Clinical orthopaedics and related research
-
Clin. Orthop. Relat. Res. · Apr 2017
Does Surgeon Experience Impact the Risk of Complications After Bernese Periacetabular Osteotomy?
Bernese periacetabular osteotomy (PAO) is a technically challenging procedure with potential risk for major complications and a previously reported steep learning curve. However, the impact of contemporary hip preservation fellowships on the learning curve of PAO has not been established. ⋯ Level III, therapeutic study.
-
Clin. Orthop. Relat. Res. · Apr 2017
Femoral Morphology in the Dysplastic Hip: Three-dimensional Characterizations With CT.
Hip dysplasia represents a spectrum of complex deformities on both sides of the joint. Although many studies have described the acetabular side of the deformity, to our knowledge, little is known about the three-dimensional (3-D) head and neck offset differences of the femora of dysplastic hips. A thorough knowledge of proximal femoral anatomy is important to prevent potential impingement and improve results after acetabular reorientation. ⋯ Level IV, prognostic study.
-
Clin. Orthop. Relat. Res. · Apr 2017
ReviewNo Clinically Important Difference in Knee Scores or Instability Between Transtibial and Inlay Techniques for PCL Reconstruction: A Systematic Review.
It is unclear whether the biomechanical superiority of the inlay technique over the transtibial technique, arising from avoidance of the killer turn at the graft-tunnel margin of the proximal tibia during posterior cruciate ligament (PCL) reconstruction, leads to better knee scores or greater knee stability. ⋯ Level III, therapeutic study.
-
Clin. Orthop. Relat. Res. · Apr 2017
One-third of Hips After Periacetabular Osteotomy Survive 30 Years With Good Clinical Results, No Progression of Arthritis, or Conversion to THA.
Since its first description in 1984, periacetabular osteotomy (PAO) has become an accepted treatment for hip dysplasia. The 30-year survivorship with this procedure has not been reported. Because these patients are often very young at the time of surgery, long-term followup and identification of factors associated with poor outcome could help to improve patient selection. ⋯ Level III, therapeutic study.