Aims. The direct
Only limited data are available regarding the
infiltration of local anaesthetic for total hip arthroplasty (THA),
and no studies were performed for THA using the
To achieve the functional benefits of the direct anterior (DA) approach and the fixation benefits of cemented replacement, this study combined the two techniques posing the following questions: does the limited access of the DA approach adversely affect the cement technique?; and does such a cementing technique reduce the incidence of cementless complications? A consecutive series of 341 patients (360 hips) receiving the DA approach between 2016 and 2018 were reviewed. There were 203 cementless stems and 157 cemented stems. Mean age was 75 years (70 to 86) in the cementless group and 76 years (52 to 94) in the cemented group, with 239 (70%) females in the whole series. Femoral complications were compared between the two groups. Mean follow-up was 1.5 years (0.1 to 4.4) for patients in the cementless group and 1.3 years (0.0 to 3.9) for patients in the cemented group.Aims
Methods
Aims. The aim of this study was to radiologically evaluate the quality of cement mantle and alignment achieved with a polished tapered cemented femoral stem inserted through the
Adolescent idiopathic scoliosis is a three-dimensional deformity of the spine, affecting 1–3% of the population. Most cases are treated conservatively. Curves exceeding 45° in the thoracic spine and 40° in the lumbar spine may require correction and fusion surgery, to limit the progression of the curve and prevent restrictive pulmonary insufficiency (curves above 70°). When fusion is required, it may be performed either by posterior or
Aims. The most effective surgical approach for total hip arthroplasty
(THA) remains controversial. The direct
Aims. Surgical approaches that claim to be minimally invasive, such as the direct
Background. Over 35% of surgeons in the United States, and 10% in Canada use the direct
Aims. There is evidence that morbidly obese patients have more intra- and postoperative complications and poorer outcomes when undergoing total hip arthroplasty (THA) with the direct
Aims. The aim of this retrospective study was to assess the incidence of early periprosthetic femoral fracture (PFF) associated with Charnley-Kerboull (CK) femoral components cemented according to the ‘French paradox’ principles through the Hueter
Aims. To establish whether there was a consensus among the members of the Hip Society (HS) on the role of direct
Our unit historically performed total hip replacement (THR) through either posterior or anterolateral approaches. In November 2020 a group of 5 consultants transitioned to utilising the Direct
Aims. It is not known whether preservation of the capsule of the hip positively affects patient-reported outcome measures (PROMs) in total hip arthroplasty using the direct
Psoas tendinopathy is a potential cause of groin pain after primary total hip arthroplasty (THA). The direct
Short cementless femoral stems are increasingly popular as they allow for less dissection for insertion. Use of such stems with the
INTRODUCTION. Proponents of the THA
Introduction. The limited field of view with less-invasive hip approaches for total hip arthroplasty can make a reliable cup positioning more challenging. The aim of this study was to evaluate the accuracy of cup placement between the traditional transgluteal approach and the
Introduction. Cemented femoral fixation has been shown to carry a lower risk of peri-prosthetic fracture (PPF). The aim of this study was to determine whether adequate (1) stem position and (2) cement mantle (i.e. factors associated with outcome of cemented stems) can be achieved with the
Aims. Use of the direct
Aims. Lateral femoral cutaneous nerve (LFCN) injury is a potential complication after the direct