The arthroscopic management of hip dysplasia has been controversial and historically demonstrated mixed results. Studies on patients with borderline dysplasia, emphasizing the importance labrum capsule as secondary stabilizers, have shown improvement in patient-reported outcomes (PROs). Purpose/Hypothesis: purpose was to assess whether results surgery labral preservation concurrent capsular plication lasting, positive at a minimum 5-year follow-up. It hypothesized that careful patient...

Improvements in pain, function, and patient satisfaction are used to evaluate the outcomes of hip arthroscopic surgery.To identify correlations between visual analog scale (VAS) score for pain with 4 commonly patient-reported outcome (PRO) scores determine what extent changes these 2 parameters reflected each PRO scores.Cohort study (diagnosis); Level evidence, 3.Patients undergoing surgery February 2008 2013 were assessed prospectively before surgery, at 3 months, annually thereafter...

The purpose of this study was to report minimum 2-year outcomes and complications for robotic-arm-assisted total hip arthroplasty (THA).Data were prospectively collected retrospectively reviewed between June 2011 April 2014. Inclusion criteria primary THAs treating idiopathic osteoarthritis with ≥ follow-up. Demographics, operating time, complications, outcome scores satisfaction, subsequent surgeries recorded.There 181 cases eligible inclusion, which 162 (89.5%) had At the latest follow-up,...

Our experience with 74 neonates myelomeningocoele is reported. Management in the first phase of study period consisted primary closure 37 patients by wide undermining and skin advancement, marked a high wound-complication rate. Latissimus dorsi muscle closure, either "reverse" or advanced, was performed transitional 5 patients, characterized increased operative time blood loss. In last portion period, 32 were managed immediate dural grafts simultaneously on delayed basis at 48 to 72 hours...

This article presents the authors' technique for evaluation of possible abductor tears with magnetic resonance imaging (MRI). By using T2 fat-saturated coronal and axial slices hip T1 images pelvis, authors show how to visualize all tendons signs chronic deficiency. After diagnosis has been made, that may help surgeon determine if open or arthroscopic surgery would be best used are reviewed. Finally, author reviews indications a gluteus medius repair concomitant maximus reconstruction.

After hypoxia, a critical adverse outcome is the inability to create new memories. How anterograde amnesia develops or resolves remains elusive, but link brain-based IL-1 suggested due vital role of in both learning and brain injury. We examined memory formation mice exposed acute hypoxia. reoxygenation, recall recovered faster than formation, impacting novel object recognition cued fear conditioning not spatially Y-maze performance. The ability form memories after hypoxia/reoxygenation was...

Symptomatic global retroversion of the acetabulum, as diagnosed on plain radiographs pelvis, has traditionally been treated with reverse periacetabular osteotomy, which improves posterior undercoverage and eliminates anterior pincer lesion. There is a paucity literature hip arthroscopy in this group, secondary to theoretical concern iatrogenic dysplasia, subsequent instability, arthritis.To evaluate outcomes for patients radiographic diagnosis acetabular retroversion, using patient-reported...

Abstract The incidence of femur fracture in noncemented hip arthroplasty has been reported to be between 4.1 % and 27.8%. To quantitate the hoop stress generated during insertion a femoral broach total determine effect cerclage with both braided cable wire, we harvested 14 pairs embalmed cadaver femurs. These were reamed broached duplicate surgical technique inserting straight non-cemented component. Group one consisted eight matched femurs which tested using single 2.0 mm chrome-cobalt...

Advances have made robotic assistance a viable option in total hip arthroplasty (THA). However, the clinical outcomes of this procedure relative to manual THA are limited literature. This study compared robotic-arm assisted (RAA) and at minimum 2-year follow-up. Data were collected prospectively on all THAs performed from July 2011 January 2015. Patients included if they underwent RAA primary for idiopathic osteo-arthritis had follow-up 2 years. The following patient-reported compared:...

Femoral retroversion has been noted as a possible risk factor for poor clinical results after hip arthroscopic surgery.To compare the outcomes of treatment abnormalities in patients with femoral to anteversion between 10° and 20°.Cohort study; Level evidence, 3.Between November 2011 September 2013, 790 procedures were performed at single institution. Of these, 59 hips (7.5%) located version ≤0°, calculated using preoperative magnetic resonance imaging. These pair matched, based on body mass...

Transtendinous abductor tendon repair is a technique the authors described previously to diagnose and treat undersurface tears of tendons. In this surgical article, describe for knotless tendons that does not require transtendinous split or suture passage through tendon. Because there no knot tying, potential advantages include expeditious technique, compression against bony footprint, anatomic repair, avoidance knots facing iliotibial band, which may lead bursal irritation.

To perform a proper labral repair, most surgeons use anchors to secure the labrum acetabular bone. We aim describe technique for repair with knotless tensionable suture anchor. This uses looped configuration, allowing selective tensioning of maintain anatomic suction seal hip. The this is easily reproducible and reduces surgical time compared previous techniques.

Pathology of the iliopsoas may cause painful internal snapping hip or labral damage from soft impingement. Favorable outcomes have been reported after arthroscopic release fractional lengthening iliopsoas. In patients with risk factors for instability, restoration other soft-tissue constraints such as labrum and capsule should be performed if is undertaken. The purpose this article to detail step-by-step surgical technique lengthening, in addition indications, pearls, pitfalls technique.

Atraumatic instability of the hip has become an increasingly studied occurrence in recent years. There are several established surgical techniques that help restore stability native joint. In some cases, these procedures not option. As phenomenon recognized more frequently, a greater number revision surgeries warranted patients with ligamentous laxity. A durable solution for irreparable microinstability needs to be formulated address this vulnerable patient demographic. We describe technique...