Metal-on-Metal Total Hip Arthroplasty at Five to Twelve Years Follow-Up: A Concise Follow-Up of a Previous Report.

Background: Concern has arisen regarding potential complications with modular metal-on-metal (MoM) acetabular components in total hip arthroplasty. The purpose of this study was to analyze longitudinally the longer term results of a previously reported cohort of patients utilizing a cementless modular acetabular component with a MoM bearing.

Methods: One hundred sixty-nine consecutive but selected total hip arthroplasties were performed in 148 patients at 2 institutions using a modular acetabular MoM component.

Fracture of a BIOLOX Delta Ceramic Femoral Head Articulating Against a Polyethylene Liner: A Case Report.

Case: A forty-five-year-old woman underwent primary total hip arthroplasty with a 36-mm BIOLOX delta ceramic femoral head articulating against a polyethylene liner. She presented with hip pain at eighteen months postoperatively, two months after being in a bicycle accident; fracture of the femoral head was diagnosed.

Conclusion: The possibility of a ceramic femoral head fracture should be decreased with use of the latest generation of ceramic material, a ceramic-on-polyethylene articulation rather than a ceramic-on-ceramic articulation, and a larger head size, all of which applied to this case.

Ultimate outcome in immediate postoperative total hip arthroplasty instability.

The objective of this study was to determine the ultimate outcome of patients who experienced immediate postoperative instability after primary total hip arthroplasty using regional anesthesia. Thirty-one patients whose radiographs demonstrated dislocation or subluxation immediately after total hip arthroplasty were evaluated as to the ultimate outcome of hip function and stability. Once a dislocation has occurred, the risk of redislocation is high.

Analysis of cement mantles in collared versus collarless femoral components.

The purpose of this study was to compare the cement mantles of 100 consecutive collared cemented stems with those of 100 consecutive collarless cemented stems of similar design. All stems were implanted by the same surgeon. Two independent examiners retrospectively reviewed the results.

Femoral revision with impaction grafting and a collarless, polished, tapered stem.

Femoral impaction allografting has been done with and without variations of the original description. The purpose of this study was to review Harris hip scores, radiographs, and complications in patients in whom we used the original technique without significant modifications. Preoperative and postoperative hip scores and radiographic data were available at a mean of 4.

Bone healing in children.

Just as pediatric fractures and bones are basically similar to adult fractures and bones, pediatric bone healing is basically similar to adult bone healing. They both go through the three same phases of inflammation, reparation, and remodeling. It is those differences between pediatric and adult bone, however, that affect the differences in the healing of pediatric bone.

Stress fractures of the foot and leg.

Stress fractures are overuse injuries of bone. Basketball players are particularly prone to develop the notoriously "troublesome" stress fractures of the foot and leg. This article reviews the pathogenesis, epidemiology, diagnosis, and treatment of stress fractures, with specific emphasis on the care of the basketball athlete.