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Hip & Pelvis

2002 (v1, n1) to Present ISSN: 1671-8925

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Injury of the Superficial Femoral Artery Secondary to an Unstable Intertrochanteric Fracture: A Case Report.

Won Ro PARK ; Min Soo KANG ; Kyung Taek KIM ; Kyu Pill MOON

Hip & Pelvis.2012;24(4):338-341. doi:10.5371/hp.2012.24.4.338

Injury of the femoral artery with a femoral intertrochanteric fracture is rare, and usually occurs on the deep femoral artery during surgery. We experienced a case of preoperative injury of the superficial femoral artery by a lesser trochanteric fragment. We repaired the femoral artery through an anterior approach before internal fixation.
Femoral Artery ; Femur

Femoral Artery ; Femur

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Thrombotic Occlusion of the External Iliac and Popliteal Arteries after Hip Hemiarthroplasty: A Case Report.

Hong Man CHO ; Won Yu KANG ; Cheol PARK ; Hwang Se BONG

Hip & Pelvis.2012;24(4):333-337. doi:10.5371/hp.2012.24.4.333

Vascular complications related to hip arthroplasty are common, however, total occlusion of a critical artery that threatens survival of an extremity is extremely rare. We report on a patient who had thrombotic arterial occlusions at the iliac and popliteal arteries following hemiarthroplasty of the hip.
Arteries ; Arthroplasty ; Extremities ; Hemiarthroplasty ; Hip ; Humans ; Popliteal Artery

Arteries ; Arthroplasty ; Extremities ; Hemiarthroplasty ; Hip ; Humans ; Popliteal Artery

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Acute Phase of Sero-negative Rheumatoid Arthritis Misdiagnosed as Pyogenic Arthritis: A Case Report.

Cheol Hee PARK ; Joo Hyun LEE ; Tae Jin KIM ; Dong HURR ; Young Soo CHUN ; Kee Hyung RHYU ; Yoon Je CHO

Hip & Pelvis.2012;24(4):328-332. doi:10.5371/hp.2012.24.4.328

In cases of sero-negative rheumatoid arthritis (RA), no abnormal findings are observed on blood tests and its clinical course is favorable, compared to sero-positive RA. In the acute phase of sero-negative RA, infiltration of neutrophils may be the only pathologic finding on frozen section biopsy. Thus, it might be misdiagnosed as pyogenic arthritis. We report on a case of acute sero-negative RA misdiagnosed as pyogenic arthritis during hip surgery with review of the literature.
Arthritis ; Arthritis, Rheumatoid ; Biopsy ; Frozen Sections ; Hematologic Tests ; Hip ; Neutrophils

Arthritis ; Arthritis, Rheumatoid ; Biopsy ; Frozen Sections ; Hematologic Tests ; Hip ; Neutrophils

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Repeated Periprosthethic Femoral Fracture in a Below Knee Amputee with Ipsilateral Cementless Total Hip Arthroplasty: A Case Report.

Jae Hyuk YANG ; Jung Ro YOON ; Sung Bum PARK ; Ho Hyun YUN

Hip & Pelvis.2012;24(4):322-327. doi:10.5371/hp.2012.24.4.322

Total hip arthroplasty (THA) is rarely performed in below-knee amputee patients. To the best of the authors' knowledge, periprosthetic femoral fracture in such patients has not been previously reported. Such devastating complication can occur even with minor trauma. To prevent occurrence of such events, there may be several important factors to be considered in performance of THA surgery in below-knee amputee patients and during the course of rehabilitation. In this report, we describe a case involving a below-knee amputee patient who experienced multiple periprosthetic femoral fractures after THA.
Amputees ; Arthroplasty ; Femoral Fractures ; Hip ; Humans ; Knee ; Tacrine

Amputees ; Arthroplasty ; Femoral Fractures ; Hip ; Humans ; Knee ; Tacrine

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Fixation of Greater Trochanteric Fracture Using Double Strands and Double Loops with Figure of 8 Wiring in Non-cement Total Hip Arthroplasty for Unstable Intertrochanteric Fracture.

Ho Jin NAM ; Doo Hoon SUN ; Seong Won JANG

Hip & Pelvis.2012;24(4):316-321. doi:10.5371/hp.2012.24.4.316

PURPOSE: Non-cement total hip arthroplasty for unstable intertrochanteric fracture in elderly patients is regarded as another surgical technique preventing complications such as non-union, long term limitation of weight bearing, pressure sore, pulmonary thromboembolism after open reduction or closed reduction with intramedullary nailing, or plate fixation. We would like to announce the short-term results of primary non-cement total hip arthroplasty with double strands and double loops figure of 8 wiring for unstable intertrochanteric fracture in elderly patients. MATERIALS AND METHODS: All of the 20 patients admitted to the hospital between April 2010 and February 2012 who underwent non-cement total hip arthroplasty with double strands and double loops figure of 8 wiring for unstable intertrochanteric fractures were evaluated. The mean age was 71.1(57-86), there were nine males, and 11 females, with an average follow up period of six months. The post-operative state was evaluated by Harris hip score. RESULTS: The mean operation time was 95 min, and the average blood loss was 800 cc. Mean Harris hip score at the last available follow-up was 92.7, and, among the patients, 15 had all functions of daily life without limitation of walking distance, one had hip dislocation, one had breakage of strands. Pressure sore, deep vein thrombosis, and pulmonary thromboembolism were absent. Radiography at the last available follow-up showed no loosening of the femoral stem in any of the patients, and 13 patients had osteogenesis around the fracture site, and there was no osteolysis. CONCLUSION: Primary non-cement total hip arthroplasty with double strands and double loops figure of 8 wiring in elderly patients with unstable intertrochanteric fractures showed satisfactory results. These results are expected to be useful for further studies with a long-term follow-up and in development of a reduction method.
Aged ; Arthroplasty ; Female ; Femur ; Follow-Up Studies ; Fracture Fixation, Intramedullary ; Hip ; Hip Dislocation ; Hip Fractures ; Humans ; Male ; Osteogenesis ; Pressure Ulcer ; Pulmonary Embolism ; Venous Thrombosis ; Walking ; Weight-Bearing

Aged ; Arthroplasty ; Female ; Femur ; Follow-Up Studies ; Fracture Fixation, Intramedullary ; Hip ; Hip Dislocation ; Hip Fractures ; Humans ; Male ; Osteogenesis ; Pressure Ulcer ; Pulmonary Embolism ; Venous Thrombosis ; Walking ; Weight-Bearing

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Sequential Hip Fractures in Elderly Osteoporotic Patients.

Soojae YIM ; Yuseok SEO ; Sanghyok LEE ; Joonghyun AHN

Hip & Pelvis.2012;24(4):309-315. doi:10.5371/hp.2012.24.4.309

PURPOSE: The purpose of this study was to evaluate the clinical features and risk factors of sequential bilateral hip fractures in elderly osteoporotic patients. MATERIALS AND METHODS: A total of 661 patients who had undergone surgical treatment for osteoporotic hip fractures from April 2001 to June 2011 were retrospectively reviewed. Thirty six patients who had experienced sequential bilateral hip fracture were classified as the BHF group and the rest of the patients were classified as the non-BHF group. Various clinical features, such as T-score of the proximal femur, dwelling pattern, any symptom of dizziness or dementia, health status by ASA classification, BMI, and history of osteoporosis treatment were reviewed and the risk factors of sequential bilateral hip fractures were evaluated. RESULTS: Mean age of subjects in the BHF group and the non-BHF group was 78.4 years(68-90 years) and 78.0 years(58-99 years), respectively. Mean time interval from initial fracture to second fracture in the BHF group was 29.9 months(2-102 months). No significant differences in T-score of proximal femur (P=0.276), dwelling pattern (P=0.623), dizziness or dementia (P=0.180), health status (P=0.399), and BMI (P=0.629) were observed between the two groups. Eight patients(22.0%) in the BHF group and 254 patients(40.6%) in the non-BHF group were treated with bisphosphonate medications due to osteoporosis during a period of at least one year or more (P=0.028). CONCLUSION: Sequential hip fractures in elderly osteoporotic patients over the age of 70 were the result of low energy trauma, and most second fractures occurred within three years from initial injury. A multidisciplinary approach to prevention of a slip and treatment for osteoporosis are considered important to prevention of second hip fractures.
Aged ; Bone Density ; Dementia ; Dizziness ; Femur ; Hip ; Hip Fractures ; Humans ; Osteoporosis ; Retrospective Studies ; Risk Factors

Aged ; Bone Density ; Dementia ; Dizziness ; Femur ; Hip ; Hip Fractures ; Humans ; Osteoporosis ; Retrospective Studies ; Risk Factors

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Fixation Failure of Proximal Femoral Nail Anti-rotation in Femoral Intertrochanteric Fracture.

Kyung Jae LEE

Hip & Pelvis.2012;24(4):302-308. doi:10.5371/hp.2012.24.4.302

PURPOSE: The aim of this study was to identify the causes of fixation failure and evaluate prophylactic methods in femoral intertrochanteric fractures treated with proximal femoral nail anti-rotation. MATERIALS AND METHODS: Between 2006 and 2010, this study evaluated 80 cases(20 men and 60 women) of femoral intertrochanteric fracture treated with proximal femoral nail anti-rotation after a minimum follow-up of 1 year. The mean age and follow-up period was 72.6 years and 2.1 years, respectively. The factors that could affect fixation failure, such as osteoporosis, fracture pattern, reduction status and position of helical blade on the femoral head, were analyzed retrospectively. RESULTS: Six cases of fixation failure were encountered: 4 cases of cut out of the helical blade, 1 case of excessive varus union and 1 case of hip joint pain due to the excessive sliding of helical blade. The reduction status and position of the helical blade on the femoral head showed a significant association with the fixation failure, and there were 2 cases of osteonecrosis of the femoral head at the latest follow-up. CONCLUSION: Fixation failure was increased significantly in the case of non-anatomical reduction or superior position of helical blade in the femoral head. Therefore, the concerns related to the precise anatomical reduction and central location of the helical blade will need to be solved to reduce fixation failure.
Femur ; Follow-Up Studies ; Head ; Hip Fractures ; Hip Joint ; Humans ; Male ; Nails ; Osteonecrosis ; Osteoporosis

Femur ; Follow-Up Studies ; Head ; Hip Fractures ; Hip Joint ; Humans ; Male ; Nails ; Osteonecrosis ; Osteoporosis

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MRI in Suspected Acute Septic Arthritis of the Hip Joint in Children.

Soo Sung PARK ; Soo Ho LEE ; Gyeong Bo SIM

Hip & Pelvis.2012;24(4):295-301. doi:10.5371/hp.2012.24.4.295

PURPOSE: The purpose of this study is to assess the usefulness of magnetic resonance imaging (MRI) in diagnosis, planning of treatment methods for suspected acute septic arthritis in children, and evaluation of the clinical results of the operations with the help of magnetic resonance imaging as a diagnostic modality. MATERIALS AND METHODS: Between March 2003 and May 2007, 20 patients suspected of having acute septic arthritis of the hip underwent MRI. The mean age of the patients was 3 years and 5 months (range: 10 days-14 years). The average follow-up was 2 years and 2 months (range: 1 year-3 years 6 months). Assessment of MRI findings and final results with recurrence of the infection and post-infectious radiographic sequelae was performed retrospectively. RESULTS: Among the 20 cases, 17 cases(85%) showed joint effusion. Among these 17 cases, accompanying signal changes were observed in the meta-epiphyseal region in seven cases, and accompanying signal changes were observed in surrounding soft tissue in three cases. Accompanying abscess formation was observed in one case. The remaining three cases(15%), which had no joint effusion, showed an intramuscular abscess pocket around the joint, which mimicked septic arthritis. At final follow up, two cases showed unsatisfactory results, with limited joint motion and radiographic sequelae. CONCLUSION: In children who are suspected of having acute septic arthritis of the hip, MRI can provide useful information about the location and extent of infection and even the differential diagnosis of acute septic arthritis. MRI was considered to be a useful method for diagnosis of suspected acute septic arthritis in children.
Abscess ; Arthritis, Infectious ; Child ; Diagnosis, Differential ; Follow-Up Studies ; Hip ; Hip Joint ; Humans ; Joints ; Magnetic Resonance Imaging ; Recurrence

Abscess ; Arthritis, Infectious ; Child ; Diagnosis, Differential ; Follow-Up Studies ; Hip ; Hip Joint ; Humans ; Joints ; Magnetic Resonance Imaging ; Recurrence

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Useful Method for Neutral Positioning of the Femoral Stem in Cementless Total Hip Arthroplasty.

Woo Jong KIM ; Jong Seok PARK ; Jae Wan SOH ; Jung Woo JI ; Jae Hwi NOH ; Sung Hun WON ; Byung Woong JANG ; Chang Hyun KIM ; You Sung SUH

Hip & Pelvis.2012;24(4):288-294. doi:10.5371/hp.2012.24.4.288

PURPOSE: The aim of this study was to evaluate the usefulness of a method for positioning the femoral stem in neutral position refer to the measured value of "lateral distance" in pre-operative templating and the femoral stem position post-operatively. MATERIALS AND METHODS: A total of 81 hips in 76 patients underwent cementless total hip arthroplasty between March 2008 and April 2012 using the C2 stem (Lima Corporate S.P.A, Udine, Italy). We measured the perpendicular distance from the lateral outermost part of the greater trochanter to the lateral outermost part of the femoral stem (lateral distance, LD) in pre-operative templating. We aimed to insert the femoral stem in neutral position by comparing LD measured intra-operatively. We evaluated the position of the femoral stem on post-operative plain radiography. We compared the result of post-operative re-measurement of the LD with that of pre-operative measurement. RESULTS: In all of the 81 cases, the femoral stem was inserted in neutral position, defined as the femoral stem position within 3degreesvalgus or varus. The average angle of the inserted femoral stem was 1.20degrees(0.003-2.85degrees). LD measured in preoperative templating was 15.6 mm(10-21.5 mm), and it showed no correlation ratio with LD; LD re-measured post-operatively was 15.9 mm(10.3-23.5 mm) (P=0.781). CONCLUSION: Measuring LD pre-operatively and using the value intra-operatively is an effective method for insertion of the femoral stem in neutral position.
Arthroplasty ; Femur ; Hip ; Humans

Arthroplasty ; Femur ; Hip ; Humans

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Deep Vein Thrombosis and Neurovascular Injury after Total Hip Arthroplasty.

Yu Seok SEO ; Soo Jae YIM

Hip & Pelvis.2012;24(4):279-287. doi:10.5371/hp.2012.24.4.279

Deep vein thrombosis (DVT) is a relatively common complication of total hip arthroplasty. DVT can accompany symptoms of pain and swelling of the lower leg, and can lead to fatal pulmonary thromboembolism. Surgical procedure is a primary risk factor, and obesity, medical status of disease, or patient's factors could be related. Diagnostic modalities include venography, Doppler ultrasound, CT angiography, and magnetic resonance venography. Mechanical prophylaxis, such as compression stocking and use of an intermittent pneumatic compression device or a pharmacological agent, such as Warfarin, low molecular weight heparin, thrombin inhibitors, and factor Xa inhibitor can be useful. Neurovascular injury after total hip arthroplasty is an uncommon complication, but can be disastrous and fatal. To prevent this complication, the surgeon must be well acquainted with the anatomy and proper surgical skill is needed.
Angiography ; Arthroplasty ; Factor Xa ; Heparin, Low-Molecular-Weight ; Hip ; Leg ; Magnetic Resonance Spectroscopy ; Obesity ; Phlebography ; Pulmonary Embolism ; Risk Factors ; Stockings, Compression ; Thrombin ; Venous Thrombosis ; Warfarin

Angiography ; Arthroplasty ; Factor Xa ; Heparin, Low-Molecular-Weight ; Hip ; Leg ; Magnetic Resonance Spectroscopy ; Obesity ; Phlebography ; Pulmonary Embolism ; Risk Factors ; Stockings, Compression ; Thrombin ; Venous Thrombosis ; Warfarin

Country

Republic of Korea

Publisher

Korean Hip Society

ElectronicLinks

http://synapse.koreamed.org/LinkX.php?code=0147JKHS

Editor-in-chief

Yoon Je Cho

E-mail

Abbreviation

Hip & Pelvis

Vernacular Journal Title

대한고관절학회지

ISSN

2287-3260

EISSN

2287-3279

Year Approved

2009

Current Indexing Status

Currently Indexed

Start Year

1989

Description

Aims and Scope Hip & Pelvis, the official journal of The Korean Hip Society is a national, peerreviewed journal. Abbreviated title is 'Hip Pelvis'. It was launched with the name of 'The Journal of the Korean Hip Society' in 1989. Its name was changed in June, 2012. It covers the entire field of clinical and basic research related to hip joint and adjacent musculoskeletal structures. The research should have originality. It is a quarterly journal published at the last day in March, June, September and December.

Previous Title

Journal of the Korean Hip Society

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