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Orthopaedic Proceedings
Vol. 101-B, Issue SUPP_12 | Pages 56 - 56
1 Oct 2019
Barnes CL Severin AC Tackett SA Mannen E
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Introduction. Golf is a recommended form of physical activity for older adults. However, clinicians have no evidence-based research regarding the demands on the hips of older adults during golf. The purpose of our in vivoobservational study was to quantify the hip biomechanics of older adult golfers. Methods. Seventeen healthy older male golfers(62.2±8.8 years, handicap 8.7±4.9) free from orthopaedic injuries and surgeries volunteered for participation in this IRB-approved study. A 10-camera motion capture system recorded kinematics, and two force plates collected kinetic data. Participants performed eight shots using their own driver. Data processing was performed in Visual3D. The overall range of excursion and three-dimensional net joint moments normalized to body weight for the lead and trail hips were extracted. Results. Kinematics (mean excursion and range) of lead and trail hips in all three planes during a golf swing are presented in Table 1. The trail leg experiences higher excursion in the sagittal plane, while the lead leg has more frontal plane movement. Average maximum net joint moments of the lead and trail hips were 1.2 ± 0.2 and 1.7 ± 0.3 Nm/kg, respectively. Conclusion. Our study is the first to quantify the kinematics and kinetics of the hip joint in healthy older male golfers. While the golf swing is often considered to be a predominant transverse plane motion, our results indicate considerable excursion at the hip joints in all three planes. Furthermore, the trail leg experiences 40% greater loading than the lead leg throughout the swing, suggesting that the trail leg may have a larger impact on golf performance while also leaving it more susceptible to overuse injury. For clinicians with patients who experience osteoarthritis of the hip or who have recently undergone hip surgery, this study may provide novel insight into the demands of golf on the hips. For any tables or figures, please contact the authors directly


The Journal of Bone & Joint Surgery British Volume
Vol. 78-B, Issue 6 | Pages 903 - 906
1 Nov 1996
Ramesh M O’Byrne JM McCarthy N Jarvis A Mahalingham K Cashman WF

We studied prospectively 81 consecutive patients undergoing hip surgery using the Hardinge (1982) approach. The abductor muscles of the hip in these patients were assessed electrophysiologically and clinically by the modified Trendelenburg test. Power was measured using a force plate. We performed assessment at two weeks, and at three and nine months after operation. At two weeks we found that 19 patients (23%) showed evidence of damage to the superior gluteal nerve. By three months, five of these had recovered. The nine patients with complete denervation at three months showed no signs of recovery when reassessed at nine months. Persistent damage to the nerve was associated with a positive Trendelenburg test


The Bone & Joint Journal
Vol. 101-B, Issue 11 | Pages 1423 - 1430
1 Nov 2019
Wiik AV Lambkin R Cobb JP

Aims

The aim of this study was to assess the functional gain achieved following hip resurfacing arthroplasty (HRA).

Patients and Methods

A total of 28 patients (23 male, five female; mean age, 56 years (25 to 73)) awaiting Birmingham HRA volunteered for this prospective gait study, with an age-matched control group of 26 healthy adults (16 male, ten female; mean age, 56 years (33 to 84)). The Oxford Hip Score (OHS) and gait analysis using an instrumented treadmill were used preoperatively and more than two years postoperatively to measure the functional change attributable to the intervention.


The Bone & Joint Journal
Vol. 101-B, Issue 10 | Pages 1218 - 1229
1 Oct 2019
Lerch TD Eichelberger P Baur H Schmaranzer F Liechti EF Schwab JM Siebenrock KA Tannast M

Aims

Abnormal femoral torsion (FT) is increasingly recognized as an additional cause for femoroacetabular impingement (FAI). It is unknown if in-toeing of the foot is a specific diagnostic sign for increased FT in patients with symptomatic FAI. The aims of this study were to determine: 1) the prevalence and diagnostic accuracy of in-toeing to detect increased FT; 2) if foot progression angle (FPA) and tibial torsion (TT) are different among patients with abnormal FT; and 3) if FPA correlates with FT.

Patients and Methods

A retrospective, institutional review board (IRB)-approved, controlled study of 85 symptomatic patients (148 hips) with FAI or hip dysplasia was performed in the gait laboratory. All patients had a measurement of FT (pelvic CT scan), TT (CT scan), and FPA (optical motion capture system). We allocated all patients to three groups with decreased FT (< 10°, 37 hips), increased FT (> 25°, 61 hips), and normal FT (10° to 25°, 50 hips). Cluster analysis was performed.


Bone & Joint Research
Vol. 7, Issue 4 | Pages 282 - 288
1 Apr 2018
Beckmann NA Bitsch RG Gondan M Schonhoff M Jaeger S

Objectives

In order to address acetabular defects, porous metal revision acetabular components and augments have been developed, which require fixation to each other. The fixation technique that results in the smallest relative movement between the components, as well as its influence on the primary stability with the host bone, have not previously been determined.

Methods

A total of 18 composite hemipelvises with a Paprosky IIB defect were implanted using a porous titanium 56 mm multihole acetabular component and 1 cm augment. Each acetabular component and augment was affixed to the bone using two screws, while the method of fixation between the acetabular component and augment varied for the three groups of six hemipelvises: group S, screw fixation only; group SC, screw plus cement fixation; group C, cement fixation only. The implanted hemipelvises were cyclically loaded to three different loading maxima (0.5 kN, 0.9 kN, and 1.8 kN).