Do not implant!–long-term follow-up of a patient who received a trial hip stem
J Arthroplasty. 2008 Dec;23(8):1239.e19-23. Hirschmann MT, Helfrich C, Friederich NF. We describe the case of a patient who had undergone a total hip arthroplasty for primary osteoarthritis 17 years previously. Clinical and radiologic signs of aseptic loosening compelled a revision arthroplasty. Surprisingly, the removed femoral stem turned out to be a trial stem. Retrospective examination […]
Surgical Management of Hip Fractures: An Evidence-based Review of the Literature. II: Intertrochanteric Fractures
J Am Acad Orthop Surg, Vol 16, No 11, November 2008 Kevin Kaplan, MD, Ryan Miyamoto, MD, Brett R. Levine, MD, Kenneth A. Egol, MD and Joseph D. Zuckerman, MD Treatment of intertrochanteric hip fracture is based on patient medical condition, preexisting degenerative arthritis, bone quality, and the biomechanics of the fracture configuration. A critical […]
Venous thromboembolism clinically detected after hip fracture surgery with prophylaxis in a clinical practice setting
Am J Orthop. 2008 Sep;37(9):470-5. Comp P, Happe LE, Sarnes M, Farrelly E. Clinical trials have shown differences in efficacy among anticoagulants used for venous thromboembolism (VTE) prophylaxis after hip fracture surgery, but the applicability of their results is limited by constraints of the clinical trial setting. We conducted this retrospective cohort study to assess […]
Aseptic Loosening of Total Hip Arthroplasty: Preliminary Genetic Investigation
J Arthroplasty. 2008 Oct 24. [Epub ahead of print] Godoy-Santos AL, D’Elia CO, Teixeira WJ, Cabrita HB, Camanho GL. Femoral and acetabular loosening can be attributed different factors, but the causes and mechanism of early failure are still obscure. The objective of this study was to investigate the relationship between gene polymorphisms and early implant […]
Surgical Management of Hip Fractures: An Evidence-based Review of the Literature. I: Femoral Neck Fractures
Journal of the American Academy of Orthopaedic Surgeons October 2008, Volume 16, Issue 10 Ryan G. Miyamoto, MD, Kevin M. Kaplan, MD, Brett R. Levine, MD, MS, Kenneth A. Egol, MD and Joseph D. Zuckerman, MD During the past 10 years, there has been a worldwide effort in all medical fields to base clinical health […]
Isolated Polyethylene Exchange versus Acetabular Revision for Polyethylene Wear
Clin Orthop Relat Res. 2008 Oct 10. [Epub ahead of print] Restrepo C, Ghanem E, Houssock C, Austin M, Parvizi J, Hozack WJ. Polyethylene wear and osteolysis are not uncommon in THA mid- and long-term. In asymptomatic patients the dilemma faced by the orthopaedic surgeon is whether to revise the cup and risk damage to […]
Infection following hip replacement: solution options
Orthopedics. 2008 Sep;31(9):907-8. Haddad FS, Bridgens A. The key to the optimal management of an acutely infected arthroplasty is an expeditious diagnosis with careful assessment of the mode of presentation and treatment variables to determine the appropriate management strategy. At our institution acute infection is managed early and aggressively with debridement and exchange of mobile […]
Clopidogrel therapy-Implications for hip fracture surgery
NULL Injury. 2008 Oct;39(10):1188-90. Epub 2008 Jul 24. Johansen A, White J, Turk A. It remains unclear whether it is justifiable to delay hip fracture surgery in patients who are taking clopidogrel therapy-to allow the drug’s anti-platelet effect to wear off. In a follow-up of 740 consecutive admissions with hip fracture we describe the extent […]
Avascular necrosis of the femoral head following intramedullary nailing of the femur in a skeletally mature young adult: a case report
NULL Am J Orthop. 2008 Jun;37(6):319-22. Graves RM, Sands KC. Avascular necrosis (AVN) of the femoral head is a well-documented complication of intramedullary nailing (IMN) of femoral shaft fractures in adolescents and children (age range, 10 years to 13 years 10 months). In adults, AVN after IMN has been reported in association with femoral neck […]
The noisy ceramic hip: is component malpositioning the cause?
NULL J Arthroplasty. 2008 Aug;23(5):643-9. Restrepo C, Parvizi J, Kurtz SM, Sharkey PF, Hozack WJ, Rothman RH. Noisy ceramics bearing surfaces are a recently recognized problem in total hip arthroplasty. Component malposition as a potential cause has been proposed. Squeaking occurred in 28 (2.7%) of 999 patients undergoing ceramic on ceramic total hip arthroplasty at […]