Journal of Hip Preservation Surgery最新文献

{"title":"Reconstruction of chronic proximal hamstring tear with hamstring autograft-hamstring on hamstring technique: technical note.","authors":"Raquel Lima Cunha, Alexandre Castro, Manuel Padin, Francisco Alpoim, José Manuel Teixeira, Jorge Cruz de Melo, Fernando Leal","doi":"10.1093/jhps/hnaf060","DOIUrl":"https://doi.org/10.1093/jhps/hnaf060","url":null,"abstract":"<p><p>Chronic proximal hamstring tears, often resulting from sports-related trauma or repetitive strain, present a challenging clinical scenario characterized by long-standing tendon damage and functional impairment. These injuries, particularly common in the fourth and fifth decades of life, significantly affect an individual's quality of life and athletic performance and require effective treatment strategies. Surgical intervention is indicated when conservative treatments fail, with the primary goal of restoring the mechanical function of the hamstrings. Traditional primary repair may not be feasible in chronic cases with tendon retraction and muscle atrophy. Surgical reconstruction techniques aim to restore tendon integrity and improve symptoms. This technical note describes a surgical technique using gracilis and semitendinosus autografts from the contralateral leg to repair chronic proximal hamstring tears. This approach aims to reinforce the reconstruction and overcome the limitations of direct repair in chronic cases, with the aim of improving strength and durability, offering a promising alternative for patients with significant tendon retraction. Reconstruction of chronic proximal hamstring tears with autografts represents an innovative approach to a challenging clinical problem. This technique offers potential benefits in strength and function restoration, with careful patient selection and surgical technique being crucial for successful outcomes. As evidence for this approach evolves, it may become a valuable tool in managing chronic proximal hamstring tears.</p>","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 3","pages":"295-298"},"PeriodicalIF":1.6,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168603","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}

{"title":"Bias.","authors":"Richard E Field","doi":"10.1093/jhps/hnaf056","DOIUrl":"10.1093/jhps/hnaf056","url":null,"abstract":"","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"12 3","pages":"155-156"},"PeriodicalIF":1.6,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12461198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187343","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}

{"title":"What the papers say.","authors":"Ali Bajwa","doi":"10.1093/jhps/hnaf053","DOIUrl":"10.1093/jhps/hnaf053","url":null,"abstract":"<p><p>The Journal of Hip Preservation Surgery (JHPS) is not the only place where work in the field of hip preservation can be published. Although our aim is to offer the best of the best, we are continually fascinated by work, that finds its way into journals other than our own. There is much to learn from it, and so JHPS has selected six recent and topical subjects for those who seek a summary of what is taking place in our ever-fascinating world of hip preservation. What you see here are the mildly edited abstracts of the original articles, to give them what JHPS hopes is a more readable feel. If you are pushed for time, what follows should take you no more than 10 min to read. So here goes ….</p>","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"12 3","pages":"217-219"},"PeriodicalIF":1.1,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12461203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187072","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}

{"title":"A bibliometric analysis and visualization of research trends on femoroacetabular impingement syndrome.","authors":"Yihui Zhang, Xingling He, Shaoyu Wang, Liang Kang, Xinyu Li, Yuanlu Xie, Chengkai Chen, Zhihui Pang","doi":"10.1093/jhps/hnaf057","DOIUrl":"10.1093/jhps/hnaf057","url":null,"abstract":"<p><p>Femoroacetabular impingement syndrome (FAIS) profoundly impacts patients' quality of life. With the increasing popularity of sports and advancements in medical technology, the number of diagnosed cases has risen significantly, making it a challenging clinical issue. Hip arthroscopy is currently the primary surgical approach. Over the past few decades, a substantial body of research literature has emerged. This study aimed to systematically summarize the developmental trajectory and research focus in this field to explore future research directions. The research data were obtained from the Web of Science Core Collection, covering FAIS-related publications from 2014 to 2023. Bibliometric analysis and visualization were conducted using bibliometric methods, VOSviewer, and bibliometric software packages. A total of 3020 FAIS-related publications were identified. The USA and the American Hip Institute were the most prolific contributors at the national and institutional levels, respectively. Benjamin Domb and Shane J. Nho were the most influential researchers. In 2016, Damian R. Griffin from the University of Warwick published the most cited article in the <i>British Journal of Sports Medicine</i>. 'Hip arthroscopy' and 'alpha angle' were the primary research focuses, while 'labral reconstruction', 'survivorship', and 'return' emerged as the three key terms in trending research topics.</p>","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 2","pages":"170-181"},"PeriodicalIF":1.6,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13195196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018296","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}

{"title":"Incidence and risk factors for postoperative posterior column fractures following periacetabular osteotomy.","authors":"Yasuhiko Kokubu, Shinya Kawahara, Goro Motomura, Satoshi Hamai, Satoshi Ikemura, Masanori Fujii, Taishi Sato, Ryosuke Yamaguchi, Daisuke Hara, Takeshi Utsunomiya, Kenji Kitamura, Yasuharu Nakashima","doi":"10.1093/jhps/hnaf059","DOIUrl":"https://doi.org/10.1093/jhps/hnaf059","url":null,"abstract":"<p><p>Periacetabular osteotomy (PAO) is a widely used surgical technique for symptomatic developmental dysplasia of the hip (DDH). However, the incidence of posterior column fractures after PAO and the risk factors are not adequately investigated. Identification rates have been improved by using oblique radiographs, but few reports have examined the incidence of posterior column fractures using early postoperative computed tomography (CT) scans. This study aimed to investigate the incidence and risk factors for postoperative posterior column fracture following PAO using early postoperative CT scans. This study included 80 hips from patients who underwent PAO for symptomatic DDH. Radiographic parameters such as lateral center-edge angle (LCEA), anterior center-edge angle (ACEA), acetabular roof obliquity (ARO), and the thickness of the posterior column before and after surgery were evaluated using preoperative and early postoperative (within 1 month) CT images. Statistical analyses were conducted to identify risk factors associated with postoperative posterior column fracture. Postoperative CT scans revealed that postoperative posterior column fracture occurred in 42% of cases. A preserved posterior column thickness of <13 mm was identified as a significant risk factor for postoperative posterior column fracture. In conclusion, Posterior column fractures are a relatively common complication following PAO, with a higher incidence than previously reported. A preserved posterior column thickness of <13 mm is a critical risk factor for postoperative posterior column fracture. These results suggest that early weight-bearing should be approached with caution and that accurate osteotomy techniques using computer-assisted surgery are needed.</p>","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 3","pages":"213-218"},"PeriodicalIF":1.6,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149169889","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}

{"title":"Reliability of MRI-based grading using Yoon's classification for labral tears in hip dysplasia.","authors":"Nam Jun Baek, Seorin Park, Sunhyung Lee, Do Heon Kim, Hong Jin Kim, Jae Suk Chang, Pil Whan Yoon","doi":"10.1093/jhps/hnaf058","DOIUrl":"https://doi.org/10.1093/jhps/hnaf058","url":null,"abstract":"<p><p>Labral tears in hip dysplasia arise from structural instability and excessive shear forces. Yoon's classification system, based on arthroscopic findings, was developed to reflect the natural course of labral tears in hip dysplasia and guide surgical decision-making. However, its reliability when applied to MRI-based grading remains unclear. We retrospectively included 105 hips from 88 patients with hip dysplasia, including borderline hip dysplasia, who underwent arthroscopic labral repair between 2022 and 2024. Labral tears were classified arthroscopically using Yoon's classification. MRI grading was independently performed by two observers. The reliability between MRI and arthroscopic grading was assessed using Cohen's weighted kappa and Gwet's Agreement Coefficient 1 (AC1); correlation was evaluated with Kendall's tau-b. Inter- and intra-observer reliabilities were also analysed. Most labral tears were arthroscopically graded as Grade 3 (81.0%) and primarily located in Zones 2-3 (79.0%). The reliability between MRI and arthroscopic grading was moderate (κ = 0.49 for observer 1, κ = 0.54 for observer 2). Inter-observer reliability was moderate (κ = 0.60), and intra-observer reliability was good (κ = 0.69) (<i>P</i> < .001). The observed percent agreement was 81.0% and Gwet's AC1 showed good reliability (0.782, <i>P</i> < .001). The reliability between MRI-based and arthroscopic grading was moderate according to Yoon's classification. Discrepancies, particularly in assessing CLR integrity, highlight the need to interpret MRI findings alongside clinical evaluation when planning treatment for labral tears in hip dysplasia.</p>","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 3","pages":"204-212"},"PeriodicalIF":1.6,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149169843","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}

{"title":"Comparison of biologic hip preservation versus total hip arthroplasty in a preclinical canine model.","authors":"Brent A Prenger, James L Cook, Chantelle C Bozynski, Cristi R Cook, Aaron M Stoker, Keiichi Kuroki, Steven F DeFroda, Brett D Crist","doi":"10.1093/jhps/hnaf052","DOIUrl":"10.1093/jhps/hnaf052","url":null,"abstract":"<p><p>While total hip arthroplasty (THA) is an effective treatment option when indicated, young, active individuals are not ideal candidates. Biologic hip preservation (BHP) using femoral head osteochondral and acetabulum labrum allograft transplantation provides a potential alternative. This study was designed to test the hypothesis that BHP would result in superior hip joint function compared to THA in a 'young adult' preclinical canine model. With Institutional Animal Care and Use Committee Approval, canine femoral heads and acetabular labrums were aseptically recovered for subsequent transplantation. Ten purpose-bred hounds were randomly assigned to undergo either BHP or THA (<i>n</i> = 5 each). Postoperatively, dogs were compared for differences in pain, function, and hip range of motion (ROM), and were evaluated for allograft/implant integration, joint architecture and health, and complications using radiographic, gross, and histologic assessments. At 6 months postoperatively, BHP had significantly (<i>P</i> = 0.039) greater hip ROM recovery (97.8% versus 89.9%) and significantly (<i>P</i> = 0.02) less pain (0.3 versus 1.4) compared to THA. Radiographic, gross, and histologic assessments supported the safety of BHP. BHP using femoral head osteochondral and acetabulum labrum allograft transplantation was consistently safe and effective in preserving the architecture of the native hip while restoring hip joint health and function with potential advantages over THA for pain relief and hip ROM. Study results support the use of BHP as an alternative option to THA in patients amenable to this treatment strategy. Future studies are needed to delineate the type and extent of hip joint disorders that are amenable to this treatment strategy.</p>","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 2","pages":"160-169"},"PeriodicalIF":1.6,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13195198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018356","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}

{"title":"Short to mid-term outcomes of hip arthroscopy for femoroacetabular impingement and labral tears in patients with diabetes.","authors":"Roger Quesada-Jimenez, Drashti Sikligar, Ady H Kahana-Rojkind, Andrew R Schab, Meredith F Cohen, Benjamin G Domb","doi":"10.1093/jhps/hnaf030","DOIUrl":"10.1093/jhps/hnaf030","url":null,"abstract":"<p><p>The purpose of this study is to report outcomes of patients with Diabetes Mellitus (DM) who underwent hip arthroscopy for femoroacetabular impingement (FAI) at short- to mid-term timepoints comparing these results to a control group of non-DM patients. Data were retrospectively analyzed for patients who underwent primary hip arthroscopy for FAI with a history of DM. Patients had completed pre- and postoperative patient-reported outcomes (PROs) at a minimum 2-year follow-up, including clinically important thresholds for hip arthroscopy, revision surgery, and conversion to arthroplasty. Subanalysis was conducted based on glycemic control. Patients were propensity matched to a control group of nondiabetic patients in a 1:3 ratio. A total of 116 patients were included, with 29 DM patients matched to 87 control patients. DM patients displayed significant improvements across all PROs and high patient satisfaction. No significant differences were observed in the sub-analysis. When compared to a control group, DM patients had lower preoperative PROs and reached similar postoperative scores. DM patients had significantly lower patient satisfaction (7.70 ± 2.43 compared to 8.63 ± 1.57 in the control group <i>P</i> < .05.) at the latest follow-up and had a higher relative risk for revision hip arthroscopy (<i>P</i> < .05). Hip arthroscopy for the treatment of FAI in DM patients resulted in significant short- to mid-term improvements in PROs, comparable to a matched control group. DM patients had an overall 2.63-fold increased relative risk of revision hip arthroscopy compared to non-DM patients, with a trend toward more uncontrolled DM patients undergoing revision hip arthroscopy. Perioperative diabetic control is recommended.</p>","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 2","pages":"151-159"},"PeriodicalIF":1.6,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13195197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018269","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}

{"title":"High rate of graft integration after acetabular labral reconstruction with the knotless pull-through technique.","authors":"Paulo A Perez-Padilla, Omkar N Prabhavalkar, Julio Nerys-Figueroa, Andrew D Carbone, David R Maldonado, Benjamin G Domb","doi":"10.1093/jhps/hnaf036","DOIUrl":"10.1093/jhps/hnaf036","url":null,"abstract":"<p><p>Acetabular labral reconstruction has proven to be a good option for treatment of irreparable labral tears. The purpose of this manuscript is to demonstrate the graft integration in patients who undergo acetabular labral reconstruction with use of allograft. Data were prospectively collected on patients undergoing hip arthroscopy between September 2008 and June 2023 and retrospectively reviewed. The inclusion criteria were patients who underwent hip arthroscopy with labral reconstruction and subsequently underwent a second look arthroscopy for revision surgery. The quality of the integration of the graft used in the previous labral reconstruction was examined by analysing pictures taken during the revision arthroscopy procedure. Three different characteristics of the labral graft were assessed: graft integrity, chondrolabral junction restoration, and anastomosis. There were 12 hips (11 patients) who had labral reconstruction performed in the index surgery with either labral debridement or no labral treatment performed in the revision surgery. There were six females and five males with a mean age of 35.3 years. The mean body mass index was 25.7. The average time between surgeries was 29.5 months. Ten out of 12 hips (83%) were found to have good quality of the graft integrity, with 11 out of 12 labral reconstructions (92%) achieving chondrolabral junction restoration and good anastomosis. Acetabular labral reconstruction demonstrated graft integration at a very high rate. Based on these results, labral reconstruction seems to be a biologically reliable option for irreparable labra with the ability to restore the labral anatomy.</p>","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 2","pages":"144-150"},"PeriodicalIF":1.6,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13195200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018278","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}

{"title":"Evaluating joint space width and hip morphology in symptomatic female hips with femoroacetabular impingement and instability.","authors":"Brianna N Rowe, Lauren M Heylmun, Antoinette M Pino, Carson L Keeter, Michael B Ellman, James W Genuario","doi":"10.1093/jhps/hnaf051","DOIUrl":"10.1093/jhps/hnaf051","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to determine differences in joint space width (JSW) between hips with femoroacetabular syndrome (FAIS) and instability, and to investigate the influence of several hip morphological measures on JSW.</p><p><strong>Methods: </strong>A retrospective review of symptomatic female hips, which used standing anterior-posterior x-rays to measure JSW at the medial, superior, and lateral acetabular sourcil, was conducted. Hips were grouped by radiographic indices, collected from 3D-reconstructed models, into cam-femoroacetabular impingement (FAI), pincer-FAI, mixed-FAI, mild instability, instability, and combined FAIS-instability. Associations between JSW and hip morphology measures, including lateral centre edge angle (LCEA), acetabular coverage, Tönnis angle, and femoral neck shaft angle (FNSA), were analysed.</p><p><strong>Results: </strong>In 493 symptomatic female hips, JSW at all locations was significantly lower in pincer hips compared to all other pathology groups (<i>P</i> < .05), with the exception of mixed-FAI hips (<i>P</i> > .4). Hips with isolated instability and combined instability-FAI morphology had significantly greater JSW than pincer- and mixed-FAI groups (<i>P</i> < .05). There were no significant JSW differences between instability and combined FAI-instability groups at any location (<i>P</i> > .1). Acetabular coverage, LCEA, Tönnis angle, and FNSA were significantly associated with JSW (<i>P</i> < .001). No significant associations were observed for acetabular version (<i>P</i> > .05) or femoral torsion (<i>P</i> > .05).</p><p><strong>Conclusion: </strong>Differences in JSW across groups highlight the influence of femoroacetabular morphology and orientation in pre-arthritic hips. In patients with naturally decreased JSW and no other findings of osteoarthritis, attention should be given to evaluation for pincer-FAI. In contrast, in patients with naturally increased JSW, instability findings should be thoroughly evaluated.</p>","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 2","pages":"135-143"},"PeriodicalIF":1.6,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13195199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018312","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}