Background: Total hip arthroplasty (THA) in patients with severe chronic pubic diastasis from either congenital or acquired causes presents an exceptionally difficult challenge that has rarely been addressed in the arthroplasty literature. The purpose of this paper is to present a series of THAs in patients with severe chronic pubic diastasis, asking the following research questions: (1) What is the survivorship and clinical outcomes after THA in patients with severe chronic pubic diastasis? And (2) What is the rate of complications after THA surgery in this challenging patient population? We additionally describe our algorithm for preoperative planning and rationale for surgical technique and implant position.
Material And Methods: We retrospectively queried the prospective arthroplasty database of 2 high-volume referral centers, yielding 6 THA in 4 patients with severe chronic pubic diastasis (minimum 8 cm) with a mean follow-up of 2.
Curr Rev Musculoskelet Med
August 2020
Objective: Investigate the efficiency/accuracy of surgical automation versus manual component implantation in DA THA.
Methods: Retrospective review of 111 hips: 51 hips via automation and 60 hips via manual technique for DA THA.
Results: OR time averaged 8 min faster in the Automated group, compared to Manual group ( = 0.
Objective: Assessing financial effects of removal of TKA from CMS inpatient-only list on physician-owned bundles.
Methods: We determined whether Medicare TKAs remained inpatient, versus changed to observational. We used CMS data to determine savings.