Journal of Orthopaedic Reports最新文献

{"title":"Current trends and future directions in the management of neuromuscular scoliosis","authors":"Mohammed H. Al-Rumaih ,&nbsp;Mousa S. Al-Ahmari ,&nbsp;Waleed Kishta","doi":"10.1016/j.jorep.2024.100488","DOIUrl":"10.1016/j.jorep.2024.100488","url":null,"abstract":"<div><h3>Purpose</h3><div>This review article highlights the importance of early diagnosis, individualized treatment planning, and the integration of new surgical techniques and technologies for enhancing patient outcomes in neuromuscular scoliosis (NMS) management.</div></div><div><h3>Introduction</h3><div>Neuromuscular scoliosis (NMS) is a severe form of spinal deformity arising from neuromuscular disorders and is characterized by progressive, often debilitating, spinal curvature that complicates basic functions and significantly affects quality of life. Understanding the prevalence, etiology, diagnosis, and management options for NMS is crucial in providing effective treatment for individuals with this condition.</div></div><div><h3>Conclusion</h3><div>Advancements in managing neuromuscular scoliosis include improved surgical techniques, genetic therapies, and robotics. A multidisciplinary approach involving orthopedics, neurology, genetics, and rehabilitation optimizes patient outcomes. More research is needed on fusionless surgeries, genetic therapies, and improving imaging and robotic tools for better surgical precision and outcomes.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 4","pages":"Article 100488"},"PeriodicalIF":0.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Structural auto- and allograft glenoid bone grafting in reverse shoulder arthroplasty - Retrospective radiological analysis of 38 cases","authors":"Kaisa Lehtimäki ,&nbsp;Milja Holstila ,&nbsp;Keijo Mäkelä ,&nbsp;Juha Kukkonen ,&nbsp;Kari Tirkkonen ,&nbsp;Jenni Harjula ,&nbsp;Tommi Kauko ,&nbsp;Ville Äärimaa","doi":"10.1016/j.jorep.2024.100487","DOIUrl":"10.1016/j.jorep.2024.100487","url":null,"abstract":"<div><h3>Background</h3><div>A structural glenoid bone graft may be utilized in conjuction with reverse shoulder arthroplasty (RSA) in order to address native bone deficiency and/or lateralize the glenoid. The longevity of this type of construct is of potential concern especially with allograft bone grafting. We wanted to study the radiographic construct survival in primary and revision RSA with structural glenoid auto- and allograft bone grafting.</div></div><div><h3>Methods</h3><div>We retrospectively identified all patients who had undergone RSA, with an encompassing structural bone graft under the metaglene bearing at Turku University Hospital between 2014 and 2019. All patients were called for follow-up and evaluated radiographically and clinically. Shoulders were divided into auto- and allograft groups and radiographic bone graft incorporation and component survival were used as primary outcome measures and between group differences were statistically analyzed.</div></div><div><h3>Results</h3><div>There were 38 shoulders/34 patients (out of 56) with a mean follow-up of 34 months. The mean age of patients at time of surgery was 69 years (SD 11). 26 auto- and 12 allografts were used at index surgery. At follow-up the bone graft was fully incorporated, partially incorporated and fully resorbed in 44 %, 50 % and 6 % of cases respectively. There was no statistically significant difference in bone graft incorporation between the groups and none of the prosthesis components showed radiographic signs of loosening.</div></div><div><h3>Conclusions</h3><div>Glenoid bone grafting in conjunction with RSA is a safe and reliable method to restore the glenoid bone stock and secure the construct in short term follow-up. There may be no significant difference in component survival between auto- and allograft bone grafting techniques. Longer-term follow-up is needed to assess the final outcome with regard to these techniques.</div></div><div><h3>Level of evidence</h3><div>Level IV; Case series, Treatment Study.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 4","pages":"Article 100487"},"PeriodicalIF":0.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chondroblastoma-like osteosarcoma of pelvis: A rare and aggressive subtype with diagnostic challenges and treatment implications","authors":"Halil Ibrahim Bulut ,&nbsp;Enes Kanay ,&nbsp;Ayse Yıldırım ,&nbsp;Sefa Giray Batibay ,&nbsp;Korhan Ozkan","doi":"10.1016/j.jorep.2024.100492","DOIUrl":"10.1016/j.jorep.2024.100492","url":null,"abstract":"<div><h3>Introduction</h3><div>Osteosarcoma is a malignant bone tumor predominantly affecting adolescents and young adults, characterized by the production of osteoid matrix by malignant mesenchymal cells. Conventional osteosarcoma typically arises in the metaphysis of long bones and constitutes about 3 % of all primary bone tumors. Despite advancements in treatment, osteosarcoma remains challenging due to its aggressive nature and tendency for metastasis. Chondroblastoma-like osteosarcoma (CBLOS) is a rare variant that complicates diagnosis due to its resemblance to benign chondroblastoma, which is histologically and radiologically similar but typically benign. This case study highlights the diagnostic challenges and treatment implications of CBLOS, contributing to the understanding and management of this rare tumor</div></div><div><h3>Case presentation</h3><div>A 17-year-old female presented with a three-month history of right hip and thigh pain, with no significant pre-existing conditions. Imaging revealed a lytic lesion in the right acetabulum with intense FDG uptake and MRI showing an aggressive mass with central cystic necrosis. Initial biopsies suggested chondroblastoma, but a third biopsy confirmed CBLOS, characterized by chondroblastic differentiation and a cellular stroma. The patient underwent neoadjuvant chemotherapy followed by extensive surgical resection, including type 2 + 3 pelvic resections and reconstruction using a tumor prosthesis. Postoperative recovery was smooth, and the patient is under regular follow-up for monitoring.</div></div><div><h3>Discussion</h3><div>CBLOS poses significant diagnostic challenges due to its resemblance to benign chondroblastoma and other bone tumors. Radiological features such as cortical destruction and mixed lytic-sclerotic patterns are crucial for differentiation. Histologically, CBLOS is distinguished by osteoid production, cytologic atypia, and aggressive cellular behavior. Radical surgical resection combined with neoadjuvant chemotherapy is the cornerstone of treatment, aiming for complete tumor removal while preserving function. Postoperative monitoring is essential to detect recurrence early.</div></div><div><h3>Conclusion</h3><div>CBLOS is a rare and aggressive osteosarcoma variant requiring a comprehensive approach for accurate diagnosis and effective treatment. This case study underscores the importance of early detection, tailored treatment strategies, and the need for ongoing research to improve outcomes for patients with this challenging malignancy.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 4","pages":"Article 100492"},"PeriodicalIF":0.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes of cemented versus cementless total knee arthroplasties: A systematic review and meta-analysis","authors":"Devon Patel ,&nbsp;Maya Mendonsa ,&nbsp;Ashima Thusu ,&nbsp;Jacob Alexander ,&nbsp;Jiayong Liu","doi":"10.1016/j.jorep.2024.100489","DOIUrl":"10.1016/j.jorep.2024.100489","url":null,"abstract":"<div><div>Total knee arthroplasties (TKAs) rank among the most common elective orthopedic procedures, primarily addressing end-stage osteoarthritis. Although cemented fixation is considered the gold standard, there is growing interest in cementless or press-fit fixation methods. However, a thorough comparison of outcomes between cemented and cementless TKAs has not yet been performed. This review and meta-analysis aim to evaluate and compare the outcomes of these two techniques. A systematic search of PubMed, Embase, and Cochrane databases was conducted to identify relevant articles comparing the outcomes of cemented and cementless TKAs. Eligible studies included randomized controlled trials or prospective and retrospective comparison studies, required a minimum follow-up of five years, and were published in English between January 2000 and November 2023. The meta-analysis encompassed 15 pertinent articles. Results indicated that cementless TKAs had a significantly lower infection rate than cemented TKAs (<em>p</em> = .002). No significant differences were observed in terms of aseptic loosening, revision rates, Knee Society scores, or Oxford Knee scores. Cementless TKAs present a lower risk of infection than their cemented counterparts. However, other outcome measures, such as aseptic loosening and revision rates, did not show significant differences. This information could guide decisions regarding the preferred fixation method and the potential use of antibiotic augmentation in cement. Identifying factors contributing to infected joint arthroplasties is crucial for developing strategies to mitigate these serious complications.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 4","pages":"Article 100489"},"PeriodicalIF":0.0,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative study of posterior tibial slope & metaphysio-diaphyseal angle in osteoarthritis knee and normal knee attending tertiary care centre in North-east India","authors":"Tulasi Das Bhattacharyya,&nbsp;Prasanta Das,&nbsp;Paragjyoti Gogoi,&nbsp;Rananjoy Sarmah,&nbsp;Bishal Deka,&nbsp;Arkadeep Haldar","doi":"10.1016/j.jorep.2024.100486","DOIUrl":"10.1016/j.jorep.2024.100486","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study is to establish normal values and explore potential correlations of the posterior tibial slope(PTS) and metaphysio-diaphyseal angle(MDA) within the study population. These measurements are critical for assessing knee joint biomechanics, which influence various orthopaedic surgical outcomes and rehabilitation processes.</div></div><div><h3>Methods and materials</h3><div>We conducted a cross-sectional study involving 347 adults from various regions across North-east India. Participants were selected based on inclusion criteria that excluded previous knee surgeries or Fractures around knee involving proximal tibia. The PTS and metaphysio-diaphyseal angle were measured using x-ray knee lateral view. Each image was analysed using advanced software to ensure precise angle determination. The data are tabulated in Microsoft excel and analysed with SPSS V.24 software.</div></div><div><h3>Results</h3><div>our study shows that mean posterior tibial slope and mean MDA in normal group are 9.78°(±2.40) and 19.58°(±4.27) respectively. Mean PTS and MDA in osteoarthritic group are 14°(±2.26) and 24.59°(±3.95) respectively. There is linear relationship between MDA and PTS with correlation coefficient (r) is 0.620. Sensitivity and specificity of MDA for detecting OA are 81.1 % and 75.4 %, respectively. Sensitivity and specificity of PTS for detecting OA are 91.2 % and 68.5 %, respectively.</div></div><div><h3>Conclusion</h3><div>MDA and PTS are comparatively higher in value in osteoarthritic group when compared to normal group. It also serves as a good marker to detect OA and there is a linear correlation between PTS and MDA.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 4","pages":"Article 100486"},"PeriodicalIF":0.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142552774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The triad predicting outcome of intertrochanteric femur fracture in uncontrolled diabetes mellitus","authors":"C. Lokesh ,&nbsp;Perumal Ramesh ,&nbsp;Sivakumar Singanallur Palanivelayutham ,&nbsp;Suresh Prabhu ,&nbsp;Dheenadhayalan Jayaramaraju ,&nbsp;Shanmuganathan Rajasekaran","doi":"10.1016/j.jorep.2024.100483","DOIUrl":"10.1016/j.jorep.2024.100483","url":null,"abstract":"<div><h3>Purpose</h3><div>Diabetes is becoming more influential factors in fracture outcomes.Our main aim of the study is regarding the factors affecting radiological and functional outcome in uncontrolled diabetes patients with hip fractures.</div></div><div><h3>Methods</h3><div>The study at Ganga Hospital examined the impact of diabetes control on hip fracture outcomes among 150 patients, divided into three groups: non-diabetics(HbA1c &lt;6%), controlled diabetics (HbA1c 6-8%), and uncontrolled diabetics (HbA1c &gt;8%) conducted from January 2022 to December 2022, the retrospective study focused on patients aged over 60years with Intertrochanteric femur fractures.</div></div><div><h3>Results</h3><div><ul><li><span></span><span><div><strong>Healing and Functional Outcomes</strong>:Uncontrolled diabetics showed the poorest healing rates, with lower RUSH scores over time, indicating slower fracture recovery compared to controlled diabetics and non-diabetics.Functional outcomes, measured by the Katz score, were also significantly worse in uncontrolled diabetics.</div></span></li><li><span></span><span><div><strong>Bone Quality and Vitamin D Levels</strong>:Uncontrolled diabetics had the lowest BMD(T score), with higher rates of osteopenia and osteoporosis.They also had the highest incidence of vitamin D deficiency.</div></span></li><li><span></span><span><div><strong>Complications and Mortality</strong>:Higher complication rates and longer hospital stays were noted in uncontrolled diabetics.The Charlson Comorbidity Index (CCI) was significantly higher in these patients, correlating with increased mortality rates.Statistic analysis was done using one-way ANOVA test and significance was determined with p values(&lt;0.05) using median values of all 3 groups.</div></span></li></ul></div></div><div><h3>Conclusion</h3><div>The Charlson Comorbidity Index, bone mineral density (BMD) T-score, and Vitamin D were significant predictors of outcomes.The study highlights the severe impact of uncontrolled diabetes on hip fracture management, emphasizing the need for effective diabetes control to improve fracture outcomes and reduce associated complications.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 4","pages":"Article 100483"},"PeriodicalIF":0.0,"publicationDate":"2024-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation between peroneus longus graft profile and anthropometric data in patients undergoing anterior cruciate ligament reconstruction – An Indian scenario","authors":"Alexson Soney,&nbsp;Shyam Ramesh,&nbsp;Melvin J. George","doi":"10.1016/j.jorep.2024.100480","DOIUrl":"10.1016/j.jorep.2024.100480","url":null,"abstract":"<div><h3>Aims and objectives</h3><div>There are published literature regarding the correlation between Hamstring tendon (HT) graft profile and anthropometric data in patients undergoing ACL reconstruction from India; but not with Peroneus longus tendon (PLT). We hypothesise a positive correlation between the peroneus longus graft profile and few of patient's anthropometric variables.</div></div><div><h3>Materials and methods</h3><div>Sixty eight patients who underwent Arthroscopic ACL Reconstruction using PLT graft were evaluated. Intraoperatively, tripled PLT graft length and diameter were correlated to the patient's age, height, weight, duration of injury, and BMI.</div></div><div><h3>Results</h3><div>This study included 50 males and 18 females. Mean age was 29.2 ± 8.3 years, mean height was 169.8 ± 3.1 cm, mean weight was 78.4 ± 4.5 kg, mean BMI was 26.4 ± 0.1 kg/m2, mean duration of injury was 2.2 ± 4.9 months, mean graft diameter was 8.9 ± 0.6 mm and mean graft length was 8.5 ± 0.8. Positive correlation with graft length and diameter was found only with height and weight (p &lt; 0.01).</div></div><div><h3>Conclusion</h3><div>Patient's height and weight, have a significant direct correlation with tripled PLT graft length and diameter.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 4","pages":"Article 100480"},"PeriodicalIF":0.0,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142446371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mechanistic implications of diabetes leading to bone pathology","authors":"Monidipa Konar,&nbsp;Bhavneet Kaur,&nbsp;Sadhna Sharma","doi":"10.1016/j.jorep.2024.100485","DOIUrl":"10.1016/j.jorep.2024.100485","url":null,"abstract":"<div><div>Diabetes, both hypoglycemia and/or hyperglycemia has deleterious impact leading to cardiovascular complications, irregularities in bone homeostasis and modelling processes. It affects bones by interfering with the formation of osteoblasts from mesenchymal stem cells (MSCs) and also by disturbing the mineral density and its microarchitecture. Osteocalcin, advanced glycation end products (AGEs), mutated Wnt receptor (LRP6) plays a significant role in diabetes induced bone and joint damage. Rheumatoid and osteoarthritis are both directly affected by diabetes; however, osteoporosis, ACL (anterior cruciate ligament) etc. too are indirectly altered by diabetes. Not only diabetes as a disease affect bones; the anti-diabetic medications also has a negative effect on bone and joint health, especially thiazolidinediones. However, some therapeutics do have a positive impact on bone health like incretins, metformin, insulin etc. Changes in sedentary lifestyle by the subjects and their weight control strategies have resulted in significant improvement in glucose control and bone health. This review highlights the link between diabetes and bone and joint health and the positive as well as negative impact of the disease in controlled and uncontrolled forms of diabetes on the healthy joints and bones of an individual.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 4","pages":"Article 100485"},"PeriodicalIF":0.0,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142573072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A case of recurrent dislocation following lumbar spine fusion in a patient with a prior dual mobility total hip arthroplasty","authors":"Andrew G. Beauperthuy ,&nbsp;Peter A. Falgiano ,&nbsp;Christopher Guerra ,&nbsp;Arturo Corces","doi":"10.1016/j.jorep.2024.100481","DOIUrl":"10.1016/j.jorep.2024.100481","url":null,"abstract":"<div><h3>Introduction</h3><div>Lumbar spine fusion alters spinopelvic mechanics. As a result, patients with a total hip arthroplasty (THA) and lumbar spine fusion (LSF) are at increased risk for hip dislocation. In efforts to reduce instability, surgeons have been recommending dual mobility constructs for hip arthroplasty. To the best of our knowledge, there are little to no reported cases of recurrent dislocation in patients who underwent a dual mobility THA followed by LSF. Such a case is discussed in this case report, along with potential explanations as to why this occurred, and how it may be prevented in the future.</div></div><div><h3>Case presentation</h3><div>We report a case of a 77-year-old morbidly obese (BMI: 43.1) female who initially had a stable primary dual mobility THA for over a year, but experienced recurrent dislocation following a multi-level lumbar fusion. The patient successfully underwent a revision hip arthroplasty with a constrained liner.</div></div><div><h3>Conclusion</h3><div>Instability of a dual mobility THA is a possibility following LSF. An understanding of spinopelvic biomechanics and its changes following LSF, highlight its contribution to instability in this case. The traditional Lewinnek safe zones of acetabular anteversion should be reconsidered for these patients. Certain changes in surgical technique may prevent instability.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 4","pages":"Article 100481"},"PeriodicalIF":0.0,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142446372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety and efficacy of bilateral single-stage direct anterior approach total hip arthroplasty in avascular necrosis: A retrospective Indian study","authors":"Supreet Bajwa ,&nbsp;Ponnanna Karineravanda Machaiah ,&nbsp;Kunal Aneja ,&nbsp;Ravi Teja Rudraraju ,&nbsp;Nitin Dawre","doi":"10.1016/j.jorep.2024.100482","DOIUrl":"10.1016/j.jorep.2024.100482","url":null,"abstract":"<div><h3>Background</h3><div>Total hip arthroplasty (THA) via the direct anterior approach (DAA) has gained prominence in early recovery and reduced postoperative discomfort. However, its safety in executing a single stage bilateral DAA THA is debated. This retrospective study assessed the safety, and outcomes of bilateral single-stage DAA THA in young adults with AVN.</div></div><div><h3>Methods</h3><div>A retrospective analysis was conducted on consecutive series of 35 young adults between January 10, 2023, and December 30, 2023, at a tertiary care center in India. Standard protocols, including muscle-sparing techniques, and soft tissue preservation, were followed. Implant selection and fixation methods were based on surgeon preference, and patient-specific factors.</div></div><div><h3>Results</h3><div>The mean age (Male: 94.29 %, Female: 5.71 %) was 30.82 ± 5.82 years, with an average body mass index of 27.51 ± 5.1 kg/m². The mean operative time combined for both hips was 213.45 ± 22.13 minutes. Postoperative hemoglobin level: 12.12 ± 1.4 g/dL and mean intraoperative blood loss was 374.45 ± 50.2 ml, for both hips combined. The average hospital stay was 2.57 days (time of admission to time of discharge). Within the 90-day postoperative period, one case of allogenic blood transfusion was reported, with no major complications. The Hip Harris Score improved significantly from baseline (mean: 39.38 ± 1.94) to 12 weeks postoperatively (mean: 92.65 ± 1.62, p &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>Bilateral single-stage DAA THA is a safe, and effective treatment for young adults with AVN of the femoral head. The absence of major complications, along with significant improvements in functional outcomes, and patient satisfaction, underscores its promising role in managing AVN-related hip pathology in a single admission by performing simultaneous THA for both hips.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 4","pages":"Article 100482"},"PeriodicalIF":0.0,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}