scholarly journals The Difference Between Actual and Prescribed Weight Bearing of Total Hip Patients With a Trochanteric Osteotomy: Long-Term Vertical Force Measurements Inside and Outside the Hospital

2007 ◽  
Vol 88 (2) ◽  
pp. 200-206 ◽  
Author(s):  
Henri L. Hurkmans ◽  
Johannes B. Bussmann ◽  
Ruud W. Selles ◽  
Eric Benda ◽  
Henk J. Stam ◽  
...  
2008 ◽  
Vol 23 (5) ◽  
pp. 675-676
Author(s):  
Henri L.P. Hurkmans ◽  
Johannes B.J. Bussmann ◽  
Ruud W. Selles ◽  
Eric Benda ◽  
Henk J. Stam ◽  
...  

1998 ◽  
Vol 11 (02) ◽  
pp. 85-93 ◽  
Author(s):  
Joanne R. Cockshutt ◽  
H. Dobson ◽  
C. W. Miller ◽  
D. L. Holmberg ◽  
Connie L. Taves ◽  
...  

SummaryA retrospective case series study was done to determine the long-term outcome of operations upon dogs treated for canine hip dysplasia by means of a triple pelvic osteotomy (TPO). Twentyfour dogs with bilateral hip dysplasia, that received a unilateral TPO between January 1988 and June 1995, were re-examined at the Ontario Veterinary College. The assessment included physical, orthopedic and lameness examinations, standard blood work, pelvic radiographs and force plate gait analysis. They were compared to bilaterally dysplastic dogs that had not been treated, and also to normal dogs. Force plate data analysis demonstrated a significant increase in peak vertical force (PVF) and mean vertical force over stance (MVF) in the limb that underwent surgical correction by means of a TPO, when compared to the unoperated hip. It was determined that performing a unilateral TPO on a young dysplastic dog resulted in greater forces and weight bearing being projected through the TPO corrected limb when compared to the unoperated limb.Dogs with bilateral hip dysplasia treated with a unilateral triple pelvic osteotomy (TPO) were assessed by force plate gait analysis, radiographs and orthopedic examination. There was a significant increase in hip Norberg angles over time, although degenerative changes did progress. Limbs that had been operated upon had significantly greater peak and mean ground reaction forces than limbs that had not received an operation.


2010 ◽  
Vol 1 (1) ◽  
pp. 1 ◽  
Author(s):  
Sean M. Dixon ◽  
Ravi P. Reddy ◽  
Dan Williams ◽  
E. Darren Fern ◽  
Mark R. Norton

Between January 2003 and December 2004, 13 patients underwent bilateral resurfacing arthroplasty via a Ganz trochanteric osteotomy. This bilateral group was mobilised fully weight-bearing with crutches. During the same period 139 Ganz trochanteric osteoto-mies were performed for unilateral hip resurfacing. These patients were mobilised with crutches, weight-bearing up to 10 kg on the operated leg. Nine osteotomies (32%) in the bilateral group subsequently developed a symptomatic non-union requiring revision of fixation. This compares with 10 patients (7%) in the unilateral group. Applying the Fisher’s exact test, the difference reached significance (P=0.0004). In two patients a second revision was required to achieve union. In one patient, revision of trochanteric fixation precipitated a deep infection. Protected weight-bearing following a Ganz trochanteric osteotomy is important to the success of the procedure. Simultaneous bilateral hip arthroplasty through a Ganz approach should be avoided. If it is undertaken, we recommend that patients should be non weight-bearing for 6 weeks following surgery. Non-union following a Ganz trochanteric osteotomy for arthroplasty carries a significant morbidity.


2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Rahul Bhattacharyya ◽  
Stephanie Spence ◽  
Gavin O’Neill ◽  
Kumar Periasamy

Background. Cases have been reported in the literature of periprosthetic fractures associated with the use of bisphosphonates occurring in the long term following a Total Hip Replacement (THR). We report an interesting case of periprosthetic fracture secondary to bisphosphonate use only a few months after a THR.Case Report. A 72-year-old lady (on bisphosphonates for 10 years) underwent a THR for osteoarthritis. She was pain-free in the first four months postoperatively. Thereafter, she developed spontaneous onset of pain in the lateral aspect of her thigh and groin and found it difficult to weight-bear. X-rays and blood tests were unremarkable. An ultrasound and MRI scan showed no evidence of effusion/collection or periprosthetic fracture. A radionuclide bone scan showed an abnormal appearance of the right femoral shaft. A subsequent CT scan showed an oblique vertical split on the anterior surface of the upper right femoral shaft. This stress fracture was managed nonoperatively with protected weight bearing. She has progressed well with good clinical and radiological signs of fracture healing.Conclusion. This case is an important addition to our knowledge that bisphosphonate-induced periprosthetic stress fractures can be a cause of hip pain only a few months following a THR.


2006 ◽  
Vol 23 (1) ◽  
pp. 118-125 ◽  
Author(s):  
H.L.P. Hurkmans ◽  
J.B.J. Bussmann ◽  
E. Benda ◽  
J.A.N. Verhaar ◽  
H.J. Stam

1998 ◽  
Vol 8 (3) ◽  
pp. 154-158 ◽  
Author(s):  
F. Menschik ◽  
K.D. Schatz ◽  
R. Kotz

The purpose of the use of an osteotomy for the treatment of osteonecrosis (ON) of the femoral head is to move the necrotic segment away from the major load-transmitting area of the acetabulum and to redistribute the weight-bearing forces to articular cartilage that is supported by healthy bone. The most common osteotomies are the varus, valgus, flexion, rotational (Sugioka), and combined osteotomies. Their long term outcome, reported in the literature, is quite controversial. We found a decreasing frequency of flexion osteotomies between 1986 and 1996 performed at our department. In 1977 we started with the Sugioka osteotomy in special cases of femoral head ON (necrotic angle in the AP-view about 90 degree) resulting in a total of 51 cases. Forty-one of them have been analyzed regarding complications, reoperations and Harris Hip Scores. Seventeen of 41 patients developed complications and underwent reoperation. Nevertheless the results according to the Harris Hip Score were satisfactoy (excellent and good in 24 patients fair in 10 and poor only in 7 cases). Independently from the size of the necrosis total hip arthroplasties have been performed in 8 cases. The survival curve of 41 Sugioka osteotomies shows a 50% decrease at 6 years. Due to this fact and the regression in the number of osteotomies of the femur in cases of ON of the hip joint we find in our material that the importance of osteotomies has dramatically decreased in contrast to the excellent results of total hip arthroplasty.


2011 ◽  
Vol 17 (8) ◽  
pp. 421-426 ◽  
Author(s):  
Jacques Duchêne ◽  
David J Hewson

We adapted a commercial bathroom scale in order to acquire the raw data from the weight sensors and then to send them to a server via a mobile phone. We investigated the usability and acceptability of the device in a long-term experiment with 22 elderly users that produced more than 5000 weight recordings. Four basic variables were extracted from the vertical force measurements and the stabilogram. The technology was accepted unreservedly, presumably because it did not differ from devices usually encountered in the home. The quantitative results showed a high variability of day-to-day measurement, which was countered by taking a moving average. A balance index was able to identify changes in balance over time. The preliminary results appear promising.


2014 ◽  
Vol 3 ◽  
pp. 183-195
Author(s):  
Elena Macevičiūtė

The article deals with the requirements and needs for long-term digital preservation in different areas of scholarly work. The concept of long-term digital preservation is introduced by comparing it to digitization and archiving concepts and defined with the emphasis on dynamic activity within a certain time line. The structure of digital preservation is presented with regard to the elements of the activity as understood in Activity Theory. The life-cycle of digitization processes forms the basis of the main processing of preserved data in preservation archival system.The author draws on the differences between humanities and social sciences on one hand and natural and technological science on the other. The empirical data characterizing the needs for digital preservation within different areas of scholarship are presented and show the difference in approaches to long-term digital preservation, as well as differences in selecting the items and implementing the projects of digital preservation. Institutions and organizations can also develop different understanding of preservation requirements for digital documents and other objects.The final part of the paper is devoted to some general problems pertaining to the longterm digital preservation with the emphasis of the responsibility for the whole process of safe-guarding the cultural and scholarly heritage for the re-use of the posterior generations. It is suggested that the longevity of the libraries in comparison with much shorter life-span of private companies strengthens the claim of memory institutions to playing the central role in the long-term digital preservation.


2007 ◽  
Vol 2 (1) ◽  
Author(s):  
M. Hochedlinger ◽  
W. Sprung ◽  
H. Kainz ◽  
K. König

The simulation of combined sewer overflow volumes and loads is important for the assessment of the overflow and overflow load to the receiving water to predict the hydraulic or the pollution impact. Hydrodynamic models are very data-intensive and time-consuming for long-term quality modelling. Hence, for long-term modelling, hydrological models are used to predict the storm flow in a fast way. However, in most cases, a constant rain intensity is used as load for the simulation, but in practice even for small catchments rain occurs in rain cells, which are not constant over the whole catchment area. This paper presents the results of quality modelling considering moving storms depending on the rain cell velocity and its moving direction. Additionally, tipping bucket gauge failures and different corrections are also taken into account. The results evidence the importance of these considerations for precipitation due the effects on overflow load and show the difference up to 28% of corrected and uncorrected data and of moving rain cells instead of constant raining intensities.


2014 ◽  
Vol 18 (9) ◽  
pp. 3763-3775 ◽  
Author(s):  
K. Meusburger ◽  
G. Leitinger ◽  
L. Mabit ◽  
M. H. Mueller ◽  
A. Walter ◽  
...  

Abstract. Snow processes might be one important driver of soil erosion in Alpine grasslands and thus the unknown variable when erosion modelling is attempted. The aim of this study is to assess the importance of snow gliding as a soil erosion agent for four different land use/land cover types in a subalpine area in Switzerland. We used three different approaches to estimate soil erosion rates: sediment yield measurements in snow glide depositions, the fallout radionuclide 137Cs and modelling with the Revised Universal Soil Loss Equation (RUSLE). RUSLE permits the evaluation of soil loss by water erosion, the 137Cs method integrates soil loss due to all erosion agents involved, and the measurement of snow glide deposition sediment yield can be directly related to snow-glide-induced erosion. Further, cumulative snow glide distance was measured for the sites in the winter of 2009/2010 and modelled for the surrounding area and long-term average winter precipitation (1959–2010) with the spatial snow glide model (SSGM). Measured snow glide distance confirmed the presence of snow gliding and ranged from 2 to 189 cm, with lower values on the north-facing slopes. We observed a reduction of snow glide distance with increasing surface roughness of the vegetation, which is an important information with respect to conservation planning and expected and ongoing land use changes in the Alps. Snow glide erosion estimated from the snow glide depositions was highly variable with values ranging from 0.03 to 22.9 t ha−1 yr−1 in the winter of 2012/2013. For sites affected by snow glide deposition, a mean erosion rate of 8.4 t ha−1 yr−1 was found. The difference in long-term erosion rates determined with RUSLE and 137Cs confirms the constant influence of snow-glide-induced erosion, since a large difference (lower proportion of water erosion compared to total net erosion) was observed for sites with high snow glide rates and vice versa. Moreover, the difference between RUSLE and 137Cs erosion rates was related to the measured snow glide distance (R2 = 0.64; p < 0.005) and to the snow deposition sediment yields (R2 = 0.39; p = 0.13). The SSGM reproduced the relative difference of the measured snow glide values under different land uses and land cover types. The resulting map highlighted the relevance of snow gliding for large parts of the investigated area. Based on these results, we conclude that snow gliding appears to be a crucial and non-negligible process impacting soil erosion patterns and magnitude in subalpine areas with similar topographic and climatic conditions.


Sign in / Sign up

Export Citation Format

Share Document