Ten-Year Results of the Fitmore Hip Stem with a Focus on Varus/Valgus Alignment and Subsidence-A Retrospective Monocentric Analysis.

Hip arthroplasty is a common elective surgery worldwide, with rising numbers due to demographic changes and an emphasis on maintaining physical activity in the elderly. The development of new implant designs, especially shorter uncemented stems, has contributed to the advancement of minimally invasive implantation techniques. However, the long-term in vivo behaviour of these implants, particularly regarding subsidence, stability, and stress shielding, remains to be fully understood.

Low-energy trauma-induced intercondylar femoral fracture.

We present a 44-year-old female patient with recurrent fragility fractures including an intercondylar femoral fracture and with normal planar bone densitometry. Diagnosis of hypophosphatasia was suggested by low volumetric cortical bone mineral density and laboratory findings. DNA sequencing revealed heterozygous mutations in the exons 5, 6 and 9 of the ALPL gene, thus confirming the suspected diagnosis.

Five-year results of the uncemented RM pressfit cup clinical evaluation and migration measurements by EBRA.

This was a prospective consecutive, study of 50 patients (mean age 72 years, 56% males) treated unilaterally for primary osteoarthrosis using the uncemented, isoelastic, monoblock RM Pressfit Cup. Migration and wear were assessed using the EBRA (Ein-Bild-Röntgen-Analyse) software (201 radiographs from 36 patients). Mean migration was 0.

Surgical hip dislocation for the treatment of femoroacetabular impingement in high-level athletes.

Background: Midterm outcome studies show that symptomatic femoroacetabular impingement (FAI) can be successfully treated by addressing the underlying pathomorphology with open or arthroscopic surgery. Although athletes may be vulnerable to hip injury from impingement, limited information is available regarding the results of open surgery in this group.

Hypothesis: High-level athletes with FAI can resume their sports after surgical hip dislocation and continue professional careers for a significant period.

Stepped osteotomy of the trochanter for stable, anatomic refixation.

Refixation of a trochanteric osteotomy carries a high complication rate. To enhance stability and facilitate anatomic reduction of the trochanteric fragment, we have introduced a stepped osteotomy. Between April 2006 and June 2007, we performed surgical hip dislocations using the modified trochanteric osteotomy combined with a relatively aggressive rehabilitation program.

Tension controlled ligament balanced total knee arthroplasty: 5-year results of a soft tissue orientated surgical technique.

Introduction: Posterior cruciate ligament (PCL)-retaining prostheses give good outcomes and are commonly used. This retrospective study investigated outcomes from total knee arthroplasty (TKA) using the ligament balancing technique to implant a PCL-retaining knee prosthesis (balanSystrade mark knee system) with either a mobile or a fixed bearing polyethylene inlay.

Materials And Methods: A retrospective study was performed on patients treated with TKA at one surgical centre between 1997 and 2001.

Correlation between internal rotation and bony anatomy in the hip.

Femoroacetabular impingement has been implicated as a risk factor for degenerative arthritis in young people with normally concentric hips. On presentation, patients with impingement have groin pain, limited internal rotation in 90 degrees flexion, and focal articular lesions. We hypothesized that the amount of internal rotation is dictated primarily by the underlying bony anatomy and not secondary to contractures.

A mechanical equinometer to measure the range of motion of the ankle joint: interobserver and intraobserver reliability.

Background: Clinical measurement of passive dorsiflexion of the ankle joint is essential for the diagnosis of various pathologic conditions of the foot and ankle but is of unreliable precision with high interobserver variability in nonweightbearing tests. This work was designed to develop and test a precise, standardized, and reliable technique for measurement of passive and active ankle range of motion.

Methods: The proposed measurement tool is composed of two mobile parallelograms, one attached to the tibia, the second one to the plantar surface of the foot.

Cartilage lesions in the hip: diagnostic effectiveness of MR arthrography.

Purpose: To evaluate the diagnostic performance of magnetic resonance (MR) arthrography in the detection of articular cartilage lesions in patients suspected of having femoroacetabular impingement and/or labral abnormalities.

Materials And Methods: Forty-two MR arthrograms obtained in 40 patients with a clinical diagnosis of femoroacetabular impingement and/or labral defect were retrospectively analyzed. Two readers independently interpreted the images for cartilage lesion location, depiction, and characteristics.