Journal of Hip Preservation Surgery最新文献_第6页

The modified capsular arthroplasty for young patients with developmental dislocation of the hip 改良包膜置换术治疗青年发育性髋关节脱位

4区医学

Journal of Hip Preservation Surgery Pub Date : 2023-06-13 DOI: 10.1093/jhps/hnad017

Zhendong Zhang, Dianzhong Luo, Hui Cheng, Hong Zhang, Jianli Zhang, Ningtao Ren, Yong Li, Reinhold Ganz

{"title":"The modified capsular arthroplasty for young patients with developmental dislocation of the hip","authors":"Zhendong Zhang, Dianzhong Luo, Hui Cheng, Hong Zhang, Jianli Zhang, Ningtao Ren, Yong Li, Reinhold Ganz","doi":"10.1093/jhps/hnad017","DOIUrl":"https://doi.org/10.1093/jhps/hnad017","url":null,"abstract":"ABSTRACT The present study aimed to investigate the clinical results of the modified Codivilla–Hey Groves–Colonna capsular arthroplasty in the treatment of young patients with developmental dislocation of the hip. We retrospectively evaluated 90 patients (92 hips) who underwent the modified capsular arthroplasty from June 2012 to June 2021. Hips were evaluated using the modified hip Harris score (mHHS), the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score and the 12-item International Hip Outcome Tool (iHOT-12). The Tönnis osteoarthritis grade and the Severin classification system were used to assess the radiographic outcomes. The average age was 15.7 years (range: 8–26 years). The mean pre-operative mHHS, the WOMAC score and the iHOT-12 score were 83.03, 14.05 and 52.79, respectively. The patients were followed for a mean of 41.1 months (range: 12.1–120.9 months). The patients had a mean mHHS of 83.61 (range: 31.2–97), a WOMAC score of 16.41 (range: 0–51) and an iHOT-12 score of 64.81 (range: 12.9–98.2) at the final follow-up. Capsular thickness had a positive predication on the final functional outcomes. The excellent/good rate of radiological reduction was 79.3%. More than 60% of patients had no/slight osteoarthritis. A total of 54 hips (58.7%) had superior radiographic outcomes. The risk factors for inferior radiographic outcomes were capsular quality (odds ratio [OR]: 0.358, 95% confidence interval [CI]: 0.113–0.931) and capsular thickness (OR: 0.265, 95% CI: 0.134–0.525). Joint stiffness was the most common complication (14.1%). We confirmed the efficacy of this procedure in the treatment of developmental hip dislocation. Patients with poor capsular quality are not suitable for this procedure. With suitable selection according to indications, this procedure can restore the hip rotation center with a low incidence of femoral head necrosis or severe osteoarthritis.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136106155","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

Surgical treatment of snapping proximal hamstring tendon syndrome: the resolution of snapping and excellent patient satisfaction 肌腱近端断裂综合征的手术治疗:断裂的解决和良好的患者满意度

4区医学

Journal of Hip Preservation Surgery Pub Date : 2023-06-06 DOI: 10.1093/jhps/hnad016

Cecilia V Mitchell, Abhinav Lamba, Kelechi R Okoroha, Kostas J Economopoulos, Robert J Spinner, Aaron J Krych

{"title":"Surgical treatment of snapping proximal hamstring tendon syndrome: the resolution of snapping and excellent patient satisfaction","authors":"Cecilia V Mitchell, Abhinav Lamba, Kelechi R Okoroha, Kostas J Economopoulos, Robert J Spinner, Aaron J Krych","doi":"10.1093/jhps/hnad016","DOIUrl":"https://doi.org/10.1093/jhps/hnad016","url":null,"abstract":"ABSTRACT Snapping proximal hamstring is an uncommon phenomenon, with few case reports documenting surgical treatment. The purpose of this study is to report snapping resolution, minimum 2-year post-operative patient-reported outcome (PRO), satisfaction scores and complications from patients who underwent surgical release of the conjoint tendon from the sacrotuberous ligament with reattachment to the ischial tuberosity. Prospectively collected data from two institutional databases were retrospectively reviewed for patients who underwent hamstring repair for partial- or full-thickness tears. Patients were included if they demonstrated ‘snapping proximal hamstrings’ on preoperative physical examination, including ultrasound confirmation, and repair subsequently performed. Patients were excluded if they had reconstruction of the proximal hamstring tendon or claimed worker’s compensation. With a total of 20 patients (15 females and 5 males), successful resolution of snapping was reported in 100% of the cohort. For patients with pre- and post-surgical lower-extremity functional scores (LEFS), post-surgical LEFS were significantly higher than pre-surgical LEFS (pre-surgical: 17.0 ± 4.0, post-surgical: 73.6 ± 3.3, P &lt; 0.001). Average post-operative PROs were as follows: International Hip Outcome Tool-12, 92.3 ± 8.3; modified Harris Hip Score, 93.2 ± 7.8; Non-arthritic Hip Score, 92.5 ± 6.8; Hip Outcome Score-Sports Specific Subscale, 94.4 ± 6.7; LEFS, 73.9 ± 3.4; and median visual analog scale of 0 with an interquartile range of 0-1. Patient satisfaction was ‘very satisfied’ in 19 (95%) patients and ‘satisfied’ in 1 (5%) patient. At a minimum 2-year follow-up, patients who underwent surgical treatment for chronic snapping of the proximal hamstrings demonstrated complete resolution of painful posterior snapping, reported high PROs and satisfaction, and had no reported post-operative complications.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135602334","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

ISHA-The Hip Preservation Society 2022 Annual Scientific Meeting in Glasgow, Scotland, United Kingdom: reuniting the international hip preservation community in person. isha -髋关节保存协会2022年年度科学会议在英国苏格兰格拉斯哥举行:国际髋关节保存界再次团结在一起。

IF 1.5 4区医学

Journal of Hip Preservation Surgery Pub Date : 2023-06-01 DOI: 10.1093/jhps/hnad009

Andrea M Spiker, Vikas Khanduja

引用次数: 0

Beware of AI programs bearing false gifts. 谨防带有虚假礼物的人工智能程序。

IF 1.4 4区医学

Journal of Hip Preservation Surgery Pub Date : 2023-05-27 eCollection Date: 2023-01-01 DOI: 10.1093/jhps/hnad013

Richard E Field

引用次数: 0

Efficacy of regional anesthesia in hip preservation surgeries: a systematic review. 区域麻醉在髋关节保存手术中的疗效:系统回顾

IF 1.5 4区医学

Journal of Hip Preservation Surgery Pub Date : 2023-04-15 eCollection Date: 2023-07-01 DOI: 10.1093/jhps/hnad008

Evan M Banks, Jake A Ayisi, Aliya G Feroe, Walid Alrayashi, Yi-Meng Yen, Eduardo N Novais, Mahad M Hassan

{"title":"Efficacy of regional anesthesia in hip preservation surgeries: a systematic review.","authors":"Evan M Banks, Jake A Ayisi, Aliya G Feroe, Walid Alrayashi, Yi-Meng Yen, Eduardo N Novais, Mahad M Hassan","doi":"10.1093/jhps/hnad008","DOIUrl":"10.1093/jhps/hnad008","url":null,"abstract":"The purpose of this study was to review the current literature on perioperative pain management in hip arthroscopy, periacetabular osteotomy and surgical hip dislocation. A systematic review of the literature published from January 2000 to December 2022 was performed. Selection criteria included published randomized controlled trials, prospective reviews and retrospective reviews of all human subjects undergoing hip preservation surgery. Exclusion criteria included case reports, animal studies and studies not reporting perioperative pain control protocols. Thirty-four studies included hip arthroscopy in which peripheral nerve blocks were associated with a significant reduction in pain score (P = 0.037) compared with general anesthesia alone. However, no pain control modality was associated with a significant difference in postanesthesia care unit opioid use (P = 0.127) or length of stay (P = 0.251) compared with general anesthesia alone. Falls were the most common complication reported, accounting for 37% of all complications. Five studies included periacetabular osteotomy and surgical hip dislocation in which peripheral nerve blocks were associated with an 18% reduction in pain on postoperative Day 2, a 48% reduction in cumulative opioid use on postoperative Day 2 and a 40% reduction in hospital stay. Due to the low sample size of the periacetabular osteotomy and surgical hip dislocation studies, we were unable to determine the significant difference between the means. Due to significant between-study heterogeneity, additional studies with congruent outcome measures need to be conducted to determine the efficacy of regional anesthesia in hip arthroscopy, periacetabular osteotomy and surgical hip dislocation.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"1 1","pages":"87-103"},"PeriodicalIF":1.5,"publicationDate":"2023-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10604060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41464137","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: 1

Endoscopic iliopsoas lengthening for treatment of recalcitrant iliopsoas tendinitis after total hip arthroplasty. 内镜下髂腰肌延长术治疗全髋关节置换术后顽固性髂腰肌肌腱炎。

IF 1.5 4区医学

Journal of Hip Preservation Surgery Pub Date : 2023-03-07 eCollection Date: 2023-07-01 DOI: 10.1093/jhps/hnac052

John C Bonano, Kinsley Pierre, Christopher Jamero, Nicole A Segovia, James I Huddleston, Marc R Safran

{"title":"Endoscopic iliopsoas lengthening for treatment of recalcitrant iliopsoas tendinitis after total hip arthroplasty.","authors":"John C Bonano, Kinsley Pierre, Christopher Jamero, Nicole A Segovia, James I Huddleston, Marc R Safran","doi":"10.1093/jhps/hnac052","DOIUrl":"10.1093/jhps/hnac052","url":null,"abstract":"Iliopsoas (IP) tendinitis from impingement upon the acetabular component after total hip arthroplasty (THA) has been treated with open and endoscopic IP tenotomy or acetabular component revision. This study describes the results of a consecutive series of patients treated with endoscopic IP tenotomy as a less invasive alternative. Twenty-eight patients with IP impingement after THA underwent endoscopic IP lengthening from 2012 to 2021 at a single-center academic institution. The follow-up of 24 of these patients was achieved with a mean follow-up of 7.6 months (range 1-28). Outcomes included the modified Harris Hip Score (mHHS), visual analog pain scale (VAS), satisfaction, component positioning and complications. Seventy-one percent of patients were satisfied or very satisfied after their operation. The median mHHS preoperatively was 57 (Interquartile range [IQR] 43-60) and postoperatively was 75 (IQR 66-92, P < 0.001). Clinically meaningful improvements in mHHS were seen in patients with VAS pain scores <5, cup prominence >8 mm, body mass index >30, and less than 2 years from their index THA. Two patients developed a deep infection 7 and 10 months postoperatively (neither related to the release), and one patient underwent open psoas release for persistent impingement. Endoscopic IP tenotomy is a safe and effective treatment for impingement after THA. Patients with cup prominence >8 mm, body mass index >30 and less than 2 years since their index THA may have more clinically meaningful improvements in pain and function.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"1 1","pages":"63-68"},"PeriodicalIF":1.5,"publicationDate":"2023-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10604048/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60810234","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

Surgical Assistants. 外科助理。

IF 1.4 4区医学

Journal of Hip Preservation Surgery Pub Date : 2023-02-16 eCollection Date: 2022-12-01 DOI: 10.1093/jhps/hnac055

Richard Field

引用次数: 0

What the papers say. 报纸怎么说

IF 1.4 4区医学

Journal of Hip Preservation Surgery Pub Date : 2023-02-16 eCollection Date: 2022-12-01 DOI: 10.1093/jhps/hnac056

Ali Bajwa

引用次数: 0

Can modified Dunn radiographs be an alternative to standing AP pelvis radiographs in the evaluation of pincer femoroacetabular impingement? 改良的Dunn x线片是否可以替代站立AP骨盆x线片评估钳形股髋臼撞击?

IF 1.5 4区医学

Journal of Hip Preservation Surgery Pub Date : 2023-01-01 DOI: 10.1093/jhps/hnac051

Hakan Cici, Hakan Zeybek, Onur Hapa

{"title":"Can modified Dunn radiographs be an alternative to standing AP pelvis radiographs in the evaluation of pincer femoroacetabular impingement?","authors":"Hakan Cici, Hakan Zeybek, Onur Hapa","doi":"10.1093/jhps/hnac051","DOIUrl":"https://doi.org/10.1093/jhps/hnac051","url":null,"abstract":"The purpose of this study was to compare modified Dunn radiographs with standing anteroposterior (AP) pelvis radiographs in respect of the tilt ratio, lateral centre-edge angle (LCEA), crossover sign, crossover percentage and joint space width measurements. The study hypothesis was that modified Dunn radiographs could be an alternative method to standing AP pelvis images in the evaluation of pincer-type femoroacetabular impingement (FAI). The study included 31 patients with a mean age of 42 years (range: 29-55 years) who had modified Dunn and standing AP pelvis radiographs taken in the radiological evaluation of non-traumatic hip pain between July 2018 and September 2022. Similar tilt ratio values were obtained on standing AP and modified Dunn images (P = 0.986). Joint space width showed a decrease in the transition from the modified Dunn position to the standing position, but the difference was not statistically significant (P = 0.161). The mean LCEA was measured as 34° ± 4° in the standing position and as 35° ± 5° in the modified Dunn position. No statistically significant difference was determined in the number of patients with a crossover sign or the crossover percentage values in these patients (P > 0.05). The data obtained in this study showed that there was no significant difference between images taken in the standing and modified Dunn positions in respect of radiological findings of pelvic tilt and pincer-type FAI. The modified Dunn radiograph is equivalent to the standing AP pelvis radiograph for the evaluation of pincer FAI.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"10 1","pages":"3-7"},"PeriodicalIF":1.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e4/01/hnac051.PMC10234382.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9585445","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

Determining anterior hip coverage in patients with hip dysplasia using the anterior center-edge angle on Lequesne's false-profile radiograph and on computed tomography. 利用Lequesne假轮廓x线片和计算机断层摄影的前中心角确定髋关节发育不良患者的前髋关节覆盖范围。

IF 1.5 4区医学

Journal of Hip Preservation Surgery Pub Date : 2023-01-01 DOI: 10.1093/jhps/hnac048

Hui Cheng, Liqiang Zhang, Dianzhong Luo, Ningtao Ren, Zhendong Zhang, Wang Gu, Yongcheng Hu, Hong Zhang

{"title":"Determining anterior hip coverage in patients with hip dysplasia using the anterior center-edge angle on Lequesne's false-profile radiograph and on computed tomography.","authors":"Hui Cheng, Liqiang Zhang, Dianzhong Luo, Ningtao Ren, Zhendong Zhang, Wang Gu, Yongcheng Hu, Hong Zhang","doi":"10.1093/jhps/hnac048","DOIUrl":"https://doi.org/10.1093/jhps/hnac048","url":null,"abstract":"Anterior hip coverage is important for hip stability. As a parameter of anterior hip coverage, the anterior center-edge angle on false-profile radiograph (ACEA FP) is associated with clinical outcomes. With the widespread application of computed tomography (CT), the anterior center-edge angle on CT (ACEA CT) has also been used to measure anterior hip coverage. Little is known about the reproducibility of the ACEA FP and ACEA CT in patients with hip dysplasia or the correlation between the ACEA CT and ACEA FP. In total, 49 hips of 49 patients who underwent periacetabular osteotomy in our center were included. The lateral center-edge angle, Tönnis angle, ACEA FP and ACEA CT were determined. We assessed the intraobserver and interobserver reliability of the ACEA FP and ACEA CT, the effect of the Tönnis angle on the reliability of the ACEA FP and ACEA CT and the correlation between the ACEA CT and ACEA FP. The intraobserver and interobserver interclass correlation coefficients of the ACEA FP were good, and those of the ACEA CT were very good. The Tönnis angle was weakly correlated with inconsistent ACEA FP measurements (P = 0.008) but not with inconsistent ACEA CT measurements (P = 0.600). No correlation between ACEA FP and ACEA CT measurements was observed (P = 0.213-0.665). The reproducibility of the ACEA CT is more consistent than that of the ACEA FP. The oblique acetabular roof had an effect on determining the ACEA FP but not on determining the ACEA CT. No correlation was observed between the measured ACEA FP and ACEA CT values, so the clinical evidence obtained from the ACEA FP cannot be directly applied to the ACEA CT.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"10 1","pages":"42-47"},"PeriodicalIF":1.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10234381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9585440","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: 3