Background: Femoro-acetabular impingement has been associated with acetabular labral and/or articular cartilage damage that may ultimately result in osteoarthritis of the hip. Surgical treatment femoro-acetabular is directed at restoring a more normal femoral head-neck offset to alleviate abutment against rim and treating damage. Methods: Thirty hips (in twenty-nine patients) underwent débridement through greater trochanteric flip osteotomy anterior dislocation head. There were sixteen male...

Background: Delamination of acetabular articular cartilage is a common abnormality in hips with femoroacetabular impingement. The purpose the present study was to identify clinical and radiographic factors predisposing delamination assess diagnostic accuracy magnetic resonance arthrography for detection these lesions. Methods: Following retrospective review records, we determined that had been twenty-eight sixty-four undergone surgical dislocation procedure treatment Multivariable logistic...

Most reports on the results of Bernese periacetabular osteotomy for treatment developmental dysplasia hip have been by originators procedure. In 1997, we began to use this without direct training from procedure.Seventy-three patients (eighty-three hips) underwent a between 1997 and 2003 were followed prospectively with Harris score assess clinical anteroposterior pelvic false-profile lateral plain radiographs radiographic results. The three-dimensional position acetabulum was recorded...

Patient-specific instrumentation potentially improves surgical precision and decreases operative time in total knee arthroplasty (TKA) but there is little supporting data to confirm this presumption.We asked whether patient-specific would require infrequent intraoperative changes replicate a single surgeon's preferences during TKA guides fit securely.We prospectively evaluated the plan surgery 60 patients treated with 66 TKAs performed recorded any changes. A subset of six postoperative...

Structural deformities of the hip, including femoroacetabular impingement (FAI) and acetabular dysplasia, often limit athletic activity. Previous studies have reported an increased prevalence radiographic cam FAI in male athletes, but data on structural hip female athletes are lacking.(1) To quantify dysplasia collegiate from 3 sports: volleyball, soccer, track field. (2) identify possible relationships between measures morphologic characteristics physical examination...

Since the modern description of femoroacetabular impingement (FAI) a decade ago, surgical treatment has become increasingly common. Although ability open FAI to relieve pain and improve function been demonstrated in number retrospective studies, questions remain regarding predictability clinical outcome, factors associated with failure, complications treatment.We therefore described change after treatment, determined whether failure progression osteoarthritis was Outerbridge Grade IV hyaline...

The use of a highly conforming, anterior-stabilized bearing has been associated with clinical success in limited number studies.We compared Knee Society scores, radiographic results, complication rates, and revision rates the bearings cruciate-retaining (CR) bearings.A series 382 patients 468 primary total knee arthroplasties (TKAs) between 2003 2008 minimum 2-year followup were reviewed. Anterior-stabilized comprised 49% (n = 228) sample CR consisted 51% 240). decision to an was based on...

Although knee and hip replacements are intended to relieve pain improve function, up 44% of replacement patients 27% report persistent postoperative joint pain. Improving surgical management is essential. We conducted a single-site, 3-arm, parallel-group randomized clinical trial at an orthopedic clinic, among undergoing total arthroplasty (TJA) the or knee. Mindfulness meditation (MM), hypnotic suggestion (HS), cognitive-behavioral psychoeducation (cognitive-behavioral psychoeducation) were...

Background Sequelae of Perthes disease commonly manifests as complex hip pathomorphology including coxa magna, brevis, and acetabular dysplasia. These abnormalities contribute to femoroacetabular impingement early osteoarthritis. This report describes our experience with correction the proximal femoral deformity associated through surgical dislocation, osteochondroplasty (SDO), trochanteric advancement, treatment intraarticular chondrolabral injury. Methods Between January 2003 2009, 14...

The use of barbed suture for surgical closure has been associated with lower operative times, equivalent wound complication rate, and comparable cosmesis scores in the plastic surgery literature. Similar studies would help determine whether this technology is low rates reduced operating times orthopaedic closures.We compared a running an interrupted standard technique layered primary TKA to if be (1) shorter estimated times; (2) cost; (3) similar closure-related perioperative rates.We...

ABSTRACT Developmental dysplasia of the hip (DDH) is a debilitating condition characterized by incomplete formation acetabulum leading to dislocation femur, suboptimal joint function, and accelerated wear articular cartilage resulting in arthritis. DDH affects 1 1000 newborns United States; there are well-defined “pockets” high prevalence Japan, Italy other Mediterranean countries. Although reasonably accurate for detecting gross forms dysplasia, existing techniques fail find milder...

Background: Soft-tissue releases are commonly necessary to achieve symmetrical flexion and extension gaps in primary total knee arthroplasty performed with a measured resection technique. We reviewed the frequency of required according preoperative alignment clinical radiographic results; associations failure, reoperations, complications presented. Methods: 1216 knees that underwent from 2004 2009; 774 (64%) were female patients 442 (36%), male patients. In coronal plane, 855 had varus...

There is a paucity of data on the results reverse (anteverting) periacetabular osteotomy (RPAO) for treatment femoroacetabular impingement (FAI) secondary to acetabular retroversion.To evaluate midterm outcomes RPAO FAI retroversion in those with and without hip dysplasia.Cohort study; Level evidence, 3.A retrospective review identified RPAOs performed patients isolation or setting dysplasia (lateral center-edge angle [LCEA] ≤19°). Acetabular was diagnosed clinically radiographically,...

Despite two-stage revision remaining the gold standard in treating periprosthetic infection of total knee arthroplasty (TKA), there remains uncertainty regarding actual success rate and risk factors for failure. We retrospectively reviewed 58 knees with mean follow-up 38 months who underwent TKAs from 1998 to 2012 by a single surgeon. Failure was defined as persistent or reoperation after TKA surgery. occurred 36%. The overall mortality 22%. time reinfection 26 months. Polymicrobial...

Background It is not known whether morphological abnormalities of the hip are compatible with lifelong function and avoidance osteoarthritis (OA). Our purpose was to investigate prevalence radiographic findings consistent femoroacetabular impingement (FAI) dysplasia (DDH) in senior athletes well-functioning hips. Questions/purposes (1) What FAI DDH hips? (2) Are associated OA? (3) Is a history longer duration or more intense activity pathomorphology? (4) Were modified Harris scores Hip...

Peters, Christopher L. MD; Erickson, Jill A. PA-C; Anderson, Lucas Andrew PhD; Weiss, Jeff PhD Author Information