scholarly journals Reconstruction with Joint Preservation

2019 ◽  
Author(s):  
Lourenço Galizia Heitzmann
Keyword(s):  
Joint Preservation

Joint Preservation in Radiocarpal Arthritis

OrthoMedia ◽  
2021 ◽  
Keyword(s):  
Joint Preservation

scholarly journals Joint preservation after hip arthroscopy in patients with FAI. Prospective analysis with a minimum follow-up of seven years

2019 ◽  
Vol 06 (03) ◽  
pp. 317 ◽  
Author(s):  
F. Comba ◽  
C. Yacuzzi ◽  
P.J. Ali ◽  
G. Zanotti ◽  
M. Buttaro ◽  
...  
Keyword(s):  
Hip Arthroscopy ◽  
Prospective Analysis ◽  
Joint Preservation

Tarsal fractures: part 2

2020 ◽  
Vol 25 (3) ◽  
pp. 1-8
Author(s):  
Karen Lisette Perry
Keyword(s):  
Bone Fractures ◽  
Small Animal ◽  
Positive Outcome ◽  
Good Prognosis ◽  
Tarsal Bone ◽  
Calcaneal Fractures ◽  
Joint Preservation ◽  
Malleolar Fractures ◽  
Tarsal Bones ◽  
Realistic Goal

Both calcaneal and central tarsal bone fractures are commonly encountered in the racing greyhound. While isolated fractures of the numbered tarsal bones are uncommon, malleolar fractures are encountered frequently in small animal practice. Fractures of the central tarsal bone or calcaneal fractures in both dogs and cats may be either fatigue or stress fractures, or associated with Knees and Teeth Syndrome, which may alter the typically expected presentation and prompt assessment for additional fractures, both in the tarsus and elsewhere. Surgical stabilisation is often the treatment of choice, particularly for fractures with an articular component. In many cases, surgical stabilisation leads to a positive outcome, with Greyhounds often being able to return to racing. However, it is important to be aware that fractures in non-racing dogs tend to be more complex and that this good prognosis may not be appropriate to extrapolate. Depending on the nature and severity of injuries, joint preservation may not always be a realistic goal. If the joint cannot be preserved, arthrodesis may become necessary.

Determining Patient Satisfaction and Treatment Desires in Patients With Musculoskeletal Sarcoma of the Knee After Joint-preservation Surgery Using a Questionnaire Survey

2019 ◽  
Vol 39 (4) ◽  
pp. 1965-1969
Author(s):  
KENSAKU ABE ◽  
NORIO YAMAMOTO ◽  
KATSUHIRO HAYASHI ◽  
AKIHIKO TAKEUCHI ◽  
SATOSHI KATO ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Questionnaire Survey ◽  
Musculoskeletal Sarcoma ◽  
Joint Preservation

scholarly journals Delayed gadolinium-enhanced magnetic resonance imaging of hip joint cartilage (dGEMRIC): pearls and pitfalls

2011 ◽  
Vol 3 (2) ◽  
pp. 11 ◽  
Author(s):  
Bernd Bittersohl
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Hip Joint ◽  
Cartilage Damage ◽  
Mr Arthrography ◽  
Image Resolution ◽  
Current Status ◽  
Joint Cartilage ◽  
Resonance Imaging ◽  
Joint Preservation

With the increasing advances in hip joint preservation surgery, accurate diagnosis and assessment of femoral head and acetabular cartilage status is becoming increasingly important. Magnetic resonance imaging (MRI) of the hip does present technical difficulties. The fairly thin cartilage lining necessitates high image resolution and high contrast-to-noise ratio (CNR). With MR arthrography (MRA) using intraarticular injected gadolinium, labral tears and cartilage clefts may be better identified through the contrast medium filling into the clefts. However, the ability of MRA to detect varying grades of cartilage damage is fairly limited and early histological and biochemical changes in the beginning of osteoarthritis (OA) cannot be accurately delineated. Traditional MRI thus lacks the ability to analyze the biological status of cartilage degeneration. The technique of delayed gadolinium-enhanced MRI of cartilage (dGEMRIC) is sensitive to the charge density of cartilage contributed by glycosaminoglycans (GAGs), which are lost early in the process of OA. Therefore, the dGEMRIC technique has a potential to detect early cartilage damage that is obviously critical for decision-making regarding time and extent of intervention for joint-preservation. In the last decade, cartilage imaging with dGEMRIC has been established as an accurate and reliable tool for assessment of cartilage status in the knee and hip joint. This review outlines the current status of dGEMRIC for assessment of hip joint cartilage. Practical modifications of the standard technique including three-dimensional (3D) dGEMRIC and dGEMRIC after intra-articular gadolinium instead of iv-dGEMRIC will also be addressed.

scholarly journals Outcomes of Joint Preservation Surgery: Comparison of Patients with Developmental Dysplasia of the Hip and Femoroacetabular Impingement

2016 ◽  
Vol 3 (suppl_1) ◽  
Author(s):  
Paul Beaule ◽  
Etienne Belzile ◽  
John Clohisy ◽  
Jae-Jin Ryu
Keyword(s):  
Femoroacetabular Impingement ◽  
Developmental Dysplasia ◽  
Joint Preservation ◽  
Dysplasia Of The Hip

scholarly journals Outcomes of Joint Preservation Procedures for Cartilage Injuries in the Hip: A Systematic Review and Meta-analysis

2018 ◽  
Vol 6 (6) ◽  
pp. 232596711877694 ◽  
Author(s):  
Michaela O’Connor ◽  
Anas A. Minkara ◽  
Robert W. Westermann ◽  
James Rosneck ◽  
T. Sean Lynch
Keyword(s):  
Systematic Review ◽  
Success Rate ◽  
Hip Joint ◽  
Autologous Chondrocyte Implantation ◽  
Meta Analysis ◽  
Lesion Size ◽  
Joint Preservation ◽  
Chondrocyte Implantation ◽  
Autologous Chondrocyte

Background: The detection and management of chondral injuries of the hip, especially in a younger patient population, may preempt joint degeneration. Although the outcomes of preservation techniques have been well described for other weightbearing joints, such as the knee, evidence for hip joint preservation after procedures such as microfracture and autologous chondrocyte implantation remains in its infancy. Purpose: To evaluate outcomes of joint preservation procedures in the hip, including the success rate and patient-reported outcomes (PROs). Study Design: Systematic review; Level of evidence, 4. Methods: This review was performed using the terms “hip arthroscopy,” “microfracture,” “autologous chondrocyte implantation,” “fibrin glue,” “osteochondral transfer,” and variations thereof in 5 electronic databases, yielding 325 abstracts. After the application of eligibility criteria, 19 articles were included. Weighted means were calculated for PROs, and pooled estimates were calculated for age, follow-up, chondral lesion size, and success of hip preservation procedures with a random-effects proportion meta-analysis. Results: A total of 1484 patients (1502 hips) were identified across 19 studies (mean age, 38.0 ± 1.3 years; mean follow-up, 31.8 ± 9.6 months). Hip joint preservation techniques demonstrated a high success rate, ranging from 85.6% to 99.7%. The mean pooled chondral lesion size was 2.5 ± 0.3 cm2 (95% CI, 1.9-3.0 cm2). Microfracture was the most frequent technique, utilized by 11 studies, and demonstrated an 89.6% success rate (95% CI, 82.4%-96.7%). The highest pooled success rate was exhibited by autologous membrane-induced chondrogenesis in 3 studies (99.7% [95% CI, 99.0%-100.0%]). All PROs demonstrated a statistically significant increase postoperatively, including the modified Harris Hip Score, Nonarthritic Hip Score, and Hip Outcome Score–Activities of Daily Living and Hip Outcome Score–Sports-Specific Subscale (all P < .05). The visual analog scale for pain also demonstrated a statistically significant decrease of 37.2% ( P < .05). Conclusion: Hip preservation procedures demonstrate a high success rate, with microfracture representing the most frequently utilized cartilage preservation technique in the peer-reviewed literature. PROs significantly improved after surgery. Further investigation of hip preservation modalities with long-term follow-up is required to create evidence-based clinical recommendations and treatment algorithms.

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