scholarly journals Os acetabuli—a new arthroscopic treatment option for the acetabular rim fracture

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. i46-i50
Author(s):  
Bent Lund

Abstract Os acetabuli (Os) or acetabular rimfractures are often seen in femoroacetabular impingement patients and can result in groin pain. When seen in symptomatic patients, the question is whether to remove them or to fixate the loose fragment to the acetabular rim. This depends on acetabular coverage and the extent of the Os. If removal of the Os might lead to hip dysplasia and instability, fixation of the Os should be the goal. This technical article describes the author's technique in fixating the Os with a suture-bridge technique.

2016 ◽  
Vol 44 (4) ◽  
pp. 1017-1023 ◽  
Author(s):  
Danyal H. Nawabi ◽  
Ryan M. Degen ◽  
Kara G. Fields ◽  
Alexander McLawhorn ◽  
Anil S. Ranawat ◽  
...  

2016 ◽  
Vol 29 (05) ◽  
pp. 433-438
Author(s):  
John Culvenor ◽  
Craig Bailey ◽  
Alen Lai

SummaryObjective: To quantitatively evaluate the change of the coxofemoral joints using computed tomography and distraction index in a cat with hip dysplasia treated by juvenile pubic symphysiodesis.Study Design: Case report.Animal: Eighteen-week-old female entire Maine Coon cat.Results: Juvenile pubic symphysiodesis resulted in changes in the distraction index, acetabular angle, dorsal acetabular rim angle, dorsal acetabular sector angle, and clinical improvement at the six month follow-up. No intra-operative or postoperative complications were recorded.Conclusions: Juvenile pubic symphysiodesis performed at 18 weeks of age resulted in improvement in hip joint conformation and hip laxity in a dysplastic cat.Clinical relevance: Juvenile pubic symphysiodesis may be a promising treatment for feline hip dysplasia and is a safe and technically simple procedure to perform. Further investigations are warranted.


BMJ Open ◽  
2015 ◽  
Vol 5 (9) ◽  
pp. e008952 ◽  
Author(s):  
Signe Kierkegaard ◽  
Bent Lund ◽  
Ulrik Dalgas ◽  
Henrik Sørensen ◽  
Kjeld Søballe ◽  
...  

2016 ◽  
Vol 63 (3.4) ◽  
pp. 310-314 ◽  
Author(s):  
Kazuaki Mineta ◽  
Naoto Suzue ◽  
Tetsuya Matsuura ◽  
Koichi Sairyo

2016 ◽  
pp. 489-501
Author(s):  
Christopher M. Larson ◽  
Rebecca M. Stone ◽  
Patrick M. Birmingham

Joints ◽  
2015 ◽  
Vol 03 (02) ◽  
pp. 67-71 ◽  
Author(s):  
Gennaro Fiorentino ◽  
Alberto Fontanarosa ◽  
Riccardo Cepparulo ◽  
Alberto Guardoli ◽  
Luca Berni ◽  
...  

Purpose: the aim of this study was to evaluate preliminary clinical and radiographic results of arthroscopic treatment of cam-type femoroacetabular impingement (FAI). Methods: thirty-eight patients underwent hip arthroscopy for cam-type FAI between 2009 and 2012. Preoperative assessment was based on clinical examination, modified Harris Hip Score (mHHS) and radiographic examination with anteroposterior pelvis, frogleg and Lequesne views. The patients’ clinical conditions at follow-up were assessed using the mHHS administered as a telephone survey. Radiographic outcome measurements evaluated pre and postoperatively were the alpha angle and femoral head-neck offset. Results: the patients were clinically evaluated at a mean follow-up of 36 months. Radiographic follow-up was performed at an average of 12.7 months. Thirty of the 38 patients (79%) were satisfied with the results of the arthroscopic procedure. A total of nine patients subsequently underwent a total hip replacement. All 30 patients who declared themselves satisfied recorded an mHHS increase; in particular, the mHHS increased from a mean of 52.9 preoperatively (range: 27.5-82.5) to a mean of 85.6 postoperatively (range: 45.1-100.1). Three significant differences between the two groups of patients (satisfied and not satisfied) were recorded: mean age, alpha angle and BMI were all significantly greater in the patients who were not satisfied with the treatment. Conclusions: a crucial aspect in order to obtain good clinical outcomes of arthroscopic treatment of camtype impingement is correct selection of patients who are likely to benefit from this kind of surgery. Hip arthroscopy should be avoided in patients aged over 50 years with risk factors for early osteoarthritis (high BMI and a significantly increased alpha angle). Level of evidence: Level IV, therapeutic case series.


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