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Comparison of Intra-operative Regimes of Tranexamic Aci Administration in Primary Total Hip Replacement / John T. MACHIN in Acta Orthopaedica Belgica, Vol.80/2 (Juin 2014)
[article]
Titre : Comparison of Intra-operative Regimes of Tranexamic Aci Administration in Primary Total Hip Replacement Type de document : texte imprimé Auteurs : John T. MACHIN, Auteur ; Vineet BATTA, Auteur Année de publication : 2014 Article en page(s) : p.228-233 Langues : Anglais (eng) Mots-clés : total hip replacement tranexamic acid blood loss transfusion Permalink : ./index.php?lvl=notice_display&id=34634
in Acta Orthopaedica Belgica > Vol.80/2 (Juin 2014) . - p.228-233[article] Comparison of Intra-operative Regimes of Tranexamic Aci Administration in Primary Total Hip Replacement [texte imprimé] / John T. MACHIN, Auteur ; Vineet BATTA, Auteur . - 2014 . - p.228-233.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.80/2 (Juin 2014) . - p.228-233
Mots-clés : total hip replacement tranexamic acid blood loss transfusion Permalink : ./index.php?lvl=notice_display&id=34634 Exemplaires (1)
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Exclu du prêtHip precautions after hip operation (HippityHop): Protocol for a before and after study evaluating hip precautions following total hip replacement / Courtney Lightfoot in The British Journal of Occupational Therapy, Vol.81 Issue 6 (Juin 2018)
[article]
Titre : Hip precautions after hip operation (HippityHop): Protocol for a before and after study evaluating hip precautions following total hip replacement Type de document : texte imprimé Auteurs : Courtney Lightfoot ; Khosrow Sehat ; Gary Drury ; Catherine Brewin ; Carol Coole ; Avril Drummond Année de publication : 2018 Article en page(s) : p. 319-325 Langues : Anglais (eng) Mots-clés : Total hip replacement hip precautions quality of life Résumé : Introduction
Hip precautions are routinely used despite inconclusive evidence that they reduce dislocations and concern that they impede activities of daily living. This study compares a change in practice locally from implementing routine hip precautions to no routine precautions, in order to: 1. Compare patient outcomes in quality of life, functional performance, pain, sleep, mood, and satisfaction. 2. Ascertain staff and patient perceptions of the two regimes. 3. Determine the cost of precautions.
Method
Phase one patients will receive hip precautions, while phase two patients will receive no routine precautions. We propose to collect data from 342 participants at baseline, and at one week, six weeks, and three months postoperatively. Interviews will be conducted with 20 staff and 20 patients, and data collected relating to costs.
Results
Statistical analysis will be conducted to compare the two groups to determine any differences in patient outcomes. Thematic analysis will be used to identify and report themes within the interview data.
Conclusion
If there are no additional advantages to hip precautions, patients could resume everyday activities more quickly, potentially improving their quality of life. Conversely, if withdrawing hip precautions is detrimental, evidence for precautions will be provided.Permalink : ./index.php?lvl=notice_display&id=80151
in The British Journal of Occupational Therapy > Vol.81 Issue 6 (Juin 2018) . - p. 319-325[article] Hip precautions after hip operation (HippityHop): Protocol for a before and after study evaluating hip precautions following total hip replacement [texte imprimé] / Courtney Lightfoot ; Khosrow Sehat ; Gary Drury ; Catherine Brewin ; Carol Coole ; Avril Drummond . - 2018 . - p. 319-325.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol.81 Issue 6 (Juin 2018) . - p. 319-325
Mots-clés : Total hip replacement hip precautions quality of life Résumé : Introduction
Hip precautions are routinely used despite inconclusive evidence that they reduce dislocations and concern that they impede activities of daily living. This study compares a change in practice locally from implementing routine hip precautions to no routine precautions, in order to: 1. Compare patient outcomes in quality of life, functional performance, pain, sleep, mood, and satisfaction. 2. Ascertain staff and patient perceptions of the two regimes. 3. Determine the cost of precautions.
Method
Phase one patients will receive hip precautions, while phase two patients will receive no routine precautions. We propose to collect data from 342 participants at baseline, and at one week, six weeks, and three months postoperatively. Interviews will be conducted with 20 staff and 20 patients, and data collected relating to costs.
Results
Statistical analysis will be conducted to compare the two groups to determine any differences in patient outcomes. Thematic analysis will be used to identify and report themes within the interview data.
Conclusion
If there are no additional advantages to hip precautions, patients could resume everyday activities more quickly, potentially improving their quality of life. Conversely, if withdrawing hip precautions is detrimental, evidence for precautions will be provided.Permalink : ./index.php?lvl=notice_display&id=80151 Exemplaires (1)
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Exclu du prêtClinical results of cementless total hip arthroplasty with shortening osteotomy for high dislocation with developmental dysplasia / Engin Eren Desteli in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)
[article]
Titre : Clinical results of cementless total hip arthroplasty with shortening osteotomy for high dislocation with developmental dysplasia Type de document : texte imprimé Auteurs : Engin Eren Desteli, Auteur ; Yunus Imren, Auteur ; Erkan TAN, Auteur Année de publication : 2015 Article en page(s) : p. 30-35 Langues : Anglais (eng) Mots-clés : Total hip replacement Developmental dysplasia Shortening osteotomy Hip Résumé : Total hip arthroplasty for severe developmental dysplasia of the hip is a technically challenging procedure. Subtrochanteric femoral osteotomy enables reducing the femoral head and restoring abductor muscle strength without compromising proximal femoral bone stock in advanced dysplasia.We aimed to retrospectively evaluate Crowe type III or IV developmental dysplasia of the hip who underwent reconstruction with cementless total hip arthroplasty combined with a transverse subtrochanteric femoral osteotomy. Sixty hips of 52 patients (11 male, 49 female) with Crowe type III (n : 37) or IV (n : 23) developmental dysplasia of the hip were included. The average age was 51.4 years. Surgery was performed in lateral decubitis position with posterolateral approach. Subtrochanteric transverse femoral osteotomy were used with cementless components. 40 of the femoral components were Secur-Fit type, and 20 of them were secur-fit plus max type. Ceramic-ceramic coupling was used in 24 cases and metalpolyethylene coupling was used in 36 cases. Merle D'Aubigne and Harris Hip score were used to rate the clinical outcome at the final follow up. All femoral shortening osteotomies were united at a mean of 5.7 months. Mean Merle D'Aubigne pain score was increased from 3.1 to 5.4, and mean Harris Hip score improved from 39 to 92.8, postoperatively (p < 0.01). There was no significant difference in time to union between different types of stems. 4 femoral stems had asymptomatic radiolucent lines. There was no significant difference in time to union between different types of stems. Permalink : ./index.php?lvl=notice_display&id=35994
in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 30-35[article] Clinical results of cementless total hip arthroplasty with shortening osteotomy for high dislocation with developmental dysplasia [texte imprimé] / Engin Eren Desteli, Auteur ; Yunus Imren, Auteur ; Erkan TAN, Auteur . - 2015 . - p. 30-35.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 30-35
Mots-clés : Total hip replacement Developmental dysplasia Shortening osteotomy Hip Résumé : Total hip arthroplasty for severe developmental dysplasia of the hip is a technically challenging procedure. Subtrochanteric femoral osteotomy enables reducing the femoral head and restoring abductor muscle strength without compromising proximal femoral bone stock in advanced dysplasia.We aimed to retrospectively evaluate Crowe type III or IV developmental dysplasia of the hip who underwent reconstruction with cementless total hip arthroplasty combined with a transverse subtrochanteric femoral osteotomy. Sixty hips of 52 patients (11 male, 49 female) with Crowe type III (n : 37) or IV (n : 23) developmental dysplasia of the hip were included. The average age was 51.4 years. Surgery was performed in lateral decubitis position with posterolateral approach. Subtrochanteric transverse femoral osteotomy were used with cementless components. 40 of the femoral components were Secur-Fit type, and 20 of them were secur-fit plus max type. Ceramic-ceramic coupling was used in 24 cases and metalpolyethylene coupling was used in 36 cases. Merle D'Aubigne and Harris Hip score were used to rate the clinical outcome at the final follow up. All femoral shortening osteotomies were united at a mean of 5.7 months. Mean Merle D'Aubigne pain score was increased from 3.1 to 5.4, and mean Harris Hip score improved from 39 to 92.8, postoperatively (p < 0.01). There was no significant difference in time to union between different types of stems. 4 femoral stems had asymptomatic radiolucent lines. There was no significant difference in time to union between different types of stems. Permalink : ./index.php?lvl=notice_display&id=35994 Exemplaires (1)
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Exclu du prêtA minimum three-year clinical and radiological follow up of the utilisation of a Cementless Multihole Mega cups in conversion hip arthroplasty – a prospective analysis / Mohamed Nabil in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)
[article]
Titre : A minimum three-year clinical and radiological follow up of the utilisation of a Cementless Multihole Mega cups in conversion hip arthroplasty – a prospective analysis Type de document : texte imprimé Auteurs : Mohamed Nabil, Auteur ; Ahmed Matthana, Auteur ; Mohamed A. Imam, Auteur Année de publication : 2015 Article en page(s) : p. 100-106 Langues : Anglais (eng) Mots-clés : Conversion Hemiarthroplasty Total hip replacement Multihole mega cup Résumé : The introduction of multihole mega cup has proposed innovative answers in the management of acetabular impediments that ensued from the use of bipolar hemiarthroplasty. This study bestows a prospective analysis of the outcome of conversion surgery from bipolar hemiarthroplasty to total hip replacement in patients with acetabular complications. Forty-two patients, 22 men and 20 women, with a mean age of 59 years (range 46-69 years) who experienced complex acetabular deficiencies following bipolar hemiarthroplasty, were converted to total hip replacement between January 2008 and June 2010. Pain was the main complaint in all cases. It was primarily confined to the groin region. Limping due to shortening of the affected limb was the second main complaint (30 cases). All cases had erosion of the acetabulum with varying degrees of protrusion. Cementless mutihole cups with augmentation by autogenous bone graft from the iliac crest and large metal heads’ sizes were used for conversion in all cases. After a minimum follow-up of 36 months, Harris hip scores (HHS) improved from a mean of 36.8 ± 6.8 (range 21-59) preoperatively to a mean of 85.9 ± 5.6 (range 71 to 94) postoperatively. Thirty six (85.7%) patients experienced no groin pain postoperatively while six patients (14.3%) described limited improvement. Postoperative complications included ; dislocation in two cases which were reduced and did not result in a poor outcome later on. No patients were lost to follow-up. Conclusion : Short-term results at minimum three years follow-up of multihole mega cup were encouraging regarding high capability of acetabular reconstruction with less morbidity of recipient site. Significant pain and functional improvement were noticeable, however further longer term studies are consequently recommended. Permalink : ./index.php?lvl=notice_display&id=36005
in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 100-106[article] A minimum three-year clinical and radiological follow up of the utilisation of a Cementless Multihole Mega cups in conversion hip arthroplasty – a prospective analysis [texte imprimé] / Mohamed Nabil, Auteur ; Ahmed Matthana, Auteur ; Mohamed A. Imam, Auteur . - 2015 . - p. 100-106.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 100-106
Mots-clés : Conversion Hemiarthroplasty Total hip replacement Multihole mega cup Résumé : The introduction of multihole mega cup has proposed innovative answers in the management of acetabular impediments that ensued from the use of bipolar hemiarthroplasty. This study bestows a prospective analysis of the outcome of conversion surgery from bipolar hemiarthroplasty to total hip replacement in patients with acetabular complications. Forty-two patients, 22 men and 20 women, with a mean age of 59 years (range 46-69 years) who experienced complex acetabular deficiencies following bipolar hemiarthroplasty, were converted to total hip replacement between January 2008 and June 2010. Pain was the main complaint in all cases. It was primarily confined to the groin region. Limping due to shortening of the affected limb was the second main complaint (30 cases). All cases had erosion of the acetabulum with varying degrees of protrusion. Cementless mutihole cups with augmentation by autogenous bone graft from the iliac crest and large metal heads’ sizes were used for conversion in all cases. After a minimum follow-up of 36 months, Harris hip scores (HHS) improved from a mean of 36.8 ± 6.8 (range 21-59) preoperatively to a mean of 85.9 ± 5.6 (range 71 to 94) postoperatively. Thirty six (85.7%) patients experienced no groin pain postoperatively while six patients (14.3%) described limited improvement. Postoperative complications included ; dislocation in two cases which were reduced and did not result in a poor outcome later on. No patients were lost to follow-up. Conclusion : Short-term results at minimum three years follow-up of multihole mega cup were encouraging regarding high capability of acetabular reconstruction with less morbidity of recipient site. Significant pain and functional improvement were noticeable, however further longer term studies are consequently recommended. Permalink : ./index.php?lvl=notice_display&id=36005 Exemplaires (1)
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Exclu du prêtOutcomes of acute fix and replace in complex hip posterior fracture dislocations with acetabular fractures / Veenesh Selvaratnam in Acta Orthopaedica Belgica, Vol. 87/4 (Décembre 2021)
[article]
Titre : Outcomes of acute fix and replace in complex hip posterior fracture dislocations with acetabular fractures : a minimum of 3 years follow-up Type de document : texte imprimé Auteurs : Veenesh Selvaratnam ; Sunil Panchani ; Henry Wynn Jones Année de publication : 2021 Article en page(s) : p. 635-642 Note générale : https://doi.org/10.52628/87.4.08 Langues : Anglais (eng) Mots-clés : Fix and replace hip fracture dislocation acetabular fracture total hip replacement Résumé : Simultaneous open reduction and internal fixation of acetabular fractures combined with total hip replacement (THR) have some potential advantages over the more traditional approach in specific patient subgroups. The aim of this study was to evaluate the outcomes of patients who had the “fix and replace” construct for complex posterior hip fracture dislocation treated at our tertiary referral pelvic unit. This was a retrospective review of prospectively collected data for patients who underwent this procedure between 2011-2018 with a minimum of 3 year follow up. Data collected were: patient demographics, date of injury, injury pattern, fixation methods, type of implants used and post-operative complications. There were 14 patients with a mean age of 63.2 years (range 43-94 years) who underwent this procedure between 2011-2018. The mean follow up was 58 months. All cases involved a posterior wall fracture and six cases had an associated posterior column involvement. Femoral head autograft was used in 13 patients (93%). Six patients (43%) had their posterior acetabular wall reconstructed with a femoral head autograft. Seven patients had a fully cemented (THR) and the seven others had a hybrid implant. There were no surgical related complications. From our study we can conclude that the acute “fix and replace” construct for complex posterior hip fracture dislocation yields good clinical outcomes in the short and medium term with low complication rate. It is best performed by a surgeon who specialises in both acetabular and hip arthroplasty surgery. Permalink : ./index.php?lvl=notice_display&id=102013
in Acta Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 635-642[article] Outcomes of acute fix and replace in complex hip posterior fracture dislocations with acetabular fractures : a minimum of 3 years follow-up [texte imprimé] / Veenesh Selvaratnam ; Sunil Panchani ; Henry Wynn Jones . - 2021 . - p. 635-642.
https://doi.org/10.52628/87.4.08
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 635-642
Mots-clés : Fix and replace hip fracture dislocation acetabular fracture total hip replacement Résumé : Simultaneous open reduction and internal fixation of acetabular fractures combined with total hip replacement (THR) have some potential advantages over the more traditional approach in specific patient subgroups. The aim of this study was to evaluate the outcomes of patients who had the “fix and replace” construct for complex posterior hip fracture dislocation treated at our tertiary referral pelvic unit. This was a retrospective review of prospectively collected data for patients who underwent this procedure between 2011-2018 with a minimum of 3 year follow up. Data collected were: patient demographics, date of injury, injury pattern, fixation methods, type of implants used and post-operative complications. There were 14 patients with a mean age of 63.2 years (range 43-94 years) who underwent this procedure between 2011-2018. The mean follow up was 58 months. All cases involved a posterior wall fracture and six cases had an associated posterior column involvement. Femoral head autograft was used in 13 patients (93%). Six patients (43%) had their posterior acetabular wall reconstructed with a femoral head autograft. Seven patients had a fully cemented (THR) and the seven others had a hybrid implant. There were no surgical related complications. From our study we can conclude that the acute “fix and replace” construct for complex posterior hip fracture dislocation yields good clinical outcomes in the short and medium term with low complication rate. It is best performed by a surgeon who specialises in both acetabular and hip arthroplasty surgery. Permalink : ./index.php?lvl=notice_display&id=102013 Réservation
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