{"title":"A large lumbar hernia presenting as a flank mass after total hip arthroplasty.","authors":"R. Steinfeld, R. Trousdale, D. Farley","doi":"10.1054/ARTH.2001.27678","DOIUrl":"https://doi.org/10.1054/ARTH.2001.27678","url":null,"abstract":"Soft tissue swelling occasionally can be seen about the incision after a total hip arthroplasty. We report a case of a lateral wall hernia occurring immediately after a total hip arthroplasty that presented as a mass over the proximal aspect of the hip incision.","PeriodicalId":280050,"journal":{"name":"The Journal of arthroplasty","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127600785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Udomkiat, L. Dorr, Ye-Yeon Won, D. Longjohn, Z. Wan
{"title":"Technical factors for success with metal ring acetabular reconstruction.","authors":"P. Udomkiat, L. Dorr, Ye-Yeon Won, D. Longjohn, Z. Wan","doi":"10.1054/ARTH.2001.27669","DOIUrl":"https://doi.org/10.1054/ARTH.2001.27669","url":null,"abstract":"Sixty-four hips in 62 patients were revised with a Mueller ring (28 hips), Ganz ring (18 hips), and Burch-Schneider cage (18 hips) under the direction of a single surgeon. A polyethylene cup was cemented into the metal support of all hips. Average follow-up was 4.6 years (range, 2.0-6.7 years). Six rings were revised because of aseptic loosening, and 5 others were radiographically loose, for a mechanical failure rate of 11 of 64 (17%). Acetabular metal ring supports failed by migration when defects of > or =60% of the superior weight-bearing bone were filled by only cement or particulate graft. At the time of surgery, the superior rim of the metal support should be against host-bone for 60% of its support, and if not, the use of bulk allograft, rather than particulate graft, is required. Dislocation was the second failure mechanism identified, and this occurred in 15 hips (23%), with reoperation required in 5 hips (8%). A constrained liner should be used in patients with nonunion of the trochanter and preoperative abductor weakness that grades fair/minus or worse as measured by the side-lying abduction test.","PeriodicalId":280050,"journal":{"name":"The Journal of arthroplasty","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128463007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Marcacci, R. Soavi, I. Loreti, L. Bragonzoni, F. Iacono, A. Visani
{"title":"Micromotion between the half bearings in the interax prosthesis: a roentgen stereophotogrammetric analysis.","authors":"M. Marcacci, R. Soavi, I. Loreti, L. Bragonzoni, F. Iacono, A. Visani","doi":"10.1054/ARTH.2001.25560","DOIUrl":"https://doi.org/10.1054/ARTH.2001.25560","url":null,"abstract":"We assessed the migration and movement between the half-bearings of the Interax prosthesis in 18 patients using roentgen stereophotogrammetric analysis (RSA). This study showed movements of the tibial component even in successful knee arthroplasty: 17 prostheses migrated only initially and remained stable after 1 year, whereas 1 prosthesis migrated consistently throughout 3-year follow-up. RSA revealed no or minimal displacement between the half-bearings until the 4-year follow-up, confirming that their fixation to the baseplate was adequate. In the case of loosening, a rotation about the longitudinal axis of 1.3 degrees and a medial-lateral translation of 0.5 mm was observed between the half-bearings. Cold flow was revealed by RSA in the posterior region of the medial half-bearing.","PeriodicalId":280050,"journal":{"name":"The Journal of arthroplasty","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114457606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gary B. Fetzer, John J. Callaghan, J. Templeton, D. Goetz, P. M. Sullivan, R. Johnston
{"title":"Impaction allografting with cement for extensive femoral bone loss in revision hip surgery: a 4- to 8-year follow-up study.","authors":"Gary B. Fetzer, John J. Callaghan, J. Templeton, D. Goetz, P. M. Sullivan, R. Johnston","doi":"10.1054/ARTH.2001.29136","DOIUrl":"https://doi.org/10.1054/ARTH.2001.29136","url":null,"abstract":"The current study evaluates the 4- to 8-year results of 26 cemented femoral revisions with impaction allografting using a collared femoral component in cases of extensive femoral bone loss. Patients were followed prospectively and were evaluated at an average of 6.0 years after the allograft revision procedure. The average age at the time of surgery was 69.3 years. At final follow-up, 20 patients (20 hips) were living, and 6 patients (6 hips) were deceased. No femoral component rerevisions were performed for any reason in any patient, and none were radiographically loose at final follow-up. There was 1 subsided femoral component of <5 mm, 3 postoperative periprosthetic femoral fractures, and a greater trochanter nonunion rate of 32%. At the current follow-up interval, these cemented femoral revisions with impaction allografting have performed well with excellent clinical and radiographic durability in this difficult patient population. The prevalence of periprosthetic fracture is a significant concern. This study shows durable results using the impaction allografting technique in cases of severe bone loss.","PeriodicalId":280050,"journal":{"name":"The Journal of arthroplasty","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124742020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brad Petrisor, D. Petruccelli, M. Winemaker, J. Beer
{"title":"Acute colonic pseudo-obstruction after elective total joint arthroplasty.","authors":"Brad Petrisor, D. Petruccelli, M. Winemaker, J. Beer","doi":"10.1054/ARTH.2001.27676","DOIUrl":"https://doi.org/10.1054/ARTH.2001.27676","url":null,"abstract":"A retrospective review of 31 patients who developed acute colonic pseudo-obstruction (ACPO) after total joint arthroplasty was undertaken to determine predisposing factors related to, and outcomes following, therapeutic intervention. Comparison with all patients who underwent total joint arthroplasty revealed an overall 1.2% incidence of ACPO. There was a higher incidence of ACPO in patients undergoing sequential bilateral total knee arthroplasty (3.4%) compared with unilateral total knee arthroplasty (0.3%) and a higher incidence in patients undergoing revision total hip arthroplasty (5.6%) compared with primary total hip arthroplasty (1.4%). Additional risk factors for developing ACPO included slow postoperative mobilization and male gender. No association was found with respect to body mass index, age, comorbidity, anesthetic type, international normalized ratio level, or postoperative analgesia. There were no deaths, and 2 patients required operative intervention. The remaining cases of ACPO resolved with nonsurgical treatment. In all cases, there was a prolonged length of hospitalization (mean, 13.2 days) compared with all other arthroplasties performed at our institution (mean, 7.5 days).","PeriodicalId":280050,"journal":{"name":"The Journal of arthroplasty","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128528679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Primary cementless total hip arthroplasty using a modular femoral component: a minimum 6-year follow-up.","authors":"Michael Tanzer, S. Chan, C. E. Brooks, J. Bobyn","doi":"10.1054/ARTH.2001.29140","DOIUrl":"https://doi.org/10.1054/ARTH.2001.29140","url":null,"abstract":"We evaluated 59 hips that underwent a primary total hip arthroplasty using an S-ROM modular femoral component at a mean follow-up of 101 months (range, 72-145 months). All cases showed radiographic evidence of bone ingrowth, and there were no femoral revisions for aseptic loosening. The Harris hip score improved from a mean of 40 preoperatively to 89 at final follow-up. Some degree of proximal femoral disuse atrophy from stress shielding occurred in 46 hips (78%), and some degree of femoral osteolysis occurred in 25 hips (42%). Only additional follow-up will reveal whether there is a consequence of both types of proximal femoral bone loss.","PeriodicalId":280050,"journal":{"name":"The Journal of arthroplasty","volume":"113 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124674114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hip function in patients >55 years old: population reference values.","authors":"J. Lieberman, G. Hawker, J. Wright","doi":"10.1054/ARTH.2001.26593","DOIUrl":"https://doi.org/10.1054/ARTH.2001.26593","url":null,"abstract":"The purpose of this study was to establish population values for hip function for patients of different ages using the validated WOMAC scoring system and the traditional Harris hip scoring system. A random sample of 184 individuals who had no prior history of hip or knee pain or pathology was evaluated. The average WOMAC scores for pain, function, and stiffness were 0.01, 1.8, and 0.4. The average Harris hip score was 94 +/- 8.2. No significant correlation was noted between the summary WOMAC score, the WOMAC stiffness or pain subscales, or the overall Harris hip score for any of the 3 age groups studied. Patients with complaints in other joints, such as the back and neck, had lower WOMAC and Harris hip scores. Adults who are healthy and do not have a prior history of hip or knee pathology do not show a significant decline in hip function as they grow older. A deterioration in the function of a total hip arthroplasty over time cannot be attributed solely to the aging process.","PeriodicalId":280050,"journal":{"name":"The Journal of arthroplasty","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"118652980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Total joint arthroplasty and incidence of postoperative bacteriuria with an indwelling catheter or intermittent catheterization with one-dose antibiotic prophylaxis: a prospective randomized trial.","authors":"I.C.J.B. van den Brand, R. Castelein","doi":"10.1016/S0883-5403(01)84535-6","DOIUrl":"https://doi.org/10.1016/S0883-5403(01)84535-6","url":null,"abstract":"","PeriodicalId":280050,"journal":{"name":"The Journal of arthroplasty","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121830143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Total knee arthroplasty after formal knee fusion using unconstrained and semiconstrained components: a report of 7 cases.","authors":"T. R. Henkel, J. Boldt, T. Drobný, U. Munzinger","doi":"10.1054/ARTH.2001.24375","DOIUrl":"https://doi.org/10.1054/ARTH.2001.24375","url":null,"abstract":"Seven cases of total knee arthroplasty (TKA) after formal knee fusion were reviewed at a mean follow-up of 56 months (range, 12-161 months). The mean modified Hospital for Special Surgery score improved from 54 (range, 16-65) preoperatively to 68 (range, 57-80) at the latest follow-up. Mean range of motion was 74 degrees (range, 55-90 degrees ). Patient subjective rating was excellent or satisfied in 5 of 7 cases. Two patients underwent secondary refusion (1 for chronic infection, 1 for ligamentous instability). Six patients (86%) had to undergo reoperation for postoperative complications: 3 patients had open arthrolysis for adhesion and arthrofibrosis, 2 patients had a gastrocnemius flap for skin necrosis, and 1 patient had neurolysis of the peroneal nerve for painful paresis. Despite the presence of increased postoperative pain while walking, all 5 patients with the TKA still in place declared that they would undergo the same procedure again. The procedure of TKA in fused knees is technically demanding and has a considerable complication rate. Renewed mobility of the fused knee joint appears to correlate with increased pain on walking in this group of patients. Four types of postoperative problems were noted in the evaluation: skin necrosis, extensor mechanism contracture, insufficient collateral ligaments, and adhesion and arthrofibrosis. Takedown of a formal knee fusion with TKA should be performed only in carefully selected cases and in highly motivated patients with realistic expectations.","PeriodicalId":280050,"journal":{"name":"The Journal of arthroplasty","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"119570402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ken-ichi Yamauchi, Yukiharu Hasegawa, S. Iwasada, S. Sakano, S. Kitamura, H. Warashina, Hisashi Iwata
{"title":"Head penetration into Hylamer acetabular liner sterilized by gamma irradiation in air and in a nitrogen atmosphere.","authors":"Ken-ichi Yamauchi, Yukiharu Hasegawa, S. Iwasada, S. Sakano, S. Kitamura, H. Warashina, Hisashi Iwata","doi":"10.1054/ARTH.2001.22268","DOIUrl":"https://doi.org/10.1054/ARTH.2001.22268","url":null,"abstract":"We reviewed 25 consecutive primary cementless total hip arthroplasties with Hylamer acetabular liners (Hylamer group) and 12 with conventional ultra-high molecular weight polyethylene (Enduron group). Two-dimensional penetration of the femoral head into the liner was determined from anteroposterior radiographs of the pelvis. Head penetration rate was 0.37 mm/y in the Hylamer group sterilized by gamma irradiation in air (n = 6; mean length of follow-up, 3 years), 0.21 mm/y in the Hylamer group sterilized by gamma irradiation in a nitrogen atmosphere (n = 19; mean length of follow-up, 2.7 years), and 0.11 mm/y in the Enduron group (n = 12; mean length of follow-up, 3.9 years). Osteolysis was identified in 6 of the 25 hips with Hylamer liners and 1 of the 12 hips with conventional liners. There was a positive linear correlation between period from production to operation and head penetration rate with Hylamer liner sterilized by gamma irradiation in air and no correlation in a nitrogen atmosphere. Rapid oxidation by irradiation in air might not be the main cause of high rate of wear in Hylamer liners.","PeriodicalId":280050,"journal":{"name":"The Journal of arthroplasty","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120533477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}