Healthcare News
Acute total hip arthroplasty for anterior hip fracture dislocation: a case report
Hip fracture–dislocations accompanied by femoral head or acetabular fractures remain challenging, and the optimal treatment strategy is still controversial. Anterior hip fracture–dislocations are particularly rare, and reports describing acute total hip arthroplasty (THA) for this injury pattern are limited. We report the case of a 74-year-old active woman who sustained an anterior hip fracture–dislocation with femoral head and acetabular anterior wall fractures after a low-energy fall.
Source: Journal of Surgical Case Reports
Surgical management techniques for avascular necrosis of the femoral head: a systematic review
Early surgical intervention for avascular necrosis (AVN) of the femoral head can preserve the hip joint and delay the need for total hip arthroplasty (THA). Therefore, the purpose of this study is to compare the efficacy of various surgical modalities to treat femoral head AVN as assessed by THA-free survivorship, radiographic failure, and patient reported outcomes measures (PROMs).
Clinical Outcomes of Arthroscopic Hip Labral Reconstruction Versus Repair in the Primary Setting: A Systematic Review and Meta-Analysis
Advancements in understanding the acetabular labrum's role in hip biomechanics have emphasized preserving its native anatomy. However, severe labral pathology may make labral repair unfeasible in certain cases. The primary aim of the present study is to review existing literature comparing clinical outcomes of arthroscopic hip labral reconstruction versus repair in the primary setting.
Source: ScienceDirect
Cast immobilisation versus surgery for unstable lateral malleolus fractures (SUPER-FIN): randomised non-inferiority clinical trial
Objective To compare cast immobilisation with surgery using open reduction and internal plate fixation for unimalleolar Weber B ankle fractures with a congruent mortise on initial radiography but deemed unstable by external rotation stress testing.
Source: thebmj
Diagnostic Dilemma: Testing to Differentiate UCL Sprains From Flexor-Pronator Elbow Strains in the Overhead Athlete
Differentiating between a UCL and flexor-pronator injury is often difficult because the symptoms both produce pain in the medial elbow, and they frequently occur together. The purpose of this commentary is to describe the clinical thought process used to assist in making an accurate differential diagnosis between a UCL sprain and a flexor-pronator strain.
Source: IJSPT