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What's New in Hip Surgery.
J Bone Joint Surg Am
September 2024
Department of Orthopaedics, University of Galway, Galway, Ireland.
What's New in Musculoskeletal Infection.
J Bone Joint Surg Am
July 2024
OrthoCarolina Hip and Knee Center, Charlotte, North Carolina.
What's New in Periprosthetic Femur Fractures?
J Arthroplasty
September 2024
Department of Orthopedic Surgery, Orlando Health Medical Group, Orlando, Florida.
Background: Periprosthetic femur fracture (PFF) is one of the most common indications for reoperation following total hip arthroplasty.
Methods/results: This article provides a review of a symposium on PFF that was presented at the American Association of Hip and Knee Surgeons 2023 annual meeting, including an overview of the Vancouver classification and its implications on treatment and subsequent complications, an updated approach to the management of intraoperative fractures, and finally, contemporary strategies for both osteosynthesis as well as revision arthroplasty for PFFs.
Conclusion: As the incidence of PPF continues to increase, arthroplasty and trauma surgeons must be prepared to address this challenging complication with a contemporary understanding of the treatment options and their outcomes.
Utilising patient-reported outcomes for goal-directed therapy of hip fracture patients: a sequential controlled trial.
BMJ Open Qual
December 2023
Sackler School of Medicine, Tel-Aviv University, Tel Aviv, Israel.
Article Synopsis
- The study focused on hip fracture patients (HFPs) who often have multiple health issues, emphasizing the need for clear communication about their rehabilitation goals.
- In a trial with two groups, only the intervention group was asked about their personal priorities, using the SF36 questionnaire to track progress in their rehabilitation plan.
- Results showed that while both groups improved over time, the intervention group had a higher percentage of patients achieving their specific goals, suggesting that understanding patient priorities can enhance healthcare quality and outcomes.
Although total hip arthroplasty (THA) has proved to be a successful surgical procedure, both prosthetic and bone impingement resulting in dislocation continue to occur. Studies have shown that spine pathology resulting in lumbar stiffness and hip arthritis often coexist. Spinopelvic mobility patterns during postural changes affect three-dimensional acetabular component position, which affects the incidence of prosthetic impingement and THA instability.
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