Does Total Hip Arthroplasty Influence the Development and Localization of Sacral Insufficiency Fractures?

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Isabel Graul ◽  
Patrick Strube ◽  
Sophia Vogt ◽  
Georg Matziolis ◽  
Steffen Brodt ◽  
...  
2003 ◽  
Vol 85 (9) ◽  
pp. 1819-1822 ◽  
Author(s):  
CORY G. CHRISTIANSEN ◽  
RIDA A. KASSIM ◽  
JOHN J. CALLAGHAN ◽  
J. LAWRENCE MARSH ◽  
ANDREW H. SCHMIDT

2008 ◽  
Vol 11 (04) ◽  
pp. 181-184 ◽  
Author(s):  
Nachoum Galit ◽  
Brosh Tamar ◽  
Salai Moshe ◽  
Tytiun Yehezkel ◽  
Dudkiewicz Israel

Although uncommon, pubic ramus fractures are described in patients who have undergone total hip arthroplasty (THA). We describe two females with superior ramus pubis insufficiency fractures following THA. We consider the physiological and biomechanical aspects of those fractures, e.g. that the superior ramus pubis has the highest load stress on the pelvis (as has already been proved in a three-dimensional finite element model). Also being discussed are risk factors (intrinsic and extrinsic) for stress fractures and the management of insufficiency fractures. Both women suffered osteoporosis, obesity, and had a semisedentary lifestyle — all of which are known risks factors for insufficiency superior ramus pubis fracture to occur in a location which proved as a "weak link" zone after THA. Many of these fractures are undetected, mainly due to the lack of awareness of medical practitioners who attribute the clinical symptoms to other diseases; however, the differential diagnosis of groin pain within the first years following THA should include pubic ramus insufficiency fractures.


2018 ◽  
Author(s):  
Benedikt Schwaiger ◽  
Alexandra Gersing ◽  
Daniela Muenzel ◽  
Julia Dangelmaier ◽  
Peter Prodinger ◽  
...  

1987 ◽  
Vol 58 (04) ◽  
pp. 1040-1042
Author(s):  
J J M L Hoffmann ◽  
J H J P M Kortmann

SummaryThe behaviour of the contact system was studied in 40 patients with total hip arthroplasty, by measuring plasma prekallikrein, spontaneous kallikrein activity and factor XII. In the literature it had been shown that patients with complications from this operation had decreased prekallikrein and increased kallikrein activity (M. Nakahara. Acta orthop scand 1982; 53: 591-6). In the present study, comprising patients with and without pain and proven loosening of the hip prosthesis, these findings could only partially be confirmed. Patients with a loosened prosthesis had significantly lower prekallikrein (mean 0.78 ± 0.28 U/ml; p <0.01) than patients without problems, but no detectable kallikrein activity in plasma. Patients with pain but no loosening had normal prekallikrein (1.04 ±0 0.26 U/ml) and also no demonstrable kallikrein activity. Factor XII was normal in all patient groups. It is concluded that decreased prekallikrein is limited to patients with a loosened hip prosthesis, with or without pain.


2020 ◽  
Vol 04 (02) ◽  
pp. 084-089
Author(s):  
Vivek Singh ◽  
Stephen Zak ◽  
Ran Schwarzkopf ◽  
Roy Davidovitch

AbstractMeasuring patient satisfaction and surgical outcomes following total joint arthroplasty remains controversial with most tools failing to account for both surgeon and patient satisfaction in regard to outcomes. The purpose of this study was to use “The Forgotten Joint Score” questionnaire to assess clinical outcomes comparing patients who underwent a total hip arthroplasty (THA) with those who underwent a total knee arthroplasty (TKA). We conducted a retrospective review of patients who underwent primary THA or TKA between September 2016 and September 2019 and responded to the Forgotten Joint Score-12 (FJS-12) questionnaire at least at one of three time periods (3, 12, and 21 months), postoperatively. An electronic patient rehabilitation application was used to administer the questionnaire. Collected variables included demographic data (age, gender, race, body mass index [BMI], and smoking status), length of stay (LOS), and FJS-12 scores. t-test and chi-square were used to determine significance. Linear regression was used to account for demographic differences. A p-value of less than 0.05 was considered statistically significant. Of the 2,359 patients included in this study, 1,469 underwent a THA and 890 underwent a TKA. Demographic differences were observed between the two groups with the TKA group being older, with higher BMI, higher American Society of Anesthesiologists scores, and longer LOS. Accounting for the differences in demographic data, THA patients consistently had higher scores at 3 months (53.72 vs. 24.96; p < 0.001), 12 months (66.00 vs. 43.57; p < 0.001), and 21 months (73.45 vs. 47.22; p < 0.001). FJS-12 scores for patients that underwent THA were significantly higher in comparison to TKA patients at 3, 12, and 21 months postoperatively. Increasing patient age led to a marginal increase in FJS-12 score in both cohorts. With higher FJS-12 scores, patients who underwent THA may experience a more positive evolution with their surgery postoperatively than those who had TKA.


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