Publications by authors named "Maitland Martin"

Article Synopsis
  • *Researchers reviewed data from 100 patients who underwent hip arthroscopy for FAI, measuring their alpha angles before and after surgery, and assessing the reliability of these measurements.
  • *Results showed a significant difference between the outer alpha angle (average 77.0°) and the inner alpha angle (average 46.4°), indicating that the imaging technique could effectively guide how much bone needs to be resected for optimal outcomes.
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Background: Labral repair has become the preferred method for the arthroscopic treatment of acetabular labral tears that are associated with femoroacetabular impingement (FAI) resulting in pain and dysfunction. Labral reconstruction is performed mainly in revision hip arthroscopy but can be utilized in the primary setting for absent or calcified labra. The purpose of this study was to compare the minimum 2-year patient-reported outcomes (PROs) and risk of revision or conversion to arthroplasty between primary labral reconstruction and primary labral repair.

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Article Synopsis
  • The study aimed to evaluate the effectiveness of open coracoid transfer surgery by analyzing radiographic outcomes using different imaging techniques, primarily focusing on long-term complications after at least one year post-surgery.
  • A systematic literature search identified 33 studies involving 1,456 shoulders, with most imaging done via plain radiography, followed by CT.
  • Results indicated high graft union rates (75%-100%), but also a range of postoperative complications, including osteoarthritis (28% average incidence) and graft osteolysis (30% average incidence).
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Article Synopsis
  • The study investigates the impact of hip arthroscopy on the mental health of patients with femoroacetabular impingement (FAI) and hypothesizes that those with low mental health will see improvements post-surgery.
  • A total of 566 patients were evaluated, with 21% classified as having low mental health (LMH) preoperatively; significant postoperative mental health improvement was observed, with 73% of the LMH group transitioning to high mental health (HMH) status.
  • The findings indicate a strong link between improved mental health and better patient-reported outcomes, suggesting that addressing mental well-being is important for recovery after hip surgery.
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Background: The presence of adhesions is a common source of pain and dysfunction after hip arthroscopic surgery and an indication for revision surgery. The placement of a capsular spacer in the capsulolabral recess after lysis of adhesions has been developed to treat and prevent the recurrence of adhesions.

Purpose: To evaluate patient-reported outcomes (PROs) and survivorship at a minimum of 2 years after revision hip arthroscopic surgery with capsular spacer placement for capsular adhesions.

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This article will review various strategies such as passive range of motion modalities, active range of motion movements, and pharmacological interventions for the prevention of adhesion formation after hip arthroscopy. Capsulolabral adhesions are a common cause of revision hip arthroscopy for which treatment methods are still evolving. Efforts to prevent and limit their formation postoperatively, including adjuncts such as losartan, as well as the use of consistent passive and active, multiplanar movements, both therapist and continuous passive motion machine assisted, should be considered.

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Background: Within the hip joint, the anatomy of the acetabulum and cotyloid fossa is well established. There is little literature describing the association between the size of the cotyloid fossa relative to the acetabulum and characteristics of patients with femoroacetabular impingement (FAI).

Purpose/hypothesis: The purpose was to calculate the cotyloid fossa coverage percentage in the acetabulum and determine its association with patient characteristics, radiographic parameters, intra-articular findings, and preoperative patient-reported outcomes in patients with FAI.

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Background: Based on previous studies, it is difficult to discern whether patients who have femoroacetabular impingement (FAI) with borderline developmental dysplasia of the hip (BDDH) would benefit from arthroscopy when compared with patients without BDDH.

Purpose: To evaluate the existing comparative literature on arthroscopic findings, procedures, patient-reported outcomes (PROs), and failures in patients who have FAI with BDDH compared with those without BDDH.

Study Design: Systematic review; Level of evidence, 3.

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Background: The treatment for borderline developmental dysplasia of the hip (BDDH) has historically been arthroscopic surgery or periacetabular osteotomy (PAO). As orthopaedic surgery is constantly evolving, a lack of comparison of outcomes for these 2 treatment methods could potentially be stalling the progression of treatment for patients with BDDH.

Purpose: To evaluate the existing literature on patient characteristics, procedures, clinical outcomes, and failure rates for patients with BDDH and to determine whether PAO or hip arthroscopic surgery is a better treatment method for patients with BDDH.

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