Abstract Background The best stem type and location for femoral shortening in high-riding developmental dysplasia of the hip (DDH) not clear. We evaluated morphology proximal femur on EOS™ images, focusing anatomical landmarks measurements relevant to selection DDH. Our goal is identify define differences anatomy between patients with Crowe IV DDH normal individuals, order determine appropriate neck cut these increase chances successfully using a wedge stem. Methods images 40 hips type-IV...

Background: Both synovial chondromatosis and femoroacetabular impingement present with hip pain may lead to osteoarthritis. We a small case series describe the clinical presentation, investigation, treatment of patients who also had cam-type involving same hip. Methods: Five (four men one woman mean age thirty-four years [range, thirty thirty-seven years]) unilateral presented radiographic features ipsilateral impingement. The diagnosis associated was made on basis preoperative imaging in...

Abstract Background THA for high-riding developmental dysplasia of the hip (DDH) is challenging in terms length equalization. Although previous studies suggested preoperative templating on AP pelvic radiographs insufficient patients with unilateral DDH because hypoplasia hemipelvis affected side and unequal femoral tibial scanograms, results were controversial. The EOS™ (EOS™ Imaging) a biplane X-ray imaging system using slot-scanning technology. Length alignment measurements have been shown...

The purpose of this study is to describe the midterm clinical and radiologic outcomes concurrent femoral head reduction osteotomy (FHRO) periacetabular (PAO) in Legg-Calvé-Perthes disease (LCPD) patients with major aspherical deformities.The included four Perthes Stage IV Waldenstrom's classification a mean age 10.5 severe asphericity. They were treated combination FHRO + PAO followed for at least 2 years. An evaluation radiological outcome surgery was carried out based on lateral center...

Deferoxamine (DFO) angiogenesis induction potential has been demonstrated in earlier studies, but not the osteonecrosis of femoral head (ONFH). In this study, we evaluated outcome ONFH treated with combined core decompression and local DFO administration loaded on Polylactic Glycolic Acid (PLGA).In a pilot experimental six patients (10 hips) early-stage non-traumatic were by decompression, concurrent injection PLGA scaffold into subchondral head. Outcome measures before surgery 12 24 months...

The purpose of this study was to report (1) a different but specific pattern impingement in hips involved with valgus slipped capital femoral epiphysis (valgus SCFE) and (2) the results surgical treatment using intracapsular realignment techniques.Case series.Multiple academic centers.Six patients 8 referred for alignment proximal SCFE).Intracapsular osteotomy combined periacetabular if needed.The clinical radiographical pathophysiology motion.Eight 6 were treated subcapital (5 hips) or neck...

The impact of periarticular corticosteroid injection for pain control after total joint arthroplasty (TJA) is controversial. present study aimed to investigate this controversy in patients undergoing hip (THA) and knee (TKA).A 42 THA TKA were included study. each group randomly allocated into A (cocktail+Depo-Medrol) B (cocktail alone). outcome measures a Visual Analog Scale (VAS) at five different time points both TKA, as well the range motion (ROM) straight leg raise (SLR) only. Patients...

Abstract Background Long-term Bisphosphonate consumption has been reported to be associated with the incidence of atypical or insufficiency fracture, particularly in proximal femur. We observed a case acetabular and sacral fractures patient long-term history Alendronate consumption. Case presentation A 62-year-old woman was admitted complaint pain right lower limb following low-energy trauma. The had for more than 10 years. bone scan revealed increased radiotracer uptake side pelvic, femur,...

Performing THA in patients with high-riding developmental dysplasia of the hip (DDH) is associated serious complications and technical challenges. Various methods shortening osteotomy are available to facilitate femoral head reduction during hips; subtrochanteric trochanteric slide plus proximal most common techniques. However, which approach superior remains a topic controversy.

Background: Several pelvic osteotomy techniques are introduced for the treatment of Developmental Dysplasia Hip (DDH). However, there is no agreement on optimal in DDH. Thus, this study aimed to compare outcomes Pemberton Osteotomy (PO) and Kalamchi Modification Salter (KMSO). Objectives: Comparison pemberton kalamchi modification salter developmental dysplasia hip. Methods: In a retrospective study, radiographic clinical as well surgical complications were compared between patients who...

Postpartum bilateral femoral neck fracture (BFNF) is a rare condition. We here report case of BFNF due to excessive corticosteroid consumption, twin pregnancy, immobility, and vitamin D deficiency.This 32-yr-old woman with insufficiency five days after emergency cesarean section preterm labor, the history previous at 33 wk. Antenatal repeated courses betamethasone injections for fetal lung maturity, daily oral use prednisolone miscarriage, immobilization, deficiency were important...

Background: Vascular thromboembolism is one of the major concerns orthopedic surgeons after hip or knee replacement surgery. Although many thromboprophylactic drugs have been introduced, there still no consensus over their efficacy and safety. Therefore, this study aimed to compare safety oral rivaroxaban aspirin administration enoxaparin injections in patients undergoing replacement. Objectives: Determination comparison side effect Rivaroxaban Enoxaparin total arthroplasty. Methods: A 231...

Background: Posterior hip dislocation with femoral head fracture is among the complicated injuries. The purpose of study was to define common pathology hips irreducible posterior combined and outcome surgical treatment using technique. Methods: All cases which underwent were included in study. Patients evaluated by Merle daubing & Postel Thompson Epstein scores clinical radiographically. Results: seven men mean age 31±7 years included. delay between injury attempted surgery 22 ± 14 hours....

Background: An increased incidence of osteonecrosis the femoral head (ONFH) has recently been observed in Iran, likely associated with introduction an illegal, steroid-containing opioid drug, Temgesic. The correlation risk factors course ONFH yet to be determined.

Background: Femoral Neck Fracture (FNF) is prevalent in young people. It mostly due to high-energy trauma and creates many challenges surgical repair. A few patients with hip fractures can fully recover from the injury act independently their daily activities. In this study, we evaluated results of FNF operation younger than 60 years. Objectives: This study was conducted evaluate outcome femoral neck surgery comparison complications according types ,age,delay type fracture. Methods: a...

Background: Femoral neck fracture nonunion is a frequent and challenging complication, with several surgical options. Objectives: The present study reported the outcome of valgus osteotomy for treating femoral in patients aged <65 years. Methods: This case series research included young who underwent or device failure index surgery. fixation site was performed using either dynamic hip screw fixed angle blade. union (subtrochanteric region) evaluated by monitoring callus formation...

Hip Restricted Range of Motion in Physical Examination: A Possible Risk Factor For Non-Contact ACL Injury