Hip – pubmed Results

PurposeThis study aimed to evaluate the clinical and financial outcomes of the My PreHab Program (MPP), a digitally delivered, patient-led prehabilitation initiative for patients undergoing elective hip or knee arthroplasty across two metropolitan hospitals.MethodsAn observational cohort study of MPP participants compared to a standard care group (SCG). MPP participants were invited via text message to complete a Health Assessment Questionnaire (HAQ) and received tailored health information on...

CONCLUSION: AORIF provided rapid pain relief and increased mechanical resistance, allowing a successful secondary arthroplasty with standard implants, demonstrating its value as a minimally invasive option in periacetabular metastatic bone disease.

A 5-year-old female spayed ferret was presented with lameness of the left hind limb and dyspnea. Five months earlier, the animal had been diagnosed with dilated cardiomyopathy and an undifferentiated precardiac mass. Clinical, radiological, and laboratory examinations revealed a left femoral neck fracture, mild anemia, and hyperglobulinemia. Due to the poor general condition and unfavorable prognosis, the animal was euthanized. Pathological examination identified the precardiac mass as multiple...

CONCLUSIONS: Hip fractures among older adults in mainland China continued to rise in both number and incidence rate from 1990 to 2023, with women experiencing a consistently higher burden than men. The decrease in age-standardized YLDs suggests some improvement in post-fracture management, although the growing incidence highlights the need for strengthened prevention strategies, particularly fall prevention and osteoporosis management in older adults.

CONCLUSIONS: Multidisciplinary collaboration with a specialist in internal medicine significantly reduces first-year mortality, systemic complications, and hospital stay in hip fracture patients, allowing earlier interventions and hospital discharge.

CONCLUSION: Rapid discharge, the morning after surgery, is a safe, effective and efficient procedure for primary total hip arthroplasty in the majority of patients, with respect to a 3-day stay.

CONCLUSIONS: The use of drainage in THA has no advantage over no drainage. The results of the clinical trials reviewed suggest that drainage should not be used routinely in THA.

Managing chronic periprosthetic infections in patients who have undergone limb-salvage surgery following a malignant bone tumor with megaprosthesis often involves a two-stage revision surgery with the use of a cement-spacer. This paper show details the preparation of a self-made intramedullary metal-stabilized mega-cement spacer for patients needing a two-stage revision surgery due to infection after oncologic bone tumor resection and limb-salvage surgery with megaprosthesis and present...

CONCLUSIONS: The multidisciplinary perioperative programme implemented significantly reduced hospital stay without increasing 90-day readmission rates. Furthermore, it equated outcomes between patients with public and private insurance.

CONCLUSIONS: Multimodal approach integrating TXA, regional anesthesia, minimally invasive surgery, anemia correction, and restrictive transfusion protocols effectively reduces bleeding and transfusion needs in bilateral arthroplasty. Incorporation into enhance recovery after surgery protocols is recommended. Future research should refine TXA dosing, clarify tourniquet use, and assess cost-effectiveness.

CONCLUSIONS: Multimodal approach integrating TXA, regional anesthesia, minimally invasive surgery, anemia correction, and restrictive transfusion protocols effectively reduces bleeding and transfusion needs in bilateral arthroplasty. Incorporation into Enhance recovery after surgery (ERAS) protocols is recommended. Future research should refine TXA dosing, clarify tourniquet use, and assess cost-effectiveness.

CONCLUSIONS: The blood transfusion rate following primary THA was less than 10% (7.3%). It seems reasonable to stop routinely performing CMT for every patient undergoing primary THA and to individualise the indication for transfusion based on each specific case.

CONCLUSION: Bipolar hip arthroplasty with uncemented femoral stems appears to be a safe and effective option for treating extracapsular hip fractures in patients over 85 years old, allowing early rehabilitation and reducing complications associated with cementation and osteosynthesis.

CONCLUSION: Bipolar hip arthroplasty with uncemented femoral stems appears to be a safe and effective option for treating extracapsular hip fractures in patients over 85 years old, allowing early rehabilitation and reducing complications associated with cementation and osteosynthesis.

CONCLUSION: Simultaneous bilateral THA is more cost-efficient than the staged approach. It requires appropriate patient selection and a specialized multidisciplinary team, representing a safe and efficient option in the context of public healthcare.

CONCLUSION: We present a high one-year mortality (57.7%), higher than published for surgery, so we believe that in fragile patients we must either improve multidisciplinary outpatient follow-up or consider other palliative care, without reaching harsh therapeutic treatment.

CONCLUSION: We present a high one-year mortality (57.7%), higher than published for surgery, so we believe that in fragile patients we must either improve multidisciplinary outpatient follow-up or consider other palliative care, without reaching harsh therapeutic treatment.

OBJECTIVES: Hip arthroplasty instability is one of the most worrisome complications and one of the main indications for revision surgery. We present a retrospective study evaluating the results of revision hip replacement surgery performed for instability.

CONCLUSIONS: The RAPT tool has been shown to be highly effective in assessing patients' needs upon discharge. According to the results of the study, 94.2% of the needs identified by the tool coincided with the real needs of the patients. This suggests that the tool may be an efective tool for planning post-discharge care.

CONCLUSIONS: Although both treatment methods, cannulated screws and the FNS, showed similar short-term functional outcomes in the management of undisplaced subcapital femoral fractures, the FNS demonstrated a significantly lower rate of complications and reoperations. These results suggest that the FNS could be considered a safer and more effective option compared to cannulated screws.

CONCLUSIONS: The modifications of the SL-Plus stem influence the long-term outcome of the implant regarding radiological results, particularly in progressive varus angulation and distal migration. However, our study has not been able to demonstrate any clinical repercussions: functional scores and survival free of all cause revision were favourable and comparable to previous reports.

CONCLUSION: In elderly patients undergoing hip arthroplasty, dexmedetomidine combined with SGB significantly improved subjective sleep quality during the first three postoperative nights, although this beneficial effect was not maintained at one month postoperatively.

CONCLUSIONS: OTHA programs should evolve from rapid recovery programs. Their implementation depends on an experienced multidisciplinary team. In this study, inclusion criteria were defined, achieving high satisfaction without increased complications. Outpatient surgery is a good option, and the implementation of this circuit is a safe, effective, and a satisfactory practice for selected patients.

CONCLUSIONS: Lower nonaffected side muscle thickness is independently associated with functional status at discharge.

CONCLUSION: Simultaneous bilateral THA is more cost-efficient than the staged approach. It requires appropriate patient selection and a specialized multidisciplinary team, representing a safe and efficient option in the context of public healthcare.

CONCLUSION: Our study revealed that pediatricians in Jordan generally lack adequate knowledge and skills in DDH screening, a gap consistent across location, sector, and experience level. Higher level of experience, greater exposure to infants and higher confidence in performing Barlow and Ortolani manoeuvres were associated with better proficiency. A national training programme coupled with national guidelines is needed to promote early detection and reduce late-presenting cases.

CONCLUSIONS: Intraosseous administration of low-dose vancomycin in THA for patients at risk of MRSA colonisation, combined with standard IV prophylaxis, was shown to be safe and did not present significant adverse effects. Furthermore, this strategy eliminates the logistical challenges associated with timely vancomycin administration.

CONCLUSIONS: The blood transfusion rate following primary THA was less than 10% (7.3%). It seems reasonable to stop routinely performing CMT for every patient undergoing primary THA and to individualize the indication for transfusion based on each specific case.

Unilateral leg edema in elderly patients is often attributed to deep vein thrombosis (DVT), particularly when D-dimer levels are elevated. We report an unusual case of an elderly woman with subacute unilateral leg edema caused by compression of the external iliac vein by a traumatic hematoma following a minor fall. Contrast-enhanced computed tomography excluded DVT and revealed venous obstruction due to the hematoma. Percutaneous aspiration led to prompt resolution of the edema without the need...

CONCLUSIONS: The study demonstrated that there were no statistically significant differences in the frequency of wound complications between the two wound closure methods in THA and TKA surgeries, indicating comparable surgical outcomes in terms of wound healing and complication rates.

CONCLUSIONS: The FNS system represents a safe and reproductible alternative for the fixation of femoral neck fractures, showing non-inferior outcomes to treatment with cannulated screws.

CONCLUSION: Persistent opioid use is common after both THA and hemiarthroplasty for hip fracture. Patients with higher health care needs before fracture and higher comorbidity burden were more likely to persistently use postoperative opioids.

We have not identified any research in the literature that explores the severity of knee osteoarthritis in relation to the type of hip fracture. In our study, we examined the severity of knee osteoarthritis in patients with hip fractures affecting the intertrochanteric (Group 1) and femoral neck region (Group 2). In our study, patients over 50 years of age were analyzed and Kellgren-Lawrence classification was applied to bilateral knee radiographs. The correlation between the severity of knee...

Postoperative delirium (POD) is a common and serious complication in elderly hip fracture patients, including those undergoing surgery for femoral neck fractures and intertrochanteric fractures, and is associated with poor clinical outcomes. Early identification of at-risk individuals remains challenging with conventional methods. To develop and validate machine learning models for predicting POD using preoperative variables, and to identify key risk factors, we conducted a retrospective study...

This study aimed to evaluate the feasibility of proximal femoral nailing (PFN) in the lateral decubitus position using a standardized, limb-based approach without a traction table and to report early postoperative (24-72 hours) radiographic and technical outcomes, focusing on lag screw position and tip- apex distance (TAD). This single-center retrospective study included 52 adult patients (>18 years) who underwent PFN in the lateral decubitus position according to a standardized algorithm...

Pseudotumors, typically associated with metal-on-metal (MoM) bearings in total hip arthroplasty (THA), have rarely been reported in ceramic-on-ceramic (CoC) THA. This case details the development of a pseudotumor in a 70-year-old female six years after an uneventful CoC THA for osteoarthritis. The patient presented with groin pain and swelling, and imaging revealed a fluid-filled mass at the hip. Aspiration provided temporary relief, but the cyst recurred. Surgical intervention showed no...

CONCLUSIONS: Given a mostly negative attitude of patients toward wearables, we discuss the use of smartphone-based automated logging of physical functioning (sleep and physical activity) instead. Such logging may be less accurate than a dedicated wearable, but it may be accurate enough to measure their pre- and post-surgery physical functioning changes. Additionally, a smartphone has the advantage of being already well integrated into the daily life of patients from the perspective of its...

CONCLUSION: Among patients undergoing elective THA, COPD-OSA overlap syndrome is associated with increased adverse inpatient outcomes.

CONCLUSIONS: Under time-zero worst-case conditions without ETO refixation, the REV demonstrated higher axial stability, while torsional stability was comparable. The STD provided sufficient primary stability after short open ETO, supporting its potential use when revision stem implantation is not required.

CONCLUSIONS: The high-volume PENG block is not superior to conventional-volume PENG block in improving post-operative analgesia in patients undergoing primary THA and does not increase the risk of quadriceps weakness.

CONCLUSION: Deficiencies in vitamin D and calcium were associated with an increased risk of hip fractures but did not appear to influence fracture pattern. These findings suggest that systemic biochemical parameters should be emphasized in comprehensive fracture risk assessment, underscoring the importance of preoperative evaluation and postoperative correction of metabolic deficiencies in patients with hip fractures.

CONCLUSIONS: Ultrasound-guided PENG combined with lumbar anesthesia is a safe and effective anesthesia method for elderly patients undergoing hip arthroplasty, providing better analgesia, preserving cognitive function, and reducing adverse reactions.

CONCLUSION: Our study shows that most subsidence and retroversion of uncemented femoral stems occurs during the first 3 months. Stabilization of subsidence occurred after 3 months, and retroversion stabilized after 2 years. Migration patterns differ based on stem type, coating, surgical approach, the time period when inclusion started, and timing of baseline measurement.

CONCLUSION: A single intraoperative dose of methadone significantly alters postoperative morphine consumption over 72 hours after hip fracture surgery, without major safety concerns.

CONCLUSION: This is the first report of spastic hip dislocation in Aicardi-Goutières syndrome. The case underscores the importance of structured hip surveillance to detect early hip migration in children with severe spasticity and prevent late dislocation.

CONCLUSIONS: Serum CAR is significantly associated with poor postoperative prognosis in elderly patients with ITF and may be an independent risk factor for postoperative quality of life and hip recovery.

CONCLUSION: CTI is significantly reduced in older persons with hip fracture. As a quick and accessible measurement on standard radiographs, CTI may assist clinicians in distinguishing individuals with hip fracture from those without fracture in outpatient settings.

Simultaneous ipsilateral total hip arthroplasty (THA) and total knee arthroplasty (TKA) are uncommon and associated with higher perioperative risk than staged procedures. Robotic assistance introduces additional planning challenges, as current systems require a sequential workflow and do not support simultaneous execution.We report a case of same-session ipsilateral THA and TKA using robotic assistance and three-dimensional preoperative planning. To our knowledge, no previous reports have...

CONCLUSION: Elderly patients with intertrochanteric femoral fractures experience significant blood loss due to initial trauma. Emergency administration of TXA can reduce trauma-induced preoperative HBL, perioperative TBL, and in-hospital blood transfusion rate without increasing the incidence of thromboembolic events, thus proving safe and effective.

CONCLUSION: In AI-assisted DAA-THA, local infiltration anesthesia with LB provides analgesic efficacy comparable to that of the "cocktail" therapy during the early postoperative period (within 48 hours). Although VAS scores were slightly lower in the LB group at 60-72 hours postoperatively, the difference was small and the clinical benefit was limited. No significant difference was observed between the two groups in opioid consumption, complication rates, PCS scores, or postoperative functional...