Radiographic Alterations in Short-Stem Total HIP Arthroplasty: A 2-Year Follow-Up Study of 216 Cases

Kutzner, Karl Philipp; Pfeil, Dominik; Kovacevic, Mark Predrag; Rehbein, Philipp; Mai, Sabine; Siebert, W.; Pfeil, Joachim

doi:10.5301/hipint.5000339

Cited by 45 publications

(36 citation statements)

References 50 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Even more, the authors acknowledged in another study including both bilateral and unilateral MIS THA patients that their department is a reference clinic of the investigated, a fact which might raise concerns ragarding the validity of their conclusions. 34 Therefore, their results have to be confirmed by other medical centres.…”

Section: Discussionmentioning

confidence: 91%

Simultaneous bilateral minimally invasive total hip arthroplasty: A comprehensive review of the literature

Malahias¹,

Chulsomlee

Thorey³

2018

Orthop Rev (Pavia)

View full text Add to dashboard Cite

Several studies have reported that minimally- invasive total hip arthroplasty (MISTHA) may significantly reduce postoperative pain and results in faster postoperative rehabilitation when compared with the traditional lateral or posterior approach. Regarding bilateral hip osteoarthritis, there is still no consensus whether simultaneous bilateral MIS-THA can be established as the treatment of choice. Therefore, we searched the international databases of Pubmed, Medline, and Cochrane Database of Systematic Reviews using the key words minimally invasive bilateral total hip arthroplasty. From the initial 23 articles we found five clinical studies which met our inclusion criteria. From the perspective of possible intra- and postoperative complications, one-stage bilateral MIS THA was equally safe or safer than two-stage interventions. In addition, from a clinical outcome perspective, the one-stage procedure can be considered to be preferable. Higher blood transfusion requirements, which were expected following the standard bilateral simultaneous THA, seemed to be minimized with the simultaneous bilateral MIS THA. The supine position of the patient minimized the mean operation time. Approaches using the lateral decubitus position of the patient should be avoided in simultaneous bilateral THA due to the increased operation time. There is a lack of randomized, controlled clinical trials, comparing simultaneous bilateral MIS THA with staged bilateral MIS THA. Although simultaneous bilateral MIS THA seems to be efficacious, cost-effective and safe, more clinical trials are required to establish its superiority over the sequential MIS THA.

show abstract

Section: Discussionmentioning

confidence: 91%

Simultaneous bilateral minimally invasive total hip arthroplasty: A comprehensive review of the literature

Malahias¹,

Chulsomlee

Thorey³

2018

Orthop Rev (Pavia)

View full text Add to dashboard Cite

show abstract

“…The 6-week and 6-month results indicate that there are absolutely no disadvantages with respect to clinical parameters, pain or patient satisfactionin comparison to studies without the en-▶ hanced recovery concept [26,27]. There is a trend for the patients to return earlier to normal work and sport (▶ Table 4).…”

Section: Discussionmentioning

confidence: 92%

Outcome of an “Enhanced Recovery” Program in Contemporary Total Hip Arthroplasty in Germany

et al. 2019

Self Cite

View full text Add to dashboard Cite

Background An inpatient hospital stay of up to 10 days after total hip arthroplasty (THA) is still common in Germany, mostly followed by inpatient rehabilitation. Internationally already widespread concepts for enhanced recovery are increasingly gaining popularity in Germany. Objectives The presentation of content and results of a newly implemented enhanced recovery concept in THA. Materials and Methods In this single-center, prospective observational study of a consecutive patient collective of a single surgeon, between January 2016 and July 2016, 103 short-stem THA patients were enrolled and treated using a newly introduced enhanced recovery concept. After 6 weeks and 6 months clinical examination was performed regarding function, pain, satisfaction and possible complications. Results The goal of discharge on day 4 after operation was reached in 61.2% of the patients with a mean postoperative inpatient stay of 4.9 days. After 6 weeks and 6 months respectively, excellent clinical results were achieved with high patient satisfaction. The complication rate was found to be low. Mean hemoglobin concentration decreased by 2.1 g/dl. A fissure of the femur below the implant healed conservatively applying no weight bearing for a total of 6 weeks. A pulmonary embolism that occurred during rehabilitation was also successfully treated. After 6 months one case showed a bursitis trochanterica. Conclusions Inpatient length of stay can be reduced by enhanced recovery concepts without increasing the risks to patients. Thus, in Germany these concepts will be applied increasingly.

show abstract

“…Several short-term results of the investigated short-stem have previously been published, mostly arising from an ongoing observational study at the author's institution 2 8 11 12 13 14 15 16 . Using the presented technique, the reconstruction of different femoro-acetabular offsets can be accomplished precisely 5 .…”

Section: Representative Resultsmentioning

confidence: 99%

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty

Kutzner

Pfeil

2018

JoVE

Self Cite

View full text Add to dashboard Cite

Bone- and soft-tissue sparing short stems are increasingly used in total hip arthroplasty (THA). However, there are a large variety of models of short stems, differing in design and function. Calcar-guided short stems provide an anatomical curvature in the medial calcar region, thus, positioning is done individually alongside the calcar in the "round-the-corner" technique. Depending on the level of the neck's osteotomy, stems can be aligned individually in a large bandwidth of varus- and valgus anatomies. This differs from conventional total hip arthroplasty and potentially includes a severe learning curve. Given that a great variety of caput-collum-diaphyseal (CCD)-angles can be retained, the reconstruction of femoro-acetabular offsets can be achieved precisely. However, particularly extensive varus- and valgus positioning has raised concerns in regard to stability and bone remodeling. The purpose of the present manuscript is to showcase the implantation technique in calcar-guided short-stem THA and to summarize short-term clinical and radiological results.

show abstract

Radiographic Alterations in Short-Stem Total HIP Arthroplasty: A 2-Year Follow-Up Study of 216 Cases

Cited by 45 publications

References 50 publications

Simultaneous bilateral minimally invasive total hip arthroplasty: A comprehensive review of the literature

Simultaneous bilateral minimally invasive total hip arthroplasty: A comprehensive review of the literature

Outcome of an “Enhanced Recovery” Program in Contemporary Total Hip Arthroplasty in Germany

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty

Contact Info

Product

Resources

About