Arthroplasty, Replacement, Hip: Replacement of the hip joint.Arthroplasty, Replacement, Knee: Replacement of the knee joint.Arthroplasty: Surgical reconstruction of a joint to relieve pain or restore motion.Hip Joint: The joint that is formed by the articulation of the head of FEMUR and the ACETABULUM of the PELVIS.Arthroplasty, Replacement: Partial or total replacement of a joint.Hip Prosthesis: Replacement for a hip joint.Hip: The projecting part on each side of the body, formed by the side of the pelvis and the top portion of the femur.Osteoarthritis, Hip: Noninflammatory degenerative disease of the hip joint which usually appears in late middle or old age. It is characterized by growth or maturational disturbances in the femoral neck and head, as well as acetabular dysplasia. A dominant symptom is pain on weight-bearing or motion.Prosthesis Failure: Malfunction of implantation shunts, valves, etc., and prosthesis loosening, migration, and breaking.Knee Prosthesis: Replacement for a knee joint.Reoperation: A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.Prosthesis Design: The plan and delineation of prostheses in general or a specific prosthesis.Hip Fractures: Fractures of the FEMUR HEAD; the FEMUR NECK; (FEMORAL NECK FRACTURES); the trochanters; or the inter- or subtrochanteric region. Excludes fractures of the acetabulum and fractures of the femoral shaft below the subtrochanteric region (FEMORAL FRACTURES).Range of Motion, Articular: The distance and direction to which a bone joint can be extended. Range of motion is a function of the condition of the joints, muscles, and connective tissues involved. Joint flexibility can be improved through appropriate MUSCLE STRETCHING EXERCISES.Joint Prosthesis: Prostheses used to partially or totally replace a human or animal joint. (from UMDNS, 1999)Hip Dislocation: Displacement of the femur bone from its normal position at the HIP JOINT.Hip Dislocation, Congenital: Congenital dislocation of the hip generally includes subluxation of the femoral head, acetabular dysplasia, and complete dislocation of the femoral head from the true acetabulum. This condition occurs in approximately 1 in 1000 live births and is more common in females than in males.Prosthesis-Related Infections: Infections resulting from the implantation of prosthetic devices. The infections may be acquired from intraoperative contamination (early) or hematogenously acquired from other sites (late).Cementation: The joining of objects by means of a cement (e.g., in fracture fixation, such as in hip arthroplasty for joining of the acetabular component to the femoral component). In dentistry, it is used for the process of attaching parts of a tooth or restorative material to a natural tooth or for the attaching of orthodontic bands to teeth by means of an adhesive.Bone Cements: Adhesives used to fix prosthetic devices to bones and to cement bone to bone in difficult fractures. Synthetic resins are commonly used as cements. A mixture of monocalcium phosphate, monohydrate, alpha-tricalcium phosphate, and calcium carbonate with a sodium phosphate solution is also a useful bone paste.Knee Joint: A synovial hinge connection formed between the bones of the FEMUR; TIBIA; and PATELLA.Hip Injuries: General or unspecified injuries involving the hip.Osteoarthritis, Knee: Noninflammatory degenerative disease of the knee joint consisting of three large categories: conditions that block normal synchronous movement, conditions that produce abnormal pathways of motion, and conditions that cause stress concentration resulting in changes to articular cartilage. (Crenshaw, Campbell's Operative Orthopaedics, 8th ed, p2019)Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Arthroplasty, Replacement, Ankle: Replacement of the ANKLE JOINT.Acetabulum: The part of the pelvis that comprises the pelvic socket where the head of FEMUR joins to form HIP JOINT (acetabulofemoral joint).Recovery of Function: A partial or complete return to the normal or proper physiologic activity of an organ or part following disease or trauma.Postoperative Complications: Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.Femur: The longest and largest bone of the skeleton, it is situated between the hip and the knee.Polyethylene: A vinyl polymer made from ethylene. It can be branched or linear. Branched or low-density polyethylene is tough and pliable but not to the same degree as linear polyethylene. Linear or high-density polyethylene has a greater hardness and tensile strength. Polyethylene is used in a variety of products, including implants and prostheses.Femur Head: The hemispheric articular surface at the upper extremity of the thigh bone. (Stedman, 26th ed)Joint DiseasesFollow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.Femur Head Necrosis: Aseptic or avascular necrosis of the femoral head. The major types are idiopathic (primary), as a complication of fractures or dislocations, and LEGG-CALVE-PERTHES DISEASE.Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Shoulder Joint: The articulation between the head of the HUMERUS and the glenoid cavity of the SCAPULA.Arthroplasty, Replacement, Elbow: Replacement of the ELBOW JOINT.Femoral Neck Fractures: Fractures of the short, constricted portion of the thigh bone between the femur head and the trochanters. It excludes intertrochanteric fractures which are HIP FRACTURES.Pain, Postoperative: Pain during the period after surgery.Prosthesis Fitting: The fitting and adjusting of artificial parts of the body. (From Stedman's, 26th ed)Surgery, Computer-Assisted: Surgical procedures conducted with the aid of computers. This is most frequently used in orthopedic and laparoscopic surgery for implant placement and instrument guidance. Image-guided surgery interactively combines prior CT scans or MRI images with real-time video.Patella: The flat, triangular bone situated at the anterior part of the KNEE.Total Disc Replacement: The replacement of intervertebral discs in the spinal column with artificial devices. The procedure is done in the lumbar or cervical spine to relieve severe pain resulting from INTERVERTEBRAL DISC DEGENERATION.Bone Malalignment: Displacement of bones out of line in relation to joints. It may be congenital or traumatic in origin.Osteoarthritis: A progressive, degenerative joint disease, the most common form of arthritis, especially in older persons. The disease is thought to result not from the aging process but from biochemical changes and biomechanical stresses affecting articular cartilage. In the foreign literature it is often called osteoarthrosis deformans.Arthroplasty, Replacement, Finger: Partial or total replacement of one or more FINGERS, or a FINGER JOINT.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Polyethylenes: Synthetic thermoplastics that are tough, flexible, inert, and resistant to chemicals and electrical current. They are often used as biocompatible materials for prostheses and implants.Pain Measurement: Scales, questionnaires, tests, and other methods used to assess pain severity and duration in patients or experimental animals to aid in diagnosis, therapy, and physiological studies.Osteolysis: Dissolution of bone that particularly involves the removal or loss of calcium.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Ankylosis: Fixation and immobility of a joint.Joint Instability: Lack of stability of a joint or joint prosthesis. Factors involved are intra-articular disease and integrity of extra-articular structures such as joint capsule, ligaments, and muscles.Surgical Procedures, Minimally Invasive: Procedures that avoid use of open, invasive surgery in favor of closed or local surgery. These generally involve use of laparoscopic devices and remote-control manipulation of instruments with indirect observation of the surgical field through an endoscope or similar device.Biomechanical Phenomena: The properties, processes, and behavior of biological systems under the action of mechanical forces.Osseointegration: The growth action of bone tissue as it assimilates surgically implanted devices or prostheses to be used as either replacement parts (e.g., hip) or as anchors (e.g., endosseous dental implants).Bone Transplantation: The grafting of bone from a donor site to a recipient site.Blood Loss, Surgical: Loss of blood during a surgical procedure.Leg Length Inequality: A condition in which one of a pair of legs fails to grow as long as the other, which could result from injury or surgery.Arthrodesis: The surgical fixation of a joint by a procedure designed to accomplish fusion of the joint surfaces by promoting the proliferation of bone cells. (Dorland, 28th ed)Hormone Replacement Therapy: Therapeutic use of hormones to alleviate the effects of hormone deficiency.Operative Blood Salvage: Recovery of blood lost from surgical procedures for reuse by the same patient in AUTOLOGOUS BLOOD TRANSFUSIONS. It is collected during (intraoperatively) or after completion of (postoperatively) the surgical procedures.Periprosthetic Fractures: Fractures around joint replacement prosthetics or implants. They can occur intraoperatively or postoperatively.Osteotomy: The surgical cutting of a bone. (Dorland, 28th ed)Estrogen Replacement Therapy: The use of hormonal agents with estrogen-like activity in postmenopausal or other estrogen-deficient women to alleviate effects of hormone deficiency, such as vasomotor symptoms, DYSPAREUNIA, and progressive development of OSTEOPOROSIS. This may also include the use of progestational agents in combination therapy.Postoperative Care: The period of care beginning when the patient is removed from surgery and aimed at meeting the patient's psychological and physical needs directly after surgery. (From Dictionary of Health Services Management, 2d ed)Tibia: The second longest bone of the skeleton. It is located on the medial side of the lower leg, articulating with the FIBULA laterally, the TALUS distally, and the FEMUR proximally.Surgical Wound Infection: Infection occurring at the site of a surgical incision.Femoral Nerve: A nerve originating in the lumbar spinal cord (usually L2 to L4) and traveling through the lumbar plexus to provide motor innervation to extensors of the thigh and sensory innervation to parts of the thigh, lower leg, and foot, and to the hip and knee joints.Equipment Failure Analysis: The evaluation of incidents involving the loss of function of a device. These evaluations are used for a variety of purposes such as to determine the failure rates, the causes of failures, costs of failures, and the reliability and maintainability of devices.Blood Transfusion, Autologous: Reinfusion of blood or blood products derived from the patient's own circulation. (Dorland, 27th ed)Chromium Alloys: Specific alloys not less than 85% chromium and nickel or cobalt, with traces of either nickel or cobalt, molybdenum, and other substances. They are used in partial dentures, orthopedic implants, etc.Hip Dysplasia, Canine: A hereditary disease of the hip joints in dogs. Signs of the disease may be evident any time after 4 weeks of age.Elbow Joint: A hinge joint connecting the FOREARM to the ARM.Ossification, Heterotopic: The development of bony substance in normally soft structures.Joint Deformities, Acquired: Deformities acquired after birth as the result of injury or disease. The joint deformity is often associated with rheumatoid arthritis and leprosy.ArthritisWeight-Bearing: The physical state of supporting an applied load. This often refers to the weight-bearing bones or joints that support the body's weight, especially those in the spine, hip, knee, and foot.Postoperative Period: The period following a surgical operation.Femoral Fractures: Fractures of the femur.Orthopedics: A surgical specialty which utilizes medical, surgical, and physical methods to treat and correct deformities, diseases, and injuries to the skeletal system, its articulations, and associated structures.Aluminum Oxide: An oxide of aluminum, occurring in nature as various minerals such as bauxite, corundum, etc. It is used as an adsorbent, desiccating agent, and catalyst, and in the manufacture of dental cements and refractories.Metals: Electropositive chemical elements characterized by ductility, malleability, luster, and conductance of heat and electricity. They can replace the hydrogen of an acid and form bases with hydroxyl radicals. (Grant & Hackh's Chemical Dictionary, 5th ed)Debridement: The removal of foreign material and devitalized or contaminated tissue from or adjacent to a traumatic or infected lesion until surrounding healthy tissue is exposed. (Dorland, 27th ed)Osteonecrosis: Death of a bone or part of a bone, either atraumatic or posttraumatic.Renal Replacement Therapy: Procedures which temporarily or permanently remedy insufficient cleansing of body fluids by the kidneys.Ceramics: Products made by baking or firing nonmetallic minerals (clay and similar materials). In making dental restorations or parts of restorations the material is fused porcelain. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed & Boucher's Clinical Dental Terminology, 4th ed)Coated Materials, Biocompatible: Biocompatible materials usually used in dental and bone implants that enhance biologic fixation, thereby increasing the bond strength between the coated material and bone, and minimize possible biological effects that may result from the implant itself.Hemiarthroplasty: A partial joint replacement in which only one surface of the joint is replaced with a PROSTHESIS.Posterior Cruciate Ligament: A strong ligament of the knee that originates from the anterolateral surface of the medial condyle of the femur, passes posteriorly and inferiorly between the condyles, and attaches to the posterior intercondylar area of the tibia.Patient Satisfaction: The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Chromium: A trace element that plays a role in glucose metabolism. It has the atomic symbol Cr, atomic number 24, and atomic weight 52. According to the Fourth Annual Report on Carcinogens (NTP85-002,1985), chromium and some of its compounds have been listed as known carcinogens.Arthralgia: Pain in the joint.Photogrammetry: Making measurements by the use of stereoscopic photographs.Device Removal: Removal of an implanted therapeutic or prosthetic device.Pelvic Bones: Bones that constitute each half of the pelvic girdle in VERTEBRATES, formed by fusion of the ILIUM; ISCHIUM; and PUBIC BONE.Femur Neck: The constricted portion of the thigh bone between the femur head and the trochanters.Rotation: Motion of an object in which either one or more points on a line are fixed. It is also the motion of a particle about a fixed point. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed)Metal-on-Metal Joint Prostheses: Types of prosthetic joints in which both wear surfaces of the joint coupling are metallic.Ankle Joint: The joint that is formed by the inferior articular and malleolar articular surfaces of the TIBIA; the malleolar articular surface of the FIBULA; and the medial malleolar, lateral malleolar, and superior surfaces of the TALUS.Titanium: A dark-gray, metallic element of widespread distribution but occurring in small amounts; atomic number, 22; atomic weight, 47.90; symbol, Ti; specific gravity, 4.5; used for fixation of fractures. (Dorland, 28th ed)Preoperative Period: The period before a surgical operation.Heart Valve Prosthesis Implantation: Surgical insertion of synthetic material to repair injured or diseased heart valves.Postoperative Hemorrhage: Hemorrhage following any surgical procedure. It may be immediate or delayed and is not restricted to the surgical wound.Registries: The systems and processes involved in the establishment, support, management, and operation of registers, e.g., disease registers.Prostheses and Implants: Artificial substitutes for body parts, and materials inserted into tissue for functional, cosmetic, or therapeutic purposes. Prostheses can be functional, as in the case of artificial arms and legs, or cosmetic, as in the case of an artificial eye. Implants, all surgically inserted or grafted into the body, tend to be used therapeutically. IMPLANTS, EXPERIMENTAL is available for those used experimentally.Preoperative Care: Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed)Motion Therapy, Continuous Passive: Movement of a body part initiated and maintained by a mechanical or electrical device to restore normal range of motion to joints, muscles, or tendons after surgery, prosthesis implantation, contracture flexion, or long immobilization.Arthritis, Rheumatoid: A chronic systemic disease, primarily of the joints, marked by inflammatory changes in the synovial membranes and articular structures, widespread fibrinoid degeneration of the collagen fibers in mesenchymal tissues, and by atrophy and rarefaction of bony structures. Etiology is unknown, but autoimmune mechanisms have been implicated.Heart Valve Prosthesis: A device that substitutes for a heart valve. It may be composed of biological material (BIOPROSTHESIS) and/or synthetic material.Length of Stay: The period of confinement of a patient to a hospital or other health facility.Severity of Illness Index: Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.Femoracetabular Impingement: A pathological mechanical process that can lead to hip failure. It is caused by abnormalities of the ACETABULUM and/or FEMUR combined with rigorous hip motion, leading to repetitive collisions that damage the soft tissue structures.Tantalum: Tantalum. A rare metallic element, atomic number 73, atomic weight 180.948, symbol Ta. It is a noncorrosive and malleable metal that has been used for plates or disks to replace cranial defects, for wire sutures, and for making prosthetic devices. (Dorland, 28th ed)Cobalt: A trace element that is a component of vitamin B12. It has the atomic symbol Co, atomic number 27, and atomic weight 58.93. It is used in nuclear weapons, alloys, and pigments. Deficiency in animals leads to anemia; its excess in humans can lead to erythrocytosis.Pain: An unpleasant sensation induced by noxious stimuli which are detected by NERVE ENDINGS of NOCICEPTIVE NEURONS.Durapatite: The mineral component of bones and teeth; it has been used therapeutically as a prosthetic aid and in the prevention and treatment of osteoporosis.Outcome Assessment (Health Care): Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).Awards and PrizesHumeral Head: The portion of the upper rounded extremity fitting into the glenoid cavity of the SCAPULA. (from Stedman, 27th ed)Tranexamic Acid: Antifibrinolytic hemostatic used in severe hemorrhage.Hallux Rigidus: A condition caused by degenerative arthritis (see OSTEOARTHRITIS) of the METATARSOPHALANGEAL JOINT of the great toe and characterized by pain and limited dorsiflexion, but relatively unrestricted plantar flexion.Cadaver: A dead body, usually a human body.Early Ambulation: Procedure to accelerate the ability of a patient to walk or move about by reducing the time to AMBULATION. It is characterized by a shorter period of hospitalization or recumbency than is normally practiced.Rotator Cuff: The musculotendinous sheath formed by the supraspinatus, infraspinatus, subscapularis, and teres minor muscles. These help stabilize the head of the HUMERUS in the glenoid fossa and allow for rotation of the SHOULDER JOINT about its longitudinal axis.Orthopedic Procedures: Procedures used to treat and correct deformities, diseases, and injuries to the MUSCULOSKELETAL SYSTEM, its articulations, and associated structures.Fracture Fixation, Internal: The use of internal devices (metal plates, nails, rods, etc.) to hold the position of a fracture in proper alignment.Blood Transfusion: The introduction of whole blood or blood component directly into the blood stream. (Dorland, 27th ed)Joint Capsule: The sac enclosing a joint. It is composed of an outer fibrous articular capsule and an inner SYNOVIAL MEMBRANE.Risk Assessment: The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)Arthritis, Infectious: Arthritis caused by BACTERIA; RICKETTSIA; MYCOPLASMA; VIRUSES; FUNGI; or PARASITES.Gait: Manner or style of walking.Age Factors: Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.Disability Evaluation: Determination of the degree of a physical, mental, or emotional handicap. The diagnosis is applied to legal qualification for benefits and income under disability insurance and to eligibility for Social Security and workmen's compensation benefits.Intraoperative Complications: Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure.Aortic Valve: The valve between the left ventricle and the ascending aorta which prevents backflow into the left ventricle.Scapula: Also called the shoulder blade, it is a flat triangular bone, a pair of which form the back part of the shoulder girdle.Humerus: Bone in humans and primates extending from the SHOULDER JOINT to the ELBOW JOINT.Intraoperative Care: Patient care procedures performed during the operation that are ancillary to the actual surgery. It includes monitoring, fluid therapy, medication, transfusion, anesthesia, radiography, and laboratory tests.Prosthesis Implantation: Surgical insertion of a prosthesis.Enzyme Replacement Therapy: Therapeutic replacement or supplementation of defective or missing enzymes to alleviate the effects of enzyme deficiency (e.g., GLUCOSYLCERAMIDASE replacement for GAUCHER DISEASE).Incidence: The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. It is differentiated from PREVALENCE, which refers to all cases, new or old, in the population at a given time.Cohort Studies: Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.DislocationsInjections, Intra-Articular: Methods of delivering drugs into a joint space.Activities of Daily Living: The performance of the basic activities of self care, such as dressing, ambulation, or eating.Nerve Block: Interruption of NEURAL CONDUCTION in peripheral nerves or nerve trunks by the injection of a local anesthetic agent (e.g., LIDOCAINE; PHENOL; BOTULINUM TOXINS) to manage or treat pain.Tuberculosis, Osteoarticular: Tuberculosis of the bones or joints.Quadriceps Muscle: The quadriceps femoris. A collective name of the four-headed skeletal muscle of the thigh, comprised of the rectus femoris, vastus intermedius, vastus lateralis, and vastus medialis.Venous Thrombosis: The formation or presence of a blood clot (THROMBUS) within a vein.Hospitals, Low-Volume: Hospitals with a much lower than average utilization by physicians and smaller number of procedures.Arthrography: Roentgenography of a joint, usually after injection of either positive or negative contrast medium.Bone Density: The amount of mineral per square centimeter of BONE. This is the definition used in clinical practice. Actual bone density would be expressed in grams per milliliter. It is most frequently measured by X-RAY ABSORPTIOMETRY or TOMOGRAPHY, X RAY COMPUTED. Bone density is an important predictor for OSTEOPOROSIS.Metatarsophalangeal Joint: The articulation between a metatarsal bone (METATARSAL BONES) and a phalanx.Walking: An activity in which the body advances at a slow to moderate pace by moving the feet in a coordinated fashion. This includes recreational walking, walking for fitness, and competitive race-walking.Muscle Strength: The amount of force generated by MUSCLE CONTRACTION. Muscle strength can be measured during isometric, isotonic, or isokinetic contraction, either manually or using a device such as a MUSCLE STRENGTH DYNAMOMETER.Foreign-Body Migration: Migration of a foreign body from its original location to some other location in the body.Antibiotic Prophylaxis: Use of antibiotics before, during, or after a diagnostic, therapeutic, or surgical procedure to prevent infectious complications.Lumbosacral Plexus: The lumbar and sacral plexuses taken together. The fibers of the lumbosacral plexus originate in the lumbar and upper sacral spinal cord (L1 to S3) and innervate the lower extremities.Arthrometry, Articular: Measurements of joint flexibility (RANGE OF MOTION, ARTICULAR), usually by employing an angle-measuring device (arthrometer). Arthrometry is used to measure ligamentous laxity and stability. It is often used to evaluate the outcome of ANTERIOR CRUCIATE LIGAMENT replacement surgery.Vitallium: An alloy of 60% cobalt, 20% chromium, 5% molybdenum, and traces of other substances. It is used in dentures, certain surgical appliances, prostheses, implants, and instruments.Intraoperative Period: The period during a surgical operation.Cervical Vertebrae: The first seven VERTEBRAE of the SPINAL COLUMN, which correspond to the VERTEBRAE of the NECK.Anesthesia, Conduction: Injection of an anesthetic into the nerves to inhibit nerve transmission in a specific part of the body.Intervertebral Disc Degeneration: Degenerative changes in the INTERVERTEBRAL DISC due to aging or structural damage, especially to the vertebral end-plates.Chi-Square Distribution: A distribution in which a variable is distributed like the sum of the squares of any given independent random variable, each of which has a normal distribution with mean of zero and variance of one. The chi-square test is a statistical test based on comparison of a test statistic to a chi-square distribution. The oldest of these tests are used to detect whether two or more population distributions differ from one another.Patient Selection: Criteria and standards used for the determination of the appropriateness of the inclusion of patients with specific conditions in proposed treatment plans and the criteria used for the inclusion of subjects in various clinical trials and other research protocols.Bone Nails: Rods of bone, metal, or other material used for fixation of the fragments or ends of fractured bones.Intervertebral Disc: Any of the 23 plates of fibrocartilage found between the bodies of adjacent VERTEBRAE.Patient Positioning: Moving a patient into a specific position or POSTURE to facilitate examination, surgery, or for therapeutic purposes.Hemarthrosis: Bleeding into the joints. It may arise from trauma or spontaneously in patients with hemophilia.Replantation: Restoration of an organ or other structure to its original site.Knee: A region of the lower extremity immediately surrounding and including the KNEE JOINT.Quality of Life: A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral and social environment; the overall condition of a human life.Hemostasis, Surgical: Control of bleeding during or after surgery.Stress, Mechanical: A purely physical condition which exists within any material because of strain or deformation by external forces or by non-uniform thermal expansion; expressed quantitatively in units of force per unit area.Foreign-Body Reaction: Chronic inflammation and granuloma formation around irritating foreign bodies.Thromboembolism: Obstruction of a blood vessel (embolism) by a blood clot (THROMBUS) in the blood stream.Slipped Capital Femoral Epiphyses: A developmental deformity in which the metaphysis of the FEMUR moves proximally and anteriorly away from FEMUR HEAD (epiphysis) at the upper GROWTH PLATE. It is most common in male adolescents and is associated with a greater risk of early OSTEOARTHRITIS of the hip.Bone Diseases, DevelopmentalSex Factors: Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances.Reproducibility of Results: The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.Surgical Procedures, Elective: Surgery which could be postponed or not done at all without danger to the patient. Elective surgery includes procedures to correct non-life-threatening medical problems as well as to alleviate conditions causing psychological stress or other potential risk to patients, e.g., cosmetic or contraceptive surgery.Antifibrinolytic Agents: Agents that prevent fibrinolysis or lysis of a blood clot or thrombus. Several endogenous antiplasmins are known. The drugs are used to control massive hemorrhage and in other coagulation disorders.Questionnaires: Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.Therapeutic Irrigation: The washing of a body cavity or surface by flowing water or solution for therapy or diagnosis.Shoulder Fractures: Fractures of the proximal humerus, including the head, anatomic and surgical necks, and tuberosities.Diskectomy: Excision, in part or whole, of an INTERVERTEBRAL DISC. The most common indication is disk displacement or herniation. In addition to standard surgical removal, it can be performed by percutaneous diskectomy (DISKECTOMY, PERCUTANEOUS) or by laparoscopic diskectomy, the former being the more common.Treatment Failure: A measure of the quality of health care by assessment of unsuccessful results of management and procedures used in combating disease, in individual cases or series.Glenoid Cavity: A depression in the lateral angle of the scapula that articulates with the head of the HUMERUS.Movement: The act, process, or result of passing from one place or position to another. It differs from LOCOMOTION in that locomotion is restricted to the passing of the whole body from one place to another, while movement encompasses both locomotion but also a change of the position of the whole body or any of its parts. Movement may be used with reference to humans, vertebrate and invertebrate animals, and microorganisms. Differentiate also from MOTOR ACTIVITY, movement associated with behavior.Arthroscopy: Endoscopic examination, therapy and surgery of the joint.Pulmonary Embolism: Blocking of the PULMONARY ARTERY or one of its branches by an EMBOLUS.Bone Screws: Specialized devices used in ORTHOPEDIC SURGERY to repair bone fractures.Hospitals, High-Volume: Hospitals with a much higher than average utilization by physicians and a large number of procedures.Anesthesia, Spinal: Procedure in which an anesthetic is injected directly into the spinal cord.Anesthetics, Local: Drugs that block nerve conduction when applied locally to nerve tissue in appropriate concentrations. They act on any part of the nervous system and on every type of nerve fiber. In contact with a nerve trunk, these anesthetics can cause both sensory and motor paralysis in the innervated area. Their action is completely reversible. (From Gilman AG, et. al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 8th ed) Nearly all local anesthetics act by reducing the tendency of voltage-dependent sodium channels to activate.Legg-Calve-Perthes Disease: A particular type of FEMUR HEAD NECROSIS occurring in children, mainly male, with a course of four years or so.Polymethyl Methacrylate: Polymerized methyl methacrylate monomers which are used as sheets, moulding, extrusion powders, surface coating resins, emulsion polymers, fibers, inks, and films (From International Labor Organization, 1983). This material is also used in tooth implants, bone cements, and hard corneal contact lenses.Pelvis: The space or compartment surrounded by the pelvic girdle (bony pelvis). It is subdivided into the greater pelvis and LESSER PELVIS. The pelvic girdle is formed by the PELVIC BONES and SACRUM.

Is revision as good as primary hip replacement? A comparison of quality of life. (1/2973)

Primary total hip arthroplasty (THA) is one of the most effective ways of improving quality of life (QoL). We have compared the improvement in QoL in 62 patients who had a cemented revision of a THA with that of 62 primary replacements. One year after operation the median QoL score had been significantly improved in both groups; from 0.870 to 0.990 in the primary group (p < 0.0001) and from 0.870 to 0.980 in the revised group (p < 0.0001). There was no significant difference in the improvement in scores between the groups (p = 0.29). When reviewed after four years there was no difference in the pain score for either group (p = 0.89), but that for function had deteriorated significantly. This was associated with revision surgery (p = 0.018) and a low preoperative QoL score (p = 0.004). We conclude that both primary and revision operations give a significant improvement in the QoL but function after revision may be less durable than after a primary arthroplasty.  (+info)

Analysis of 118 second-generation metal-on-metal retrieved hip implants. (2/2973)

Osteolysis is due to particulate wear debris and is responsible for the long-term failure of total hip replacements. It has stimulated the development of alternative joint surfaces such as metal-on-metal or ceramic-on-ceramic implants. Since 1988 the second-generation metal-on-metal implant Metasul has been used in over 60 000 hips. Analysis of 118 retrieved specimens of the head or cup showed rates of wear of approximately 25 microm for the whole articulation per year in the first year, decreasing to about 5 microm per year after the third. Metal surfaces have a 'self-polishing' capacity. Scratches are worn out by further joint movement. Volumetric wear was decreased some 60-fold compared with that of metal-on-polyethylene implants, suggesting that second-generation metal-on-metal prostheses may considerably reduce osteolysis.  (+info)

Low-friction arthroplasty of the hip using alumina ceramic and cross-linked polyethylene. A ten-year follow-up report. (3/2973)

We report the results of our continued review of 14 hip arthroplasties using alumina ceramic femoral heads with cross-linked polyethylene cups. There have been no complications and a very low rate of penetration. This was 0.02 mm per year after an initial 'bedding-in' period of two years. There has been no change in the mean rate between our earlier study at six years and the current results at 10 to 11 years. The use of these bearing surfaces appears to reduce the potential amount of polyethylene debris and may provide the next logical stage in the development of the Charnley low-friction arthroplasty.  (+info)

Cement migration after THR. A comparison of charnley elite and exeter femoral stems using RSA. (4/2973)

Studies using roentgen stereophotogrammetric analysis (RSA) have shown that the femoral components of cemented total hip replacements (THR) migrate distally relative to the bone, but it is not clear whether this occurs at the cement-implant or the cement-bone interface or within the cement mantle. Our aim was to determine where this migration occurred, since this has important implications for the way in which implants function and fail. Using RSA we compared for two years the migration of the tip of the stem with that of the cement restrictor for two different designs of THR, the Exeter and Charnley Elite. We have assumed that if the cement restrictor migrates, then at least part of the cement mantle also migrates. Our results have shown that the Exeter migrates distally three times faster than the Charnley Elite and at different interfaces. With the Exeter migration was at the cement-implant interface whereas with the Charnley Elite there was migration at both the cement-bone and the cement-implant interfaces.  (+info)

Subsidence of a non-polished stem in revisions of the hip using impaction allograft. Evaluation with radiostereometry and dual-energy X-ray absorptiometry. (5/2973)

We revised 24 consecutive hips with loosening of the femoral stem using impaction allograft and a cemented stem with an unpolished proximal surface. Repeated radiostereometric examinations for up to two years showed a slow rate of subsidence with a mean of 0.32 mm (-2.0 to +0.31). Fifteen cases followed for a further year showed the same mean subsidence after three years, indicating stabilisation. A tendency to retroversion of the stems was noted between the operation and the last follow-up. Retroversion was also recorded when displacement of the stem was studied in ten of the patients after two years. Repeated determination of bone mineral density showed an initial loss after six months, followed by recovery to the postoperative level at two years. Defects in the cement mantle and malalignment of the stem were often noted on postoperative radiographs, but did not correlate with the degrees of migration or displacement. After one year, increasing frequency of trabecular remodelling or resorption of the graft was observed in the greater trochanter and distal to the tip of the stem. Cortical repair was noted distally and medially (Gruen regions 3, 5 and 6). Migration of the stems was the lowest reported to date, which we attribute to the improved grafting technique and to the hardness of the graft.  (+info)

The inadequacy of standard radiographs in detecting flaws in the cement mantle. (6/2973)

Radiological assessment of the cement mantle is used routinely to determine the outcome of total hip replacement. We performed a simulated replacement arthroplasty on cadaver femora and took standard postoperative radiographs. The femora were then sectioned into 7 mm slices starting at the calcar, and high-resolution faxitron radiographs were taken of these sections. Analysis of the faxitron images showed that defects in the cement mantle were observed up to 100 times more frequently than on the standard films. We therefore encourage the search for a better technique in assessing the cement mantle.  (+info)

The orthopaedic aspects of multiple epiphyseal dysplasia. (7/2973)

Five cases of multiple epiphyseal dysplasia (MED) were treated from 1985-1996 at the Orthopaedics and Trauma Department of SSK Izmir Educational Hospital. Four patients were female and one was male. The pedigrees of the first two female patients had the same features of inter-related marriages. The patients have been followed up for 5.5-11 years (average of 7.5 years). Surgical operations were mostly required in the lower limbs. Problems in the hips required adductor myotomy, the Soutter procedure, total hip replacement, and pertrochanteric extension osteotomy. Management of the knees required supracondylar shortening and extension osteotomy of the femur, high tibial extension osteotomy, debridement of the knee joint with removal of osteophytes, ogleotomy of the patellar lengthening of the knee flexors and posterior capsulotomy. Interphalangeal arthrodesis for hammer toes, extension osteotomy of the head of the first metatarsals, and Kellers operation were carried out in the foot. In the upper limb decompression and anterior transposition of the ulnar nerve, debridement of the elbow joint, extension and valgus osteotomy of the distal radius, and extension osteotomy of the head of the first metacarpal were required.  (+info)

Survey of patient satisfaction after total arthroplasty of the hip. (8/2973)

We have carried out a prospective study based on a series of interviews and written questionnaires completed by 45 patients who underwent surgery, in an effort to evaluate subjective patient satisfaction while recovering from total hip arthroplasty. These patients all had operation for primary osteoarthrosis and none had previously experienced orthopaedic procedures or psychiatric pathology. Our study demonstrated that using standard quality-of-life questionnaires to evaluate patient's subjective assessments is difficult, if not impossible. It also established the need to combine questionnaires and open-ended interviews in order to reveal subjective elements that should be taken into consideration by the surgeon before deciding upon the need to operate. The analysis of the data collected in this study highlights the fact that 50% of the patients express feelings of frustration during a three month-long period following the operation, in spite of their experiencing actual improvements of the operated hip. This phase of temporary frustration winds down easily but it is only a year after undergoing arthroplasty that some patients will enjoy all the subjective benefits of the operation.  (+info)

Lower Dislocation Rate Following Total Hip Arthroplasty via Direct Anterior Approach than via Posterior Approach: Five-Year-Average Follow-Up Results
Multimodal analgesia following total hip arthroplasty has been shown to improve patient satisfaction, participation with physical therapy, and allow early return to self care. Liposomal bupivacaine is a formulation of local anesthetic which has the potential to provide anesthesia for up to 72 hours following administration. The purpose of this study was to compare the effectiveness of liposomal bupivacaine with bupivacaine following total hip arthroplasty. A retrospective chart review was performed on 28 patients undergoing total hip arthroplasty or hip resurfacing who received intraoperative administration of liposomal bupivacaine. A control group of 30 patients who had previously undergone total hip arthroplasty or hip resurfacing and had received intraoperative administration of bupivacaine also underwent a chart review. Length of stay, post-operative opioid use, and pain scores were compared for both groups. The average length of stay in the study group was 1.93 days and the control group length of
RYAN, P and GOGA, IE. Uncemented primary total hip arthroplasty in patients aged 55 years or younger: Results at a minimum of 5 years in a consecutive series. SA orthop. j. [online]. 2014, vol.13, n.1, pp.54-60. ISSN 2309-8309.. INTRODUCTION: Surgical management of younger patients requiring primary total hip arthroplasty is challenging due to increased activity levels, physical demands, and the need for longevity of implanted components. There is debate regarding the most suitable component type, and the optimal fixation, should a stemmed component be utilised. MATERIALS AND METHODS: We retrospectively reviewed a sequential group of patients, aged 55 years or younger at the time of surgery, who underwent uncemented primary total hip arthroplasty, and are currently at a minimum of 5 years post operation. Eighty-eight primary uncemented total hip replacements were performed between January 2004 and December 2006. The patient ages ranged from 18 to 55 years with a mean of 43.1 years at time of ...
REID, C et al. Revision total hip arthroplasty: addressing acetabular bone loss. SA orthop. j. [online]. 2012, vol.11, n.3, pp.34-46. ISSN 2309-8309.. Managing deficient acetabular bone in primary and revision total hip arthroplasty requires thought and planning. This paper focuses on the management of bone loss in revision arthroplasty and presents an overview of the literature, the careful pre-operative assessment required prior to surgery and the surgical options available to achieve an optimal outcome.. Palabras clave : Acetabular bone loss; acetabular deficiency; revision hip arthroplasty; acetabular management. ...
TY - JOUR. T1 - Preoperative patient functional status is an independent predictor of outcomes after primary total hip arthroplasty. AU - Raad, Micheal. AU - Amin, Raj M.. AU - El Abiad, Jad M.. AU - Puvanesarajah, Varun. AU - Best, Matthew J.. AU - Oni, Julius. PY - 2019/3/1. Y1 - 2019/3/1. N2 - This study was designed to determine whether preoperative functional status of patients with osteoarthritis predicts outcomes after primary total hip arthroplasty. The American College of Surgeons National Surgical Quality Improvement Program database was queried for records of patients who underwent primary total hip arthroplasty for a principal diagnosis of osteoarthritis from 2009 to 2013 (N=43,179). Patients were categorized as dependent or independent according to their preoperative functional status. The groups were compared regarding several potential confounders using Students t and chi-square tests. Logistic and Poisson regression models (inclusion threshold of P,.1) were used to assess the ...
Introduction: Although periprosthetic fractures of the femur have been well documented, insufficiency fractures following total hip arthroplasty (THA) have been rarely described. We report a case of an insufficiency fracture in the distal tibia and fibula that occurred after THA. Case Report: A 54-year-old woman presented with severe pain in the bilateral hip joints and was diagnosed with end-stage osteoarthritis. She underwent THA on the right side. Although the postoperative course was uneventful, she suddenly experienced severe pain and swelling in the right leg without any history of trauma 22 weeks after the surgery. She was first diagnosed with cellulitis by her local doctor and was treated with oral antibiotics. Her symptoms persisted, and she returned to our hospital 1 month later. Her right distal leg and ankle were diffusely swollen and tender. Plain radiographs revealed a sclerotic linear zone in the distal tibia and fibula. She was diagnosed with insufficiency fractures in the distal tibia
TY - JOUR. T1 - Freeze-dried proximal femur allografts in revision total hip arthroplasty. A preliminary report. AU - Head, W. C.. AU - Malinin, T. I.. AU - Berklacich, F.. PY - 1987/1/1. Y1 - 1987/1/1. N2 - Failure of cemented total hip arthroplasty can emerge from several causes and may be associated with severe bone loss in the proximal femur with a marked diminution in functional capacity of the limb. This is a preliminary report of 14 patients with revision operations for failed total hip arthroplasty. Freeze-dried allograft bone was implanted for restoration of extensive bone loss in the proximal femur. All 14 patients were operated on to salvage failed cemented total hip arthroplasties. Allografts were employed only for large proximal femoral deficiencies. In these patients the alternatives were either an unstable excision arthroplasty or a femoral deficient prosthesis. After revision, all patients had complete bony union and ambulated with the assistance of a cane with greatly increased ...
Chapter 17 Complications Following Total Hip Arthroplasty Asim Rajpura and Tim Board Additional information is available at the end of the chapter 1. Introduction Total
Total hip replacement surgery is an option to relieve severe arthritis pain that limits your daily activities. Dr Junaid Makda in Chicago, Gurnee and Libertyville, IL treats hip arthritis by using total hip arthroplasty.
This page provides useful content and local businesses that can help with your search for Hip Joint Replacement Surgery. You will find helpful, informative articles about Hip Joint Replacement Surgery, including The Past, Present, and Future of Hip Joint Replacements, Artificial Joint Replacement of the Hip, and Thinking Small in Hip Replacement Surgery. You will also find local businesses that provide the products or services that you are looking for. Please scroll down to find the local resources in Arlington Heights, IL that will answer all of your questions about Hip Joint Replacement Surgery.
This page provides useful content and local businesses that can help with your search for Hip Joint Replacement Surgery. You will find helpful, informative articles about Hip Joint Replacement Surgery, including The Past, Present, and Future of Hip Joint Replacements, Artificial Joint Replacement of the Hip, and Thinking Small in Hip Replacement Surgery. You will also find local businesses that provide the products or services that you are looking for. Please scroll down to find the local resources in Bristol, CT that will answer all of your questions about Hip Joint Replacement Surgery.
Hip reduction in total hip arthroplasty for high dislocated hips is difficult. Various femur osteotomy procedures have been used for hip reduction, but these methods increase operative time and risk of nonunion. We investigated the efficacy of a novel partial greater trochanter osteotomy technique for hip reduction in total hip arthroplasty for patients with high hip dislocation. Twenty-one patients (23 hips) with high dislocated hip were treated with total hip arthroplasty that included partial greater trochanter osteotomy, i.e., the upper 2/3 greater trochanter was resected, and the gluteus medius muscle attachment was spared. The clinical outcome was evaluated by comparing the Harris hip scores and radiographic exam results, obtained before surgery and at follow-ups. Follow-ups of 21 patients ranged from 13 to 56 months. The mean Harris hip score increased from preoperative 55.0 (36-69) to postoperative 86.1 (71-93; P = 0.00). The average preoperative leg length discrepancy in patients with
Hip joint replacement - MedHelps Hip joint replacement Center for Information, Symptoms, Resources, Treatments and Tools for Hip joint replacement. Find Hip joint replacement information, treatments for Hip joint replacement and Hip joint replacement symptoms.
Texas Institute for Hip & Knee Surgery offers revision total hip arthroplasty in Austin, Texas. Navigate to learn more about revision total hip arthroplasty.
A recent study indicates that total hip replacement surgery increases the risk of stroke, which is caused when the blood flow to the brain is stopped, within two weeks of surgery.
To compare the clinical and cost effectiveness of total hip arthroplasty with resurfacing arthroplasty in patients with severe arthritis of the hip.Single centre, two arm, parallel group, assessor blinded, randomised controlled trial with 1:1 treatment allocation.One large teaching hospital in the United Kingdom.126 patients older than 18 years with severe arthritis of the hip joint, suitable for resurfacing arthroplasty of the hip. Patients were excluded if they were considered to be unable to adhere to trial procedures or complete questionnaires.Total hip arthroplasty (replacement of entire femoral head and neck); hip resurfacing arthroplasty (replacement of the articular surface of femoral head only, femoral neck remains intact). Both procedures replaced the articular surface of the acetabulum.Hip function at 12 months after surgery, assessed using the Oxford hip score and Harris hip score. Secondary outcomes were quality of life, disability rating, physical activity level, complications, and cost
The impact of surgeon handedness on acetabular cup orientation in total hip arthroplasty (THA) is not well studied. The aim of our study is to investigate the difference of cup orientation in bilateral THA performed by right-handed surgeons using posterolateral approach and which cup could be fitter to Lewinnecks safe zone. The study consisted of 498 patients that underwent bilateral THA by three right-handed surgeons in our hospital. Postoperative acetabular cup anteversion and abduction on an anteroposterior pelvic radiograph were measured by Orthoview software (Orthoview LLC, Jacksonville, Florida). Furthermore, the percentage of cup placement within the safe zone was compared. The mean anteversion was 25.28 (25.28° ± 7.16°) in left THA and 22.01 (22.01° ± 6.35°) in right THA (p | 0.001). The mean abduction was 37.50 (37.50° ± 6.76°) in left THA and 38.59 (38.59° ± 6.84°) in right THA (p = 0.011). In the left side, the cup was positioned in Lewinneks safe zone in 52% for anteversion, 87
We assessed the orientation of the acetabular component in 1070 primary total hip arthroplasties with hard-on-soft, small diameter bearings, aiming to determine the size and site of the target zone that optimises outcome. Outcome measures included complications, dislocations, revisions and ΔOHS (the difference between the Oxford Hip Scores pre-operatively and five years post-operatively). A wide scatter of orientation was observed (2sd 15°). Placing the component within Lewinneks zone was not associated withimproved outcome. Of the different zone sizes tested (± 5°, ± 10° and ± 15°), only ± 15° was associated with a decreased rate of dislocation. The dislocation rate with acetabular components inside an inclination/anteversion zone of 40°/15° ± 15° was four times lower than those outside. The only zone size associated with statistically significant and clinically important improvement in OHS was ± 5°. The best outcomes (ΔOHS | 26) were achieved with a 45°/25° ± 5° zone. This study
INTRODUCTION: Foot drop is a potentially debilitating complication following injury to the sciatic nerve during primary total hip arthroplasty (THA). The aim of this study was to determine the incidence, risk factors and outcome of this complication within one large surgical practice.. METHODS: We analysed the records of 10,624 primary THAs carried out between January 1993 and November 2017 using a posterior approach. All were under the care of the senior author.. RESULTS: Overall, there were 47 cases (0.44%) of foot drop, but over time the incidence dropped from 0.6% to 0.3% ( p = 0.033). Preoperative protrusio acetabulae ( p , 0.001), female sex ( p , 0.001) and junior grade of surgeon ( p , 0.009) were all significant risk factors. In this series, dysplasia was not a risk factor. 1 year postoperatively, 25 (53.2%) had complete recovery, 12 (25.5%) had ongoing sensory deficit but normal power, and 10 (21.3%) had a residual sensory-motor deficit.. CONCLUSION: Take home message:- In this series, ...
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We previously reported on the metal ion concentrations of cobalt, chromium, and titanium that were found in the serum of patients three years after they had undergone primary total hip arthroplasty as compared with the concentrations found in the serum of control patients who did not have an implant. This study is a concise update on the serum metal levels found in a cohort of these patients ten years after the time of hip implantation. Of the original seventy-five subjects, metal ion levels were available for forty patients (53%). Ten patients (hybrid group) had received a hybrid total hip replacement that consisted of a modular cobalt-alloy femoral stem with a cobalt-alloy femoral head that had been inserted with cement and a titanium acetabular socket that had been inserted without cement. Nine patients (cobalt-chromium [CoCr] group) had received an implant with an extensively porous-coated modular cobalt-alloy femoral stem and femoral head along with a titanium acetabular socket; the femoral ...
One type of hip fracture, called a femoral neck fracture, involves a break in the narrow part of the femur bone where the head of the femur is joined to the main shaft. The break can be either undisplaced, which involves very little separation at the fracture site, or displaced, in which there is substantial separation. For displaced fractures, surgeons usually choose between internal fixation and hip arthroplasty, which is also known as hip replacement.. Patients receiving hip arthroplasty may undergo either a total hip arthroplasty or a hemi-arthroplasty. Which surgical method is best for the patient is unknown. Advocates of total hip replacement claim better improvements in patient function and quality of life. On the other hand, advocates of hemi-arthroplasty, which include most orthopaedic surgeons, claim reduced rates of dislocation and deep vein thrombosis, shorter operating times, less blood loss, and a technically less demanding surgical procedure. This study will compare total hip ...
We conducted a retrospective review of an institutional database of primary total hip arthroplasty patients from 2006 to 2013. Thirty-three super-obese patients were identified, and the other 5 cohorts were randomly selected in a 2:1 ratio (n = 363). Demographics, 90-day outcomes (costs, reoperations, and readmissions), and outcomes after 3 years (revisions and change scores for Short-Form Health Survey, Harris Hip Score, and Western Ontario and McMaster Universities Arthritis Index) were collected. Costs were determined using unit costs from our institutional administrative data for all in-hospital resource utilization. Comparisons between the nonobese and other groups were made with Kruskal-Wallis tests for non-normal data and chi-square and Fisher exact test for categorical data.. ...
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Aim. The aim was to evaluate patients perioperative pain experience after total hip replacement and patients satisfaction with pain management.. Background. Total hip arthroplasty is a common surgical procedure intended to reduce pain and return patients to better function. Realistic expectations about total hip arthroplasty is important for optimal postoperative recovery and the information must be adapted to fit the individual patient.. Methods. A descriptive design was used comparing patients outcome data. Pitmans test was used for statistical analyses. Adult patients (n ¼ 112) undergoing surgical hip replacement procedures answered a 17-item questionnaire on the fourth postoperative day. The questionnaire included given alternatives and visual analogue scales (0-100 mm) for the pain assessment.. Result. The patients postoperative pain experience after hip replacement surgery was in average low, 33Æ1 mm on a 100 mm visual analogue scale. Patients pain experience was reported to be ...
The purpose of total hip replacement is to relieve pain, not to make better athletes. Still, the modern patient is likely to return to recreation and sports. There is no current consensus on the safety of resuming athletics, though a surgeons judgment and a patients common sense will serve as appropriate guidelines. The issue of athletic participation after hip arthroplasty has become more relevant in recent years, with an increase in the number of young and active patients receiving joint replacements. The article reviews patient surgery, implant and sports related factors and discusses currently available guidelines that should be considered by the physician when counseling patients regarding a return to athletic activity after total joint arthroplasty. Current evidence regarding appropriate athletic participation after total hip arthroplasty is also reviewed. Patients should be encouraged to be active after total joint arthroplasty, and this may include participation in athletic activity. ...
Total hip replacement surgery is performed to treat arthritic hip. THR is offered at Desert Orthopedic Center in Rancho Mirage, Palm Springs and La Quinta.
Background:Release and dispersion of particles arising from corrosion and wear of total hip arthroplasty (THA) components has raised concerns about a possible increased risk of cancer. Concerns have been heightened by a recent revival in the use of metal-on-metal (MoM) hip prostheses.Methods:From a linked database of hospital discharge, cancer registration, and mortality records, we selected a cohort of patients who underwent primary THA (1990-2009) or primary resurfacing arthroplasty (mainly 2000-2009) in Scotland, with follow-up to the end of 2010. Available operation codes did not enable us to distinguish MoM THAs. Indirectly standardised incidence ratios (SIRs) were calculated for selected cancers with standardisation for age, sex, deprivation, and calendar period.Results:The study cohort included 71 990 patients yielding 547 001 person-years at risk (PYAR) and 13 946 cancers diagnosed during follow-up. For the total period of observation combined, the risks of all cancers (SIR: 1.05; 95% ...
Background and purpose - The use of local infiltration anesthesia (LIA) has become one of the cornerstones of rapid recovery protocols in total knee arthroplasty patients during the past decade. In total hip arthroplasty (THR), however, the study results are more variable and LIA has therefore not yet been generally accepted. There is no consensus on which structure should be infiltrated and the cutaneous nerves are generally neglected. Hence, we hypothesized a pain-reducing effect of specifically blocking these nerves.. Patients and methods - We performed a single-center randomized placebo-controlled trial in 162 subjects to evaluate the infiltration of the lateral cutaneous femoral and subcostal nerve with ropivacaine in patients undergoing total hip arthroplasty via a straight lateral approach. The primary endpoint was pain at rest after 24 hours. Patients were followed up to 6 weeks postoperatively.. Results - After correction for multiple testing, no statistically significant differences in ...
Your doctor says you need total hip replacement surgery - and your painful hip says it too. Worried as you may be, theres little downside to this common...
MyCure Orthopedic Hospitals - Vizag, AP: Get Expert opinion on Total Hip Replacement surgery with Best Joint replacement Surgeon in Visakhapatnam
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies. ...
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Physical Therapy Helps Regain Walking Distance and Stair Climbing Abilities Researchers in Norway report that patients who receive walking skills training following total hip arthroplasty for osteoarthritis show improved physical function. The physical therapy program displayed a positive effect on walking distance and stair climbing which continued 12 months following hip replacement surgery. Results of the study appear in Arthritis Care & Research, a journal published by Wiley-Blackwell on behalf of the American College of Rheumatology (ACR). Osteoarthritis (OA) is a joint disease where loss of cartilage in affected joints such as the knees, hips, fingers or spine causes pain and stiffness that can be disabling. In some cases, the only treatment option for OA is total replacement of the joint, known as arthroplasty. The World Health Organization (WHO) estimates that 10% of men and 18% of women 60 years of age and older suffer from OA. In the U.S., the National Hospital Discharge Survey ...
Arthroplasty surgery, like knee arthroplasty surgery, hip arthroplasty surgery and shoulder arthroplasty surgery, can be performed in order to bring relief to affected individuals in case physical therapy fails to work.
Revision THR femoral stems are usually long and require cerclage wires for internal fixation, as the femoral shaft requires surgical fracture to extract the primary THR stem. Why cup on a cup? The primary THR acetabular cup and mesh could not be...
Advances in Orthopedics is a peer-reviewed, Open Access journal that provides a forum for orthopaedics working on improving the quality of orthopedic health care. The journal publishes original research articles, review articles, and clinical studies related to arthroplasty, hand surgery, limb reconstruction, pediatric orthopaedics, sports medicine, trauma, spinal deformities, and orthopaedic oncology.
Minimally invasive surgery in total hip arthroplasty , Minimally invasive surgery in total hip arthroplasty , کتابخانه دیجیتال جندی شاپور اهواز
Objectives: To evaluate implant survival following primary total hip replacement (THR) in younger patients. To describe the diversity in use of cup-stem implant combinations. Design: 29,558 primary THRs osteoarthritis (OA) patients younger than 55 years of age performed from 1995 through 2011 were identified using the Nordic Arthroplasty Registry Association database. We estimated adjusted relative risk (aRR) of revision with 95% confidence interval (CI) using Cox regression. Results: In general, no difference was observed between uncemented and cemented implants in terms of risk of any revision. Hybrid implants were associated with higher risk of any revision (aRR = 1.3, CI: 1.1 -1.5). Uncemented implants led to a reduced risk of revision due to aseptic loosening (aRR = 0.5, CI: 0.5 -0.6), whereas the risk was similar for hybrid and cemented implants. Compared with cemented implants, both uncemented and hybrid implants led to elevated risk of revision due to other causes, as well as elevated ...
Vascular intrapelvic complications due to total hip arthroplasty failure are uncommon, with less than 30 cases reported in the literature. Herein, we report a case of unusual asymptomatic delayed vascular complication after 10 years from right total hip arthroplasty. A man in mid-50s, with multiple comorbidities including end-stage renal disease. The patient was admitted for the renal transplant surgery. Intraoperatively, right external iliac artery pseudoaneurysm was discovered, which required the transplantation to be done on the left side. After recovery from the renal transplant surgery, the patient underwent resection of the right external iliac artery pseudoaneurysm with primary anastomosis by vascular surgery, with resection of the migrated screw by orthopaedic surgery. ...
A PHASE 2 RANDOMIZED STUDY INVESTIGATING THE EFFICACY AND SAFETY OF MYOSTATIN ANTIBODY LY2495655 VERSUS PLACEBO IN PATIENTS UNDERGOING ELECTIVE TOTAL HIP ARTHROPLASTY. L. Woodhouse, R. Gandhi, S.J. Warden, S. Poiraudeau, S.L. Myers, C.T. Benson, L. Hu, Q.I. Ahmad, P. Linnemeier, E.V. Gomez, O. Benichou, on behalf of the study investigators. J Frailty Aging 2016;5(1):62-70. Show summaryHide summary. Background: Total hip arthroplasty relieves joint pain in patients with end stage osteoarthritis. However, postoperative muscle atrophy often results in suboptimal lower limb function. There is a need to improve functional recovery after total hip arthroplasty. Objectives: To assess safety and efficacy of LY2495655, a humanized monoclonal antibody targeting myostatin, in patients undergoing elective total hip arthroplasty. Design: Phase 2, randomized, parallel, double-blind, 12-week clinical trial with a 12-week follow-up period. Setting: Forty-two sites in 11 countries. Participants: Individuals ...
1. Garvin KL, Hanssen AD. Current concepts review: Infection after total hip arthroplasty. J Bone Joint Surg Am. 1995;77:1576-1588 2. Fitzgerald Jr RH. Infected total hip arthroplasty: Diagnosis and treatment. J Am Acad Orthop Surg. 1995;3:249-262 3. Cui Q, Mihalko WM, Shields JS, Ries M, Saleh HJ. Antibiotic-impregnated cement spacers for the treatment of infection associated with total hip or knee arthroplasty. J Bone Joints Surg Am. 2007;89:871-882 4. Hanssen AD, Osmon DR. Evaluation of a staging system for infected hip arthroplasty. Clin Orthop Rel Res. 2002;403:16-22 5. Steinbrink K. The case of revision arthroplasty using antibiotic-loaded acrylic cement. Clin Orthop Rel Res. 1990;261:19-22 6. Steinbrink K, Frommelt L. Treatment of periprosthetic infection of the hip using one-stage exchange surgery. Orthopäde. 1995;24:335-343 7. Wroblewski BM. One-stage revision of infected cemented total hip arthroplasty. Clin Orthop Relat Res. 1986;211:103-107 8. Gollwitzer H, Diehl P, Gerdesmeyer L, ...
Total hip replacement is a surgical procedure to treat damaged cartilage and hip injury. Dr. Tod Northrup performs total hip replacement surgery in Jacksonville, Florida.
In addition to conventional surgical approaches, total hip arthroplasty (THA) may be done via minimally invasive surgery (MIS). Minimally invasive THA (MIS-THA) is often portrayed in the lay community and press as involving a small skin incision; actually, it is limited soft tissue and bony dissection.
Since the introduction of the low-friction total hip arthroplasty (THA) by Sir John Charnley, wear has been a primary issue in hip arthroplasty. Charnleys original choice for bearing surfaces was a stainless-steel head on polytetrafluoroethylene (PTFE).
Patients with osteoarthritis that is particularly severe and unresponsive to the conservative treatments will usually require total hip replacement surgery, also referred to as total hip arthroplasty. Severely degenerated joints can be treated by fusion (arthrodesis) or replacement with an artificial joint (arthroplasty). After surgery, it is extremely important to begin physical therapy immediately. In fact, it is common for physical therapy to begin the day after surgery.. In this series, we will discuss total hip replacement therapy. Although this is considered one of the most successful surgeries conducted in the world today, immediate physical therapy following surgery is a critical component that cannot be stressed enough.. What is a total hip replacement?. A total hip replacement is a surgical procedure whereby the diseased cartilage and bone of the hip joint is surgically replaced with artificial materials. The hip joint is composed of a ball and socket joint. The socket is a cup-shaped ...
Background: In obese patients, total hip arthroplasty (THA) can be technically demanding with increased perioperative risks. The aim of this prospective cohort study is to evaluate the effect of body mass index (BMI) on radiological restoration of femoral offset (FO) and leg length as well as acetabular cup positioning.. Methods: In this prospective study, patients with unilateral primary osteoarthritis (OA) treated with THA between September 2010 and December 2013 were considered for inclusion. The perioperative plain radiographs were standardised and used to measure the preoperative degree of hip osteoarthritis, postoperative FO, leg length discrepancy (LLD), acetabular component inclination and anteversion.. Results: We included 213 patients (74.5% of those considered for inclusion) with a mean BMI of 27.7 (SD 4.5) in the final analysis. The postoperative FO was improper in 55% and the LLD in 15%, while the cup inclination and anteversion were improper in 13 and 23% of patients respectively. ...
Background: In obese patients, total hip arthroplasty (THA) can be technically demanding with increased perioperative risks. The aim of this prospective cohort study is to evaluate the effect of body mass index (BMI) on radiological restoration of femoral offset (FO) and leg length as well as acetabular cup positioning.. Methods: In this prospective study, patients with unilateral primary osteoarthritis (OA) treated with THA between September 2010 and December 2013 were considered for inclusion. The perioperative plain radiographs were standardised and used to measure the preoperative degree of hip osteoarthritis, postoperative FO, leg length discrepancy (LLD), acetabular component inclination and anteversion.. Results: We included 213 patients (74.5% of those considered for inclusion) with a mean BMI of 27.7 (SD 4.5) in the final analysis. The postoperative FO was improper in 55% and the LLD in 15%, while the cup inclination and anteversion were improper in 13 and 23% of patients respectively. ...
This study compared radiological and clinical results of Mallory-Head (Biomet, Warsaw, Indiana) cementless total hip arthroplasty (THA) by anatomical (AP group) or high cup placement (HP group) for Crowe I to III developmental dysplasia of the hip. Of the 68 hips studied, 43 hips were available for 15.3-year follow-up. Ten cups were placed at anatomical center with bulk bone grafting, and 33 cups were at high hip center without bulk bone grafting. No acetabular or femoral components showed loosening in either group. One standard polyethylene liner in a highly placed cup was revised due to excessive wear after 11 years. The average rate of polyethylene wear was 0.128 mm/year in the AP group and 0.148 mm/year in the HP group (except for the revision case). The extent of grafted bone coverage was 34.6% in the AP group. Hip center height was 24.5 mm from the inter-teardrop line in the HP group. The center of the hip horizontal location in the AP group (24.5 mm) and HP group (26.4 mm) was ...
Hip replacement, also called total hip arthroplasty, is a surgical procedure to replace a worn out or damaged hip with a prosthesis (an artificial joint). This surgery may be considered following a hip fracture (breaking of the bone) or for someone who has severe pain due to arthritis.. Various types of arthritis may affect the hip joint. Osteoarthritis, a degenerative joint disease that affects mostly middle-aged and older adults, may cause the breakdown of joint cartilage and adjacent bone in the hips. Rheumatoid arthritis, which causes inflammation of the synovial lining of the joint and results in excessive synovial fluid, may lead to severe pain and stiffness. Traumatic arthritis, arthritis due to injury, may also cause damage to the articular cartilage of the hip.. The goal of hip replacement surgery is to replace the parts of the hip joint that have been damaged and to relieve hip pain that cannot be controlled by other treatments.. A traditional hip replacement involves an incision ...
Hip replacement, also called total hip arthroplasty, is a surgical procedure to replace a worn out or damaged hip with a prosthesis (an artificial joint). This surgery may be considered following a hip fracture (breaking of the bone) or for someone who has severe pain due to arthritis.. Various types of arthritis may affect the hip joint. Osteoarthritis, a degenerative joint disease that affects mostly middle-aged and older adults, may cause the breakdown of joint cartilage and adjacent bone in the hips. Rheumatoid arthritis, which causes inflammation of the synovial lining of the joint and results in excessive synovial fluid, may lead to severe pain and stiffness. Traumatic arthritis, arthritis due to injury, may also cause damage to the articular cartilage of the hip.. The goal of hip replacement surgery is to replace the parts of the hip joint that have been damaged and to relieve hip pain that cannot be controlled by other treatments.. A traditional hip replacement involves an incision ...
Lavigne, Martin, Rama, Rkbs, Ganapathi, Muthu, Nuño, Natalia, Winzenrieth, Renaud et Vendittoli, Pascal- André. 2008. « Factors affecting acetabular bone loss during primary hip arthroplasty - A quantitative analysis using computer simulation ». Clinical Biomechanics, vol. 23, nº 5. pp. 577-583 ...
This randomized controlled trial conducted from January 2009 to May 2019 included 1495 patients from 10 different countries, with 1441 patients included in the final analysis. 85.1% of the participants had 2 year follow up data available for analysis. Patients that were 50 years or older, had a displaced fracture of the femoral head, and able to ambulate without assistance before the fracture were candidates for this trial. Most of the participants were female, greater than 70 years old, and able to ambulate without an assistive device before their fracture. 7.9% of the total hip arthroplasty group received a secondary hip procedure, as compared to 8.3% of the hemiarthroplasty group (hazard ratio, 0.95; 95% CI, 0.64 to 1.40; P-0.79). The risk of a secondary hip procedure was higher in the first year for the total hip group, including open or closed reductions for hip dislocations. The risk of a secondary hip procedure in the hemiarthroplasty group was higher in the second year, including implant ...
My Guide to Total Hip Joint Replacement - London … - Risks and Benefits of Total Hip Joint Replacement With your decision to proceed with total hip joint
Introduction Due to complex anatomical considerations, results of cementless-stem total hip arthroplasty (THA) in hip fusion remain controversial compared with conventional THA. We therefore aimed to analyse 3D anatomy of the fused hip based on pre-operative computed tomography (CT) scans, functional outcomes based on the Harris Hip Score (HHS) and the Hip Disability and Osteoarthritis Outcome Score (HOOS), modifications of hip anatomy based on post-operative standardised radiography, and determine complication rate and long-term survival based on Kaplan-Meier analysis. Methods We retrospectively studied 23 hips that underwent conversion of a fused hip to THA using a 3D CT scan-based custom titanium (Ti alloy hypoxyapetite (HA)-coated stem. The mean follow-up was 15 (9-22) years. Femur anteversion ranged from -29 degrees to 80 degrees. Results HHS improved from 59 to 89 points and average range of motion (ROM) was 88 degrees for flexion. Back pain decreased in 62%, and knee pain decreased in ...
EN] Total hip arthroplasty (THA) is considered as one of the most successful surgical/ orthopaedic procedures, due to excellent functional results, pain relief, restoring joint motion and improved quality of life. Contemporary treatment of coxarthrosis aims at biomechanical reconstruction of the hip joint while seeking minimal change in patient anatomy, especially in the femoral component. The approach to the cementless designs can be described as "fitting the prosthesis to the patients anatomy, not the opposite". This is most likely possible thanks to individual femoral stems. The individual femoral stems have undoubtedly shown superiority to the anatomical of the study groups in terms of hip parameters correction, functional outcome, especially in the first three months, and radiological data for follow up period. Custom stem shows benefits especially in young patients with altered anatomy and high functional requirements. It achieves anatomical reconstruction in avoiding intraoperative ...
TY - JOUR. T1 - Functional evaluation in total hip replacement patients.. AU - Catani, F.. AU - Benedetti, M. G.. AU - Binazzi, R.. AU - De Zerbi, M.. AU - Leardini, A.. AU - Giannini, S.. PY - 1998. Y1 - 1998. N2 - An evaluation of total hip replacement patients requires objective criteria that allow for the measurement of any changes in the biomechanics of the prosthesis and the effects of these changes on clinical findings. An evaluation of loading and joint movement during walking in these patients has been dealt with by many authors. In this study 15 patients who had undergone total hip replacement for coxarthrosis primary or secondary to congenital dysplasia were examined by kinematic and kinetic gait analysis, clinical evaluation, and radiographic evaluation of the position of the neocenter of prosthetic joint rotation. The patients with prostheses in congenital dysplasia presented with a pattern of walking that was significantly modified. In agreement with what is reported in the ...
Total hip replacement surgery is done to treat arthritic hip where all or part of the hip is replaced with an artificial device. This surgery is performed by Dr. Elzaim in McAllen.
Orthopaedic Center of Nj procedure pricing information for a Hip Replacement Surgery (Total) can be found listed below. Find a cost comparison to other providers in New York, NY and see your potential savings.
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Background: A deep infection of the surgical site is reported in 0.7% of all cases of total hip arthroplasty (THA). This often leads to revision surgery that is invasive, painful and costly. A range of strategies is employed in NHS hospitals to reduce risk, yet no economic analysis has been undertaken to compare the value for money of competing prevention strategies. Objectives: To compare the costs and health benefits of strategies that reduce the risk of deep infection following THA in NHS hospitals. To make recommendations to decision-makers about the cost-effectiveness of the alternatives. Design: The study comprised a systematic review and cost-effectiveness decision analysis. Setting: 77,321 patients who had a primary hip arthroplasty in NHS hospitals in 2012. Interventions: Nine different treatment strategies including antibiotic prophylaxis, antibiotic-impregnated cement and ventilation systems used in the operating theatre. Main outcome measures: Change in the number of deep infections, change
During a hip replacement surgery, the surgeon attaches an artificial joint which includes a socket and a ball to the natural sockets located in the pelvis of the patient. Surgeons have tried to attach the socket or the acetabular cup adjoining the pelvic bone, which according to them is a safe zone or is a place where there are less chances of dislocation.. This process has been used by surgeons for years. However, a new study suggests that attaching the artificial cup at the safe area is not sufficient to avoid dislocations in patients suffering from deformity.. During the research, the investigators studied 107 patients who had been affected with sagittal spinal deformity. They also reviewed 139 patients who had undergone a hip replacement surgery.. The detailed report of the measurements of the patients taken before and after the surgery were analyzed. The researchers studied the dynamic changes which took place in the acetabular cup position, and also inquired the instability rate in the ...
Read Complete Article Here. Written by Angie Stewart-March 15, 2018 - The population of patients receiving hip and knee replacements was younger in 2014 than in 2000, according to a study presented at the 2018 Annual Meeting of the American Academy of Orthopaedic Surgeons. A younger population could increase the likelihood of modern implants wearing out in the patients lifetimes…. …1. The average age for primary total hip replacement decreased from 66.3 years to 64.9 years from 2000 to 2014…. …7. Researchers predict primary total hip replacement will grow 171 percent and primary total knee replacement will grow by up to 189 percent by 2030, for a total of 635,000 and 1.28 million procedures, respectively.. ...
We would like to introduce you to Crystal Clear Pathway, a new Crystal Clinic Orthopaedic Center program designed to better prepare you for your joint replacement surgery. Crystal Clear Pathway is designed specifically to allow you to have better understanding and communication before, during, and following surgery.. Your customized care plan will assist you, your family members, and your care providers to better navigate the complexities of the hospitalization, recovery phase and rehabilitation after your operation. Crystal Clear Pathway will also provide you with valuable resources to help manage any expected or unexpected issues affecting your recovery.. Our Crystal Clear Pathway program gives you the clear advantage of the varied resources of the Crystal Clinic Orthopaedic Center. This includes 24-hour-a-day access to your surgeon or one of the seventeen joint replacement surgery physicians of the Crystal Clinic Orthopaedic Center. In addition, you and your family will have access to any of ...
MODEL RELEASED. Hip replacement surgery. Image 9 of 9. Surgeon sewing up the incision in a patients thigh after hip replacement surgery. The prosthetic joint consists of a metal head, which is attached to a stem inserted in the femur (thigh bone), and a plastic socket that sits in the pelvis. The prosthetic joint will articulate in exactly the same way as a normal hip joint. Joints may need to be replaced after injury, disease or deformity. This hip is being replaced because of congenital hip dysplasia, a condition where the hip joint does not fit together properly, causing it to dislocate frequently and to become worn. For a sequence showing the operation see M551/418- M551/426. - Stock Image M551/0426
By Todd P. Murphy, MD; Robert T. Trousdale, MD; Mark W. Pagnano, MD; Tad M. Mabry, MD; Rafael J. Sierra, MD. ORTHOPEDICS 2009. Abstract. The purpose of this study was to understand patients perceptions regarding hip resurfacing arthroplasty relative to conventional total hip arthroplasty (THA)…. …Results A total of 139 consecutive patients were given the survey. Fifty-seven patients (41%) were aware of hip resurfacing arthroplasty and completed the survey. Of those who completed the survey, 29 were men and 28 were women. Mean age of these 57 patients was 51 years (range, 17-98 years). The sources of the patients knowledge of hip resurfacing arthroplasty prior to evaluation are listed in Table 1. Patient perceptions of the expectations and outcomes of hip resurfacing arthroplasty are presented in Table 2.. ...
Mohaddes M, NaucléR E, Kärrholm J, Malchau H, Odin D, Rolfson O. Implant survival and patient-reported outcome following total hip arthroplasty in patients 30 years or younger: a matched cohort study of 1,008 patients in the Swedish Hip Arthroplasty Register. Acta Orthop. 2019 06; 90(3):249-252 ...
The procedure involves removing the femoral head (ball) and a portion of the acetabulum (socket) of the hip joint and replacing them with a prosthetic ball and socket, similar to what is done in people. The implants are either held in place with bone cement (cemented system) or without bone cement (cementless system). These days, the cementless system is more commonly used and preferred by most surgeons.. The procedure maintains a high rate of success. Most dogs have a significant improvement in quality of life. Dogs that have had a total hip replacement compensate well by shifting their weight to the operated limb. Because of this, 80% of dogs receiving a total hip replacement do not need to have a total hip replacement performed in the opposite hip, even if it has significant arthritic changes.. The recovery time for total hip replacement is generally 8 to 12 weeks. Restricted activity during this time is important to assure proper healing. Complications of the procedure are rare but can ...
No evidence based guidelines on surveillance of cemented total hip arthroplasty exist. We reviewed outcomes of this procedure from 1996 & 1997. Patients were identifed from theatre log books. Follow up data was retrieved from patient records. Evidence of radiological loosening & time of revision were recorded. Data was analysed using a ® statistical software package. We identified 425 primary total hip arthroplasties. Using radiological evidence of loosening as the end point we found an initial peak and another at 8 years. 10 year survival rate was 86%. Using revision surgery as the end point we found an initial peak & another at 8 years. 10 year survival rate was 92%. Once the patient has made it to 1 year, no follow up is required until 8 years; unless symptomatic.. ...
Your physician will discuss your history and symptoms and evaluate your hip joint. X-rays of the hip will be ordered to assess for any joint damage and arthritis. Sometimes, MRIs are ordered to look for other causes of your hip symptoms.. For patients with mild complaints such as occasional hip pain, those who are still performing daily activities without much difficulty, and patients who are not ready for surgery, nonsurgical treatment may be discussed. Some patients will benefit from anti-inflammatory medication, physical therapy, and activity modification. Younger individuals may benefit from delaying surgery, as the hip implants can wear out and may require additional surgery years later to replace the worn artificial material.. Your surgeon will discuss if a total hip replacement is an option for you and review outcomes, risks, and potential complications of surgery. During total hip replacement surgery, an incision is made around the hip joint along the side or in front of the hip. The ...
Hip replacement is a good option for patients with severe hip pain from arthritis. Hip replacement can often correct deformity as well as relieve pain. In this woman with osteoporosis, the femoral side of the hip replacement was cemented in place, which is often a good choice for elderly patients and those with poor bone quality ...
BACKGROUND AND AIMS: Large-diameter head total hip arthroplasty and hip resurfacing arthroplasty were popular in Finland from 2000 to 2012 for the treatment of hip osteoarthritis. The aim of this retrospective study was to investigate the mid-term survival of large-diameter head total hip arthroplasty patients operated on in three university hospitals and to compare these results to the survival of hip resurfacing arthroplasty patients. MATERIAL AND METHODS: A total of 3860 hip arthroplasties (3029 large-diameter head total hip arthroplasties in 2734 patients and 831 hip resurfacing arthroplasties in 757 patients) were operated on between January 2004 and December 2009 ...
If you are experiencing hip pain that cannot be controlled by medication and it is restricting you from doing everyday activities, you may be a candidate for hip replacement surgery. Hip replacement surgery can help increase mobility and eliminate joint pain.
In younger and more active patients, longevity of the hip replacement is a primary concern. Alternative bearing surfaces, such as ceramic, are likely to enhance survival of the hip replacement. Press-fit components, which are stabilized in the bone by actually having the bone grow onto the prosthesis, have proved to have excellent long-term survivorship and are usually used in younger patients. This patient experienced excellent pain relief and is "looking forward to a new life ...
our physcian performed a open reduction left total hip arthroplasty, but there are only closed treatments for post arthroplasty dislocation (27265-27266)...
Uncemented stems in primary total hip replacement (THR) are concerning in the elderly due to ectatic femoral canals and cortical thinning resulting in high
Hip surgeon Dr Suresh Nayak in Cincinnati, Ohio offers revision hip replacement to treat hip pain, worn out implants, dislocation of previous implants and infections.
MODEL RELEASED. Hip replacement surgery planning. Surgical team members examining written notes and a patients X-rays (on screen) during hip replacement surgery. The X-rays will help the surgeons prepare and plan for the surgery, which involves removing part of the joint and replacing it with artificial parts (prostheses). Photographed in the UK. - Stock Image C036/8864
Do Femoral Neck and Stem Anteversion Affect Final Femur Rotation and Pelvic Positioning after Total Hip Arthroplasty. . Biblioteca virtual para leer y descargar libros, documentos, trabajos y tesis universitarias en PDF. Material universiario, documentación y tareas realizadas por universitarios en nuestra biblioteca. Para descargar gratis y para leer online.
BACKGROUND: The purpose of this study was to compare the posterior approach (PA) with the direct anterior approach (DAA) among obese and nonobese total hip arthroplasty patients to determine if obese DAA patients have a higher risk of infection or wound complications compared with obese PA patients. METHODS: We retrospectively evaluated 4651 primary total hip cases performed via anterior approach or PA between 2009 and 2015. Patients were divided into 4 study groups based on approach and body mass index (BMI): (1) DAA ,35 kg/m(2), (2) DAA ≥35 kg/m(2), (3) PA ,35 kg/m(2), and (4) PA ≥35 kg/m(2 ...
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Hip resurfacing has evolved in the last eight years. SR was FDA approved in 2006. The original hip resurfacing replacements were done 30 to 40 years ago and failed because of poor design and materials. The design, materials and techniques has significantly improved. Hip resurfacing is still a total hip replacement, however, it may be bone conserving leaving the femoral neck and head attached. If the hip fails then a revision standard total hip replacement can be performed without much difficulty. Revision surgery is an additional surgical procedure thats performed several years after the initial hip resurfacing. Because hip resurfacing preserves more bone than traditional hip replacement does, there is more bone for surgeons to work with these later procedures.. Resurfacing a hip is similar to a total hip replacement from a surgical perspective. Instead of resecting the arthritic femoral head, the head is reshaped and resurfaced with a metal cap. This is cemented in place. The socket is ...
My father has been suffering chronic pain after a total hip joint replacement. X-rays and MRI dont detect any problem. No docotors know the cause of pain. Even though he walls well after the replaceme...
Fort Lauderdale, Florida, United States - 9th October, 2017 - Spine & Orthopedic Center is very pleased to announce that Dr. Jeffrey Balazsy, a renowned board-certified orthopedic surgeon with more than 20 years of experience at the highest level, will be joining its team of renowned physicians.. This new development is a great step forward for Spine & Orthopedic Center, especially because Dr. Balazsy will be helping to better deliver on the sought after orthopedic services the center is known for in South Florida. Spine & Orthopedic Center is driven by the overriding ambition to provide its patients with the highest quality care relating to all orthopedic conditions and believes that patients benefit from a multidisciplinary approach to treatment while focusing on addressing total patient care by guiding patients through the process of diagnosis, treatment, recovery, and re-injury prevention.. Dr. Jeffrey Balazsy is a board-certified orthopedic surgeon who specializes in adult and pediatric ...
Patients with neuromuscular imbalance who require total hip arthroplasty (THA) present particular technical problems due to altered anatomy, abnormal bone stock, muscular imbalance and problems of rehabilitation. In this systematic review, we studied articles dealing with THA in patients with neuromuscular imbalance, published before April 2017. We recorded the demographics of the patients and the type of neuromuscular pathology, the indication for surgery, surgical approach, concomitant soft-tissue releases, the type of implant and bearing, pain and functional outcome as well as complications and survival. Recent advances in THA technology allow for successful outcomes in these patients. Our review suggests excellent benefits for pain relief and good functional outcome might be expected with a modest risk of complication. Cite this article: Bone Joint J 2018;100-B(1 Supple A):17-21.
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In total hip arthroplasty, both parts of the hip joint are replaced by synthetic implants. This type of surgery is performed over 150,000 times annually in Germany, making it the one of the most common forms of surgery.
A surgical resection guide enables a surgeon to resect a femoral neck, during a hip arthroplasty procedure, such that a femoral prosthesis can be implanted within a patient to preserve or closely approximate the anatomic center of rotation of the hip. The guide is able to be used for left or right hip arthroplasty procedures, with either anterior or posterior surgical approaches.
This video demonstrates the infiltration technique of a non-opioid local analgesic indicated for administration into the surgical site to produce postsurgical analgesia in a total hip arthroplasty using the anterior approach <iframe src="//www.orthovideos
Methods Between 1993 and 1998, 57 primary cementless total hip arthroplasties (THAs) were performed with Mallory-Head titanium femoral component in 50 patients of osteoarthritis. The average age at the time of operation was 58 years old. The mean duration of follow-up was 5.2 years. Anteroposterior radiographs of the hip were made at 6 weeks, 3 months, 6 months, 1 year and every year after the operation. We evaluated the frequency and time of new bone remodelling around the stem. Canal shape was converted to numerical value by using calcar to canal isthmus ratio (CC ratio) of Dorr. The large CC ratio indicates a cylindrical shape and the small value reveals funnel shape of proximal femur. Also intamedullary canal fill was measured. Radiographic signs of stem instability were defined as progressive subsidence and radiolucent or radiodense line around the porous coating surface. ...
Fingerprint Dive into the research topics of The association of leg length and offset reconstruction after total hip arthroplasty with clinical outcomes. Together they form a unique fingerprint. ...
FINAL DIAGNOSIS. ELEVATED BLOOD COBALT LEVELS IN A PATIENT WITH BILATERAL METAL-ON-METAL HIP PROSTHESES DISCUSSION. The patient described in the preceding clinical vignette is an excellent example of a concerning medical topic emerging in the current news. Total hip replacement using implantable metal components is a common medical surgery that has been performed in North America for more than 50 years. The goal of total hip replacement is to maintain a functional joint while simultaneously delaying the need for surgical revision or replacement for as long as possible. Nearly 400,000 hip arthroplasty procedures are performed annually in the United States, and over the past decade, there has been an increasing trend of utilizing cobalt alloy-containing metal-on-metal prosthetic hip joints[1]. Conventional total hip prostheses are composed of a metal head that fits into a plastic, polyethylene cup. There have been concerns, especially among younger patients, that the plastic cup in conventional ...
Total hip arthroplasty can markedly improve quality of life in patients with Down syndrome, but the comorbidities and developmental disability associated with
DRUEZ, Vincent ; CAMMAS, Claire ; VAN DEN VEYVER, Simon ; NIKIS, Stéphane ; Fillee, Catherine ; et. al. Positive impacts of patient blood management in total hip arthroplasty. Retrospective and prospective studies (N=700).. In: Acta Orthopaedica Belgica, Vol. 82, no.3, p. 00 (16-09-2016 ...
This medical exhibit was used to show the step-by-step procedure for a total hip arthroplasty, using a combination of medical illustrations and colorized x-ray exhibits. Scroll down to see more of our medical exhibits, or request a quote to learn how we can help with your next case.. ...
Unger, A.S., Stronach, B.M., Bergin, P.F., Nogler, M. (2014). Direct anterior total hip arthroplasty. Instructional Course Lectures, 63, 227-238.. ...
Dr. Michael Eilerman, Orthopedic Surgeon, discusses the anterior approach for hip replacement. In this video Dr. Eilerman will answer the following questions about hip replacement: • What is direct anterior approach hip replacement surgery? • How does direct anterior approach hip replacement differ from traditional hip replacement? • What are the benefits of direct anterior hip replacement? • Who is candidate for direct anterior hip replacement? • Is anterior hip replacement a new procedure? • Does UT Medical Center have a designated joint center? For more information about the Joint Center or orthopedic services available at The University of Tennessee Medical Center, visit our website at www.utmedicalcenter.org or call the Healthcare Coordination office at 865-305- ...
Today, thanks to improvements in surgical techniques, artificial joint materials, and anesthesia, total hip replacement surgery has become safer and more
Revision hip replacement is a complex surgical procedure in which all or part of a previously implanted hip-joint is replaced with a new artificial hip-joint. Dr Daniel Albright in Raleigh, Cary and Garner, NC performs hip revision surgery.
Arthroplasty Knee replacement Hip replacement Robotic surgery Maranjian, Selena (14 February 2013). "Buy, Sell, or Hold: MAKO ... Domb, M.D., Benjamin (23 August 2012). "Questions To Ask Your Doctor Before Getting A Hip Replacement". The Doings. HighBeam. ... The company's first MAKOplasty Total Hip Arthroplasty (THA) procedure was performed in October 2010. The company reached ... knee and hip). MAKO's first MAKOplasty Partial Knee Replacement Procedure was performed in June 2006 by Martin Roche M.D. and ...
Freeman now assists orthopedic surgeons during total joint arthroplasties for both knee and hip replacements. He resides in ...
German surgeon Themistocles Glück pioneered arthroplasty with a knee replacement and hip replacement using ivory. 1891. St. ... The first hip replacement surgery via Low Frictional Torque Arthroplasty (LFA) by Sir John Charnley. 1963. The first liver ... The first successful metallic hip replacement surgery. 1948. The first successful open heart surgery operations since 1925. ... The first growing of a replacement nose on a patient's forehead by surgeons at Imperial College in Fuzhou, China. 2014. The ...
Knee arthroplasty and hip replacement were in the top five OR procedures for adults aged 45 years and older. Medicine portal ... This formed the basis for all modern hip implants. The Exeter hip replacement system (with a slightly different stem geometry) ... Joint replacements are available for other joints on a limited basis, most notably the knee, hip, shoulder, elbow, wrist, ankle ... The modern total hip replacement was pioneered by Sir John Charnley, expert in tribology at Wrightington Hospital, England in ...
Knee arthroplasty and hip replacement were in the top five OR procedures for adults aged 45 years and older.[19] ... This formed the basis for all modern hip implants. The Exeter hip replacement system (with a slightly different stem geometry) ... ArthroplastyEdit. Main article: Arthroplasty. Arthroplasty is an orthopedic surgery where the articular surface of a ... "Knee and Hip Replacement Wear Particles Side Effects: More Data". Regenexx®. 2011-03-13. Retrieved 2017-10-21.. ...
For total hip replacement, MAKOplasty increases accuracy of implant placement into the socket, which reduces potential for ... MAKOplasty is a surgical procedure for partial knee or total hip arthroplasty using a RIO Robotic Arm Interactive Orthopedic ... MAKOplasty is used to enable surgeons to plan and perform partial knee, total knee or total hip replacement procedures by using ... Domb, M.D., Benjamin (23 August 2012). "Questions To Ask Your Doctor Before Getting A Hip Replacement". The Doings. HighBeam. ...
Journal of Arthroplasty. 2000 Jan;15(1):63-8 "Metal on metal surface replacement of the hip. Technique, fixation, and early ... Hip resurfacing is a bone-conserving, less invasive alternative to total hip replacement (THR) for young patients, markedly ... Current evidence shows that although knee replacements survive almost as long as hip replacements, the outcome of available ... designs of knee replacements are not as good as hip replacements. While only 1 to 5% of patients with a THR or a hip ...
... are now available demonstrating their superiority relative to conventional UHMWPE for total hip replacement (see arthroplasty ... In 2007, manufacturers started incorporating anti-oxidants into UHMWPE for hip and knee arthroplasty bearing surfaces. Vitamin ... UHMWPE has a clinical history as a biomaterial for use in hip, knee, and (since the 1980s), for spine implants. An online ... Joint replacement components have historically been made from "GUR" resins. These powder materials are produced by Ticona, ...
... of the time during a hip replacement.[5] Sciatic nerve palsy is a complication of total hip arthroplasty with an incidence of ... "Gluteal nerve damage following total hip arthroplasty. A prospective analysis". J Arthroplasty. 5 (4): 319-22. doi:10.1016/ ... "Late sciatic nerve entrapment following pelvic plate reconstruction in total hip arthroplasty". J Arthroplasty. 13 (5): 586-8. ... Common causes of sciatica include the following lower back and hip conditions: spinal disc herniation, degenerative disc ...
... polyethylene led to DuPont's business in Hylamer polyethylene for bearing surfaces in hip and knee replacement arthroplasty. ...
His practice focuses on total hip and total knee replacement, partial knee replacement, and revision of failed total joint ... Alexiades, M.M.; Clain, M.R.; Bronson, M.J. (1991). "Prospective study of porous-coated anatomic total hip arthroplasty". ... including the Vision Total Hip System, a widely used hip replacement system that avoids the use of cement. From 1977 to 1979, ... "The Prevalence of Modifiable Surgical Site Infection Risk Factors in Patients Undergoing Hip and Knee Joint Replacement at an ...
The surgeons operating at the facility can perform cemented or uncemented total hip replacement with the conventional metal on ... In addition, the center offers less-common joint arthroplasty procedures including unicompartmental knee replacement, ... Francis Joint Replacement Center The Joint Replacement Center offers treatments for over 100 different conditions. The surgeons ... patellofemoral arthroplasty, hip-joint resurfacing as well as computer-assisted surgery. ...
... who are undergoing elective total hip arthroplasty (total hip replacement surgery). During total hip replacement, the ... ". "Bone Grafts: No Longer Just a Chip Off the Ol' Hip". "Bone Graft Alternatives" (PDF). Archived from the original (PDF) on ... orthopaedic surgeon removes the patient's femoral head, as a necessary part of the process of inserting the artificial hip ...
... found high rates of hip replacement failure for the ASR XL Acetabular and ASR Hip Resurfacing systems. Another study noted the ... "Disappointing Short-Term Results With the DePuy ASR XL Metal-on-Metal Total Hip Arthroplasty". Journal of Arthoplasty. 27 (4): ... DePuy is currently the subject of more than 11,000 lawsuits related to its recall of faulty hip replacement systems, which ... London: Springer, 2009.- ISBN 978-0-387-98147-5.) Johnson, Linda A. (2010-08-27). "J&J unit recalls hip replacement products". ...
... joint replacement surgery or resurfacing may be recommended. Evidence supports joint replacement for both knees and hips as it ... "Patient characteristics affecting the prognosis of total hip and knee joint arthroplasty: a systematic review". Can J Surg. 51 ... "Predicting the cost-effectiveness of total hip and knee replacement: A health economic analysis". The bone & joint journal. 95- ... "Health-Related Quality of Life and Appropriateness of Knee or Hip Joint Replacement". Archives of Internal Medicine. 166 (2): ...
... knee arthroplasty, laminectomy, hip replacement, and spinal fusion. Articular (of or pertaining to the joints) disorders are ...
... see time in Thailand Total hip arthroplasty, commonly known as a hip replacement Transvaal Horse Artillery Ṭa (Indic), the ...
About every third patient who has total hip arthroplasty (joint replacement) or a severe fracture of the long bones of the ... Between 50% and 90% of patients who developed heterotopic ossification following a previous hip arthroplasty will develop ... have shown some effect in preventing recurrence of heterotopic ossification after total hip replacement. Conservative ... Treatment volumes include the peri-articular region, and can be used for hip, knee, elbow, shoulder, jaw or in patients after ...
... or total hip replacement surgery Protrusio acetabuli may also be thought of as unilateral or bilateral. Unilateral protrusio ... Secondary protrusio acetabuli's causes include femoral head prosthesis, cup arthroplasty, septic arthritis, central fracture ... The acetabulum is the socket that receives the femoral head to make the hip joint. The hip bone of the pelvic bone/girdle is ... Joint replacement surgery may be necessary in the case of severe pain or substantial joint restriction. Prominent trabeculae ...
... activities of the hospital center around lower limb orthopaedic surgery including knee and hip replacements and arthroplasty, ...
Infection Bleeding Periprosthetic fracture Loosening Mechanical wear Failure Rheumasurgery Hip Replacement Knee replacement ... Mold arthroplasty, Silicone replacement arthroplasty Osteotomy to restore or modify joint congruity Arthroplasty presents ... total hip arthroplasty) with a prosthetic hip. This would involve replacing both the acetabulum (hip socket) and the head and ... congenital dislocation of the hip joint (CDH) Hip dysplasia (human) acetabular dysplasia (shallow hip socket) frozen shoulder, ...
Both hip resurfacing and hip replacement require that a cup is placed in the acetabulum of the hip socket. The main advantage ... "Hip resurfacing arthroplasty". J Am Acad Orthop Surg. 14 (8): 454-63. PMID 16885477. "Metal-on-Metal Hip Implants". Food and ... Hip resurfacing has been developed as a surgical alternative to total hip replacement (THR). The procedure consists of placing ... Hip resurfacing is intended for younger patients who are not morbidly obese, are clinically qualified for a hip replacement ( ...
A total hip replacement (total hip arthroplasty) consists of replacing both the acetabulum and the femoral head while ... Hip replacement surgery can be performed as a total replacement or a hemi (half) replacement. Such joint replacement ... Hip replacement is a surgical procedure in which the hip joint is replaced by a prosthetic implant, that is, a hip prosthesis. ... Hip resurfacing is an alternative to hip replacement surgery. It has been used in Europe for over seventeen years and become a ...
... total hip arthroplasty) with a prosthetic hip. This procedure involves replacing both the acetabulum (hip socket) and the head ... Hip replacement can be performed as a total replacement or a hemi (half) replacement. A total hip replacement consists of ... arthroplasty, resurfacing arthroplasty, mold arthroplasty, cup arthroplasty, and silicone replacement arthroplasty. Osteotomy ... Joint replacement surgery is becoming more common with knees and hips replaced most often. About 773,000 Americans had a hip or ...
Iranian National Hip and Knee Arthroplasty Registry)". The Archives of Bone and Joint Surgery. 4 (2): 192-196. ISSN 2345-4644. ... knee replacements (both total and unicompartmental), shoulder replacements, ankle replacements and elbow replacements. Some ... Registers collect information on a combination of hip replacements, ... "Failure rates of stemmed metal-on-metal hip replacements: analysis of data from the National Joint Registry of England and ...
... which is similar to that of knee replacement but lower than that of total hip replacement. 6.6% of patients undergoing primary ... Ankle replacement, or ankle arthroplasty, is a surgical procedure to replace the damaged articular surfaces of the human ankle ... The main objectives of the prosthetic design for ankle joint replacements are:. *to replicate original joint function, by ... Research comparing the effects of ankle replacement against ankle fusion (the TARVA study) is ongoing in the United Kingdom, in ...
TXA use improves early ambulation after total joint arthroplasty. ... arthroplasty and anterior and posterior total hip arthroplasty ... The effect of an intravenous bolus of tranexamic acid on blood loss in total hip replacement. J Bone Joint Surg Br. 2009;91(6): ... Arthroplasty Hip Knee. Use of Intravenous Tranexamic Acid Improves Early Ambulation After Total Knee Arthroplasty and Anterior ... Topical administration of tranexamic acid in primary total hip and total knee arthroplasty. J Arthroplasty. 2014;29(5):889-894. ...
... or hip replacement surgery) involves replacing a damaged hip joint with an artificial one to reduce pain and improve mobility. ... Hip joint replacement (Medical Encyclopedia) Also in Spanish * Hip or knee replacement - after - what to ask your doctor ( ... Hip replacement - discharge (Medical Encyclopedia) Also in Spanish * Hip replacement - precautions (Medical Encyclopedia) Also ... ClinicalTrials.gov: Arthroplasty (National Institutes of Health) * ClinicalTrials.gov: Hip Replacement (National Institutes of ...
... Li Xiao Tao and Deepak ... Li Xiao Tao and Deepak Kumar Basnet, "Study of Glove Perforation during Hip Replacement Arthroplasty: Its Frequency, Location, ...
Avascular Necrosis of Hip Total Hip Replacement Arthroplasty Drug: Pentaspan, voluven, volulyte ... Patients diagnosed as avascular necrosis of hip and undergoing total hip replacement arthroplasty ... Hemostatic Changes After Colloid Fluid Administration During Total Hip Replacement Arthroplasty. Resource links provided by NLM ... Rotational Thromboelstometry (ROTEM) change_colloid_total Hip Replacement Arthroplasty. This study has been completed. ...
Comparison Between Two Techniques of Volemic Expansion in Hip Replacement Arthroplasty. The safety and scientific validity of ... Currently the most use solution to volemic reposition in hip replacement arthroplasty is the crystalloid solution. This trial ... These patients must be submitted to hip arthroplasty replacement. The anesthesia technique is single shot spinal anesthesia. ... Comparison Between Two Techniques of Volemic Expansion in Hip Replacement Arthroplasty: Hydroxyethyl Starch Versus Ringers ...
The Cost of Joint Replacement: Comparing Two Approaches to Evaluating Costs of Total Hip and Knee Arthroplasty.. Palsis JA1, ... "The Cost of Joint Replacement. Comparing Two Approaches to Evaluating Costs of Total Hip and Knee Arthroplasty". [J Bone Joint ... We compared the methods with respect to the overall costs of hip and knee replacement and the costs for each major cost ... We calculated the overall costs of elective primary total hip and total knee replacement care cycles at our academic medical ...
Demonstrates how to use a total femoral replacement prosthesis for revision arthroplasty of a highly deficient femur. Covers ... exposure, resection, removing the arthroplasty component, and reconstruction.,/p, ... Hip: Revision Arthroplasty with Use of a Total Femoral Replacement January 01, 2011 ... Revision Total Hip Arthroplasty for Management of Advanced Oxidized Zirconium Wear March 01, 2019 ...
... our certified surgeons perfom a total hip replacement surgery at state of the art facilities, at a really affordable price. ... Hip replacement suregry or arthroplasty is a major surgical procedure in which diseased cartilage and bone of the hip joint is ... Benefits of Hip Replacement Surgery. The greatest benefit of hip replacement for most of our patients is dramatic pain relief. ... Risks of Hip Replacement Surgery. Complications of hip replacement surgery include the possibility of blood clots forming in ...
... hip replacement surgeons India,hip implant replacement hospitals in India. ... Hip Replacement surgery India offers info on low cost hip replacement India, ... Hip Replacement Surgery India, Hip Replacement India, Joint, Joint Disease, Hip Replacement, Hip Arthroplasty, Hip Joint, ... Hip Replacement. Overview. Hip Replacement Surgery in India. Hip replacement surgery, also called total hip arthroplasty, ...
One Third of Patients Diagnosed with Pseudotumors after Metal-on-Metal Total Hip Arthroplasty Paper#303 Bart Bosker, MD, Zwolle ... Peri-articular tumors occur following large-size femoral head metal-on-metal resurfacing and conventional total hip replacement ... primary uncemented large-size femoral head total hip arthroplasties was performed in 649 patients (732 hips). A total of 671 ... One Third of Patients Diagnosed with Pseudotumors after Metal-on-Metal Total Hip Arthroplasty Paper#303. Bart Bosker, MD, ...
... or Total Hip Arthroplasty, an artificial surface replaces the damaged hip joint surfaces. The procedure may return an ... Total Hip Joint Replacement. Total Hip Joint Replacement (THJR), also called Total Hip Arthroplasty, is a procedure where an ... The most common reason for a Total Hip Joint Replacement is osteoarthritis of the hip joint. ... A hip joint replacement typically lasts for at least ten years, and many last for much longer. Occasionally there are ...
Revision hip arthroplasty: As of 2002, revision hip arthroplasty cases made up 17% of all hip replacements in the USA, 14% in ... Among all kinds of arthroplasty, THA makes up 40% in patients aging from 45 to 65 years old, semi hip arthroplasty makes up 54 ... PUMCH reported 81 cases of hip revision surgery (7.4% of all hip arthroplasty) from January, 1995 to August, 2011. The causes ... the major causes of revision knee arthroplasty are similar to those of revision hip arthroplasty. However, infection is the ...
... difficulties and pitfalls prior to surgery and thereby reducing the risk of complications associated with the hip replacement ... before starting the procedure to replicate the patient joint anatomy for the best patient outcome and to restore hip joint ... Preoperative planning is a crucial step towards a successful hip replacement. It is approached in five easy steps that includes ... Aamir H. Shaikh (November 5th 2018). Preoperative Planning of Total Hip Arthroplasty, Total Hip Replacement - An Overview, ...
One type of hip replacement surgery is called Minimally Invasive Hip Arthroplasty. Like traditional total hip replacement ... These devices are a replacement for the natural joint and allow pain-free movement. Minimally Invasive Hip Arthroplasty uses ... is the main reason for hip replacement surgery. Other conditions, including trauma, may also require the need for a hip ... It can affect the cartilage and bone in the hip joint. Cartilage is a very tough, shock absorbing material that covers the ends ...
... arthroplasty) is a procedure during which a damaged, poorly functioning hip joint is removed and replaced with a prosthesis. ... Hip Replacement - Arthroplasty - Fort Worth. Hip replacement surgery, or hip arthroplasty, is a surgical procedure during which ... Postoperative Hip Replacement (Arthroplasty) Care Total Hip Replacement - Arthroplasty - Fort Worth. Nonsurgical hip treatments ... Is Hip Replacement - Arthroplasty Right for You?. Hip arthroplasty may be a good treatment option for patients if:. * Everyday ...
One type of hip replacement surgery is called Minimally Invasive Hip Arthroplasty. Like traditional total hip replacement ... Minimally Invasive Hip Arthroplasty is an alternative to traditional total hip replacement surgery. People who are smaller in ... Minimally Invasive Hip Arthroplasty is similar to traditional total hip replacement in that it involves removing the damaged ... Minimally Invasive Hip Replacement - Arthroplasty Introduction , Anatomy , Causes , Symptoms , Diagnosis , Treatment , Surgery ...
... hip replacement restores flexibility and function. Contact our hip surgery specialists today. ... Total Hip Replacement Surgery. Hip Arthroplasty Specialists in West Palm Beach, Broward, & Miami-Dade. Hip cartilage can wear ... How You Can Benefit from Hip Replacement Surgery. *Eliminate pain of hip arthritis ... Hip replacement works by surgically removing the femoral head of the bone, replacing it with an artificial ball-and-socket ...
One type of hip replacement surgery is called Minimally Invasive Hip Arthroplasty. Like traditional total hip replacement ... One type of hip replacement surgery is called Minimally Invasive Hip Arthroplasty. Like traditional total hip replacement ... Minimally Invasive Hip Arthroplasty is an alternative to traditional total hip replacement surgery. People who are smaller in ... Minimally Invasive Hip Arthroplasty is similar to traditional total hip replacement in that it involves removing the damaged ...
This hip replacement overview page explains what a hip replacement is, what the aims of the surgery are and who could benefit ... Hip replacement overview. What is a hip replacement?. A hip replacement, also known as a total hip arthroplasty, is an ... Hip replacement candidates. Who are the ideal hip replacement candidates?. A hip replacement may be suitable for you if you ... Hip Replacement FAQs. What are some common hip replacement FAQs?. We have put together some commonly asked hip replacement FAQs ...
Our hip specialist is internationally recognised. Contact us for a consultation. ... the success rate for total hip replacement is ,90%. ... Total Hip Replacement (Arthroplasty). A total hip replacement ... In a total hip replacement (also called total hip arthroplasty), the damaged bone and cartilage is removed and replaced with ... Dr Kevin Lee is a member of the American Association of Hip and Knee Surgeons. He does all his total hip replacement surgery ...
Anterior hip replacement also referred to as hip arthroplasty is offered to treat hip joint arthritis and this procedure is ... Direct anterior total hip arthroplasty or replacement is a minimally invasive hip surgery performed to replace the total hip ... Traditionally with total hip replacement, the surgeon makes the hip incision laterally, on the side of the hip, or posteriorly ... After traditional hip replacement surgery, you would be instructed to follow hip precautions to prevent your new hip from ...
Hip Replacement doctor in India, working at Shalby Hospitals as Arthroplasty, Hip Replacement surgeon. Book Appointment! ...
Anatomy & Physiology Back And Spine Foot And Ankle Hand And Wrist Head And Neck Hip Knee Respiratory System Shoulder Thorax ...
... Overview. Hip replacement surgery, or total hip arthroplasty, is a procedure performed to ... Joint Replacement *CT-Free Robotic Assisted Partial Knee Replacement Surgery. *CT-Free Robotic Assisted Total Knee Replacement ... Joint Replacement *CT-Free Robotic Assisted Partial Knee Replacement Surgery. *CT-Free Robotic Assisted Total Knee Replacement ... Conditions that can severely damage the hip and lead to hip replacement surgery need include osteoarthritis, rheumatoid ...
We will evaluate the role of total hip replacement (THR) in the setting of trauma for the acute treatment of hip fractures. In ... we will compare hemiarthroplasty and total hip replacement in the acute setting while also examining the role of arthroplasty ... designing appropriate treatment strategies for hip fractures is fundamentally important to healthcare professionals, ... With an increasing global incidence of hip fractures, ... Arthroplasty for Proximal Femur Fracture, Total Hip Replacement ...
  • Bronson serves as an editorial reviewer for The Journal of Arthroplasty and Clinical Orthopaedics and Related Research. (wikipedia.org)
  • Using a large integrated healthcare system innovative infrastructure including electronic health record data, administrative data sources, and registry data collection, we evaluated device choice and outcomes of total hip arthroplasty (THA). (mdepinet.org)
  • In 2005, Saleh released the Lower-Extremity Activity Scale (LEAS) in order to quantitatively measure changes in daily physical activity that occur before and after lower-limb arthroplasty. (wikipedia.org)