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Effects of Prophylactic Coil Embolization of Pelvic Arteries on Surgical Outcomes in Hemodynamically Stable Patients with Complex Acetabular Fractures.
J Vasc Interv Radiol
January 2025
Department of Radiology; Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine; No. 600, Yishan Road; Shanghai, 200233, China. Electronic address:
Objectives: To investigate the efficacy of prophylactic embolization of the internal iliac artery (IIA) or superior gluteal artery (SGA) before open reduction and internal fixation (ORIF) in reducing intraoperative blood loss (IBL) in hemodynamically stable patients with complex acetabular fractures.
Materials And Methods: A total of 136 patients with complex acetabular fractures were retrospectively included and divided into the prophylactic transcatheter arterial embolization (PTAE) group and non-PTAE group, depending on whether ipsilateral IIA or SGA was embolized using coils within 3 days before ORIF. Demographic characteristics, injury severity score (ISS), fracture classification, and intraoperative and postoperative data were compared between the two groups.
Prevalence of Asymptomatic Acetabular Labrum Abnormalities in the Active Pediatric Population.
J Pediatr Orthop
January 2025
Scottish Rite for Children.
Background: The prevalence of labral tears in asymptomatic active adults has been reported, but the prevalence of labral tears and other incidental hip lesions in the asymptomatic active pediatric population remains unclear. The purpose of this study was to determine the prevalence of hip abnormalities detected on 3T MRI in an active pediatric population with no hip symptoms and to compare with hip abnormalities found in children and adolescents who underwent an MRI for a hip-related condition.
Methods: After IRB approval, pediatric patients self-reporting as athletes and presenting with isolated, acute-onset knee pain requiring knee MRI were prospectively recruited to undergo 3T MRI of their asymptomatic contralateral hip (ASx).
Development of a Deep Learning Model for Automating Implant Position in Total Hip Arthroplasty.
J Arthroplasty
January 2025
Vanderbilt University Medical Center, Department of Orthopaedic Surgery.
Introduction: Novel methods for annotating antero-posterior (AP) pelvis radiographs and fluoroscopic images with deep-learning models have recently been developed. However, their clinical use has been limited. Therefore, the purpose of this study was to develop a deep learning model that could annotate clinically relevant pelvic landmarks on both radiographic and fluoroscopic images and automate total hip arthroplasty (THA)-relevant measurements.
View Article and Find Full Text PDFSurveillance of Dual-Mobility Hip Systems: Damage Mode and Clinical Data Analysis.
J Arthroplasty
January 2025
Oakland University William Beaumont School of Medicine, Rochester, MI; Department of Orthopedic Surgery, Corewell Health William Beaumont University Hospital, Royal Oak, MI. Electronic address:
Background: Hip instability following total hip arthroplasty (THA) is among the most common indications for revision surgery. The implantation of dual-mobility (DM) systems, designed to improve stability, continues to rise, and thus, characterizing in vivo implant damage modes is paramount.
Methods: Under an implant retrieval protocol, 51 DM THA systems were analyzed.
Cup-Cage Reconstruction for Pelvic Discontinuity: Encouraging Long-Term Survival.
J Arthroplasty
January 2025
Department of Orthopaedic Surgery, Division of Lower Limb Reconstruction, University of British Columbia, Vancouver, British Columbia, Canada.
Background: Pelvic discontinuity (PD) poses a difficult challenge in revision total hip arthroplasty (rTHA). There is a paucity of evidence assessing five- to ten-year outcomes of cup cages for PD. This study aimed to review the survivorship and outcomes of cup-cage constructs for PD.
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