scholarly journals Post-traumatic hip arthritis, is total hip arthroplasty the right choice?

2021 ◽  
Vol 5 ◽  
pp. 225-226
Author(s):  
Mojieb Manzary
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Total Hip ◽  
Hip Arthritis ◽  
Post Traumatic ◽  
The Right

Primary Total Hip Arthroplasty for Gunshot Injury-Induced Secondary Arthritis of the Hip: What Are the Outcomes?

2017 ◽  
Vol 01 (04) ◽  
pp. 200-204 ◽  
Author(s):  
Roby Abraham ◽  
Joseph Scollan ◽  
Patrick Mixa ◽  
Denis Cherkalin ◽  
Jeffrey Varghese ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Total Hip ◽  
Hip Function ◽  
Post Traumatic ◽  
Traumatic Arthritis ◽  
Primary Total Hip Arthroplasty

AbstractGunshot wound (GSW) injuries around the hip joint can lead to debilitating post-traumatic arthritis, requiring a technically demanding primary total hip arthroplasty (THA). These surgeries are often complicated by bullet debris, extensive scaring, prior operations, and altered local anatomy. Although most literature focuses on acute management of GSW around the hip, a few reports detail the mid-term outcomes of GSW patients with primary THA for post-traumatic arthritis. The purpose of this study was to assess the outcomes and complications associated with THA in nine patients with secondary arthritis due to prior GSW injuries. At a mean follow-up of 35 months (range 12–60 months), significant improvement was shown in hip function, activity, and pain levels, and was similar to the outcomes of 18 patients who underwent primary THA for degenerative joint disease. While technically demanding, THA seems to reduce pain and improve function safely and effectively for patients with GSW-induced hip arthritis.

Comorbidities and indications for total hip arthroplasty at a tertiary care center in Saudi Arabia

2021 ◽  
Vol 12 (3) ◽  
pp. 59-63
Author(s):  
Bandar M Hetaimish ◽  
Eyad A Alakkas ◽  
Khalid F Alharbi ◽  
Abdulrahman M Alradadi ◽  
Habib Y Aletani ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Postoperative Complications ◽  
Total Hip Arthroplasty ◽  
Chronic Diseases ◽  
Hip Arthroplasty ◽  
Common Indication ◽  
Total Hip ◽  
Tertiary Center ◽  
Duration Of Surgery ◽  
Post Traumatic

Objectives: Total hip arthroplasty (THA) is one of the most effective orthopedic interventions for the treatment of patients with advanced‑ stage hip disease. However, reports regarding indications for primary THA in Saudi Arabia are limited. We aimed to evaluate primary indications for THA and identify associated chronic diseases and postoperative complications in THA patients at a tertiary hospital in Saudi Arabia. These are important to provide knowledge on types of hip diseases and variables that may affect the outcome of this intervention in the Saudi population. Methods: This is a retrospective cohort study of THA cases performed between 2010 and 2019 at a tertiary center in Saudi Arabia. Retrieved data include patients’ ages at the time of surgery, chronic diseases, presurgical diagnosis, site and duration of surgery, and postoperative complications. Results: We identified 83 patients who had undergone primary THA; in regard to comorbidities, 32.5% and 30.1% had hypertension and diabetes mellitus, respectively. The most common indication for THA was degenerative hip osteoarthritis (50.6%), followed by post-traumatic arthritis (22.9%) and hip avascular necrosis (20.5%). Conclusion: Despite the high rate of trauma and accidents in Saudi Arabia, degenerative osteoarthritis remains the most common indication for primary THA. Post-traumatic osteoarthritis is identified as the second major indication for THA.

Effect of total hip arthroplasty on brake reaction time and braking force

2020 ◽  
pp. 112070002093663
Author(s):  
Henrik C Bäcker ◽  
David Krüger ◽  
Sophie Spies ◽  
Carsten Perka ◽  
Stephanie M Kirschbaum ◽  
...  
Keyword(s):  
Reaction Time ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Driving Experience ◽  
Total Hip ◽  
Emergency Braking ◽  
Before And After ◽  
The Mean ◽  
Braking Force ◽  
The Right

Introduction: The correct moment for return to driving after total hip arthroplasty (THA) remains unclear. Until today no uniform recommendation exists on the ability to perform an emergency brake. The aim of this prospective study was to investigate the braking ability of patients before and after THA implantation based on brake reaction time in milliseconds (BRT) and braking force in N (BF). Methods: In total, 25 patients (15 men, 10 women, mean age 51.3 ± 10.1 years) were treated with THA on the right side. Inclusion criteria consisted of a valid driving licence, frequent road participation and at least 2 years of driving experience. Exclusion criteria were underlying neurological disorders as well as severe complaints in the lumbar spine and the right knee joint. The brake ability was evaluated for emergency braking with a car simulator and a measuring sole. Measurements were performed preoperatively, 6 days, 2, 4 and 6 weeks after surgery. Results: Preoperatively, the mean BRT was 671.3 ± 123.5 ms and the BF 455.4 ± 185.0 N. Significant differences were observed at 6 days and 2 weeks after surgery, (BRT 836.4 ± 219.7 ms, respectively, BRT 735.0 ± 186.7 ms, and BF 302.6 ± 154.9 N, respectively, BF 375.5 ± 149.3 N, p < 0.05). Only 4 weeks after, no significant differences were seen compared to pre-operative with a BRT of 647.0 ± 91.9ms ( p = 0.354) and BF of 435.9 ± 177.4 ( p = 0.843). Furthermore, the BRT improved significantly after 6 weeks (607.4 ± 87.6; p = 0.005). Conclusions: The braking force is significantly reduced, and the brake reaction time is prolonged directly after surgery for at least 2 weeks. After 4 weeks, no statistically significant differences were measured, although special care should still be taken during return to activity.

scholarly journals Copper-Coated Spacer for Total Femoral Replacement in Recurrent Periprosthetic Joint Infection: A Case Report

2021 ◽  
Vol 27 (1) ◽  
pp. 175-182
Author(s):  
A. Belokobylov ◽  
N. D. Batpenov ◽  
S. S. Balgazarov ◽  
V. D. Serikbayev ◽  
A. A. Krikliviy ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Periprosthetic Joint Infection ◽  
Joint Infection ◽  
Sinus Tract ◽  
Knee Joints ◽  
Cement Spacer ◽  
Total Hip ◽  
The Right ◽  
Postoperative Scar

Background. There are few cases of entire femur modular replacement with hip and knee joints in patients with periprosthetic joint infection (PJI) in literature. They report encouraging results in patients of elderly and senile age. We present case of a copper-coated femoral spacer implantation to 50-year-old patient with multiple PJI episodes and osteomyelitis of the entire femur.Clinical presentation. A 40-year-old male patient after resection of the proximal part of the right femur for fibrotic osteodysplasia underwent total hip arthroplasty with replacement of 15 cm of the femur. In December 2010 (20 months after implantation), instability of the femoral component developed, revision arthroplasty was performed with stem recementation. After 4 months, sinus tract formed in the area of the postoperative scar. After another 4 months, the head of the prosthesis was dislocated. In September 2011, the endoprosthesis components were removed and a unipolar cement spacer was implanted. The limb immobilized in a hip spica cast. Methicillin-sensitive S. epidermidis (MSSE) was detected in the preoperative joint aspiration puncture and periprosthetic tissues. After 3 months (December 2011), patient underwent revision total hip arthroplasty (25 cm defect was replaced). 5 years of PJI remission followed. In November 2016 after PJI recurrence the endoprosthesis was removed, and an articulating spacer was implanted. P. aeruginosa was detected in periprosthetic tissues. For the past 2.5 years there were periodically sinus tracts formations. In August of 2019 spacer’s migration resulted in an intercondylar fracture of the right femur. In September 2019, spacer was removed, and MSSE was detected in the surrounding tissues. An articulating cement spacer based on an oncological modular total femur coppercoated endoprosthesis was implanted. At each control examination during the year copper concentration in blood serum was determined, it did not exceed 900–1200 mcg/l. No local or systemic side effects were detected. The patient started working 3 months after surgery. After 6 months poor functioning sinus tract formed in the postoperative scar area in the lower third of the thigh. 1.5 years after the operation, the functional condition is satisfactory.Conclusion. The use of the copper-coated spacer based on modular total femur endoprosthesis with hip and knee joints in a patient with multiple PJI allowed to improve the function of the limb and reduce the severity of the infectious process. No local or systemic toxic effects of copper were detected.

scholarly journals Glove damage in total hip arthroplasty

2019 ◽  
Vol 7 (3) ◽  
pp. 55-62
Author(s):  
Andrei A. Boyarov ◽  
Rashid M. Tikhilov ◽  
Igor I. Shubnyakov ◽  
Ali I. Midaev
Keyword(s):  
Risk Factors ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Surgical Team ◽  
Surgical Gloves ◽  
Team Members ◽  
Total Hip ◽  
Wound Contamination ◽  
Revision Tha ◽  
The Right

Background. Glove damage during orthopedic operation can reach an incidence of 26.1%, whereas perforations in gloves go unnoticed by surgical team members in most cases (up to 82%), which certainly increases the risk of wound contamination and hemocontact infection transmission. Aim. The aim of this study was to assess the frequency of glove damage among hip arthroplasty surgical team members, to identify the nature, location, and risk factors of damage to surgical gloves. Materials and methods. A total of 1418 surgical gloves (709 pairs) that were used by surgeons, assistants, and surgical nurses during 154 primary and revision total hip arthroplasty (THA) were included in the analysis in this study. Results. Damage to surgical gloves was observed in 69 (44.8%) operations: 54 operations of the primary THA (42.2%) and 15 revision THA (57.7%). Of 1418 gloves used, 95 were damaged (6.7%); 68 of 1166 gloves (5.8%) were damaged during primary hip arthroplasty and 27 of 252 gloves (10.7%) were damaged during revision THA. During primary and revision arthroplasties, glove perforations were observed in most cases: 83.6% and 85.7%, respectively. Most of the cases of glove damage were found in surgeons (45.2% of cases), and 41.1% and 13.7% of the cases of glove damage were experience by assistants and operating room nurses, respectively. The most frequent location of damage in the gloves was on the second finger of both hands: on the left, 40.3%, and on the right, 33.3%. Gloves were damaged in 42.1% of cases in primary arthroplasties lasting up to 70 min and in 42.3% of cases in those lasting more than 70 min. In revision hip arthroplasties lasting up to 95 min, gloves were damaged in 38.5%, and in revisions that lasted more than 95 min, in 76.9% cases. Discussion. Glove damage during revision THA most often occurs to the surgeon suturing the wound (87.4%) and usually remains unnoticed. Risk factors for glove damage are the length of the operations and the use of sharp tools, knitting needles, and wire. Conclusion. Use of apodactyl operational techniques and periodic change of surgical gloves can reduce the risk of damage to gloves and, as a result, reduce wound contamination and the transmission of blood-borne infections.

scholarly journals Isolated Distal Fibular Stress Fracture after Total Hip Arthroplasty in a Patient with Developmental Dysplasia of the Hip

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Tomofumi Nishino ◽  
Fumi Ochiai ◽  
Tomohiro Yoshizawa ◽  
Hajime Mishima ◽  
Masashi Yamazaki
Keyword(s):  
Vitamin D ◽  
Total Hip Arthroplasty ◽  
Stress Fracture ◽  
Hip Arthroplasty ◽  
Developmental Dysplasia ◽  
Lower Limbs ◽  
Distal Fibula ◽  
Total Hip ◽  
The Right ◽  
Dysplasia Of The Hip

Stress fractures following total hip arthroplasty in the lower limbs away from the surgical area are very rare. We report a case of stress fracture in the isolated distal fibula that presented five months after total hip arthroplasty in a patient with developmental dysplasia of the hip. A 67-year-old woman diagnosed with coxarthrosis of the right hip joint, classified as Crowe’s group 3, underwent total hip arthroplasty with acetabular reconstruction using a bulk bone graft. The surgery successfully treated the preoperative leg length discrepancy and flexion and external rotation contractures. The alignment of the right lower limbs changed from slight varus to valgus knee following surgery. The postoperative process went well; however, she experienced lateral ankle pain on the affected side five months after surgery. No obvious fracture was observed via radiograph; however, she received a subsequent diagnosis of isolated distal fibula stress fracture. Additionally, she was diagnosed with vitamin D deficiency. Valgus alignment change of the knee joint and vitamin D deficiency were considered the main causes of the stress fracture. Stress fractures should be suspected in patients complaining of unexpected pain following total hip arthroplasty, even in distant areas of the affected limb, especially in osteoporotic patients.

scholarly journals Treatment of secondary hip arthritis from shell fragment and gunshot injury in the Syrian civil war

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Raif Özden ◽  
Serkan Davut ◽  
Yunus Doğramacı ◽  
Aydıner Kalacı ◽  
İbrahim Gökhan Duman ◽  
...  
Keyword(s):  
Civil War ◽  
Total Hip Arthroplasty ◽  
Hip Joint ◽  
Hip Arthroplasty ◽  
Harris Hip Score ◽  
Total Hip ◽  
Hip Arthritis ◽  
Syrian Civil War ◽  
Shell Fragment ◽  
The Mean

Abstract Background In gunshot and shell fragment injuries to the hip joint, orthopedic intervention includes wound assessment and care, osteosynthesis of fractures, and avoiding of infection and osteoarthritis. Individuals injured in the Syrian civil war were frequently transferred to the authors’ institution in neighboring city. Orthopedic trauma exposures were determined in approximately 30% of these patients. The aim of this study was to evaluate the outcomes of the patients with secondary hip arthritis due to prior gunshot and shell fragment (shrapnel) injuries who underwent primary total hip arthroplasty. Methods This retrospective study reviewed 26 patients (24 males, 2 females) who underwent hip arthroplasty due to prior gunshot and shell fragment injuries from November 2013 to January 2019. For all patients, the Harris Hip Score (HHS) was evaluated preoperatively and after surgery. Results Mean age was 31.5 (range, 19–48) years. The mean preoperative HHS was 52.95 points, and the mean postoperative HHS was 79.92 points at the final follow-up after surgery. Patients with shell fragment injuries to the hip joint had higher infection rates, but it is not statistically significant. Conclusions An anatomic reduction of the fracture may not be possible in these cases as a result of significant bone and/or cartilage loss. Total hip arthroplasty can be done after gunshot- and shell fragment-related posttraumatic arthritis. It is an effective treatment choice to reduce pain and improve function, but the surgeon must be very careful because of high rate of infection.

Sign in / Sign up

Export Citation Format

Share Document