Hss JournalPub Date : 2023-11-01Epub Date: 2023-09-22DOI: 10.1177/15563316231193003
Nathaniel T Ondeck, Tracy M Borsinger, Brian P Chalmers, Jason L Blevins
{"title":"Correcting Hip Dysplasia in Young Adults: Intraoperative Navigation and Outcomes.","authors":"Nathaniel T Ondeck, Tracy M Borsinger, Brian P Chalmers, Jason L Blevins","doi":"10.1177/15563316231193003","DOIUrl":"10.1177/15563316231193003","url":null,"abstract":"<p><p>Developmental dysplasia of the hip (DDH) often leads to characteristic acetabular dysplasia and typical femoral anomalies. There are numerous treatments for skeletally mature patients with DDH including hip arthroscopy, pelvic and femoral osteotomies, as well as total hip arthroplasty. Before proceeding to an arthroplasty procedure, it can be helpful to obtain an opinion of a hip preservation specialist to ascertain if alternative surgical treatments could contribute to the patient's care. In general, the use of robotic navigation has been associated with a higher proportion of cups placed in the Lewinnek safe zone, larger improvements in Harris Hip Scores, and no difference in overall complication rates in comparison to manual total hip arthroplasty. The use of robotic navigation allows for both 2-dimensional and 3-dimensional preoperative templating, enabling the surgeon to plan the position of the construct such that it achieves maximum bony purchase and hip stability. In complex DDH cases, surgeons can work with a biomechanics department to complete a fit check assessment, which utilizes 3-dimensional templating software to ascertain the appropriateness of the implant's geometry with the patient's anatomy. Furthermore, a 3-dimensional printed plastic model of the pelvis and/or femur can be constructed in order to complete a rehearsal procedure, which may be particularly helpful for those cases involving osteotomies. The literature on the use of robotic-assisted total hip arthroplasty in patients with DDH demonstrates improved component positioning in comparison to navigated as well as manual methods; however, studies with long-term follow-up in this patient population are lacking.</p>","PeriodicalId":35357,"journal":{"name":"Hss Journal","volume":"19 4","pages":"501-506"},"PeriodicalIF":1.6,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71486833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hss JournalPub Date : 2023-11-01Epub Date: 2023-08-23DOI: 10.1177/15563316231192514
Nancy E Lane
{"title":"We Challenged the Kellgren and Lawrence Radiographic Scoring Method and Came Up With Some Interesting Epidemiology for Osteoarthritis of the Hip.","authors":"Nancy E Lane","doi":"10.1177/15563316231192514","DOIUrl":"10.1177/15563316231192514","url":null,"abstract":"<p><p>The study of hip osteoarthritis (OA) was slowed due to a lack of a good definition of radiographic hip OA (RHOA). The radiographic changes that occur in hip OA include both joint space narrowing and femoral head osteophytes in the early stages of the disease. This differs from OA of the knee, in which radiographic OA changes initially include osteophytes and only much later is joint space narrowing considered. The modified Croft Score is a novel scoring method for the hip that includes an equal weighting of femoral osteophytes and joint space narrowing. It is used to evaluate the epidemiology of prevalent, incident, and progressive RHOA. Use of the Croft Score found that mild changes in the femoral head or acetabulum could increase the risk of incident RHOA. Pioneering research on active shape modeling was undertaken to provide a more comprehensive assessment of hip shape and define actual femoral head shapes that increased the risk of RHOA. After defining RHOA, investigators found several risk factors, which included higher total hip bone mineral density and polymorphisms of the wnt/β-catenin signaling pathway, to be significant predictors of RHOA in elderly white women. Recently, it was found that RHOA was a strong risk factor for both all-cause mortality and cardiovascular disease mortality in elderly women.</p>","PeriodicalId":35357,"journal":{"name":"Hss Journal","volume":"19 4","pages":"402-406"},"PeriodicalIF":1.6,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71486797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hss JournalPub Date : 2023-11-01Epub Date: 2023-09-01DOI: 10.1177/15563316231193753
Heidi Prather, Jennifer Cheng
{"title":"Relationship of Chronic Systemic Inflammation to Both Chronic Lifestyle-Related Diseases and Osteoarthritis: The Case for Lifestyle Medicine for Osteoarthritis.","authors":"Heidi Prather, Jennifer Cheng","doi":"10.1177/15563316231193753","DOIUrl":"10.1177/15563316231193753","url":null,"abstract":"<p><p>Systemic inflammation is a root cause of lifestyle-related chronic diseases and may also play a role in the development and progression of osteoarthritis (OA). Lifestyle medicine seeks to treat, prevent, and reverse lifestyle-related chronic disease via 6 pillars: nutrition, sleep health, stress management, physical activity, social connections, and risky behavior avoidance/reduction. This article presents a review of the literature in which we assess the connections between the 6 pillars of lifestyle medicine, chronic systemic inflammation, and OA. We also discuss the whole-person approach that lifestyle medicine interventions can provide to reduce chronic systemic inflammation and affect the development or progression of OA.</p>","PeriodicalId":35357,"journal":{"name":"Hss Journal","volume":"19 4","pages":"459-466"},"PeriodicalIF":1.6,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71486792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hss JournalPub Date : 2023-11-01Epub Date: 2023-10-16DOI: 10.1177/15563316231204437
Erin Nicholas, Jennifer Cheng, Peter J Moley
{"title":"Non-operative Treatment Options for Osteoarthritis in the Hip.","authors":"Erin Nicholas, Jennifer Cheng, Peter J Moley","doi":"10.1177/15563316231204437","DOIUrl":"10.1177/15563316231204437","url":null,"abstract":"<p><p>With the increased disability associated with osteoarthritis (OA) progression, and the significant socioeconomic burden of joint replacement surgeries, there is a need for more reliable conservative treatments for patients presenting with hip OA. Most studies of OA treatments involve the knee. We conducted a literature search and reviewed non-operative hip OA treatment recommendations by the Osteoarthritis Research Society International, the American College of Rheumatology, American Academy of Orthopedic Surgeons, and European Alliance of Associations for Rheumatology, as well as Cochrane Reviews. Non-steroidal anti-inflammatory drugs and corticosteroid injections are the most supported and recommended options for hip OA; other medications with potential benefits for short-term pain relief include acetaminophen and tramadol. Most societies recommend against the use of glucosamine, typical opioids, and viscosupplementation injections. Platelet-rich plasma has potential benefits, but evidence of its effectiveness is incomplete. Further research is needed to better inform and guide clinicians who create treatment plans for patients with symptomatic hip OA.</p>","PeriodicalId":35357,"journal":{"name":"Hss Journal","volume":"19 4","pages":"486-493"},"PeriodicalIF":1.6,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71486836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hss JournalPub Date : 2023-11-01Epub Date: 2023-08-17DOI: 10.1177/15563316231193980
Charles N Cornell
{"title":"The Hip Osteoarthritis Clinical Studies Conference: A Call for Action.","authors":"Charles N Cornell","doi":"10.1177/15563316231193980","DOIUrl":"10.1177/15563316231193980","url":null,"abstract":"","PeriodicalId":35357,"journal":{"name":"Hss Journal","volume":"19 4","pages":"394"},"PeriodicalIF":1.6,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71486795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hss JournalPub Date : 2023-11-01Epub Date: 2023-08-18DOI: 10.1177/15563316231193704
Tracy M Borsinger, Sonia K Chandi, Simarjeet Puri, Eytan M Debbi, Jason L Blevins, Brian P Chalmers
{"title":"Total Hip Arthroplasty: An Update on Navigation, Robotics, and Contemporary Advancements.","authors":"Tracy M Borsinger, Sonia K Chandi, Simarjeet Puri, Eytan M Debbi, Jason L Blevins, Brian P Chalmers","doi":"10.1177/15563316231193704","DOIUrl":"10.1177/15563316231193704","url":null,"abstract":"<p><p>While total hip arthroplasty (THA) remains effective for improvement of pain and function in patients with osteoarthritis and avascular necrosis, there remain areas of continued pursuit of excellence, including decreasing rates of dislocation, leg length discrepancy, implant loosening, and infection. This review article covers several bearing surfaces and articulations, computer-assisted navigation and robotic technology, and minimally invasive surgical approaches that have sought to improve such outcomes. Perhaps the most significant improvement to THA implant longevity has been the broad adoption of highly cross-linked polyethylene, with low wear rates. Similarly, navigation and robotic technology has proven to more reproducibly achieve intraoperative component positioning, which has demonstrated clinical benefit with decreased risk of dislocation in a number of studies. Given the projected increase in THA over the coming decades, continued investigation of effective incorporation of technology, soft tissue-sparing approaches, and durable implants is imperative to continued pursuit of improved outcomes in THA.</p>","PeriodicalId":35357,"journal":{"name":"Hss Journal","volume":"19 4","pages":"478-485"},"PeriodicalIF":1.6,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626925/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71486796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hss JournalPub Date : 2023-11-01Epub Date: 2023-09-13DOI: 10.1177/15563316231193426
S Mahsa Sadeghian, Owen J Arthurs, Xinshan Li, Cara L Lewis, Sandra J Shefelbine
{"title":"Neonatal Hip Loading in Developmental Dysplasia: Finite Element Simulation of Proximal Femur Growth and Treatment.","authors":"S Mahsa Sadeghian, Owen J Arthurs, Xinshan Li, Cara L Lewis, Sandra J Shefelbine","doi":"10.1177/15563316231193426","DOIUrl":"10.1177/15563316231193426","url":null,"abstract":"<p><strong>Background: </strong>Abnormal prenatal hip joint loading can lead to compromised hip joint function. Early intervention is crucial for favorable outcomes.</p><p><strong>Purpose: </strong>This study investigates the impact of treatment timing (initiation and duration) on cartilage growth and ossification in the proximal femur of infants with developmental dysplasia of the hip, a condition affecting newborns.</p><p><strong>Methods: </strong>We used a mechanobiological model to simulate proximal femur growth during treatment durations of 3 months, 6 months, and a late-start treatment.</p><p><strong>Results: </strong>The findings indicate that the timing of treatment initiation is crucial, while a longer treatment duration does not contribute to improved morphological development of the hip joint.</p><p><strong>Conclusions: </strong>Mechanobiological models of growth can be used to develop treatments and therapies that correct loading conditions. Growing bone is particularly sensitive to loading conditions, and altered loading during growth can affect bone shape and functionality.</p>","PeriodicalId":35357,"journal":{"name":"Hss Journal","volume":"19 4","pages":"418-427"},"PeriodicalIF":1.6,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71486835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hss JournalPub Date : 2023-11-01Epub Date: 2023-09-16DOI: 10.1177/15563316231192098
Kate N Jochimsen, Jason S Kim, Prakash Jayabalan, Cecelia Lawrence, Cara L Lewis, Heidi Prather, Mathias P Bostrom
{"title":"Arthritis Foundation/HSS Workshop on Hip Osteoarthritis, Part 3: Rehabilitation and Exercise.","authors":"Kate N Jochimsen, Jason S Kim, Prakash Jayabalan, Cecelia Lawrence, Cara L Lewis, Heidi Prather, Mathias P Bostrom","doi":"10.1177/15563316231192098","DOIUrl":"10.1177/15563316231192098","url":null,"abstract":"<p><p>Far more publications are available for osteoarthritis of the knee than of the hip. Recognizing this research gap, the Arthritis Foundation (AF), in partnership with the Hospital for Special Surgery (HSS), convened an in-person meeting of thought leaders to review the state of the science of and clinical approaches to hip osteoarthritis. This article summarizes the recommendations gleaned from 5 presentations given on hip-related rehabilitation at the 2023 Hip Osteoarthritis Clinical Studies Conference, which took place on February 17 and 18, 2023, in New York City.</p>","PeriodicalId":35357,"journal":{"name":"Hss Journal","volume":"19 4","pages":"447-452"},"PeriodicalIF":1.6,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71486831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hss JournalPub Date : 2023-11-01Epub Date: 2023-08-17DOI: 10.1177/15563316231193367
Michelle M McLeod, Jason S Kim, Peter Moley, Mark A Fontana, Jason Blevins, Brian Chalmers, Marcus Bamman, Mathias P Bostrom
{"title":"Arthritis Foundation/HSS Workshop on Hip Osteoarthritis, Part 4: Nonoperative Options, Machine Learning in Predicting Total Hip Arthroplasty, Robotics, and Phenotyping to Guide Precision Rehabilitation.","authors":"Michelle M McLeod, Jason S Kim, Peter Moley, Mark A Fontana, Jason Blevins, Brian Chalmers, Marcus Bamman, Mathias P Bostrom","doi":"10.1177/15563316231193367","DOIUrl":"10.1177/15563316231193367","url":null,"abstract":"<p><p>Far more publications are available for osteoarthritis of the knee than of the hip. Recognizing this research gap, the Arthritis Foundation (AF), in partnership with the Hospital for Special Surgery (HSS), convened an in-person meeting of thought leaders to review the state of the science of and clinical approaches to hip osteoarthritis. This article summarizes the recommendations gleaned from presentations given in the \"late-stage osteoarthritis\" session of the 2023 Hip Osteoarthritis Clinical Studies Conference, which took place on February 17 and 18, 2023, in New York City. It covers conservative treatment, decision-making in end-stage hip osteoarthritis, advancements in robotics, and the role of phenotyping in precision rehabilitation post-total hip arthroplasty (THA).</p>","PeriodicalId":35357,"journal":{"name":"Hss Journal","volume":"19 4","pages":"473-477"},"PeriodicalIF":1.6,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71486832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hss JournalPub Date : 2023-11-01Epub Date: 2023-08-23DOI: 10.1177/15563316231193404
Riccardo Lattanzi
{"title":"Methods for the Clinical Translation of Quantitative MRI for the Evaluation of Patients With Femoroacetabular Impingement.","authors":"Riccardo Lattanzi","doi":"10.1177/15563316231193404","DOIUrl":"10.1177/15563316231193404","url":null,"abstract":"","PeriodicalId":35357,"journal":{"name":"Hss Journal","volume":"19 4","pages":"442-446"},"PeriodicalIF":1.6,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71491210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}