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Hip Surgery


Presentation

  • The patients presented had an average BMI of 26.5 and an average of 2.7 previous hip surgeries (range 2-5 surgeries) before the stem fracture. A total of 5 cases presented with a metal mesh fracture in addition to the fractured stem.[ncbi.nlm.nih.gov]
Asymptomatic
  • Residual labral tears were detected in 35% of asymptomatic patients (six of 17 patients) and 41% of symptomatic patients (seven of 17 patients) by reader 1 and in 53% of asymptomatic and symptomatic patients (nine of 17 patients in each group) by reader[ncbi.nlm.nih.gov]
Wheelchair Bound
  • At follow-up, 4 patients were either wheelchair bound or required a walking frame to mobilize in the community. At follow-up, all hips were in-joint with an average center edge angle of 37.7 degrees (range, 0 to 63 degrees).[ncbi.nlm.nih.gov]
Intertrigo
  • The assumed portals of entry were gluteal fold intertrigo, tinea pedis, psoriatic plaque and a carbuncle of the buttock.[ncbi.nlm.nih.gov]
Hip Pain
  • Hip Preservation Treatments For younger people with hip pain, eventual replacement of the joint is no longer a given.[uchospitals.edu]
  • Suffering from hip pain? Let us help. OSS Health is certified by the Joint Commission specifically for hip replacement surgery. Don’t let hip pain limit your ability to do the activities you enjoy![osshealth.com]
  • At the Department of Orthopaedic Surgery at Lahey Hospital & Medical Center, we know that hip pain can be a special kind of misery. Hip pain can interfere with sleep, the ability to be active and overall quality of life.[lahey.org]
  • Your doctor or an orthopedic specialist can help you determine the best course of action to manage hip pain. Hip Pain and Damaged Joints The hip is a ball-and-socket joint that connects the leg to the rest of the body.[recallcenter.com]
  • When the bones \ rub against each other, it causes hip pain and stiffness. Rheumatoid arthritis is an autoimmune disease in which the synovial membrane becomes inflamed or thickened.[oregonortho.com]
Low Back Pain
  • On postoperative day 1, the patient had severe low back pain that was controlled with patient-controlled analgesia. On postoperative day 2, the Foley catheter was removed and the patient sat and dangled.[ncbi.nlm.nih.gov]
  • Many patients who have hip pain also have low back pain. Physical therapy is very good at improving low back pain.[umm.edu]
Synovial Disorder
  • The indications for hip arthroscopy include the management of early osteoarthritis, synovial disorders (e. g., synovial osteochondromatosis), labral tears, chondral lesions, and femoroacetabular impingement (FAI), which is increasingly recognized as a[ncbi.nlm.nih.gov]
Distractibility
  • Hip arthroscopy is performed as a same-day procedure using a fracture table to apply distraction to the hip joint.[ncbi.nlm.nih.gov]
Grieving
  • Murphy NJ 1, 2 , Eyles J 1, 2 , Bennell KL 3 , Bohensky M 4 , Burns A 5 , Callaghan FM 6, 7 , Dickenson E 8 , Fary C 9, 10 , Grieve SM 6, 7 , Griffin DR 8 , Hall M 3 , Hobson R 8 , Kim YJ 11 , Linklater JM 12 , Lloyd DG 13, 14 , Molnar R 15 , O'Connell[ncbi.nlm.nih.gov]

Workup

Decreased Oxygen Saturation
  • The surgical procedure lasted 60 minutes without hypotension, bradycardia or decreased oxygen saturation.[ncbi.nlm.nih.gov]

Treatment

  • The second quality surgical treatment is Gibson's posteolateral approach at which 29 patients had the score of quality surgical treatment below 8, and 17 patients had the quality surgical treatment between 8 and 10.[ncbi.nlm.nih.gov]

Prognosis

  • What is the prognosis of total hip joint replacement? Patient education is important to ensure longevity of the replaced hip.[medicinenet.com]
  • Furnes O, Lie SA, Espehaug B, Vollset SE, Engesaeter LB, et al. (2001) Hip disease and the prognosis of total hip replacements. A review of 53,698 primary total hip replacements reported to the Norwegian Arthroplasty Register 1987-99.[omicsonline.org]

Etiology

  • CONCLUSION: In this case series, we demonstrate that inflammatory neuropathy is an important etiologic consideration in some patients with ipsilateral weakness and pain after hip surgery.[ncbi.nlm.nih.gov]
  • Keywords Hip; Ankylosing spondylitis; Total hip arthroplasty Introduction Ankylosing spondylitis (AS) is a chronic inflammatory disease of unknown etiology which primarily affects the sacroiliac joints, spine, hips and, less commonly, the knee joints[omicsonline.org]
  • "The Dislocated Hip Hemiarthroplasty: Current Concepts of Etiological factors and Management". The Open Orthopaedics Journal. 11 (Suppl-7, M4): 1200–1212. doi : 10.2174/1874325001711011200. ISSN 1874-3250. PMC 5721319. PMID 29290857.[en.wikipedia.org]

Epidemiology

  • Vander Cruyssen B, Muñoz-Gomariz E, Font P, Mulero J, de Vlam K, et al. (2010) Hip involvement in ankylosing spondylitis: epidemiology and risk factors associated with hip replacement surgery. Rheumatology (Oxford) 49: 73-81.[omicsonline.org]
  • "The Epidemiology of Revision Total Hip Arthroplasty in the United States". The Journal of Bone and Joint Surgery. American Volume. 91 (1): 128–133. doi : 10.2106/JBJS.H.00155. PMID 19122087.[en.wikipedia.org]
Sex distribution
Age distribution

Prevention

  • Both pre-operative and post-operative radiotherapy are effective in the prevention of HO in 85-95% of high-risk patients treated.[ncbi.nlm.nih.gov]

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