Pelvic Fractures: Part 1. Evaluation, Classification, and Resuscitation
Joshua R. Langford, J Am Acad Orthop Surg. Vol 21 Nº 8 August 2013 Pelvic fractures range in severity from low-energy, generally benign lateral compression injuries to life-threatening, unstable fracture patterns. Initial management of severe pelvic fractures should follow Advanced Trauma Life Support protocols. Initial reduction of pelvic blood loss can be provided by binders, […]
Pelvic Fractures: Part 2. Contemporary Indications and Techniques for Definitive Surgical Management
Joshua R. Langford, J Am Acad Orthop Surg. Vol 21 Nº 8 August 2013 Once the patient with pelvic fracture is resuscitated and stabilized, definitive surgical management and anatomic restoration of the pelvic ring become the goal. Understanding injury pattern by stress examination with the patient under anesthesia helps elucidate the instability. Early fixation of […]
Acetabular Bone Loss in Revision Total Hip Arthroplasty: Evaluation and Management
Neil P. Sheth J Am Acad Orthop Surg March 2013 vol. 21 no. 3 Abstract As the number of primary total hip arthroplasty (THA) procedures performed continues to rise, the burden of revision THA procedures is also expected to increase. Proper evaluation and management of acetabular bone loss at the time of revision surgery will […]
Radiographic Methods of Wear Analysis in Total Hip Arthroplasty
Luthfur Rahman Abstract Polyethylene wear is an important factor in failure of total hip arthroplasty (THA). With increasing numbers of THAs being performed worldwide, particularly in younger patients, the burden of failure and revision arthroplasty is increasing, as well, along with associated costs and workload. Various radiographic methods of measuring polyethylene wear have been developed […]
Modern Metal-on-Metal Hip Implants
J Am Acad Orthop Surg June 2012 vol. 20 no. 6 Kevin J. Bozic, MD Abstract This Technology Overview was prepared using systematic review methodology and summarizes the findings of studies published as of July 15, 2011, on modern metal-on-metal hip implants. Analyses conducted on outcomes by two joint registries indicate that patients who receive […]
Modularity of the Femoral Component in Total Hip Arthroplasty
J Am Acad Orthop Surg April 2012 Anand Srinivasan Abstract Modular femoral components have been developed to aid in recreating native femoral version, limb length, and offset in total hip arthroplasty. Use of modular implants results in cost savings, as well. Inventory can be reduced while allowing intraoperative flexibility and options. With modular implants, the […]
Total Hip Arthroplasty in the Ankylosed Hip
Megan A. Swanson, JAAOS December 2011;19 (12) Abstract Altered biomechanics secondary to hip ankylosis often result in degeneration of the lumbar spine, ipsilateral knee, and contralateral hip and knee. Symptoms in these joints may be reduced with conversion total hip arthroplasty (THA) of the ankylosed hip. THA in the ankylosed hip is a technically challenging […]
Abductor Tendon Tears of the Hip: Evaluation and Management
J Am Acad Orthop Surg, Vol 19, No 7, July 2011 Paul F. Lachiewicz, MD From the Department of Orthopaedic Surgery, Duke University School of Medicine, and the Durham VA Medical Center, Durham, NC, and Chapel Hill Orthopedics Surgery & Sports Medicine, Chapel Hill, NC. The gluteus medius and minimus muscle-tendon complex is crucial for […]
Surgical Management of the Problematic Hip in Adolescent and Young Adult Patients
Perry L. Schoenecker, MD, John C. Clohisy, MD, Michael B. Millis, MD and Dennis R. Wenger, MD Surgical management of the problematic hip in adolescent and young adult patients can be challenging. In many of these patients, hip arthrosis and pain occur secondary to hip dysplasia associated with chronic instability, whether the result of prior […]
A Review of Squeaking Hips
J Am Acad Orthop Surg, Vol 18, No 6, June 2010 William L. Walter, MBBS, FRACS, PhD, Eric Yeung, FRCS (Tr+Orth) and Christina Esposito, BSc The incidence of squeaking in hip replacement varies for ceramic-on-ceramic and metal-on-metal bearings, and the implications are not fully understood. Contributing factors may include component malposition, edge loading, impingement, third-body […]
