Preoperative gait adaptations persist one year after surgery in clinically well-functioning total hip replacement patients

Aims. Patients who misuse alcohol may be at increased risk of surgical complications and poorer function following hip replacement. Identification and intervention may lead to harm reduction and improve the outcomes of surgery. The aim of this study was to determine the prevalence of biomarker elevation in patients undergoing hip replacement and to investigate any correlation with functional scores and complications.Methods. We performed a retrospective study that examined the profile of biomarkers of alcohol misuse in 1049 patients undergoing hip replacement.Results. Gamma-glutamyltransferase was elevated in 150 (17.6%), and mean corpuscular volume was elevated in 23 (4%). At one year general physical health was poorer where there was elevation ofγGT, and the mental health and hip function was poorer with elevation of MCV. There were no differences in complications.Discussion. Raised biomarkers can alert clinicians to potential problems. They also provide an opportunity to perform further investigation and offer intervention. Future research should focus on the use in orthopaedic practice of validated screening questionnaires and more sensitive biomarkers of alcohol misuse.Conclusion. This study demonstrates a potential substantial proportion of unrecognised alcohol misuse that is associated with poorer functional scores in patients after total hip replacement.

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Monitoring the one year postoperative infection rate after primary total hip replacement

International Orthopaedics ◽

10.1007/s00264-011-1444-y ◽

2011 ◽

Vol 36 (6) ◽

pp. 1155-1161 ◽

Cited By ~ 7

Author(s):

David J. Biau ◽

Philippe Leclerc ◽

Simon Marmor ◽

Valerie Zeller ◽

Wilfrid Graff ◽

...

Keyword(s):

Infection Rate ◽

Total Hip Replacement ◽

Hip Replacement ◽

Postoperative Infection ◽

Total Hip ◽

One Year ◽

The One ◽

Postoperative Infection Rate

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Early surgical outcomes after total hip replacement in systemic lupus erythematosus patients

Rheumatology Science and Practice ◽

10.47360/1995-4484-2020-451-455 ◽

2020 ◽

Vol 58 (4) ◽

pp. 451-455

Author(s):

V. V. Mukhanov ◽

S. A. Makarov ◽

M. A. Makarov ◽

T. V. Popkova

Keyword(s):

Systemic Lupus Erythematosus ◽

Pain Intensity ◽

Total Hip Replacement ◽

Lupus Erythematosus ◽

Surgical Outcomes ◽

Hip Replacement ◽

Systemic Lupus ◽

Total Hip ◽

Hip Function ◽

One Year

Objective. To analyze early surgical outcomes after total hip replacement in systemic lupus erythematosus (SLE) patients.Subjects and Methods. The study included 42 SLE patients with femoral head osteonecrosis (ON) undergoing 59 total hip replacement (THR) surgeries at the traumatology and orthopedics department of VA Nasonova Research Institute of Rheumatology during 1998-2013 yy. All patients were thoroughly evaluated at baseline and one year after surgery using the Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K), damage index (DI) of the Systemic Lupus International Collaborating Clinics/American College of Rheumatology (SLICC/ACR) to assess the degree of irreversible organ damage, Harris hip function scale, and VAS for pain intensity to assess early results of THR procedure.Results. Significant improvement of pain intensity was documented based on VAS assessments, as well as hip function improvement from 40,0±14,9 (13,8 – 82,7) to 80,8±12 (46,7-96,0) scores based on Harris scale, improvement of SLE activity based on SLEDAI-2K assessment: from 0 -20 scores (median 4[4;8]) at baseline to 0 – 43 scores (median 0[0;4]) at one year, and DI – from 0-12 (median 3[2;5]) to 0 -15 scores one year after THR procedure. Complications including dislocation of femoral component, peroneal nerve paralysis, periprosthetic fracture, venous thrombosis, and delayed wound healing were documented totally in 10,2% of patients. No post-surgery deaths occurred.Conclusion. The results obtained are indicative of better pain control and improved hip function following THR in SLE patients.

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P80: Gait condition in patients after primary total hip replacement one year after surgery

Gait & Posture ◽

10.1016/j.gaitpost.2017.06.438 ◽

2017 ◽

Vol 57 ◽

pp. 314

Author(s):

Eliska Kubonova ◽

Jim Richards ◽

Zdenek Svoboda ◽

Miroslav Janura ◽

Martin Hobza

Keyword(s):

Total Hip Replacement ◽

Hip Replacement ◽

Total Hip ◽

One Year

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Is there a difference in physical activity levels in patients before and up to one year after unilateral total hip replacement? A systematic review and meta-analysis

Clinical Rehabilitation ◽

10.1177/0269215516673884 ◽

2016 ◽

Vol 31 (5) ◽

pp. 639-650 ◽

Cited By ~ 15

Author(s):

Thomas M Withers ◽

Sarah Lister ◽

Catherine Sackley ◽

Allan Clark ◽

Toby O Smith

Keyword(s):

Physical Activity ◽

Total Hip Replacement ◽

Hip Replacement ◽

Meta Analysis ◽

Activity Levels ◽

Total Hip ◽

Significant Difference ◽

Physical Activity Levels ◽

One Year

Objective: To determine the difference in physical activity levels before and up to one year after unilateral primary total hip replacement. Data sources: A search was performed on 13 July 2016. Studies were eligible for inclusion if they presented preoperative and up to one year postoperative measures of physical activity for patients who had undergone unilateral primary total hip replacement. Review methods: Any article that used a measure of physical activity pre and up to one year post-unilateral primary total hip replacement. Data was synthesised using a meta-analysis with 95% confidence intervals (CI), if appropriate. The Critical Appraisal Skills Programme cohort study checklist was used to assess the quality of evidence. Results: From 6024 citations, 17 studies were selected: Nine studies were analysed in a meta-analysis and eight studies were analysed qualitatively. The quality of the evidence was ‘low’ to ‘moderate’. There was no statistically significant difference in physical activity pre- to post-total hip replacement when assessed using: movement-related activity (mean difference (MD): −0.08; 95% CI: 1.60, 1.44; I2 = 0%; n = 77), percentage of 24-hours spent walking (MD: −0.21; 95% CI: −1.36, 0.93; I2 = 12%; n = 65), 6-minute walk test (MD: −60.85; 95% CI: −122.41, 0.72; I2 = 84%; n = 113) or the cardiopulmonary exercise test (MD: −0.24; 95% CI: −1.36, 0.87; I2 = 0%; n = 76). Conclusion: There is no statistically significant difference in physical activity levels before and up to one year after unilateral primary total hip replacement. However, the low to moderate methodological quality of the included articles should be taken into consideration when drawing conclusions.

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Revision of an unstable HELICA endoprosthesis with a Zurich cementless total hip replacement

Veterinary and Comparative Orthopaedics and Traumatology ◽

10.3415/vcot-09-08-0083 ◽

2010 ◽

Vol 23 (03) ◽

pp. 177-181 ◽

Cited By ~ 11

Author(s):

T. G. Guerrero ◽

K. Hurter ◽

P. M. Montavon ◽

A. A. Andreoni

Keyword(s):

Total Hip Replacement ◽

Hip Replacement ◽

Hip Prosthesis ◽

Weight Bearing ◽

Septic Loosening ◽

Total Hip ◽

Clinical And Radiological Outcome ◽

One Year ◽

The Right ◽

Cementless Total Hip Replacement

SummaryA six-year-old, female, spayed Labrador Retriever was evaluated for progressive lameness of one year duration, ending in non-weight-bearing of the right hindlimb. The dog had a history of severe coxarthrosis of both hip joints, and had a HELICA hip pros-thesis implanted in the right hip 18 months before. On survey radiographs, the acetabular and femoral components appeared unstable, with a large void in the proximal femur and a lacy periosteal reaction on the trochanter. Arthrocentesis was performed to rule out septic loosening. As culture samples were negative, the dog underwent surgery. We report the successful revision of an unstable HELICA screw hip prosthesis with a Zurich cementless total hip replacement. The patient had a good clinical and radiological outcome seven months postoperatively.

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Revision of a canine Zürich cementless total hip replacement using a ‘Cupless’ system

Veterinary Record Case Reports ◽

10.1136/vetreccr-2019-001035 ◽

2020 ◽

Vol 8 (2) ◽

pp. e001035

Author(s):

Ronald S Olsen ◽

Otto I Lanz

Keyword(s):

Femoral Head ◽

Total Hip Replacement ◽

Acetabular Component ◽

Hip Replacement ◽

Total Hip ◽

Replacement System ◽

One Year ◽

Owner Satisfaction ◽

High Degree

A 6-year-old spayed female pit bull mix developed lameness secondary to aseptic loosening of the acetabular component from a total hip replacement (THR) performed at 1 year of age with the standard Zürich cementless THR (Z-THR) system. It was treated by removing the acetabular component and replacing the standard femoral head prosthesis with the larger ‘Cupless’ femoral head. The acetabulum was reamed to accommodate it. The new prosthesis articulated directly with the reamed bone. One year later, the patient had no perceptible lameness and stable implants. Subsequent follow-up found appropriate ambulation and a high degree of owner satisfaction. The Zürich ‘Cupless’ hip replacement system aims to reduce some of the challenges associated with traditional THR. Though functional outcomes have not been scientifically compared with traditional THR, this case suggests it could be considered as an alternative to traditional THR procedures or for revision in cases with aseptic cup loosening.

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