Healthcare News
Total hip arthroplasty after hip preservation surgery: Outcomes and challenges
Hip preservation surgery (HPS) is increasingly performed in young and active patients with the aim of delaying or avoiding total hip arthroplasty (THA). Despite advances in preservation techniques, a proportion of patients eventually progress to end-stage hip disease and require conversion to THA. Performing THA after prior HPS presents unique challenges because of altered anatomy, retained hardware, soft-tissue scarring, and compromised bone quality. This narrative review evaluates the existing literature on THA following various hip preservation procedures, including hip arthroscopy, periacetabular osteotomy, femoral osteotomies, and core decompression.
Rates of Total Joint Replacement in the United States: Future Projections to 2020 2040 Using the National Inpatient Sample
Significant increases in use of THA and TKA are expected in the United States in the future, if the current trend continues. The increased use is evident across age groups in both females and males. A policy change may be needed to meet increased demand
Source: The Journal of Rheumatology
Comparative Outcomes of Hip Arthroscopy-Assisted Surgery and the Direct Anterior Approach for Pipkin Type I and II Femoral Head Fractures
Comparative evidence regarding the direct anterior approach and hip arthroscopy–assisted surgery for Pipkin type I and II fractures remains limited. This study compares these minimally invasive strategies and evaluates whether fragment excision or internal fixation yields superior functional outcomes.
Source: ScienceDirect
Revision Total Ankle Arthroplasty Using the INVISION Modular Implant System: A Systematic Review and Meta-Analysis
Globally, rising rates of ankle arthritis have largely driven increases in total ankle arthroplasty (TAA) and revision TAA (rTAA). INVISION (Wright Medical/Stryker) is a novel modular implant system designed for addressing rTAA-associated challenges; however, clinical outcomes remain limited. Therefore, the purpose of this systematic review is to synthesize the available INVISION rTAA literature to evaluate implant survivorship and complication rates.
Source: Foot & Ankle Orthopaedics
Arthroscopic Versus Open Elbow Debridements Among ABOS Part II Candidates: A Decline in Arthroscopic Volume yet Fewer Complications After Arthroscopic Procedures
Loose body removal and debridement remain common indications for elbow arthroscopy. This study identifies trends in elbow arthroscopy versus open procedures for loose body removal and debridement among American Board of Orthopaedic Surgery (ABOS) Part II Oral Examination candidates and compares the use of elbow arthroscopy among candidates with different fellowship training backgrounds.