Purpose: To summarize the characteristics of the top 100 most-cited publications related to hip preservation, not counting self-citation.
Methods: Databases accessible through ISI Web of Science were queried for articles related to hip preservation between 1965 and June 2022. Analysis included citation number, visual network mapping, publication year, geographic distribution, authorship, impact factor, citation density, and institution. Data analysis was performed excluding self-citations.
Results: The top 100 most cited articles in hip preservation had citations ranging between 151 and 2,001, with publication years between 1965 and 2018. An increase in citation density over time was observed. Fifty-seven percent of articles were from the United States, 23% from Switzerland, and 8% from Canada; 57% of the articles were published in the 2000s, and a majority were Level IV Evidence (n = 62). led in number of publications (n = 32) and mean citations (n = 353) followed by (n =23) and (n = 11). "Femoroacetabular impingement" (occurrences = 19) and "arthroscopy" (15) have been focal keywords since the turn of the 21st century, whereas in the 20th century, "acetabulum" (occurrences = 2) was the predominant keyword.
Conclusions: The 100 most-cited articles in hip preservation, not counting self-citation, were published between 1965 and 2018. Citation density increased over time. The majority of articles were published in the United States and in . The focus in hip preservation has expanded from acetabulum pathology to extensive work across topics including femoroacetabular impingement, capsular biomechanics, and arthroscopy innovation.
Level Of Evidence: Level IV, descriptive epidemiology study using large database.
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http://dx.doi.org/10.1016/j.asmr.2024.100958 | DOI Listing |
Hip Int
March 2025
Department of Orthopaedics unit 3, Christian Medical College, Vellore, India.
Background: Valgus osteotomy is a femoral head-preserving surgery to treat femoral neck non-union in young, active patients. The traditional approach, however, causes medialisation of the femoral shaft during valgus correction, which alters femoral anatomy and complicates conversion to total hip arthroplasty if head osteosynthesis fails. This study aims to outline a novel surgical technique, medial opening wedge valgus intertrochanteric osteotomy (VITO), and evaluate its clinical and radiographic outcomes, focusing on restoring hip biomechanics and improving union rates.
View Article and Find Full Text PDFBMC Musculoskelet Disord
March 2025
Department of Orthopedic Surgery, Showa University Fujigaoka Hospital, 1-30 Fujigaoka Aoba-ku, Yokohama, 227-8501, Japan.
Background: Transtrochanteric rotational osteotomy (TRO) for osteonecrosis of the femoral head (ONFH) is considered technically demanding, with varying results among institutions. This is due to the complex soft tissue exposure and determination of the osteotomy line. We report a case in which the osteotomy line was assessed using the Stryker OrthoMap three-dimensional (3D) computed tomography (CT)-based navigation system and determined as preoperatively planned.
View Article and Find Full Text PDFClin Orthop Relat Res
March 2025
Department of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.
Background: Periacetabular osteotomy (PAO) treats developmental dysplasia of the hip (DDH) by reducing load on the hip and improving joint function. Untreated DDH affects lower extremity alignment and alters knee morphology, with valgus alignment more pronounced in hip osteoarthritis secondary to DDH. While PAO may influence knee mechanics, its association with subchondral bone density in the tibiofemoral joint remains unclear.
View Article and Find Full Text PDFPurpose: Triple-Osteotomy (TO) is a hip-preserving surgical technique designed to correct symptomatic hip dysplasia by achieving three-dimensional acetabular reorientation and improving femoral head coverage. This procedure has shown promising outcomes in pain reduction, functional recovery, and quality of life, particularly in young, active patients. While periacetabular-osteotomy (PAO) is another well-established method for hip preservation, the specific advantages of TO, especially in early recovery and patient-reported outcomes (PROMs), remain underexplored.
View Article and Find Full Text PDFJ Exp Orthop
January 2025
Department Trauma Surgery BG Unfallklinik Murnau Murnau German.
Purpose: Clinical evidence indicates that an unintended increase in the medial proximal tibial angle (MPTA) can occur during slope-reducing tibial osteotomies, which is most relevant in anterior cruciate ligament (ACL) deficient knees. Therefore, the purpose of this three-dimensional (3D) simulation study is to assess how axial or coronal hinge axis rotation affect alignment parameters in anterior tibial closing wedge osteotomies (ACWO). The hypothesis states that a neutral hinge axis (NHA) in ACWO prevents changes in coronal and axial alignment.
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