Journal of Hip Preservation Surgery最新文献_第2页

IF 1.4 4区医学

Journal of Hip Preservation Surgery Pub Date : 2024-12-10 eCollection Date: 2024-07-01 DOI: 10.1093/jhps/hnae032

Ali Bajwa

引用次数: 0

A growing role for Registry data to guide discussions with patients on their treatment options. 注册数据在指导与患者讨论治疗方案方面的作用越来越大。

IF 1.4 4区医学

Journal of Hip Preservation Surgery Pub Date : 2024-12-10 eCollection Date: 2024-07-01 DOI: 10.1093/jhps/hnae030

Richard E Field

引用次数: 0

Labral size measured on preoperative magnetic resonance imaging not predictive of the need for labral reconstruction in patients undergoing primary hip arthroscopy. 术前磁共振成像测量的唇形大小不能预测接受初级髋关节镜检查的患者是否需要进行唇形重建。

IF 1.4 4区医学

Journal of Hip Preservation Surgery Pub Date : 2024-12-10 eCollection Date: 2025-01-01 DOI: 10.1093/jhps/hnae043

Adam Peszek, Catherine C Alder, Kyle Jamar, Trevor J Wait, Caleb J Wipf, Carson L Keeter, Stephanie W Mayer, Charles P Ho, James W Genuario

{"title":"Labral size measured on preoperative magnetic resonance imaging not predictive of the need for labral reconstruction in patients undergoing primary hip arthroscopy.","authors":"Adam Peszek, Catherine C Alder, Kyle Jamar, Trevor J Wait, Caleb J Wipf, Carson L Keeter, Stephanie W Mayer, Charles P Ho, James W Genuario","doi":"10.1093/jhps/hnae043","DOIUrl":"https://doi.org/10.1093/jhps/hnae043","url":null,"abstract":"Preoperative radiographic measurements may help predict which patients with hip labral tears ultimately undergo repair versus primary reconstruction. This study investigated if radiographic parameters: (i) preoperatively predict labral repair versus reconstruction and (ii) correlate with T2 magnetic resonance imaging (MRI) mapping values of the labrum. This retrospective comparative study included patients aged 14-50 years who underwent labral repair or reconstruction at a single institution over a 2-year period. Patients with prior open or arthroscopic hip surgery or who had inadequate preoperative computed tomography (CT) and MRI imaging were excluded. Labral size was measured at multiple positions on preoperative MRI images. A blinded reviewer used three-dimensional CT analysis to record lateral center edge angle (LCEA), acetabular version, Tonnis angle, acetabular coverage, alpha angle, femoral torsion, and neck-shaft angle (FNSA). T2 MRI mapping values of the labrum were obtained via sequencing analyses on each patient's optimal sagittal cut. Univariate mixed linear models were used to identify associations between each radiographic measurement and decision to repair or reconstruct the labrum. Fifty-two operations were included. Labral size had no predictive effect on undergoing labral reconstruction versus repair. Likelihood for undergoing labral reconstruction was associated with LCEA (P = .003) and Tonnis angle (P = .034). There was an association (P < .05) between labral T2 mapping values and all radiographic parameters except for FNSA and combined version. Labral size was not associated with whether patients underwent labral reconstruction or repair. The data showed an association between labrum T2 mapping values and nearly all radiographic parameters.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"12 1","pages":"20-26"},"PeriodicalIF":1.4,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007217","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

Assessment and management of periacetabular aneurysmal bone cysts-a series of four cases. 髋臼周围动脉瘤性骨囊肿的评估与治疗——附4例报告。

IF 1.4 4区医学

Journal of Hip Preservation Surgery Pub Date : 2024-12-06 eCollection Date: 2025-01-01 DOI: 10.1093/jhps/hnae040

Reagan S H Beyer, Quinn Steiner, David W Hennessy, Humberto G Rosas, David C Goodspeed, Andrea M Spiker

引用次数: 0

Sexual function and pregnancy outcomes after periacetabular osteotomy: a systematic review. 髋臼周围截骨术后的性功能和妊娠结局：一项系统综述。

IF 1.4 4区医学

Journal of Hip Preservation Surgery Pub Date : 2024-12-05 eCollection Date: 2025-01-01 DOI: 10.1093/jhps/hnae039

Katie Hutchinson, Khurram Baig, Christian Smith, Ajay Malviya

{"title":"Sexual function and pregnancy outcomes after periacetabular osteotomy: a systematic review.","authors":"Katie Hutchinson, Khurram Baig, Christian Smith, Ajay Malviya","doi":"10.1093/jhps/hnae039","DOIUrl":"https://doi.org/10.1093/jhps/hnae039","url":null,"abstract":"Periacetabular osteotomy (PAO) is a surgical treatment of developmental dysplasia of the hip (DDH). This systematic review investigates the impact PAO has on sexual function and pregnancy through changes in patient-reported outcomes. A literature search of Medline, PubMed, EMBASE, and the Cochrane Library from 1996 to November 2023 was performed. Search terms included: 'periacetabular osteotomy', 'pelvic osteotomy', 'outcomes', 'sexual function', 'pregnancy', and 'childbirth'. Assessment of methodological quality was performed using the methodological index for nonrandomized studies (MINORS) criteria and Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) system. The search returned 560 papers, with 5 meeting the inclusion criteria. Sexual function improved over both short- and longer-term follow-up periods. 48.2% of patients had improved sexual function following PAO. Female patients reported greater improvement than males, who had a higher baseline score. No complications were documented in pregnancy or delivery compared to patients who had not had a PAO. Increased rates of caesarean sections (CSs) were seen in all studies (37.4%) compared to the European average. All five papers were calculated to be of low quality according to the MINORS criteria and low certainty according to the GRADE level of evidence. Patients receiving a PAO due to symptomatic DDH had improved sexual dysfunction due to a reduction in hip pain, but almost half of these patients may not appreciate any benefit. There is an increased likelihood of CS in patients post-PAO, with no reliable evidence for its necessity. Limitations of this review included poor quality and availability of evidence, as all studies were retrospective cohort studies. Further larger powered studies are required to assess the full impact of PAO on both sexual function and pregnancy.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"12 1","pages":"74-80"},"PeriodicalIF":1.4,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057742","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

Hip arthroscopy failure rates: a healthcare database analysis in the United States. 髋关节镜检查失败率：美国医疗数据库分析。

IF 1.4 4区医学

Journal of Hip Preservation Surgery Pub Date : 2024-11-26 eCollection Date: 2025-01-01 DOI: 10.1093/jhps/hnae036

Akshar P Thakkar, Michael D Scheidt, Shaheen Jadidi, Michael B Ellman, Aaron A Bare, Michael D Stover, Sanjeev Bhatia

{"title":"Hip arthroscopy failure rates: a healthcare database analysis in the United States.","authors":"Akshar P Thakkar, Michael D Scheidt, Shaheen Jadidi, Michael B Ellman, Aaron A Bare, Michael D Stover, Sanjeev Bhatia","doi":"10.1093/jhps/hnae036","DOIUrl":"https://doi.org/10.1093/jhps/hnae036","url":null,"abstract":"With hip arthroscopy cases, there has been a concomitant increase in complications and the need for revision surgery. This study aims to further contribute to the literature regarding hip arthroscopy failure rates and associated patient factors following an index hip arthroscopy procedure. The PearlDiver database was queried for patients who had undergone hip arthroscopy. International Classification of Diseases, 10th Revision, Clinical Modification codes were used to ensure that follow-up was performed on the ipsilateral limb. Hip arthroscopy failure was defined specifically as subsequent ipsilateral total hip arthroplasty (THA) and reoperation, which were examined in all patients that met inclusion criteria. Independent patient variables, including psychiatric comorbidities, preoperative SSRI use, smoking, and obesity, were examined to identify an association with failure rates. A Student t-test, with a significance set at P < 0.05, was used for statistical comparisons of postoperative outcomes. Odds ratios were used to calculate the probability of short-term hip reoperation in patients with the above independent variables. A total of 19 067 hip arthroscopy patients were included in this study. Within 2 years from the index hip arthroscopy, there was an 11.42% failure rate as defined by subsequent reoperation and 7.16% failure rate as defined by revision to THA, with a total revision surgery rate of 18.58%. The most common reoperation procedure was revision femoroplasty (72%). Patients with an active diagnosis of a psychiatric comorbidity in the year leading up to a hip arthroscopy procedure were 1.74 times more likely to require a hip reoperation within 1 year (95% CI, 1.55-1.95).","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"12 1","pages":"3-10"},"PeriodicalIF":1.4,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034794","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

Clinical and surgical factors influencing screw breakage during hardware removal following periacetabular osteotomy. 影响髋臼周围截骨术后内固定物取出螺钉断裂的临床及手术因素。

IF 1.4 4区医学

Journal of Hip Preservation Surgery Pub Date : 2024-11-21 eCollection Date: 2024-12-01 DOI: 10.1093/jhps/hnae037

Brian P Crowley, James M Helm, Omar G Stocks, Alexis H Aboulafia, Jacob J Siahaan, Alfred A Mansour

{"title":"Clinical and surgical factors influencing screw breakage during hardware removal following periacetabular osteotomy.","authors":"Brian P Crowley, James M Helm, Omar G Stocks, Alexis H Aboulafia, Jacob J Siahaan, Alfred A Mansour","doi":"10.1093/jhps/hnae037","DOIUrl":"10.1093/jhps/hnae037","url":null,"abstract":"Periacetabular osteotomy (PAO) is a procedure used to treat patients with hip dysplasia. Current literature reports symptomatic hardware removal (HWR) rates of 13.6% following PAO. No reports have examined the incidence of or factors relating to screw breakage during HWR. This study reports the incidence of screw breakage in patients undergoing HWR following PAO and examines the associated clinical and surgical factors. Patients who underwent PAO by a single surgeon from 2012 to 2022 were retrospectively reviewed. Demographic, surgical, and implant information was collected. Constructs were stratified by number (three-screw and four-screw) and type (3.5 mm only, 4.5 mm only, and mixed). Incidence rates of HWR and screw breakage were calculated. Three hundred and two hips from 254 patients undergoing PAO were included. Seventy-one hips from 58 patients underwent HWR (23.5%). Eighteen of 259 screws (6.9%) were broken upon removal in 10/71 hips (14.1%). Significantly more 3.5-mm screws were removed (24.7% vs 21.2%; P = .05) and broken than 4.5-mm screws (10.5% vs 3.8%; P = .04). Time to removal was significantly longer in broken screws (16.8 ± 12.7 months vs 33 ± 18.2 months, P < .001). The use of 3.5-mm screws and increased time from implantation to removal are associated with higher rates of screw breakage during HWR following PAO. The use of 4.5-mm screws and earlier time to removal (less than 12 months) both decrease the probability of breakage.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"11 4","pages":"298-303"},"PeriodicalIF":1.4,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11744468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014411","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

Preoperative quantitative imaging use in predicting intraoperative decision for hip labral repair versus reconstruction. 术前定量影像学应用于预测术中髋关节唇部修复与重建的决策。

IF 1.4 4区医学

Journal of Hip Preservation Surgery Pub Date : 2024-11-15 eCollection Date: 2024-12-01 DOI: 10.1093/jhps/hnae035

Catherine C Alder, Trevor J Wait, Caleb J Wipf, Carson L Keeter, Adam Peszek, Stephanie W Mayer, Charles P Ho, Alexandra Orahovats, James W Genuario

{"title":"Preoperative quantitative imaging use in predicting intraoperative decision for hip labral repair versus reconstruction.","authors":"Catherine C Alder, Trevor J Wait, Caleb J Wipf, Carson L Keeter, Adam Peszek, Stephanie W Mayer, Charles P Ho, Alexandra Orahovats, James W Genuario","doi":"10.1093/jhps/hnae035","DOIUrl":"10.1093/jhps/hnae035","url":null,"abstract":"Intraoperative assessment of labral quality determines arthroscopic repair versus reconstruction for hip labral tear treatment. T2 mapping technology discriminates between healthy and damaged cartilage. This study investigated if T2 mapping magnetic resonance imaging (MRI) can preoperatively predict labral repair versus reconstruction. This retrospective comparative study included patients with preoperative T2 mapping MRI who underwent hip labral repair or reconstruction at a single institution between March 2021 and February 2023. Three reviewers using Syngo.via recorded average T2 mapping values for the labrum, acetabular cartilage, and femoral cartilage on patients' sagittal cut. Intraclass correlation values estimated rater agreement of T2 values. T2 means were compared using t-tests. Three Bayesian regression models were created, separately analyzing the labrum, acetabular cartilage, and femoral cartilage mapping values. The 95% credible intervals determined the significance of regression coefficients. A total of 63 operations were included: 14 reconstructions and 49 repairs. Participants were 14- to 50-years-old, with 35 females and 28 males. There was excellent agreement among raters for T2 measurements. There was no significant difference in average T2 values between the repair and reconstruction groups. All three models showed that the odds of labral reconstruction were negatively associated with T2 mapping values, positively associated with age, and increased in males. Preoperative T2 mapping values from the labrum, acetabular, and femoral cartilage are negatively associated with the odds of needing a labral reconstruction. Increased age and being male are associated with increased odds of needing a labral reconstruction. This study will allow further evaluation into other variables that predict labral repair versus reconstruction.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"11 4","pages":"287-297"},"PeriodicalIF":1.4,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11744471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014435","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

Outcomes of single-incision-augmented core decompression using trochanteric autograft in osteonecrosis of femoral head-a mean 5-year follow-up study. 自体转子单切口增强股骨头减压治疗股骨头坏死的疗效——平均5年随访研究。

IF 1.4 4区医学

Journal of Hip Preservation Surgery Pub Date : 2024-11-08 eCollection Date: 2024-12-01 DOI: 10.1093/jhps/hnae027

Sajid Ansari, Kshitij Gupta, Parshwanath Bondarde, Ch Raja Bhaskar Venkatasai Madhusudan, R B Kalia

{"title":"Outcomes of single-incision-augmented core decompression using trochanteric autograft in osteonecrosis of femoral head-a mean 5-year follow-up study.","authors":"Sajid Ansari, Kshitij Gupta, Parshwanath Bondarde, Ch Raja Bhaskar Venkatasai Madhusudan, R B Kalia","doi":"10.1093/jhps/hnae027","DOIUrl":"10.1093/jhps/hnae027","url":null,"abstract":"Osteonecrosis of femoral head (ONFH) can be a debilitating disease, for which numerous salvage surgeries have been popularized to halt its progression. The aim of this study was to assess the clinical and radiological outcomes of a single-incision core decompression (CD) technique using trochanteric autograft in ONFH and to determine the prognostic factors of treatment success. Sixty-six hips (41 patients) of Association Research Circulation (ARCO) 1 and 2 ONFH undergoing CD were included in the study with a mean follow-up of 58 months. Treatment failure was taken as radiographic collapse and/or conversion to total hip arthroplasty (THA). The following clinical and radiological factors impacting outcomes were evaluated-symptom duration, etiology, age, sex and body mass index, ARCO grade, Japanese Investigation Committee grade, modified Kerboul angle, and bone marrow edema (BME) on magnetic resonance imaging. Twenty-one of the 66 hips (31.8%) had a radiological collapse by the last follow-up, and 6 hips (9%) required THA. Overall, significant improvement in Harris hip scores (60.18 versus 80.81, P-value = .012) and visual analog scale scores (7.3 versus 1.2, P-value = .025) were noted postoperatively with no surgical complications. Late presentation (>3 months) (P-value = .001) and presence of BME (P = 0.0002) were significantly correlated with poor outcomes. The 5-year collapse-free rate was 68.2%, and 91% hips were arthroplasty free. Our single-incision CD technique using a trochanteric autograft yielded favorable outcomes for precollapse stages of nontraumatic ONFH at 5-year follow-up. Delayed presentation and presence of BME are poor prognostic factors. Adequate patient selection is for achieving a good survivorship and improvement in patient-reported outcomes.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"11 4","pages":"280-286"},"PeriodicalIF":1.4,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11744478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014430","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

Review of femoroacetabular impingement syndrome. 股髋臼撞击综合征综述。

IF 1.4 4区医学

Journal of Hip Preservation Surgery Pub Date : 2024-10-15 eCollection Date: 2024-12-01 DOI: 10.1093/jhps/hnae034

Fernando Gómez-Verdejo, Elsa Alvarado-Solorio, Carlos Suarez-Ahedo

{"title":"Review of femoroacetabular impingement syndrome.","authors":"Fernando Gómez-Verdejo, Elsa Alvarado-Solorio, Carlos Suarez-Ahedo","doi":"10.1093/jhps/hnae034","DOIUrl":"10.1093/jhps/hnae034","url":null,"abstract":"Femoroacetabular impingement syndrome (FAIS) is a common condition of the hip that can cause significant damage to the joint, leading to degeneration and osteoarthritis. FAIS constitutes an abnormal and dynamic contact between the femoral head-neck junction and the acetabular rim, resulting from altered bone morphology at one or both sites. Repetitive trauma at the site of impingement generates progressive damage to the acetabular labrum, chondrolabral junction, and articular cartilage. Proper diagnosis based on patient symptoms, specific clinical signs, and imaging findings will guide treatment and ultimately allow preservation of the native hip joint. Common symptoms in patients with FAIS include pain, clicking, catching, buckling, stiffness, giving way, and a limited range of motion of the hip. Specific clinical maneuvers can aid diagnosis, such as flexion adduction internal rotation and flexion abduction external rotation tests. Imaging diagnosis includes orthogonal hip and pelvis X-ray views, as well as magnetic resonance imaging/magnetic resonance arthrogram imaging. Initial treatment of FAIS can be conservative and include physical therapy, intra-articular injections, and activity modification. Currently, the preferred surgical management consists of hip arthroscopy, which aims to correct bony abnormalities, repair or reconstruct labral lesions and address other intra-articular and extra-articular derangements as needed.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"11 4","pages":"315-322"},"PeriodicalIF":1.4,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11744475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014439","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