Hip – pubmed Results

CONCLUSION: This case represents the first documented report of SEMD-JL3 managed surgically in Saudi Arabia and highlights how individualized, staged orthopedic interventions can significantly improve function and quality of life in patients with rare skeletal dysplasias.

CONCLUSIONS: The present analysis suggests the order in which intraoperative femoral stem implantation and fracture reduction occurs does not affect short-term clinical and radiographic outcomes. This intraoperative decision should be based upon patient anatomy, fracture patterns, and surgeon discretion.

CONCLUSIONS: Cup positioning with the Navbit Sprint was significantly more accurate than the manual method during THA using the same cup in the anterolateral supine position. However, a significant leg length discrepancy could negatively impact the accuracy of cup positioning inclination.

CONCLUSIONS: In unstable INT fractures without fixation of the PM fragment, the incidence of fixation failure was 3.2% and significantly associated with inadequate reduction, especially when CS was absent. The surgeon should pay attention to achieving optimal CS with appropriate reduction status of the fracture, which is critical in determining the surgical outcome.

CONCLUSIONS: Optimism and pessimism are opposing and significantly associated with postoperative outcomes after THA, although not reaching the minimal clinically important change of the HOOS-12 score. If patients scheduled for THA seem prone to pessimistic behavior, further screening of the patient's personality traits and other risk factors should be conducted. The outcomes of these patients could be improved through psychoeducation or cognitive behavioral interventions.

CONCLUSIONS: RAO with autografts and allografts yielded similar favorable outcomes in early-stage hip OA. Both approaches improved hip function and morphology, with high survival rates. The allograft group maintained greater gluteus medius integrity and showed no OA progression after 10 years, suggesting that allografts are a viable, less invasive option. Further research is necessary to assess long-term outcomes and muscle preservation.

CONCLUSIONS: Femoral head fractures remain uncommon injuries often associated with concomitant trauma and a high incidence of complications. We demonstrated favorable radiological and functional outcomes following surgical treatment, with results analyzed according to Pipkin type and surgical approach. These findings offer clinically meaningful insights that may advance ongoing research on femoral head fractures.

The paradigm of total hip arthroplasty (THA) is undergoing a transformative shift from prolonged inpatient care toward same-day discharge (SDD), driven by the convergence of enhanced recovery after surgery (ERAS) protocols, advances in anesthesia and analgesia, and evolving reimbursement policies. As global demand for THA continues to escalate amid population ageing, this model offers a compelling strategy to optimize healthcare resource utilization without compromising patient safety. However,...

CONCLUSIONS: acetabuloplasty with autologous femoral head graft combined with dual-mobility total hip arthroplasty is a reliable procedure, providing joint stability, early rehabilitation and improved quality of life. Although limited by sample size, this case series supports the utility of this technique as a valid therapeutic option in adult hip dysplasia with osteoarthritis.

CONCLUSION: Low lymphocyte-to-monocyte ratio (LMR), as a novel inflammatory index, is an independent risk factor for sarcopenia in elderly patients with hip fractures. It offers favorable predictive efficacy, is inexpensive, and readily accessible, providing a new strategy for the screening and management of sarcopenia in this population.

CONCLUSION: Lumbar fusion was associated with a small increase in hip fracture risk, with long constructs conferring substantially higher risk in adults < 65.

CONCLUSIONS: Despite higher rates of SNF discharge and non-surgical 90 day readmissions, SOT patients achieved similar all-cause, septic, and aseptic revision rates, compared to NSOT patients. These findings suggest that compared to well-matched comorbid controls, SOT patients can safely undergo elective TJA with comparable revision risk. Enhanced perioperative care may help reduce readmission risks in this complex population.

CONCLUSION: Imageless navigation demonstrated acceptable inclination agreement with postoperative EOS assessment, whereas anteversion showed a larger systematic deviation and poor inter-method agreement; sagittal pelvic tilt and positional frame-of-reference differences appear to be major contributing factors.

CONCLUSION: This study confirmed the existing 2-year migration thresholds and established a new threshold at 1 year. We found no association between continuous migration between 1 and 2 years and 10-year revision rates. The 1-year migration threshold is the earliest surrogate measure for assessing late loosening of the acetabular cup and may identify underperforming implants.

CONCLUSION: Internal fixation with acute THA in elderly acetabular-fracture patients resulted in good functional outcomes with no signs of acetabular implant loosening, but a high complication rate.

CONCLUSION: The consensus statements from this study establish key clinical and radiological parameters for diagnosing aseptic loosening in THA, recommending plain radiographs as the primary imaging modality and CT as secondary. The results lay the groundwork for more standardized diagnostic protocols and improved consistency in future clinical practice and research.

Each year there are 70,000 new hip fractures in the UK, with an ongoing annual cost to health and social care services of £4.3 billion. Following surgery, 30% of patients are not returned to their usual home by 120 days. Current UK national standards for rehabilitation recommend two hours of physiotherapy in the first postoperative week. It has been shown that increasing the frequency and duration of physiotherapy could lead to more rapid recovery and earlier discharge from hospital, with more...

CONCLUSION: The French Paradox cementing technique represents a reliable alternative for femoral component fixation, particularly with taper-slip designs, despite deviating from conventional cementing strategies. Further high-quality prospective studies are needed to clarify its optimal indications and to standardize its definition in the literature.

CONCLUSION: Although up to 60% of patients did not have complete pre- and postoperative PROMs, the patient and demographic factors, and the rates of revision and mortality, were similar to those with complete PROMs. PROMs which are collected may therefore probably be generalizable to wider groups of patients who undergo TKA and THA.

CONCLUSION: This is the largest multinational study to date evaluating the incidence and risk factors for the development of a femoral nerve palsy in these children. The incidence of femoral nerve palsy was 3.1%. The severity of DDH was identified as a significant risk factor for its development. The use of a Pavlik harness was significantly associated with the development of a femoral nerve palsy. Understanding the factors which influence its development will be important to optimize outcomes...

BACKGROUND Developmental dysplasia of the hip (DDH) presents substantial surgical challenges during total hip arthroplasty (THA), particularly in cases of high-riding dislocations, which can require subtrochanteric shortening osteotomy. The newly proposed Etfal classification incorporates the proportional femoral-pelvic ratio and may offer improved preoperative guidance. MATERIAL AND METHODS A retrospective multicenter validity study was conducted across 7 tertiary centers, including 152...

BACKGROUND Capnocytophaga canimorsus is a gram-negative bacillus found in the oral cavity of dogs and cats. Human infection is uncommon but can cause severe sepsis. Although classically associated with asplenia, alcohol use disorder, or immunosuppression, a substantial proportion of cases occur in patients without identifiable risk factors. Diagnosis may be delayed due to the fastidious nature of the organism and the impact of prior antibiotic exposure on culture yield. CASE REPORT A 75-year-old...

CONCLUSION: While VTE prophylaxis regimens are typically based on institutional guidelines or surgeon preference, the proposed algorithm can help guide providers in prescribing a treatment modality for patients who may not benefit from existing regimens.

CONCLUSIONS: The ERN model significantly reduced delirium, accelerated recovery, and improved long-term function and quality of life, supporting its integration into routine perioperative care for elderly femoral neck fracture patients.

The spectrum of hip pathology treated by hip preservation surgery ranges from femoroacetabular impingement to hip dysplasia. Borderline hip dysplasia (BHD) represents a challenging diagnosis where the surgical indication is not always clear. BHD is a complex pathology which presents challenges in surgical decision-making between hip arthroscopy and open surgery, specifically periacetabular osteotomy. Research has shown efficacy for both isolated hip arthroscopy and/or periacetabular osteotomy as...

CONCLUSION: Both the standard-length Origin and shortened Alteon HA stems showed excellent short-term results, with 96% of patients in each group experiencing meaningful functional improvement. Both implants showed high osseointegration with low complication and revision rates. The Origin stem required more distal reaming and had an increased leg length discrepancy risk, whereas the shorter Alteon HA stem provided greater intraoperative flexibility with equally strong early results.

CONCLUSION: Although noncemented THA remains generally safe for elderly patients, it does carry an increased risk of periprosthetic fracture, a serious complication with notable morbidity. Orthopaedic surgeons should thoroughly counsel elderly patients regarding fracture risks associated with noncemented femoral fixation. Our large, well-matched cohort adds robust evidence supporting careful patient selection and discussion of cemented fixation benefits in this population.

CONCLUSIONS: The results indicate that higher head/liner clearance was associated with higher volumetric wear and higher liner taper corrosion, but not with head taper corrosion. Although causality is difficult to establish, low femoral stem taper flexural rigidity and high clearance were likely the most important factors resulting in the failures in this cohort.

Background and Objectives: High rates of mortality and morbidity among elderly hip fracture patients are a recognized global issue. This study aimed to evaluate risk factors for early complications and 30-day mortality in hip fracture patients. Materials and Methods: The prospective study included 583 patients over 65 years old who sustained hip fractures from fall and underwent surgery. Each patient was followed up for 30 days and complications were recorded. Regression models were used to...

Background and Objectives: Total femoral replacement (TFR) was originally developed for limb salvage following the resection of malignant tumors. Over time, its indications have expanded, now serving as a reconstructive option for failed endoprosthetic replacements and severe trauma cases. Despite its advantages, TFR is a highly complex surgical procedure associated with significant complication rates. This study aims to analyze the management of complications and propose strategies to mitigate...

Background and Objectives: Patient blood management (PBM) strategies are effective in reducing transfusion requirements and improving perioperative outcomes in total hip arthroplasty (THA) and total knee arthroplasty (TKA). The SARS-CoV-2 pandemic profoundly disrupted hospital organization and limited the application of established PBM protocols. This study assessed the impact of COVID-19-related organizational disruption on PBM implementation and perioperative outcomes in primary total hip and...

Background and Objectives: Collared, triple-tapered femoral stems have gained increasing popularity in primary total hip arthroplasty (THA) due to their stable metaphyseal fixation and ability to restore native hip biomechanics. This study evaluated the short-term clinical and functional outcomes of a novel collared triple-tapered femoral stem design in primary THA. Materials and Methods: This was a retrospective review of all patients who underwent primary, elective THA using a collared,...

Background and Objectives: Total hip arthroplasty (THA) and total knee arthroplasty (TKA) are widely performed procedures with high success rates but relevant postoperative complications. Preoperative nutritional status is a key modifiable risk factor influencing surgical outcomes. This study aimed to map and synthesize the available evidence on the association between preoperative nutritional status and postoperative complications in patients undergoing primary THA or TKA. Materials and...

Adolescent neuromuscular hip dysplasia involves abnormal acetabular morphology with insufficient coverage, femoral containment, and depth. The triple pelvic osteotomy (TPO) corrects acetabular orientation, while acetabuloplasty improves containment, but they are insufficient on their own for severe deformities where both coverage and depth are compromised; combining both procedures allows simultaneous correction of orientation and morphology. In this study, the feasibility and safety of this...

Both conventional and robot-assisted total hip arthroplasty (THA) require a learning curve, and surgical team stress may vary with accumulated experience. This study aimed to define the learning curve of junior surgeons performing conventional and robot-assisted THA, and to compare implant-positioning outcomes and surgical team stress between the two approaches. We included patients who underwent THA performed by a junior joint surgeon between January 2025 and July 2025. Patients were allocated...

Accurate acetabular component orientation is essential for restoring biomechanics and implant longevity in total hip arthroplasty (THA). While robotic assistance has been shown to improve component positioning, comparisons across patient cohorts remain confounded by inter-patient variability. This study aimed to evaluate the accuracy of manual versus robotic acetabular cup impaction using an intra-patient sequential design within the same joint. A prospective observational study was undertaken...

CONCLUSIONS: trauma represents an increased risk for the development of secondary coxarthrosis and should be considered a significant risk factor.

CONCLUSIONS: after the intervention with controlled surgical hip dislocation, the patient had no recurrence of synovial chondromatosis, and presented pain reduction and an improvement in hip functional capacity and quality of life.

To avoid highly invasive cement extraction during revision of cemented hip stems, we investigated in vitro a concept for refixation of loosened cemented stems using induction heating. The thermoplastic polymeric bone cement is softened by heating the metallic stem above the cement's glass transition temperature, possibly allowing refixation. In an exploratory study three simplified conical Co28Cr6Mo samples were corundum blasted to simulate the surface roughness of matt cemented stems. Three...

CONCLUSION: Consistent with previous studies, our findings reaffirm the superior clinical outcomes of cemented HHA. Nevertheless, noncemented implants remained the predominant choice within our hospital system-even among fellowship-trained surgeons. This highlights a persistent gap between evidence and practice, emphasizing the need for stronger integration of evidence-based guidelines into surgical decision making.

CONCLUSION: intra-articular topical administration of TXA at the end of surgery significantly reduced need for post-operative packed blood cell units' administration without increases in VTE risk in all patients undergoing primary THA and TKA.

CONCLUSION: Postoperative determination of cortisol levels should be considered in geriatric patients undergoing postoperative monitoring. This would allow to identify patients with an attenuated cortisol stress response and enable timely initiation of treatment, such as probatory administration of hydrocortisone, to improve patient outcome. Moreover, IL-6 may represent a potential marker for the monitoring of the postoperative endocrine stress response in geriatric trauma patients.

CONCLUSIONS: MIMICS-based FNF parameter measurement accurately describes spatial characteristics post-fracture, providing guidance for FNF treatment and evaluation.

This study aimed to systematically examine the incidence of deep vein thrombosis (DVT) after hip surgery and identify its key determinants. The findings are intended to inform the refinement of postoperative risk assessment tools, the optimization of prevention strategies, and the development of personalized nursing protocols. This retrospective cohort study consecutively enrolled elderly patients aged ≥ 60 years who underwent hip fracture surgery at the First Affiliated Hospital of Nanchang...

CONCLUSION: Temporary external fixation provides reproducible intraoperative limb control during total hip arthroplasty in patients with short residual limbs.

Hip fractures in elderly patients are associated with morbidity and mortality, and anesthetic management may be challenging when comorbidities or ongoing antiplatelet/anticoagulant therapy limit the use of general or neuraxial anesthesia. We report two cases of hip fracture fixation performed using a combination of sacral erector spinae plane (ESP) block and Quadro-Iliac Plane (QIP) block under dexmedetomidine sedation with spontaneous ventilation. Both patients reported minimal to no pain for...

Bilateral adrenal haemorrhage (BAH) is a rare but potentially fatal condition. Its non-specific presentation makes diagnosis difficult, delaying treatment. Pulmonary embolism is commonly seen postoperatively, however, its standard treatment conflicts with active haemorrhage. We present the case of a woman in her 70s who underwent a hip replacement for a neck of femur fracture. Postoperatively, she developed epigastric pain, vomiting, fever and lethargy. Intravenous antibiotics were started to...

CONCLUSION: Liposomal bupivacaine is superior to ropivacaine in the early postoperative recovery and analgesia of elderly THA patients. However, this advantage is primarily limited to the early postoperative period. Prospective validation is required given the retrospective design.

Effective pain control during spinal anesthesia positioning remains a clinical challenge in elderly patients undergoing total hip arthroplasty. The pericapsular nerve group block, a novel ultrasound-guided regional anesthesia technique, has shown promise for alleviating hip pain, yet the optimal concentration of local anesthetics for this approach remains unclear. In this randomized, observer-blinded clinical trial involving 102 patients, we compared the analgesic efficacy of two concentrations...

CONCLUSION: In this exploratory cohort, non-articulating spacers were associated with fewer mechanical complications, whereas articulating spacers demonstrated better leg length preservation. Given the exploratory nature of this study and its methodological limitations, the observed differences between spacer types should be interpreted cautiously and considered associative rather than causal.