Midterm outcome studies show that symptomatic femoroacetabular impingement (FAI) can be successfully treated by addressing the underlying pathomorphology with open or arthroscopic surgery. Although athletes may vulnerable to hip injury from impingement, limited information is available regarding results of surgery in this group.High-level FAI resume their sports after surgical dislocation and continue professional careers for a significant period.Case series; Level evidence, 4.Twenty-two...

Purpose To develop and validate a sports activity scale for patients with diagnosis of femoroacetabular impingement (FAI). Methods A nine level Hip Sports Activity Scale (HSAS) was constructed both in German English languages. Fifty-nine consecutive undergoing surgical treatment FAI at two centers Switzerland the US completed questionnaire set consisting HSAS, University California Los Angeles (UCLA) different hip joint-specific generic outcome tools. For reliability assessment, HSAS twice...

Background: Surgical treatment of femoroacetabular impingement (FAI) includes both open and arthroscopic procedures. Encouraging results have been reported for the majority patients after surgical hip dislocation; however, most these reports were short term included only small cohorts. Purpose: To determine dislocation in a large cohort FAI at midterm follow-up. Study Design: Case series; Level evidence, 4. Methods: A retrospective study including 185 consecutive (mean age, 30 years; 40%...

Background and purpose — Obesity increases the risk of deep infection after total joint arthroplasty (TJA). Our objective was to determine whether there may be body mass index (BMI) weight thresholds indicating a higher prosthetic rate.Patients methods We included all 9,061 primary hip knee arthroplasties (mean age 70 years, 61% women) performed between March 1996 December 2013 where patient had received intravenous cefuroxime (1.5 g) perioperatively. The main exposures interest were BMI (5...

Clinical experience suggests that a high proportion of orthopaedic infections occur in persons with diabetes.We reviewed several databases adult patients hospitalized for at Geneva University Hospitals from 2004 to 2014 and retrieved 2740 episodes infection.Overall, diabetes was noted the medical record 659 (24%) these cases. The with, compared those without, had more than five times foot (274/659 [42%] vs 155/2081 [7%]; p < 0.01) significantly higher serum C-reactive protein level admission...

Several studies indicate that professional athletes can successfully return to competition after surgical treatment of femoroacetabular impingement (FAI). However, little is known about sports and activity levels FAI surgery in the general patient population.The purpose was determine behavior, satisfaction with ability, a consecutive cohort patients who were treated by hip dislocation. The hypothesis majority (>75%) would be active at follow-up.Case series; Level evidence, 4.This...

Outcomes after total knee (TKA) and hip (THA) arthroplasty are often generalized internationally. Patient-dependent factors preoperative symptom levels may differ across countries. We compared patient clinical characteristics from two large cohorts, one in Switzerland, the other US. Patient were collected prospectively on all elective primary TKAs THAs performed at a Swiss hospital US national sample. Data included age, sex, education level, BMI, diagnosis, medical co-morbidities, PROMs...

Wear, corrosion and periprosthetic osteolysis are important causes of failure in joint arthroplasty, especially young patients.Ceramic bearings, developed 40 years ago, an increasingly popular choice hip arthroplasty. New manufacturing procedures have increased the strength reliability ceramic materials reduced risk complications.In recent decades, ceramics made pure alumina continuously improved, resulting a surgical-grade material that fulfills clinical requirements.Despite track record...

Treatment options for a symptomatic, torn, irreparable, or completely ossified acetabular labrum are limited to either excision and/or reconstruction with grafts. In previous animal model, regeneration of the after bony rim has been shown. humans, less is known about potential labrum. Recent studies seem confirm labral regrowth, but it still unclear if wide might be surgical option in cases where repair not possible.The purposes this study were (1) determine extent rim; and (2) whether...

Abstract In experimental studies, statin use has been associated with reduction of osteoclastic activity and promotion bone formation around implants. Moreover, a large clinical study recently reported substantially reduced risk revision for aseptic loosening among users THA. Our objective was to evaluate the influence on development femoral osteolysis within 5 years after We conducted case‐cohort including all THAs presenting at year visit (cases) compared them those without (controls)....

Patient-reported outcomes are increasingly used in evaluations of joint replacement surgery, but it is unclear if symptoms osteoarthritis (i.e., pain and dysfunction) influence health perceptions similarly before after surgery.In this prospective study based on a hospital-based arthroplasty registry, patients with primary total hip or knee (THA, N = 990, TKA, 907) completed the WOMAC Pain Function scales, SF12 Physical Mental Component Scores (PCS MCS), surgery one year later. Associations...

Post-traumatic anterior shoulder instability patients may present histopathologic lesions within the subscapularis muscle compatible with a scarring process associated disuse atrophy. We hypothesized that such identified on intraoperative biopsy at time of primary stabilization would predict higher risk postoperative recurrence.Of 52 eligible (52 shoulders) who had undergone during open labral repair and capsulorrhaphy, 35 (mean age surgery, 27.2 years; male sex, 71.4%) were retrospectively...