When a hip becomes unstable after total hip arthroplasty, the orthopedic surgeon should investigate it with a history and physical, appropriate imaging and laboratory tests prior to any surgery to remove the hip anteversion or revise the prosthesis, according to a presenter.
As the rate of hip and knee arthroplasty procedures increases, so will the rate of interprosthetic fractures. Several factors, including bone quality, bone quantity, and stability of the prosthetic components, play a role in determining the appropriate operative treatment. Patients with stable components should undergo reduction and internal fixation, while patients with loose components should undergo either revision arthroplasty, with or without additional fixation, or conversion to total femur replacement
Recently published results showed large variation in the rotational plane for both femoral and tibial components during 3-D unicompartmental knee arthroplasty component alignment analysis in the standing position, suggesting the importance of component positioning.
Results of a study presented at European Society of Sports Traumatology, Knee Surgery and Arthroscopy Congress, here, showed patients who participated in sports before total knee arthroplasty were able to participate in sports postoperatively and in some cases, patients were more active in sports after surgery.
Older men with an increasing number of specific risk factures combined with decreased bone mineral density at the femoral neck are at elevated risk for hip fracture, according to study findings.
When it comes to recurrent dislocation of the hip after total hip arthroplasty, surgeons will find it helpful to identify the primary cause of the patient’s instability and correct the problem at the time of revision surgery.
Patients with inflammatory arthritis who underwent total hip arthroplasty experienced higher rates of complications compared with patients who had osteoarthritis, according to results.
Greater length of stay, admission costs, long-term complications risks and inpatient facility discharge likelihood was found among patients who underwent total hip or knee arthroplasty with an off-label prosthesis, according to results.
Revision ACLR can pose a variety of surgical challenges. Evaluation of patient risk factors, prior surgical technique, prior tunnel placement, tunnel osteolysis, prior grafts utilized and implanted hardware must be considered prior to performing a revision ACLR case.
Patient factors, not procedure, linked with major complications after surgery for femoral neck fracture
The risk of major postoperative complications after hemiarthroplasty or total hip arthroplasty for treatment of femoral neck fractures is influenced by patient factors, rather than choice of procedure, according to study results.