scholarly journals AB0200 Do ultrasound-guided corticosteroid injections provide short-term relief of symptoms in patients waiting total hip replacement?

Author(s):  
Z Karim ◽  
AK Brown ◽  
PJO Connor ◽  
M Quinn ◽  
G Jackson ◽  
...  
2006 ◽  
Vol 19 (03) ◽  
pp. 172-179 ◽  
Author(s):  
R. S. Gilley ◽  
F. S. Shofer ◽  
A. S. Kapatkin ◽  
M. S. Bergh

SummaryCemented total hip replacement (cTHR) is commonly performed to treat intractable coxofemoral pain in dogs. While owners generally perceive a good outcome after the procedure, the longevity of the implant may be limited by complications such as infection and aseptic loosening. The objective of this retrospective study was to identify the prevalence of complications and radiographic changes following cTHR, and to identify factors that may predispose to a need for revision surgery. Medical records and radiographs from 97 dogs that underwent cTHR were evaluated for signalment, preoperative degree of osteoarthritis, technical errors, intra-operative culture results, and the post-operative radiographic appearance of the implant. The complications occurring in the intra-operative and short-term (<eight week) periods, and the radiographic appearance of the implant in the long-term (>eight week) time period were recorded. Mean (±SD) follow-up time was 1.1 ± 1.6 years (range: 0–7.7 years). Seven dogs had a short-term complication and a revision surgery was performed in eleven dogs. Osseous or cement changes were radiographically detectable in the majority of cTHR. Eccentric positioning of the femoral stem and the presence of radiolucent lines at the femoral cement-bone interface were positively associated with the occurrence of revision surgery. The clinical significance of the periprosthetic radiographic changes is unclear and further investigation is warranted.


Author(s):  
Renée Huggard ◽  
Grace Wicks ◽  
Gordon Corfield

Abstract Objective The aim of this study was to assess the short-term clinical outcome in dogs following a hip hemi-arthroplasty for the treatment of primary pathological disorders of the hip and as a salvage procedure following failure of the cup component of a total hip replacement. Materials and Methods Medical records of dogs that had a unilateral hip hemi-arthroplasty performed between 2015 and 2020 were reviewed. Data collected included follow-up orthopaedic examinations performed at 0, 2, 8 and 52 weeks postoperatively, pelvic radiography at 0, 8 and 52 weeks postoperatively and an owner questionnaire (Helsinki chronic pain index [HCPI]). Results Eleven unilateral hip hemi-arthroplasty procedures were identified. The median age at time of surgery was 3.6 years (8 months–10 years) and the median follow-up time was 13 months (range: 2 months–3 years). The HCPI for all dogs at follow-up was median 8 ± 7.30 (range: 5–25). Total HCPI was < 12 for 7/10 dogs and ≥ 12 for 3 dogs. Pelvic radiographs at 1 year confirmed osteointergration of the femoral stem implant and no evidence of implant subsidence or progression of osteoarthritis. However, there was some evidence of mild lucency of the acetabular bed around the prosthetic femoral head and mild peri-acetabular sclerosis in four cases. Conclusion Hip hemi-arthroplasty provides a clinically acceptable treatment for disabling disease of the coxofemoral joint with 10/11 patients achieving acceptable short-term clinical function. Long-term assessment of the hip hemi-arthroplasty and comparison with total hip replacement is indicated.


2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Roland White ◽  
Anitha Thalluri ◽  
Jonathan Cabot ◽  
Matthew Sampson

Author(s):  
Carlos B. Branco ◽  
Rita M. Sousa ◽  
Diogo Sousa ◽  
Joao Reis ◽  
Andre Guimaraes ◽  
...  

<p><strong>Background:</strong> The objective of current study was to compare the short-term outcomes between a cohort of patients that undergone total hip replacement by a superpath technique at the beginning of the surgeon's learning curve, and a cohort of patients that undergone a total hip replacement by a conventional posterior approach.</p><p><strong>Methods:</strong> A cohort of 22 patients was prospectively and randomly selected for being part of a superpath approach group or a conventional posterior approach group. Clinical evaluation was performed in two primary end-points - the third post-operative day and the first month after surgery - using physical exams as the “20 meter walking test” and the “30 seconds sit to stand test”, the Harris hip score, the visual analogue scale for pain. Radiological evaluation was also performed.</p><p><strong>Results:</strong> 11 patients underwent the superpath approach and 11 patients underwent the conventional posterior approach. The surgery time was 78.2 min in the superpath group and 59.4 min in the posterior group. The average hospital stay was 3.4 days in the superpath group and 5.3 days in the posterior group. When assessing pain improvement through VAS, it was found that both on the third postoperative day and on the first postoperative month, patients in the superpath group showed greater improvement. There were no differences in functional results with statistical significance. No complications were seen in both groups.</p><p><strong>Conclusions:</strong> Despite the longer surgical time seen with the superpath approach, it managed to significantly decrease the length of hospital stay and obtained better results in improving pain in the short term.</p>


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