Journal of Hip Preservation Surgery最新文献_第3页

Author response to 'Comparing analgesic effect of regional block after hip arthroscopy'.

IF 1.4 4区医学

Journal of Hip Preservation Surgery Pub Date : 2024-05-16 eCollection Date: 2024-07-01 DOI: 10.1093/jhps/hnae007

Liangjing Yuan, Chengshi Xu, Ye Zhang, Geng Wang

引用次数: 0

Combined hip arthroscopy with periacetabular osteotomy for hip dysplasia: a systematic review 髋关节镜联合髋臼周围截骨术治疗髋关节发育不良：系统性综述

IF 1.5 4区医学

Journal of Hip Preservation Surgery Pub Date : 2024-04-18 DOI: 10.1093/jhps/hnae016

Kenneth J Lukas, Reza Ojaghi, Kednapa Thavorn, Sasha Carsen, Kevin Smit, Paul E Beaulé

{"title":"Combined hip arthroscopy with periacetabular osteotomy for hip dysplasia: a systematic review","authors":"Kenneth J Lukas, Reza Ojaghi, Kednapa Thavorn, Sasha Carsen, Kevin Smit, Paul E Beaulé","doi":"10.1093/jhps/hnae016","DOIUrl":"https://doi.org/10.1093/jhps/hnae016","url":null,"abstract":"Periacetabular osteotomy (PAO) is a surgical procedure that corrects acetabular dysplasia without necessarily addressing intra-articular pathology. Hip arthroscopy is being increasingly used to address soft tissue pathologies at the time of a PAO. This review aims to determine patient-reported outcome measure scores (PROMs) of combining hip arthroscopy and PAO. This systematic review followed the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines to identify English studies that reported upon patient populations that had PAO’s performed with arthroscopy at the time of surgery for correcting developmental hip dysplasia. We identified 428 articles; 14 full-text articles met the inclusion criteria. Between 2011 and 2022, 1083 hips from the selected articles underwent a combined PAO and arthroscopic procedure, with a mean follow-up of 3.7 years. Of the studies that reported it, 63% of the evaluated population were found to have labral tears that required either labral repair (49%), labral debridement (12%) or combined procedure. Multiple PROMs were identified in the literature, with no standardized reporting system used between articles. All articles reported statistically improved patient-reported outcomes from a combined PAO and arthroscopy procedure. There was no difference in PROMs when comparing PAO performed with or without arthroscopy. One study suggested superior outcomes for active individuals who underwent PAO and arthroscopy. Patient-reported outcome scores improve significantly after PAO with or without arthroscopy, with no differences in adverse events, and only limited evidence that active individuals benefit from labral repair.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"101 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140628308","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

High prevalence of former elite ice hockey players requiring early hip arthroplasty surgery 前冰上曲棍球精英运动员需要尽早进行髋关节置换手术的比例很高

IF 1.5 4区医学

Journal of Hip Preservation Surgery Pub Date : 2024-04-18 DOI: 10.1093/jhps/hnae017

Josefin Abrahamson, Ida Lindman, Pall Jónasson, Yelverton Tegner

{"title":"High prevalence of former elite ice hockey players requiring early hip arthroplasty surgery","authors":"Josefin Abrahamson, Ida Lindman, Pall Jónasson, Yelverton Tegner","doi":"10.1093/jhps/hnae017","DOIUrl":"https://doi.org/10.1093/jhps/hnae017","url":null,"abstract":"The high-impact nature of ice hockey puts the players at a higher risk of developing early hip osteoarthritis (OA). This study aims to evaluate the presence of cam morphology, early radiological findings of OA and total hip arthroplasty (THA) in former Swedish elite ice hockey players. Male elite ice hockey players in the highest league in Sweden seeking orthopedic consultation for hip and groin pain with restricted hip joint range of motion and subsequent radiographs (Antero/posterior view, Lauenstein view and/or Hip frontal view) were included. The radiographs were performed between 1988 and 2009 and retrospectively examined for the presence of cam morphology (evaluated by α-angle ≥ 60°) and hip OA (evaluated by Tönnis classification). All players were contacted between 11 and 33 years after baseline radiograph examination for follow-up investigation of the presence of subsequent THA. A total of 44 male ice hockey players were included, of which 31 had available radiographs and 39 answered the follow-up questions. Cam morphology (α-angle ≥60°) was present in 81% of the players. Seven players (18%) had received a THA with a mean age of 55.7 (SD 6.1) years at time of THA-surgery. Tönnis score at baseline radiographs were associated with THA later in life (P &lt; 0.001). This study conclude that former elite Swedish ice hockey players underwent THA at a younger age than the general population. Despite confirming previous research of high prevalence of cam morphology in elite ice hockey players, no association could be established between cam morphology and the need for THA.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"3 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140628829","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

Feasibility and potential of intraoperative ultrasound in arthroscopy of femoroacetabular impingement. 术中超声在股髋臼撞击关节镜检查中的可行性和潜力。

IF 1.4 4区医学

Journal of Hip Preservation Surgery Pub Date : 2024-04-11 eCollection Date: 2024-07-01 DOI: 10.1093/jhps/hnad050

Zhuohua Lin, Ligang Cui, Yan Xu, Qiang Fu, Youjing Sun

{"title":"Feasibility and potential of intraoperative ultrasound in arthroscopy of femoroacetabular impingement.","authors":"Zhuohua Lin, Ligang Cui, Yan Xu, Qiang Fu, Youjing Sun","doi":"10.1093/jhps/hnad050","DOIUrl":"10.1093/jhps/hnad050","url":null,"abstract":"This study aimed to evaluate the feasibility of using ultrasound for monitoring osteochondroplasty intraoperatively, determine the factors that interfere with ultrasound imaging and assess its influence on surgeon performance. Intraoperative ultrasonography was performed during osteochondroplasty in 39 cases of arthroscopy. The femoral head-neck junction (FHNJ) was evaluated using ultrasonography. Another 39 cases, which underwent conventional arthroscopy, were included in the control group. The C-arm was used in this group at the end of osteochondroplasty to confirm that no residual cam lesion remained. Pre- and postoperative Dunn radiographs and computed tomography (CT) scans were analyzed to determine the feasibility of ultrasound. Residual cam deformity was noted in eight cases under ultrasound. The FHNJ was not detected owing to ultrasound interference by air in three cases. No difference in the α angle measured in Dunn radiographs and the residual cam deformity rate of CT at the 1:00, 2:00 or 3:00 position was found between both groups. However, the α angle at the 3:00 position was greater in the ultrasound group than in the control group (44.4 ± 4.3° versus 41.3 ± 5.1°, P < 0.05), suggesting that more bone was preserved at 3:00 in the ultrasound group. No difference was found in the mean operation time. None of the patients experienced complications, such as wounds or intra-articular infections. Ultrasound is a safe method for assessing FHNJ during arthroscopy. It did not change the risk of residual cam deformity but positively affected the surgeon's performance by reducing unnecessary bone removal.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"11 3","pages":"204-209"},"PeriodicalIF":1.4,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814730","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

What the papers say. 报纸怎么说

IF 1.5 4区医学

Journal of Hip Preservation Surgery Pub Date : 2024-04-09 eCollection Date: 2024-01-01 DOI: 10.1093/jhps/hnae005

Ali Bajwa

引用次数: 0

Current trends for venous thromboembolic prophylaxis for hip arthroscopy: a modified Delphi and nominal group technique consensus study 髋关节镜手术静脉血栓栓塞预防的当前趋势：改良德尔菲和名义小组技术共识研究

IF 1.5 4区医学

Journal of Hip Preservation Surgery Pub Date : 2024-04-08 DOI: 10.1093/jhps/hnae014

Ali Parsa, Asheesh Bedi, Benjamin G Domb

{"title":"Current trends for venous thromboembolic prophylaxis for hip arthroscopy: a modified Delphi and nominal group technique consensus study","authors":"Ali Parsa, Asheesh Bedi, Benjamin G Domb","doi":"10.1093/jhps/hnae014","DOIUrl":"https://doi.org/10.1093/jhps/hnae014","url":null,"abstract":"The overall risk of venous thromboembolism (VTE) after hip arthroscopy (HA) is reported to range from 0.2% to 9.5%, but a clear set of recommendations for VTE prophylaxis in HA patients remains scarce. The aim is to survey high-volume hip arthroscopists about their current trends regarding VTE prophylaxis use. A combination of two consensus group methods was used in this study: nominal group technique (NGT) and modified Delphi. A preliminary questionnaire was prepared, and rounds of discussion were completed between NGT members. The final version of the survey was administered to 35 high-volume hip surgeons. Delegates’ mean volume of annual hip arthroscopic surgery was 109. Approximately 22% of their patients are revision HA procedures. A total of 91.4% of delegates use chemoprophylaxis, 28.6% use sequential compression devices and 91.4% believed that chemoprophylaxis is necessary for more prolonged and complex procedures (strong consensus). Aspirin was the choice for all participants, and the duration was 2–3 weeks (31.4%), 1 month (65.7%) and 2–3 months (2.9%). History of VTE, hypercoagulable status, and malignancy were considered risk factors. No consensus was achieved for the discontinuation of oral contraceptive and smoking preoperatively. However, the optimal length of VTE prophylaxis is unclear. A total of 97.1% of the experts responded that they administer aspirin between 2 and 4 weeks. High-volume arthroscopic surgeons do consider VTE prophylaxis to be important and warranted in the postoperative setting. Aspirin is the mainstay of chemoprophylaxis, although the appropriate duration is unknown.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"1 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140579371","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

Clinical outcomes after hip arthroscopy in acetabular dysplastic patients, previously treated with periacetabular osteotomy: a minimum of two-year follow-up data from the Danish Hip Arthroscopy Registry. 先前接受髋臼周围截骨治疗的髋臼发育不良患者髋关节镜后的临床结果：来自丹麦髋关节镜登记中心的至少两年随访数据。

IF 1.4 4区医学

Journal of Hip Preservation Surgery Pub Date : 2024-04-08 eCollection Date: 2024-07-01 DOI: 10.1093/jhps/hnae015

Bjarne Mygind-Klavsen, Bent Lund, Torsten Grønbech Nielsen, Martin Lind

{"title":"Clinical outcomes after hip arthroscopy in acetabular dysplastic patients, previously treated with periacetabular osteotomy: a minimum of two-year follow-up data from the Danish Hip Arthroscopy Registry.","authors":"Bjarne Mygind-Klavsen, Bent Lund, Torsten Grønbech Nielsen, Martin Lind","doi":"10.1093/jhps/hnae015","DOIUrl":"10.1093/jhps/hnae015","url":null,"abstract":"Periacetabular osteotomy (PAO) is the treatment of choice in dysplastic acetabulum. Due to continued symptoms, 2-11% of these patients require an additional hip arthroscopy. The purpose of this study was to report clinical outcome after a minimum of 2-year follow-up of additional hip arthroscopy after PAO with data from Danish Hip Arthroscopy Registry. Inclusion criteria in the study cohort were PAO surgery resulting in an additional hip arthroscopy procedure. The cohort was evaluated according to the surgical findings and patient-related outcome measures (PROMs) pre-operatively and at 2-year follow-up. A total of 287 patients were included in the study cohort. PROMs improved significantly in all subscales from pre-operatively to 2-year follow-up in the study cohort. According to PROM subscales, 47.8-57.6% and 25.2-38.2% achieved Minimal Clinical Important Difference and Patient Acceptable Symptom State, respectively. This study demonstrates, in PAO-treated patients, significant PROM improvements after additional hip arthroscopy. Unfortunately, only ∼50% and 30% achieved Minimal Clinical Important Difference and Patient Acceptable Symptom State, respectively.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"11 3","pages":"198-203"},"PeriodicalIF":1.4,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814719","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

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 &lt; 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 &lt; 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