Total hip replacement surgery commonly performed with one of two methods, direct lateral (from the side) or posterior (from the back). In recent years a previously described technique called the Direct Anterior Approach (DAA) has gathered interest because it is a less invasive procedure. This article by Post, et al, […]
Hip fractures are a very prevalent (~150,000 annually) and costly (~ six billion dollars annually) problem in the United States. Because of the high costs associated with the care and recovery from a hip fracture, the type of implants being used are under scrutiny. Implant type is traditionally determined by […]
Osteonecrosis of the femoral head most frequently affects 30 to 50 years old, with 20,000-30,000 new cases diagnosed annually. Although the actual pathology behind femoral osteonecrosis is not yet understood, the disease typically follows a progression to eventual femoral collapse, which results in the need for a total hip replacement. […]
A recent review of current evidence found that surgical treatment for hip pain in the middle-aged, active patient population is highly dependent on the type of underlying pathology and condition of the joint. Decisions regarding type of surgery should be made based on the amount of degeneration, bony deformities present, […]
Many people don’t realize it, but one of their legs is longer (or shorter) than the other one. Over time, this can lead to degenerative osteoarthritis (OA) in the hip joint requiring a hip replacement. But the surgeon can’t just take the old hip joint out and put the new […]
Consider these statistics: 202,500 total hip replacements were done in 2003. In that same year, 36,000 total hip replacements were operated on again to revise, remove, or replace the first implant. The number of between the ages of 30 and 65 who will develop osteoarthritis is expected to increase two […]
Many articles have been written about the condition affecting the hip known as femoroacetabular impingement (FAI). But the current definition is not specific enough to be used when planning clinical trials. Therefore, the orthopedic surgeons at The Children’s Hospital of Philadelphia (CHOP) have taken on the task of defining this […]
Femoroacetabular impingement, otherwise known as FAI, does not have one symptom or one clinical test that tells the physician, “Yes, this person has femoroacetabular impingement FAI)”. Instead, the diagnosis is one of exclusion based on patient history, clinical symptoms, physical examination, and the results of imaging studies (X-rays, MRIs). We […]
When can and should arthroscopic surgery be done for hip disorders? In this in-depth review of arthroscopic hip surgery, orthopedic surgeons from Northwestern University in Chicago, Illinois offer their insights, opinions, and recent research evidence for treatment decisions regarding a variety of hip problems. Anyone with hip pain that doesn’t […]
In one-third of one percent (0.32%) of the total hip patients in this study from Thomas Jefferson University Hospital in Philadelphia, Pennsylvania, a serious nerve problem developed. The peroneal nerve (a branch of the much larger sciatic nerve) was pinched, pressed, cut, deprived of oxygen, or exposed to high heat. […]
Hip Joint replacements are becoming common place these days. Last year, there were 300,000 total hip arthroplasty (THA) procedures done in the United States. Younger, more active patients are getting their hips replaced. And that means an anticipated higher number of revision (re-do or second) surgeries. Surgeons planning a second […]
In this look back over the records of 96 patients, surgeons evaluated whether or not a steroid injection into the hip was linked with infection after hip replacement. They conducted the study because there have been previous reports that this may be the case. And since steroid injections are often […]
Researchers have noticed a very curious thing. People of European descent are the only ones who develop primary osteoarthritis (OA) of the hip. Those individuals who are of African or Asian lineage are much less likely to develop this condition. In fact, according to this article, primary osteoarthritis is completely […]
Even though hip pain from osteoarthritis can be very debilitating and disabling, hip replacement is still an elective procedure. Elective means it is not required because of a life-threatening condition, but rather, a choice based on personal needs and preferences. Many more older adults are choosing (even demanding!) this surgery […]
When joint replacements are put in place, they can be cemented in place or the surgeon can use a cementless type that fills in with bone. Both are still commonly in use but many surgeons have switched to all cementless. They made this switch to avoid implant loosening that is […]
Surgeons (and patients) will find this review article on current treatment concepts for femoroacetabular impingement (FAI) of interest. Studies show that the anatomic abnormalities associated with this disorder are more complex than originally thought. Understanding the bony deformity and subsequent changes in how the hip moves is important when planning […]
Defects, holes, or lesions of the articular cartilage (surface of the joint) can be treated with a surgical procedure known as microfracture. The surgeon creates tiny holes in the surface of the joint at the site of the problem area. Blood seeps through from the bone marrow and stimulates a […]
Orthopedic surgeons performing total hip replacements (known as total hip arthroplasty or THA) will be interested in this update on the treatment of post-operative infection. New developments and advances in this area deserve attention. Since there are so many different ways to approach the problem, the question is: which treatment […]
Imagine you had a total hip replacement six years ago and everything went just fine. Then bam! You develop pain and swelling somewhere around the hip or thigh. What’s happening? With the aid of X-rays, CT scans, and/or MRIs, the surgeon diagnoses a condition known as osteolysis. The images suggest […]
Can you guess how many people have a total hip replacement in the United States every year? Would you be surprised to know that at least one-quarter of a million total hip replacements are done annually? And it is expected that over the next few years, that figure will more […]