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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TY - JOUR. T1 - Risk factors for dislocation after primary total hip replacement. T2 - a systematic review and meta-analysis of 125 studies involving approximately five million hip replacements. AU - Kunutsor, Setor K. AU - Barrett, Matthew. AU - Beswick, Andrew D. AU - Judge, Andrew. AU - Blom, Ashley W. AU - Wylde, Vikki. AU - Whitehouse, Michael R. PY - 2019/9/9. Y1 - 2019/9/9. N2 - Background:Dislocation following total hip replacement (THR) is associated with repeated hospitalisations and substantial costs to the health system. Factors influencing dislocation following primary THR are not well understood. We aimed to assess the associations of patient-, surgery-, implant- and hospital-related factors with dislocation risk following primary THR.Methods:We did a systematic review and meta-analysis of all longitudinal studies reporting these associations. We searched MEDLINE, Embase, Web of Science, and Cochrane Library to March 8, 2019. Summary measures of association were calculated using ...
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. ...