Journal of Hip Preservation Surgery最新文献_第9页

Short-term outcomes of periacetabular osteotomy versus periacetabular osteotomy with concomitant femoral osteochondroplasty: a propensity matched analysis. 髋臼周围截骨术与髋臼周围截骨术合并股骨软骨成形术的短期结果：倾向匹配分析。

IF 1.4 4区医学

Journal of Hip Preservation Surgery Pub Date : 2024-12-18 eCollection Date: 2025-01-01 DOI: 10.1093/jhps/hnae046

Nathan V Houlihan, Daniel J Sucato, Tanner Thornton, Jeffrey J Nepple, John C Clohisy, Wudbhav N Sankar

{"title":"Short-term outcomes of periacetabular osteotomy versus periacetabular osteotomy with concomitant femoral osteochondroplasty: a propensity matched analysis.","authors":"Nathan V Houlihan, Daniel J Sucato, Tanner Thornton, Jeffrey J Nepple, John C Clohisy, Wudbhav N Sankar","doi":"10.1093/jhps/hnae046","DOIUrl":"https://doi.org/10.1093/jhps/hnae046","url":null,"abstract":"This study compared outcomes of periacetabular osteotomy (PAO) with and without femoral osteochondroplasty (OCP) in treating symptomatic acetabular dysplasia through propensity score matching. Data from a prospective multicenter cohort of patients undergoing PAO from 2007 to 2014 were analyzed. Inclusion criteria were a lateral center edge angle <25°. The exclusion criteria were history of previous procedure and age >45 years. A 2- to 5-year follow-up interval was utilized; patients outside this follow-up window were excluded. Propensity matching variables included sex, baseline hip internal rotation at 90° flexion, preoperative alpha angle, lateral center edge angle, modified Harris Hip score (mHHS), and arthroscopy at the time of surgery. Propensity scores were calculated using logistic regression with treatment as the dependent variable. Clinical failure was defined as failure to meet the minimal clinically important difference and patient acceptable symptom state for mHHS or a need for reoperation. There were 219 patients that met the inclusion criteria. Of these, 116 patients were matched, representing 58 pairs (PAO/OCP = 58; PAO without OCP = 58). Preoperative functional scores were similar between groups. At mean 4.1 years follow-up, there were no significant differences in the rates of clinical failure or reoperation between the two groups [PAO/OCP = 13 (22%), PAO without OCP = 8 (14%); P = .23] Similarly, the final mHHS was 83.2 ± 16.2 for the PAO/OCP group and 84.1 ± 15.9 for the isolated PAO group, with no significant difference (P = .74). In the treatment of symptomatic acetabular dysplasia, isolated PAO is noninferior to combined PAO/OCP at short-term follow-up in patients who are likely to be treated by either method.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"12 1","pages":"40-45"},"PeriodicalIF":1.4,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991373","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

Accelerated rehabilitation and return to sport after hip arthroscopy for femoroacetabular impingement syndrome is safe and effective. 髋关节镜治疗股髋臼撞击综合征后加速康复和恢复运动是安全有效的。

IF 1.4 4区医学

Journal of Hip Preservation Surgery Pub Date : 2024-12-12 eCollection Date: 2025-01-01 DOI: 10.1093/jhps/hnae044

Susan Y Kwiecien, Milan P Mueller, John J Grossi, Timothy F Tyler, Malachy P McHugh, Gregory J Galano

{"title":"Accelerated rehabilitation and return to sport after hip arthroscopy for femoroacetabular impingement syndrome is safe and effective.","authors":"Susan Y Kwiecien, Milan P Mueller, John J Grossi, Timothy F Tyler, Malachy P McHugh, Gregory J Galano","doi":"10.1093/jhps/hnae044","DOIUrl":"https://doi.org/10.1093/jhps/hnae044","url":null,"abstract":"Present recommendations in the literature advocate for a return to sport (RTS) between 5- and 10 months following hip arthroscopy for femoroacetabular impingement (FAI). We have adopted the International Society of Hip Preservation protocol with modifications for the rehabilitation of our patients. The aim of the present study was to examine the time to RTS with this rehabilitation approach after hip arthroscopy for FAI. It was hypothesized that most athletes will RTS by 5 months post-surgery without any adverse effects. Patients undergoing hip arthroscopy for FAI were prospectively followed with preoperative and postoperative Patient Reported Outcome Measures including: Modified Harris Hip Score (mHHS) and Copenhagen Hip and Groin Outcome Score (HAGOS). Preinjury sports and competition level, postoperative RTS rate, time, and level, complications, and revision surgeries were recorded. A total of 56 patients were identified for inclusion (36.6 ± 14.1 years old at date of surgery, 34 females and 22 males). There were 35 recreational athletes and 21 competitive-level athletes (10 in high-demand sports and 11 in moderate-demand sports). In all, 44 patients (79%) returned to sport at 5.3 ± 3.5 months postoperatively. Of the 12 patients who did not RTS, 5 (42%) did not return for reasons other than their hip. Neither HAGOS (P = .458) nor mHHS (P = .424) differed between athletes with RTS in ≤ 5 months (HAGOS: 80.4 ± 22.3; mHSS: 88.0 ± 17.7) versus >5 months (HAGOS: 84.6 ± 11.8; mHSS: 91.5 ± 8.7). The current study demonstrates that accelerated rehabilitation after hip arthroscopy for FAI can safely return athletes to sport within 6 months.","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"12 1","pages":"33-39"},"PeriodicalIF":1.4,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025673","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

Characterizing hip joint morphology using a multitask deep learning model. 使用多任务深度学习模型表征髋关节形态。

IF 1.4 4区医学

Journal of Hip Preservation Surgery Pub Date : 2024-12-12 eCollection Date: 2025-01-01 DOI: 10.1093/jhps/hnae041

Bardia Khosravi, Lainey G Bukowiec, John P Mickley, Jacob F Oeding, Pouria Rouzrokh, Bradley J Erickson, Rafael J Sierra, Michael J Taunton, Emmanouil Grigoriou, Cody C Wyles

{"title":"Characterizing hip joint morphology using a multitask deep learning model.","authors":"Bardia Khosravi, Lainey G Bukowiec, John P Mickley, Jacob F Oeding, Pouria Rouzrokh, Bradley J Erickson, Rafael J Sierra, Michael J Taunton, Emmanouil Grigoriou, Cody C Wyles","doi":"10.1093/jhps/hnae041","DOIUrl":"https://doi.org/10.1093/jhps/hnae041","url":null,"abstract":"Deep learning is revolutionizing medical imaging analysis by enabling the classification of various pathoanatomical conditions at scale. Unfortunately, there have been a limited number of accurate and efficient machine learning (ML) algorithms that have been developed for the diagnostic workup of morphological hip pathologies, including developmental dysplasia of the hip and femoroacetabular impingement. The current study reports on the performance of a novel ML model with YOLOv5 and ConvNeXt-Tiny architecture in predicting the morphological features of these conditions, including cam deformity, ischial spine sign, dysplastic appearance, and other abnormalities. The model achieved 78.0% accuracy for detecting cam deformity, 87.2% for ischial spine sign, 76.6% for dysplasia, and 71.6% for all abnormalities combined. The model achieved an Area under the Receiver Operating Curve of 0.89 for ischial spine sign, 0.80 for cam deformity, 0.80 for dysplasia, and 0.81 for all abnormalities combined. Inter-rater agreement among surgeons, assessed using Gwet's AC1, was substantial for dysplasia (0.83) and all abnormalities (0.88), and moderate for ischial spine sign (0.75) and cam deformity (0.61).","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"12 1","pages":"27-32"},"PeriodicalIF":1.4,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062371","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 1.4 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

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

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 1.6 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

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 1.6 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":"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":1.6,"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