Aims. After failed
Aims. The aim of this study was to investigate the association between fracture displacement and survivorship of the native hip joint without conversion to a total hip arthroplasty (THA), and to determine predictors for conversion to THA in patients treated nonoperatively for
This study compared the quality of reduction
and complication rate when using a standard ilioinguinal approach and
the new pararectus approach when treating
Aims. Post-traumatic periprosthetic
Aims. To describe the epidemiology of
Aims.
Aims. Posterior column plating through the single anterior approach reduces the morbidity in
Surgical management of
Aims.
Aims. To assess the feasibility of a randomized controlled trial (RCT) that compares three treatments for
3D printing techniques have attracted a lot of curiosity in various surgical specialties and the applications of the 3D technology have been explored in many ways including fracture models for education, customized jigs, custom implants, prosthetics etc. Often the 3D printing technology remains underutilized in potential areas due to costs and technological expertise being the perceived barriers. We have applied 3D printing technology for
We prospectively analysed the epidemiology of
We performed a systematic review of the literature
pertaining to the functional outcomes of the surgical management
of
Aims. Displaced, comminuted
Aims. Complex displaced osteoporotic
The February 2023 Trauma Roundup. 360. looks at: Masquelet versus bone transport in infected nonunion of tibia; Hyperbaric Oxygen for Lower Limb Trauma (HOLLT): an international multicentre randomized clinical trial; Is the T-shaped
The December 2022 Hip & Pelvis Roundup. 360. looks at: Fix and replace: simultaneous fracture fixation and hip arthroplasty for
The increasing prevalence of osteoporosis in
an ageing population has contributed to older patients becoming
the fastest-growing group presenting with
Injury to the sciatic nerve is one of the more serious complications of
Total hip arthroplasty (THA) is frequently performed as a salvage procedure for the
In the time since Letournel popularised the surgical
treatment of
We have examined the accuracy of reduction and the functional outcomes in elderly patients with surgically treated
Surgical dislocation of the hip in the treatment of
A new anterior intrapelvic approach for the surgical
management of displaced
We report the outcome of 161 of 257 surgically fixed
Patients who are Jehovah's witnesses do not accept blood transfusions. Thus, total hip arthroplasty can be challenging in this group of patients due to the potential for blood loss. Multiple strategies have been developed in order to prevent blood loss. A 76-year-old female, Jehovah's witness medicated with a platelet antiaggregant, presented to the emergency department after a fall from standing height. Clinically, she had pain mobilizing the right lower limb and radiological examination revealed an
Introduction: Factures of the acetabulum are the result of high-energy trauma. Long-term function of the hip joint is compromised in many cases as a result of imperfect reduction, chondral injuries to the acetabulum, femoral head lesion and post-traumatic avascular necrosis of the femoral head.Total hip arthroplasty is one of the treatment option for such patients who present with symptomatic post-traumatic arthritis or avascular necrosis with collapse of the femoral head following
Introduction: Pelvic and
Surgeons remain concerned that ceramic hip prostheses may fail catastrophically if either the head or the liner is fractured. We report two patients, each with a ceramic-on-ceramic total hip replacement who sustained high-energy trauma sufficient to cause a displaced periprosthetic
Over a five-year period, adult patients with
marginal impaction of
Objective. To investigate the relationship between the pattern of pelvic or
The incidence of
Introduction: Complex fracture of the acetabulum are difficult to treat. If an osteosynthesis is performed difficult surgery resulted in blood loss, long operating time, high risk of sepsis and failure. Even if the fracture is well operated and ideally stabilised there is a major risk of secondary osteoarthrosis. This can be related to bone necrosis , cartilage surface damage , bone loss. There are also intraoperative risks of neural damage: sciatic nerve as well as gluteus medius nerve. On the other hand , modern surgical technique including an alumina against alumina bearing could allow very long term survival without any activity limitation and this even in very young patients. Secondary procedure after a failed osteosynthesis provides statistically worse functional results than primary total hip. The surgery is more difficult because of hardware retrieval, nerve dissection, bone reconstruction and remaining muscular dysfunction. Materials and Methods: To address these issues we reviewed our results of total hip for
The purpose of this study was to review the clinical and radiographic outcome in THRs done following
Purpose: The purpose of this study was to evaluate total hip arthroplasty in the treatment of post-traumatic arthritis following
Background and Objective. Total hip arthroplasty (THA) has been applied to treat pain and disability in patients with post-traumatic arthritis after
Purpose: The purpose of this work was to analyse different techniques and outcome of total hip arthroplasty for acetabular degeneration after orthopaedically or surgically treated fracture of the acetabulum. Material and methods: This retrospective analysis of a consecutive series was conducted by an independent observer. Sixty-four arthroplasties in 63 patients performed between 1979 and 2000 were included. Twenty-eight
Isolated fractures of the anterior column and anterior wall are a relatively rare subgroup of
Aim: The purpose of this study was to compare patient outcome following THR after previous
Severe
Aims. The aims of this study were to determine the cumulative ten-year
survivorship of hips treated for
Retrospective review of 25 patients over 65 years of age with unilateral
To assess the stability of the hip after
Early total hip replacement (THR) for acetabular
fractures offers accelerated rehabilitation, but a high risk of heterotopic
ossification (HO) has been reported. The purpose of this study was
to evaluate the incidence of HO, its associated risk factors and
functional impact. A total of 40 patients with acetabular fractures
treated with a THR weres retrospectively reviewed. The incidence
and severity of HO were evaluated using the modified Brooker classification,
and the functional outcome assessed. The overall incidence of HO
was 38%
(n = 15), with nine severe grade III cases. Patients who underwent
surgery early after injury had a fourfold increased chance of developing
HO. The mean blood loss and operating time were more than twice
that of those whose surgery was delayed (p = 0.002 and p <
0.001,
respectively). In those undergoing early THR, the incidence of grade
III HO was eight times higher than in those in whom THR was delayed
(p = 0.01). Only three of the seven patients with severe HO showed
good or excellent Harris hip scores compared with eight of nine
with class 0, I or II HO (p = 0.049). Associated musculoskeletal
injuries, high-energy trauma and head injuries were associated with
the development of grade III HO. The incidence of HO was significantly higher in patients with
a displaced
We investigated whether patients who underwent internal fixation for an isolated
Purpose: The purpose of this study was to evaluate total hip arthroplasty (THA) in the treatment of posttraumatic arthritis following
There have been multiple approaches described for internal fixation of
This study reports on the natural history of
Because there are a number of complicating factors, total hip arthroplasty (THA) performed following
Specific radiological features identified by Brandser and Marsh were selected for the analysis of