Hss Journal最新文献_第5页

Total Hip Arthroplasty: An Update on Navigation, Robotics, and Contemporary Advancements. 全髋关节置换术：导航、机器人和当代进步的更新。

IF 1.6 4区医学

Hss Journal Pub Date : 2023-11-01 Epub Date: 2023-08-18 DOI: 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":"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.","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}

引用次数: 0

Neonatal Hip Loading in Developmental Dysplasia: Finite Element Simulation of Proximal Femur Growth and Treatment. 发育不良新生儿髋关节负荷：股骨近端生长和治疗的有限元模拟。

IF 1.6 4区医学

Hss Journal Pub Date : 2023-11-01 Epub Date: 2023-09-13 DOI: 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":"Background: Abnormal prenatal hip joint loading can lead to compromised hip joint function. Early intervention is crucial for favorable outcomes.Purpose: 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.Methods: We used a mechanobiological model to simulate proximal femur growth during treatment durations of 3 months, 6 months, and a late-start treatment.Results: 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.Conclusions: 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.","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}

引用次数: 0

Arthritis Foundation/HSS Workshop on Hip Osteoarthritis, Part 3: Rehabilitation and Exercise. 关节炎基金会/HSS髋关节骨性关节炎研讨会，第3部分：康复和锻炼。

IF 1.6 4区医学

Hss Journal Pub Date : 2023-11-01 Epub Date: 2023-09-16 DOI: 10.1177/15563316231192098

Kate N Jochimsen, Jason S Kim, Prakash Jayabalan, Cecelia Lawrence, Cara L Lewis, Heidi Prather, Mathias P Bostrom

引用次数: 0

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. 关节炎基金会/HSS髋关节骨性关节炎研讨会，第4部分：非手术选项、预测全髋关节置换术的机器学习、机器人和表型以指导精确康复。

IF 1.6 4区医学

Hss Journal Pub Date : 2023-11-01 Epub Date: 2023-08-17 DOI: 10.1177/15563316231193367

Michelle M McLeod, Jason S Kim, Peter Moley, Mark A Fontana, Jason Blevins, Brian Chalmers, Marcus Bamman, Mathias P Bostrom

引用次数: 0

Methods for the Clinical Translation of Quantitative MRI for the Evaluation of Patients With Femoroacetabular Impingement. 定量MRI评估股骨髋臼撞击患者的临床转换方法。

IF 1.6 4区医学

Hss Journal Pub Date : 2023-11-01 Epub Date: 2023-08-23 DOI: 10.1177/15563316231193404

Riccardo Lattanzi

引用次数: 0

Revealing a Natural Model of Pre-Osteoarthritis of the Hip Through Study of Femoroacetabular Impingement. 通过股骨髋臼撞击的研究揭示了髋关节前骨性关节炎的自然模型。

IF 1.6 4区医学

Hss Journal Pub Date : 2023-11-01 Epub Date: 2023-08-09 DOI: 10.1177/15563316231190084

Cecilia Pascual-Garrido, Kenichi Kikuchi, John C Clohisy, Regis J O'Keefe, Tomoyuki Kamenaga

{"title":"Revealing a Natural Model of Pre-Osteoarthritis of the Hip Through Study of Femoroacetabular Impingement.","authors":"Cecilia Pascual-Garrido, Kenichi Kikuchi, John C Clohisy, Regis J O'Keefe, Tomoyuki Kamenaga","doi":"10.1177/15563316231190084","DOIUrl":"10.1177/15563316231190084","url":null,"abstract":"Femoroacetabular impingement (FAI) is considered the mechanical cause of hip osteoarthritis (OA). Surgical intervention involves labrum repair and osteochondroplasty to remove the impingement, alleviating symptoms. Nevertheless, some patients progress to hip OA after surgery, indicating that factors other than mechanical abnormality are contributing to hip OA progression. This review article discusses our laboratory's studies on hip FAI and OA, undertaken to identify key molecular players in the progression of hip OA. Transcriptome analysis identified peroxisome proliferator activated receptor gamma (PPARγ) as a crucial molecule in early hip OA. PPARγ, widely expressed in chondrocytes, has a protective role in preventing OA, but its true mechanism remains unknown. We observed a dysregulation of DNA methyltransferase (DNMT) in the progression of hip OA, with high expression of DNMT1 and 3A and downregulation of DNMT3B. Moreover, we established that DNMT3A is the main molecule that is binding to PPARγ promoter CpG area, and hypermethylation of this area occurs during disease progression. This suggests that epigenetic changes are a main mechanism that regulates PPARγ expression. Finally, we developed a novel rabbit model of hip FAI and OA and are currently performing studies to validate our small-animal model to human FAI.","PeriodicalId":35357,"journal":{"name":"Hss Journal","volume":"19 4","pages":"434-441"},"PeriodicalIF":1.6,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71486793","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}

引用次数: 0

Arthritis Foundation/HSS Workshop on Hip Osteoarthritis, Part 1: Epidemiology, Early Development, and Cohorts From Around the World. 关节炎基金会/HSS髋关节骨性关节炎研讨会，第1部分：世界各地的流行病学、早期发展和队列。

IF 1.6 4区医学

Hss Journal Pub Date : 2023-11-01 Epub Date: 2023-08-06 DOI: 10.1177/15563316231189748

Jason S Kim, Rintje Agricola, Young-Jo Kim, Nancy E Lane, Michael B Millis, Amanda E Nelson, Jos Runhaar, Sandra J Shefelbine, Mathias P Bostrom

引用次数: 0

Preoperative Education and Prehabilitation in Total Hip Arthroplasty Patients: A Commentary. 全髋关节置换术患者的术前教育和预适应：综述。

IF 2.5 4区医学

Hss Journal Pub Date : 2023-11-01 Epub Date: 2023-08-20 DOI: 10.1177/15563316231193394

Cecelia Lawrence

引用次数: 0

Does Participation in Virtual or In-Person Preoperative Education Relate to Reduced Length of Stay After Total Joint Arthroplasty? 参加虚拟或面对面的术前教育与全关节置换术后住院时间的缩短有关吗?

4区医学

Hss Journal Pub Date : 2023-10-28 DOI: 10.1177/15563316231208454

Susan Camillieri

{"title":"Does Participation in Virtual or In-Person Preoperative Education Relate to Reduced Length of Stay After Total Joint Arthroplasty?","authors":"Susan Camillieri","doi":"10.1177/15563316231208454","DOIUrl":"https://doi.org/10.1177/15563316231208454","url":null,"abstract":"Background: Advancements in surgical procedures for total joint arthroplasty (TJA) have resulted in more effective procedures with more rapid recovery. To prepare patients for surgery, many organizations offer a preoperative “joint class,” which has been associated with reduced length of stay (LOS). Virtual modes of education are increasingly favored for those having TJA. Purpose: To determine whether participation in an individually administered preoperative educational session (“Prehab”) relates to reduced LOS or increased likelihood of same-day discharge (SDD) for those undergoing TJA. Additionally, to establish whether and the virtual mode of education provision is superior or inferior to the in-person mode with regards to LOS benefits. Methods: The author conducted a case-control study of 2532 patients who had a primary or revision TJA between January 2022 and August 2022 at a single institution. Data were obtained from the electronic medical record. A total of 1118 patients attended Prehab; 1414 patients did not. Patients were included if they were over the age of 18 and had a total hip arthroplasty (THA) or total knee arthroplasty (TKA) during the study period. T-tests, chi-square χ 2 tests, and binomial logistic regression were used to evaluate the LOS and SDD outcomes for those who participated in Prehab compared with those who did not. Results: Those receiving Prehab in any form had shorter LOS than those who had not. Those receiving virtual Prehab had the shortest LOS. There was no difference in the rate of SDD for outpatient-class patients. Conclusion: Preoperative education is associated with LOS benefits to patients undergoing TJA. The virtual mode of education provision is at minimum non-inferior, and may be superior, to the in-person mode. The lack of statistically significant between-group differences for SDD outcomes may be explained by a lack of SDD-specific educational content provided during Prehab.","PeriodicalId":35357,"journal":{"name":"Hss Journal","volume":"28 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136159030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Outpatient Hip and Knee Arthroplasty Can be Safe in Patients With Multiple Medical Comorbidities via Use of Evidence-Based Perioperative Protocols 通过循证围手术期协议，门诊髋关节和膝关节置换术对有多种合并症的患者是安全的

4区医学

Hss Journal Pub Date : 2023-10-28 DOI: 10.1177/15563316231208431

Sohum Patel, Leonard T. Buller

引用次数: 0