.ac.uk)
  • Contrary to recent reports, this finding was not specific to those involving Pinnacle acetabular components and may be explained by increased surveillance and recent lowering of the threshold for revision. (ox.ac.uk)
  • Revision THA was conducted with MoP bearings prostheses (Smith&nephew, Switzerland) in 2017, but without revising the stem. (biomedcentral.com)
  • In September 2017, he presented at our clinic after an accidental fall on the right hip complaining of crunching noise but without pain, swelling, and disability. (biomedcentral.com)
  • Bergen Open Research Archive: Increasing risk of prosthetic joint infection after total hip arthroplasty. (uib.no)
  • Increasing risk of prosthetic joint infection after total hip arthroplasty. (uib.no)
  • Background and purpose: The risk of revision due to infection after primary total hip arthroplasty (THA) has been reported to be increasing in Norway. (uib.no)
  • Adjusted survival analyses were performed using Cox regression models with revision due to infection as the endpoint. (uib.no)
  • Compared to the period 1995-1999, the relative risk (with 95% CI) of revision due to infection was 1.1 (1.0-1.2) in 2000-2004 and 1.6 (1.4-1.7) in 2005-2009. (uib.no)
  • Adjusted cumulative 5-year revision rates due to infection were 0.46% (0.42- 0.50) in 1995-1999, 0.54% (0.50-0.58) in 2000-2004, and 0.71% (0.66-0.76) in 2005-2009. (uib.no)
  • The risk of revision due to infection increased in all 4 countries. (uib.no)
  • Risk factors for revision due to infection were male sex, hybrid fixation, cement without antibiotics, and THA performed due to inflammatory disease, hip fracture, or femoral head necrosis. (uib.no)
  • Interpretation: We found increased relative risk of revision and increased cumulative 5-year revision rates due to infection after primary THA during the period 1995-2009. (uib.no)
  • After the laboratory results of high sedimentation rate and C-reactive protein and positive culture of drainage, the patient was operated again with the diagnosis of septic hip arthroplasty and an antibiotic spacer was used for the control of the infection (Figure 1B). (clinmedjournals.org)
  • Revisions reported to the Norwegian Arthroplasty Register (NAR) due to infection after total hip arthroplasty during the period 1993 through September 2007 were identified. (openorthopaedicsjournal.com)
  • The Tsukayama classification of arthroplasty-associated infection into four types (see Classification ) can help in formulating the treatment recommendations for the infection. (medscape.com)
  • Tsukayama et al based their treatment of infections after total hip arthroplasty (THA) on the clinical presentation-that is, positive intraoperative cultures, early postoperative infection, acute hematogenous infection, or late chronic infection. (medscape.com)
  • Patients with a History of Treated Septic Arthritis are at High Risk of Periprosthetic Joint Infection after Total Joint Arthroplasty. (utah.edu)
  • The overall revision rate was 18% (22 cases), which were split up as follows 20 (17%) implant failures (loosened or broken components), one (1%) periprosthetic infection and one (1%) periprosthetic fracture . (bvsalud.org)
  • Carolan G, Chin K, Werger M. Core Knowledge in Orthopaedics: Adult Reconstruction and Arthroplasty (Garino J, Beredjiklian P eds. (bu.edu)
  • Other potential advantages of short stems include more anatomical reconstruction of the hip joint [4, 9, 10], as well as preventing impingement of the femoral cortex and thigh pain by avoiding the extension of the stem into the diaphysis [6]. (aofoundation.org)
  • Identify the available types of reconstruction for failed total hip arthroplasty. (healio.com)
  • Hsieh TC, Kao CH, Yen KY, Sun SS: Osteomyelitis-mimicking primary bone lymphoma at hip prosthetic site. (karger.com)
  • The introduction of a foreign object, such as a prosthetic knee or hip joint, can also supply a focus for troublesome infections. (hcplive.com)
  • The researchers sought to estimate the risk of revision due to non-infectious causes as well as prosthetic joint infections. (hcplive.com)
  • They drew from a large sample of hip surgeries and found that results hinged on the fixation failure rate and the implant cost itself. (eorthopod.com)
  • The system builds upon our Anatomic Dual Mobility product to provide you a choice of fixation surfaces and screwhole configurations for primary or revision THA. (stryker.com)
  • Additionally, we investigated factors associated with (1) hardware removal and (2) implant exchange from cancellous screws (CS) or sliding hip screw (SHS) to total hip arthroplasty, hemiarthroplasty, or another internal fixation device. (healthpartners.com)
  • Advantages of an Anterior-Based Muscle-Sparing Approach in Transitioning From a Posterior Approach for Total Hip Arthroplasty: Minimizing the Learning Curve. (utah.edu)
  • The posterior approach is a commonly used surgical technique for THA in which the hip is accessed through a large curved incision centered over the buttock. (todaysgeriatricmedicine.com)
  • The clinical and financial records of 49 patients (51 hips) stratified by complexity of revision were reviewed. (lww.com)
  • Despite their surgical complexity, DDH patients had also notably low rates of revision and obtained durable clinical results [ 2 , 4 - 7 ]. (hindawi.com)
  • Clinical scenarios were prepared for a survey, which was sent to a total of 211 members of The Hip Society and the Scoliosis Research Society. (medpagetoday.com)
  • Over 47% of the cementless primary hip prostheses were used in patients younger than 60 years and over 93% of the cemented primary hips were used in patients 60 years or older. (nih.gov)
  • Over the past two decades, short, cementless hip stems have increasingly been used in total hip arthroplasty (THA). (aofoundation.org)
  • The various treatment modalities include long-term antibiotic suppression, débridement, exchange arthroplasty, and arthrodesis (see Table 2 below). (medscape.com)
  • Conceivably, this may be a situation for routine use of antibiotic cement in all revisions. (medscape.com)
  • Lyons S, Downes K, Habeck J, Whitham Z, Werger M, Stanat S. Early to midterm results of "low-friction" articulating antibiotic spacers for septic total knee arthroplasty. (bu.edu)
  • Early outcomes after revision total hip arthroplasty with a modern modular femoral revision stem in 65 consecutive cases. (utah.edu)
  • Because of the high costs associated with the care and recovery from a hip fracture, the type of implants being used are under scrutiny. (eorthopod.com)
  • Title : The Projected Burden of Complex Surgical Site Infections following Hip and Knee Arthroplasty among Adults in the United States, 2020 through 2030 Personal Author(s) : Wolford, Hannah;Hatfield, Kelly;Paul, Prabasaj;Yi, Sarah H.;Slayton, Rachel B. (cdc.gov)
  • Larger stem diameters frequently used in revisions may be associated with less diaphyseal contact length to achieve equivalent rotational stability compared to smaller diameter stems. (biomedcentral.com)
  • The design concept of these short (hip) stems promises better bone and soft-tissue preservation without negatively affecting implant survival. (aofoundation.org)
  • Are short stems in total hip arthroplasty really necessary? (aofoundation.org)
  • Our aim was to assess the bacterial findings in infected total hip arthroplasties (THAs) in Norway. (openorthopaedicsjournal.com)
  • However, many different bacterial species may cause PJIs and there has previously been no nationwide assessment of bacteria causing revisions of THAs in Norway. (openorthopaedicsjournal.com)
  • AIMS: The aim of this study was to determine whether the rates of revision for metal-on-metal (MoM) total hip arthroplasties (THAs) with Pinnacle components varied according to the year of the initial operation, and compare these with the rates of revision for other designs of MoM THA. (ox.ac.uk)
  • CONCLUSION: The five-year revision rates were significantly increased for all primary MoM THAs undertaken from 2007 onwards. (ox.ac.uk)
  • The annual number of both primary and revision THA has increased: in 1999, the incidence of primary THAs was 93/100,000. (nih.gov)
  • This approach, which is thought to provide better visualization of the hip, involves splitting muscle tissue. (todaysgeriatricmedicine.com)
  • Another popular route, the anterolateral approach, involves a straight incision over the side of the hip and requires less cutting of muscle tissue than the posterior technique. (todaysgeriatricmedicine.com)
  • Although there is less muscle disruption with this approach, visualization of the hip joint is limited, making it a more technically challenging procedure. (todaysgeriatricmedicine.com)
  • METHODS: We surveyed orthopedic surgeons to estimate acetabular component inclination and anteversion based on 20 IF images of total hip arthroplasty through a direct anterior approach. (jefferson.edu)
  • The purpose of this study was to establish the finite element analysis (FEA) model of acetabular bone defect in Crowe type II or III developmental dysplasia of the hip (DDH), which could evaluate the stability of the acetabular cup with different types of bone defects, different diameters of femoral ceramic heads, and the use of screws and analyze the stress distribution of screws. (hindawi.com)
  • The model of acetabular bone defect in total hip arthroplasty for Crowe II or III DDH was made by the increasing superolateral bone defect area of the acetabular cup. (hindawi.com)
  • The aim of this current study was to establish a finite element analysis (FEA) model of acetabular bone defect in THA for Crowe II or III DDH, in which the acetabular cup was positioned at the anatomical center of rotation of the hip without grafting. (hindawi.com)
  • Understanding the risks associated with the presence of microsporidia in periprosthetic joint infections is essential for proper management of arthroplasty. (cdc.gov)
  • For the DAA a space in the front of the hip, known as the Heuter interval , is utilized to access the hip joint. (eorthopod.com)
  • Short-term functional recovery after total joint arthroplasty is unaffected by bundled payment participation. (utah.edu)
  • Traditional THA involves removing the arthritic ball-and-socket hip joint and replacing it with biocompatible components made from metal-on-polyethylene, metal-on-metal, ceramic-on-ceramic, or various hybrid systems incorporating elements of all three. (todaysgeriatricmedicine.com)
  • Single-Level Lumbar Fusion Versus Total Joint Arthroplasty Which of these surgical procedures offers the greatest improvements in terms of pain and physical disability? (medscape.com)
  • All cases were clinically evaluated with the Harris Hip Score (HHS) in addition to radiological evaluation. (alliedacademies.org)
  • At the time of final follow-up, at a mean of 23 years postoperatively, 110 patients (121 hips ) were clinically evaluated using the Harris- Hip Score. (bvsalud.org)
  • As the number of primary total hip arthroplasty (THA) procedures performed continues to rise, the burden of revision THA procedures is also expected to increase. (sogacot.org)
  • BACKGROUND: Accurate acetabular cup orientation is associated with decreased revision rates and improved outcomes of primary total hip arthroplasty. (jefferson.edu)
  • The purpose of this study was to determine the effect of stem diameter and length of diaphyseal contact in achieving rotational stability in revision total hip arthroplasty. (biomedcentral.com)
  • However, the authors are not aware of any study which specifically investigates the effect of stem diameter on achieving rotational stability in the revision setting. (biomedcentral.com)
  • Using this space allows the surgeon to avoid cutting through muscle or nerves while replacing the hip. (eorthopod.com)
  • Our hypothesis was that the use of impaction bone grafts with the cemented cups will provide favorable outcomes in patients with acetabular bone defects for both primary and revision procedures. (alliedacademies.org)
  • Bayliss et al [2] showed an even more concerning trend: When analyzed according to the age of the patient at the time of primary THA, the lifetime risk of implant revision (LTRR) for patients 75 years or older was about 4% or lower (Figure 1). (aofoundation.org)
  • Implant type is traditionally determined by the hip fracture. (eorthopod.com)
  • With several varying techniques, total hip arthroplasty (THA) has become a pain reliever for many but also has stirred some controversy thanks to a recent implant recall. (todaysgeriatricmedicine.com)
  • 51 hip surgeons and 37 spine surgeons responded. (medpagetoday.com)
  • When a patient has pain in multiple places, knowing which one to attack first can be a difficult decision, especially for rheumatologists and orthopedic surgeons who have patients with both hip and spine issues. (medpagetoday.com)
  • Surveys were sent to 110 members of The Hip Society and 101 members of the Scoliosis Research Society, and they received responses from 51 hip surgeons and 37 spine surgeons. (medpagetoday.com)