Journal of Hip Preservation Surgery最新文献

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Quantifying radiation exposure in the radiological investigation of non-arthritic hip pain 量化非关节炎性髋关节疼痛放射学检查中的辐照量
IF 1.5 4区 医学
Journal of Hip Preservation Surgery Pub Date : 2024-04-01 DOI: 10.1093/jhps/hnae013
Alistair Iw Mayne, Ahmed Saad, Rajesh Botchu, Lucie Gosling, Peter Wall, Angelos Politis, Peter D’Alessandro, Callum McBryde
{"title":"Quantifying radiation exposure in the radiological investigation of non-arthritic hip pain","authors":"Alistair Iw Mayne, Ahmed Saad, Rajesh Botchu, Lucie Gosling, Peter Wall, Angelos Politis, Peter D’Alessandro, Callum McBryde","doi":"10.1093/jhps/hnae013","DOIUrl":"https://doi.org/10.1093/jhps/hnae013","url":null,"abstract":"Radiological investigations are essential for evaluating underlying structural abnormalities in patients presenting with non-arthritic hip pain. The aim of this study is to quantify the radiation exposure associated with common radiological investigations performed in assessing patients presenting with non-arthritic hip pain. A retrospective review of our institutional imaging database was performed. Data were obtained for antero-posterior, cross-table lateral, frog lateral radiographs and low-dose CT hip protocol. The radiation dose of each imaging technique was measured in terms of dose-area product with units of mGy cm2, and the effective doses (ED, mSv) calculated. The effective radiation dose for each individual hip radiograph performed was in the range of 0.03–0.83 mSv [mean dose-area product 126.7–156.2 mGy cm2]. The mean ED associated with the low-dose CT hip protocol (including assessment of femoral anteversion and tibial torsion) was 3.04 mSv (416.8 mGy cm2). The radiation dose associated with the use of CT imaging was significantly greater than plain radiographs (P < 0.005). Investigation of non-arthritic hip pain can lead to significant ionizing radiation exposure for patients. In our institution, the routine protocol is to obtain an antero-posterior pelvic radiograph and then a specific hip sequence Magnetic Resonance Imaging (MRI) scan which includes the assessment of femoral anteversion. This provides the necessary information in the majority of cases, with CT scanning reserved for more complex cases where we feel there is a specific indication. We would encourage the hip preservation community to carefully consider and review the use of ionizing radiation investigations.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"77 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140579360","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
Spinal versus general anesthesia for hip arthroscopy—a pandemic (COVID) and epidemic (opioid) driven study 髋关节镜检查中的脊髓麻醉与全身麻醉--大流行病(COVID)和流行病(阿片类药物)驱动的研究
IF 1.5 4区 医学
Journal of Hip Preservation Surgery Pub Date : 2024-03-27 DOI: 10.1093/jhps/hnae009
Thomas J. W., Kay S Jones, Nicole Dwyer, Amy M McManus, Ellen B Byrd, Wallace L Freeman
{"title":"Spinal versus general anesthesia for hip arthroscopy—a pandemic (COVID) and epidemic (opioid) driven study","authors":"Thomas J. W., Kay S Jones, Nicole Dwyer, Amy M McManus, Ellen B Byrd, Wallace L Freeman","doi":"10.1093/jhps/hnae009","DOIUrl":"https://doi.org/10.1093/jhps/hnae009","url":null,"abstract":"The purpose of this study is to compare general anesthesia (GA) to spinal anesthesia (SA) for hip arthroscopy, based on measurable perioperative parameters. The pandemic signaled a change from GA to SA, and thus a retrospective review was performed of the first 120 consecutive SA cases compared to the last 120 GA cases prior to the pandemic. Demographic data included age, sex, BMI, preop narcotic usage and procedure performed. The groups were compared for post-anesthesia care unit length of stay, entry and discharge visual analog scale (VAS) scores, morphine mg equivalent usage, need for regional blocks and untoward events. Additionally, the length of time from entry to the operating room until completion of induction anesthesia was compared. Demographically, the groups were virtually identical. SA used significantly less morphine mg equivalent (6.0 versus 8.1; P = 0.005), had more needing no narcotics (17 versus 7; P = 0.031), fewer requiring blocks (1 versus 14; P = 0.001) and lower entry VAS scores (5.2 versus 6.2; P = 0.003). Five early SA patients required catheterization for urinary retention, and this was avoided later in the study by having patient void on call to operating room and avoiding anticholinergic agents. Completion of induction anesthesia was 0.8 min longer for SA. Hip arthroscopy can be effectively performed with either GA or SA. SA results in statistically significant better post-anesthesia care unit pain control, reflected by lower entry VAS, less need for narcotics and fewer requiring regional blocks compared to GA. Urinary retention, a potential problem of SA, is minimized with routine precautions.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"33 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140311306","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
A pilot screening project for the detection of hip dysplasia in young patients 检测年轻患者髋关节发育不良的试点筛查项目
IF 1.5 4区 医学
Journal of Hip Preservation Surgery Pub Date : 2024-03-06 DOI: 10.1093/jhps/hnae010
Frederik Berstad Møse, Shahin Mohseni, Tomas Borg
{"title":"A pilot screening project for the detection of hip dysplasia in young patients","authors":"Frederik Berstad Møse, Shahin Mohseni, Tomas Borg","doi":"10.1093/jhps/hnae010","DOIUrl":"https://doi.org/10.1093/jhps/hnae010","url":null,"abstract":"Hip dysplasia in young adults is underdiagnosed and can cause pain and discomfort. Progression to osteoarthritis (OA) is common, necessitating total hip arthroplasty at an early age. When discovered early, symptomatic patients can be offered physiotherapy and/or hip-preserving surgery to alleviate pain and decrease the risk of early OA. A pilot project to screen radiograms for hip dysplasia was started across the Swedish region of Örebro Län in January 2019, comparing the incidence of dysplasia before and after initiation of the screening program. All elective conventional radiograms of the hip (age 12–44 years), requested by primary care physicians, were analyzed by consultant radiologists according to a pre-established algorithm to identify hip abnormalities. If the hip radiograms showed dysplastic changes, or other pathological signs, the radiologist advised referral to a specialized Youth Hip Clinic for further work-up and treatment. A total of 1056 radiograms were requested by clinicians during the study periods (601 and 455 during 2018 and 2020, respectively). A total of 457 trauma-related cases were excluded, resulting in 599 available for analysis (348 and 251 during 2018 and 2020, respectively). During 2018, 17 patients (4.9%) received the radiologic diagnosis of dysplasia, compared with 44 patients (17.5%) during 2020 (P < 0. 001). A three-fold increase of patients diagnosed with hip dysplasia was detected as a result of the implementation of the screening program. The advantage of screening is early referral to an orthopedic department for evaluation and consideration for physiotherapy and/or surgical intervention.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"2 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140097330","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
Maintenance of acetabular correction following PAO: a multicenter study comparing stainless-steel and titanium screws PAO 后髋臼矫正的维持:一项比较不锈钢螺钉和钛螺钉的多中心研究
IF 1.5 4区 医学
Journal of Hip Preservation Surgery Pub Date : 2024-02-29 DOI: 10.1093/jhps/hnae008
Lei Zhao, Molly Uchtman, Alexander Aretakis, Courtney Selberg, James J McCarthy, Patrick W Whitlock
{"title":"Maintenance of acetabular correction following PAO: a multicenter study comparing stainless-steel and titanium screws","authors":"Lei Zhao, Molly Uchtman, Alexander Aretakis, Courtney Selberg, James J McCarthy, Patrick W Whitlock","doi":"10.1093/jhps/hnae008","DOIUrl":"https://doi.org/10.1093/jhps/hnae008","url":null,"abstract":"Stainless-steel screws are commonly used for fragment fixation during periacetabular osteotomy (PAO) at our institutions. Titanium is reserved for patients with documented nickel allergies. Titanium screws possess a significantly lower Young’s modulus than stainless steel and, therefore, potentially less resistance to physiologic loading. Thus, we hypothesized that the use of titanium screws might be associated with changes in acetabular correction prior to healing. The aim of this study was to compare the maintenance of acetabular correction following PAO using stainless-steel or titanium screws. A documented nickel allergy was confirmed with an allergy specialist. Patients’ age at surgery, gender and BMI were collected. The lateral center–edge angle of Wiberg (LCEA), medial center–edge angle (MCEA), anterior wall index (AWI), posterior wall index (PWI) and Tönnis angle were measured. The delta value for radiographic parameters was calculated as the difference between values immediately post-operation and at 6 months post-operation. Only age at surgery (P < 0.001) and the pre-operative LCEA (P = 0.013) were significantly different between groups (Tables I and II). The remaining pre- and post-operative radiological measurements were similar (Table II). Comparison of delta values at 6 months follow-up indicated no significant differences between screw types (Table III). No patients in the titanium group had a trans-iliac retrograde screw included in their construct (P = 0.003). All patients healed from their osteotomies. The use of titanium screws in patients with an allergy to nickel was not associated with differences in acetabular correction or the rate of osseous union rates despite its lower inherent mechanical properties.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"26 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140003424","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
Best practices on patient education materials in hip surgery based on learnings from major hip centers and societies 根据主要髋关节中心和学会的经验,总结髋关节手术患者教育材料的最佳做法
IF 1.5 4区 医学
Journal of Hip Preservation Surgery Pub Date : 2024-02-29 DOI: 10.1093/jhps/hnae011
Ali Parsa, Omkar N Prabhavalkar, Sheema Saeed, Julio Nerys-Figueroa, Andrew Carbone, Benjamin G Domb
{"title":"Best practices on patient education materials in hip surgery based on learnings from major hip centers and societies","authors":"Ali Parsa, Omkar N Prabhavalkar, Sheema Saeed, Julio Nerys-Figueroa, Andrew Carbone, Benjamin G Domb","doi":"10.1093/jhps/hnae011","DOIUrl":"https://doi.org/10.1093/jhps/hnae011","url":null,"abstract":"Patient education is important as it gives patients a better understanding of the risks and benefits of medical and surgical interventions. Developing communication technologies have completely changed and enhanced patient access to medical information. The aim of this study was to evaluate available patient education materials (PEMs) regarding hip surgery on the websites of major hip societies and centers. The PEM from 11 selected leading hip centers and societies were evaluated with the following assessment tools: Flesch–Kincaid (FK) readability test, Flesch Reading Ease formula, Literature-Intelligence-Data-Analysis (LIDA) instrument and Discernibility Interpretability Sources Comprehensive Evidence Relevance Noticeable (DISCERN) tool. Videos were assessed using Patient Educational Video Assessment Tool (PEVAT). A total of 69 educational items, including 52 text articles (75.4%) and 17 videos (24.6%) were retrieved and evaluated. The median Interquartile Range (IQR) FK level of 52 text articles was 10.8 (2.2). The median (IQR) LIDA score of text articles by center was 45. According to the LIDA score, 60% of all website articles demonstrated high accessibility (LIDA score > 44). The median DISCERN score of text articles by center was 69. Overall, 52 (100%) of the text articles were deemed to be at ‘good’ quality rating or higher, and 23.2% (16 out of 69) of the articles had excellent quality. The mean PEVAT score for the 17 videos was 25 ± 1.9. Analysis of text and video articles from the 11 leading orthopedic surgery centers and societies demonstrated that by selecting a reliable source of information from main scientific societies and major centers in hip surgery, patients can find more accurate information regarding their hip conditions.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"48 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140003696","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
Femurs in patients with hip dysplasia have fundamental shape differences compared with cam femoroacetabular impingement 与凸轮股骨髋臼撞击症相比,髋关节发育不良患者的股骨在形状上存在根本差异
IF 1.5 4区 医学
Journal of Hip Preservation Surgery Pub Date : 2024-02-08 DOI: 10.1093/jhps/hnae004
Michael D Harris, Brecca M.M Gaffney, John C Clohisy, Cecilia Pascual-Garrido
{"title":"Femurs in patients with hip dysplasia have fundamental shape differences compared with cam femoroacetabular impingement","authors":"Michael D Harris, Brecca M.M Gaffney, John C Clohisy, Cecilia Pascual-Garrido","doi":"10.1093/jhps/hnae004","DOIUrl":"https://doi.org/10.1093/jhps/hnae004","url":null,"abstract":"Femoral deformities are common in developmental dysplasia of the hip (DDH), but decisions about how to treat them are not standardized. Of interest are deformities that may be akin to cam femoroacetabular impingement (FAI). We used three-dimensional and two-dimensional measures to clarify the similarities and differences in proximal femur shape variation among female patients with DDH (n = 68) or cam FAI (n = 60). Three-dimensional measures included femoral head asphericity, as well as shape variation using statistical shape modeling and principal component analysis (PCA). Two-dimensional measures included the α-angle, head–neck offset (HNO) and the neck–shaft angle (NSA). Significant shape variations were captured in the first five PCA modes, with the greatest shared variation between groups being the length from the lesser trochanter to the femoral head and greater trochanter height. Variations unique to DDH were irregularities at different areas of the femoral head, but not at the lateral femoral head–neck junction where variation was strong in FAI. The FAI group also had unique variations in greater trochanter shape. DDH femoral heads were less spherical, as indicated by larger sphere-fitting errors (P < 0.001). Radiographically, the DDH group had significantly smaller α-angles (P < 0.001), larger head–neck offsets (P = 0.02) and larger NSAs (P < 0.001). Both the articular and extra-articular regions of the proximal femur have distinct shape features in DDH and cam FAI that can uniquely affect the biomechanics of each disorder. Accordingly, approaches to addressing each disorder should be unique.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"16 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139750577","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
Decision-making in borderline hip dysplasia and concomitant femoracetabular impingement syndrome: using a discrete choice experiment to explore patient preferences 边缘性髋关节发育不良和并发股骨髋臼撞击综合征的决策:利用离散选择实验探索患者的偏好
IF 1.5 4区 医学
Journal of Hip Preservation Surgery Pub Date : 2024-02-01 DOI: 10.1093/jhps/hnae002
Grant H Cabell, Nicholas F Kwon, Christopher Shultz, Carolyn A Hutyra, Brian D Lewis, Steven A Olson, Michael J Salata, Shane J Nho, Richard C Mather III
{"title":"Decision-making in borderline hip dysplasia and concomitant femoracetabular impingement syndrome: using a discrete choice experiment to explore patient preferences","authors":"Grant H Cabell, Nicholas F Kwon, Christopher Shultz, Carolyn A Hutyra, Brian D Lewis, Steven A Olson, Michael J Salata, Shane J Nho, Richard C Mather III","doi":"10.1093/jhps/hnae002","DOIUrl":"https://doi.org/10.1093/jhps/hnae002","url":null,"abstract":"Decision-making regarding surgical treatment of patients showing radiographic evidence of femoroacetabular impingement syndrome (FAIS) in the setting of borderline hip dysplasia (BHD) remains a challenge as there is no consensus on treatment in current literature. When medical evidence is unclear, understanding patient preferences becomes particularly important in deciding the optimal treatment for each patient. The purpose of this study was to measure the patient-determined importance of factors surrounding surgical treatment of FAIS in BHD. Patients aged 18–65 with hip pain and BHD (defined as lateral center edge angle 18–25 or Tonnis angle 10–15) morphology were given a discrete-choice experiment (DCE) focusing on attributes that differ between treatment options: Length of Hospital Stay, Major Complication Rate, Chance of Needing Reoperation within 2 Years and Time to Return to Regular Exercise. This DCE was used to calculate treatment preferences, relative attribute importance and preference weights. A total of 101 patients fully completed the DCE. The most important attribute (average importance weight, 95% CI) was Chance of Reoperation (60.16, 56.99–63.34), while the least important was Hospital Stay (6.57, 5.73–7.41). Only 6 Months to Resume Regular Exercise and 2% Chance of Reoperation (P < 0.05) significantly impacted treatment choice. When presented with fixed choice parameters, 50.5% of subjects preferred PAO and arthroscopy while 49.5% opted for arthroscopy alone. When no clear surgical treatment is indicated, patient preferences have an amplified role in patient decision-making. Our results confirm variation in attribute importance within treatments as well as treatment choice, highlighting the importance in understanding patient preferences in decision-making for FAIS in BHD. More patient-specific generalizable outcomes of surgical treatment options are needed in the literature.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"245 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139677724","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
Multivariate linear-mixed analysis of changes in anterior inferior iliac spine impingement incidence with posterior pelvic tilt: a computer simulation study. 髂前下棘撞击发生率随骨盆后倾变化的多变量线性混合分析:一项计算机模拟研究。
IF 1.4 4区 医学
Journal of Hip Preservation Surgery Pub Date : 2024-02-01 eCollection Date: 2024-07-01 DOI: 10.1093/jhps/hnae003
Emi Kamono, Naomi Kobayashi, Yuya Yamamoto, Yohei Yukizawa, Hideki Honda, Hyonmin Choe, Hiroyuki Ike, Ken Kumagai, Yutaka Inaba
{"title":"Multivariate linear-mixed analysis of changes in anterior inferior iliac spine impingement incidence with posterior pelvic tilt: a computer simulation study.","authors":"Emi Kamono, Naomi Kobayashi, Yuya Yamamoto, Yohei Yukizawa, Hideki Honda, Hyonmin Choe, Hiroyuki Ike, Ken Kumagai, Yutaka Inaba","doi":"10.1093/jhps/hnae003","DOIUrl":"10.1093/jhps/hnae003","url":null,"abstract":"<p><p>It is well known that increased posterior tilt of the pelvis is an effective strategy for avoiding impingement of the femur with the pelvis during movement. Daily repetitive collisions become mechanical loads, and the more frequently they occur, the more tissue damage and pain they cause. Therefore, reducing the rate of occurrence of impingement is important to avoid aggravation of symptoms. This study aimed to evaluate the effects of changes in posterior pelvic tilt on the risk of impingement between the femur and the anterior inferior iliac spine (AIIS)/subspine in various functional postures. Patients with femoroacetabular impingement syndrome (FAIS) who were candidates for hip arthroscopic osteochondroplasty between October 2013 and June 2020 were included. A three-dimensional reconstructed model was used to simulate the incidence of impingement at 12 hip positions required for activities of daily living. We predicted value of the spatial incidence of impingement assumed that hip motion should exceed 130/30 degrees without impingement. Impingement was measured at three pelvic positions: an anterior tilt of 10°, in the functional pelvic plane and a posterior tilt of 10°. Multivariate linear-mixed models were used to assess the effect of covariate-adjusted posterior pelvic tilt on the impingement incidence in the AIIS region. AIIS type, center-edge angle, acetabular version and femoral version were used as covariates. The impingement rates and locations of the three pelvic tilt postures were assessed. Seventy-eight patients (60 males and 18 females; average age, 46 ± 15.1 years) with FAIS were analyzed. A multivariate linear-mixed model revealed a coefficient of -0.8% (95% confidence interval -0.9 to -0.7%; <i>P</i> < 0.001) for posterior pelvic tilt. Thus, posterior pelvic tilt affects AIIS impingement incidence. After adjusting for anatomical effects, the posterior pelvic tilt should be addressed to avoid impingement.</p>","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"11 2","pages":"125-131"},"PeriodicalIF":1.4,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11272635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789556","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
Trends, demographics and reoperation rates of periacetabular osteotomy: an analysis from the PearlDiver database 髋臼周围截骨术的趋势、人口统计学和再手术率:PearlDiver 数据库分析
IF 1.5 4区 医学
Journal of Hip Preservation Surgery Pub Date : 2024-01-23 DOI: 10.1093/jhps/hnad040
Stephen D Bigach, Akshar P Thakkar, Lucas T Buchler, Michael B Ellman, Sanjeev Bhatia, Michael D Stover
{"title":"Trends, demographics and reoperation rates of periacetabular osteotomy: an analysis from the PearlDiver database","authors":"Stephen D Bigach, Akshar P Thakkar, Lucas T Buchler, Michael B Ellman, Sanjeev Bhatia, Michael D Stover","doi":"10.1093/jhps/hnad040","DOIUrl":"https://doi.org/10.1093/jhps/hnad040","url":null,"abstract":"This study aims to examine the trends and demographics of periacetabular osteotomy (PAO) in the United States from 2016 to 2020 using a large healthcare database analysis. The PearlDiver database was queried for patients who underwent a PAO procedure starting with current procedural terminology (CPT) codes 27299, S2115 and 27146. Subsequently, the population was filtered for patients being ages 12–50, having an inpatient charge-type and those having a length of stay of at least 1 day. Patients with total hip arthroplasty were filtered out, and the resulting population was filtered by ICD-10 diagnosis codes. The providers of each patient were also examined to ensure their history of treating hip dysplasia. Student t and multiple regression analysis tests were used for statistical comparisons and trends analysis (P &amp;lt; 0.05 reported as significant). A total of 535 consecutive patients were analyzed over the study period. There was a higher incidence of PAO in females compared with males (P &amp;lt; 0.001) and a higher incidence of PAO in patients aged 15–19 years compared with older age groups (P = 0.017). Within the first year after the index PAO, 171 of the 535 patients, almost one-third (32%), received a reoperation. Of the 171 reoperations, 115 were deep removal of implant, 55 were a hip arthroscopy and 1 patient had a bone excision for heterotopic ossification. Similar studies should be carried out using other large health databases to confirm the external validity of these trends and rates across the United States.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"23 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139556830","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
The relationship of pain catastrophizing with postoperative patient-reported outcome measures in adults with pre-arthritic hip disease 髋关节炎前期成人患者的疼痛灾难化与患者报告的术后疗效指标之间的关系
IF 1.5 4区 医学
Journal of Hip Preservation Surgery Pub Date : 2024-01-19 DOI: 10.1093/jhps/hnad049
Lissa Pacheco-Brousseau, Stéphane Poitras, Marc-Antoine Ricard, Koorosh Kashanian, Sasha Carsen, Geoffrey Wilkin, George Grammatopoulos, Paul E Beaulé
{"title":"The relationship of pain catastrophizing with postoperative patient-reported outcome measures in adults with pre-arthritic hip disease","authors":"Lissa Pacheco-Brousseau, Stéphane Poitras, Marc-Antoine Ricard, Koorosh Kashanian, Sasha Carsen, Geoffrey Wilkin, George Grammatopoulos, Paul E Beaulé","doi":"10.1093/jhps/hnad049","DOIUrl":"https://doi.org/10.1093/jhps/hnad049","url":null,"abstract":"The association between preoperative pain catastrophizing and postoperative patient-reported outcome measures of patients with pre-arthritic hip disease was evaluated. All patients scheduled for joint-preserving surgeries of the hip (JPSH) at our institution were approached. Patient demographics (age, sex, body mass index (BMI)), pain intensity (Numeric Pain Scale (NPS)) and pain catastrophizing (Pain Catastrophizing Scale (PCS)) were collected preoperatively. Patient function (12-Item International Hip Outcome Tool (iHot-12)) and physical and mental health (Patient-Reported Outcomes Measurement Information System (PROMIS-10) mental/physical) were collected preoperatively, three-month and one-year postoperatively. The analysis consisted of multivariate linear regression models fitted for continuous scores of outcome measures at three-month and one-year. Correlation between preoperative PCS and iHot-12 was assessed using the Pearson correlation coefficient. A total of 274 patients completed the PCS and were included in the multivariate linear regression models. Most patients were females (66.8%), mean age was 33 (SD 9), mean BMI was 26.5 (SD 5.8) and most were diagnosed with femoro-acetabular impingement (46.0%) and underwent arthroscopy (77.0%). There were statistically significant correlations between PCS and iHot-12 (preoperatively −0.615, P &amp;lt; 0.001; three-month −0.242, P = 0.002). Statistically significant associations were found for function (three-month PCS P = 0.046, age P = 0.014, NPS P = 0.043; one-year BMI P = 0.005, NPS P = 0.014), physical health (three-month BMI, P = 0.002, NPS P = 0.008; one-year BMI P = 0.002, NPS P = 0.013) and mental health (three-month BMI P = 0.047; one-year BMI P = 0.030). There is an association between function and preoperative pain catastrophizing in patients with pre-arthritic hip disease undergoing JPSH. When considering confounding variables, preoperative pain catastrophizing is associated with short-term recovery.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"23 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139509440","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}
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