Partial and total hip arthroplasty were now very common in our country. Partial hip prothesis was indicated for fractures of the neck of the femur of old patients (>60 years old). Total hip prothesis was indicated for necroris or hip arthrosis. The incidence of excellent and good results was 82.5% for total hip prothesis and 77.1% for partial hip prothesis.
Arthroplasty, Replacement, Hip ; Hip Injuries

113 patients including 80 patients received the spheroidal joint replacement of femoral cervical bone according to the method of AUSTIN MOORE and THOMSON (semi-hip-replacement) and 33 patients received the total hip replacement according to the method of M.E.Muller. The results have shown that average monitored postoperative time was 28 months, longest 23 years; the good and best, medium and poor efficacy in the false hip replacement were 58%, 33% and 9%, respectively. The good and best, medium and poor efficacy in the semi false hip replacement were 72.5%; 22.5%; 5% respectively. Which indicated that the semi-false hip replacement gave the good results
Arthroplasty, Replacement, Hip ; Hip Injuries

During 1994-2001, there were 73 patients (47 males) received operations of total hip replacement in the Central Military Hospital 108. The outcomes were best and good (85%), quite (8.2%), normal (3.4%) and poor (3.4%). The operation contributed to improve the quality of patient's life by pain relief, hip joint rehabilitation and recovery of working and accommodation
Arthroplasty, Replacement, Hip ; Hip Injuries

The hip arthroscopy develops quickly in the past 20 years. Its use in the diagnosis and treatment of the hip injury get more notably. Many of pathologic conditions previously unrecognized through X-ray, CT or MRI have been diagnosed correctly under hip arthroscopy. The technology has become gradually a golden standard to confirm the hip discords. In the present, the examining path of the hip arthroscopy contains mainly the outside path, the anterior path, the outside-posterior path. The application range of the hip arthroscopy includes the management of labral tears, the femoroacetabular impingement, the ligamentum tear injuries, the chondral lesions, the synovical abnormalities, the intra-articular infection, the loose bodies in the joint etc. The hip arthroscopy is a comprehensive technology. Its superiority can be reflect well if the doctors are familiar with the indication, the contraindication and the operation procedure. And also the thorough physical examination and imaging examination should be made before operation, as well as reasonable and effective postoperative function training should be conducted.
Arthroscopy ; methods ; Hip Injuries ; surgery ; Hip Joint ; surgery ; Humans

OBJECTIVE: To review the literature regarding diagnosis and treatment of labral tear. DATA SOURCES: A systematic search was performed in PubMed using various search terms and their combinations including hip, labrum, acetabular labral tear, arthroscopy, diagnosis, and anatomy. STUDY SELECTION: For each included study, information regarding anatomy, function, etiology, diagnosis, and management of acetabular labral tear was extracted. RESULTS: Five hundred and sixty abstracts about anatomy, function, etiology, diagnosis, and management of acetabular labral tear were reviewed and 66 selected for full-text review. The mechanism of labral tear has been well explained while the long-term outcomes of various treatment remains unknown. CONCLUSIONS Labral tear is generally secondary to femoroacetabular impingement, trauma, dysplasia, capsular laxity, and degeneration. Patients with labral tear complain about anterior hip or groin pain most commonly with a most consistent physical examination called positive anterior hip impingement test. Magnetic resonance arthrography is a reliable radiographic examination with arthroscopy being the gold standard. Conservative treatment consists of rest, non-steroidal anti-inflammatory medication, pain medications, modification of activities, physical therapy, and intra-articular injection. When fail to respond to conservative treatment, surgical treatment including labral debridement, labral repair, and labral reconstruction is often indicated.
Acetabulum ; injuries ; Arthroscopy ; Hip Injuries ; Humans ; Rotator Cuff Injuries ; Rupture ; diagnosis

Recently the interest in minimal invasive surgery for total hip arthroplasty is increasing due to its advantages of less soft tissue injury, less postoperative pain, early rehabilitation and cosmesis. There are two methods of minimal invasive surgery for total hip arthroplasty; one incision and two incision technique. The more common method is the one incision technique and among them, anterolateral and posterior or posterlateral method are most common. This one incision method reduces the length of incision. Two incision method was developed by Mears and Berger to reduce the degree of trauma to the muscles and tendons as well as to reduce the incision size. But the minimal invasive total hip arthroplasty has some potency of development of complications due to smaller operation field. So the minimal invasive total hip arthroplasty should be done only by experienced surgeons with sufficient training and adequate equiments.
Arthroplasty ; Hip ; Muscles ; Pain, Postoperative ; Soft Tissue Injuries ; Tendons

Minimally invasive surgeries, such as laparoscopic, endoscopic and,arthroscopic surgery are currently being used throughout the world. The field of total hip arthroplasty has over 40 years of experience, and minimally invasive total hip arthtoplasty was introduced to reduce the perioperative morbidities. The advocates for minimally invasive total hip arthroplasty will point out the advantages of reduced pain and early ambulation after the operation because of the minimal soft tissue injury. However, we have to review the advantages and disadvantages of minimally invasive total hip arthroplasty to prevent anyharmful effects of this procedure for the patients who under go it.
Arthroplasty ; Early Ambulation ; Hip ; Humans ; Soft Tissue Injuries

The hip rotator cuff tear usually develops in the middle-aged through gradual degenerative changes, similar to rotator cuff tears in the shoulder. An acute tear in the hip abductor by a traumatic event in young ages is very uncommon. The authors experienced an unusual case of an acute traumatic tear isolated to the gluteus medius in a young male; thus, we report the treatment results in this rare case with a review of the literature.
Hip ; Hip Injuries ; Humans ; Male* ; Rotator Cuff ; Shoulder ; Tears* ; Young Adult

PURPOSE: To evaluate the CT images of reduced hips after posterior hip dislocation and to propose specific diagnostic criteria based on the CT results. MATERIALS AND METHODS: We retrospectively reviewed the CT findings on 18 reduced hips from 17 patients with radiographs and clinical histories of traumatic posterior hip dislocations by evaluating 18 corresponding CT scans for joint space asymmetry, intra-articular abnormalities (intra-articular fat obliteration, loose bodies, and joint effusion), changes in posterior soft tissue (capsule, muscles, and adjacent fat), the presence, and location of fractures (acetabulum and femoral head). RESULTS: All 18 hips (100%) showed posterior soft tissue changes. In total, 17 hips (94.4%) had intra-articular abnormalities and 15 hips (83.3%) had joint space asymmetries. In addition, 17 hips (94.4%) had fractures involving the acetabula (15 cases, 88.2%), the femoral head (13 cases, 76.5%), or on both sides (11 cases, 64.7%). The most frequent fracture location was in the posterior wall (13/15, 86.7%) of the acetabulum and in the anterior aspect (10/13, 76.9%) of the femoral head. CONCLUSION: Patients with a prior history of posterior hip dislocation showed specific CT findings after reduction, suggesting the possibility of previous posterior hip dislocations in patients.
Acetabulum ; Dislocations ; Head ; Hip ; Hip Dislocation ; Humans ; Joints ; Muscles ; Retrospective Studies ; Soft Tissue Injuries

Arterial trauma associated with hip fracture treatment is still a rare complication. We present a case in which an arterial injury was discovered during closed reduction and intramedullary nail fixation of a subtrochanteric hip fracture. The preoperative thigh circumference was increased due to severe swelling, and the vascular injury was located substantially proximal to the fracture and the instrumentation area. An interventional angiogram revealed a damaged vessel originating from one of the minor proximal branches of the right deep femoral artery while filling a 2 cm-sized pseudoaneurysm. Embolization was performed without further complications.
Aneurysm, False ; Femoral Artery ; Glycosaminoglycans ; Hip ; Hip Fractures ; Nails ; Thigh ; Vascular System Injuries