Database : MEDLINE
Search on : Hip and Contracture [Words]
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[PMID]: 28470462
[Au] Autor:Grundei H; Timmermann A
[Ad] Address:Fa. Eska Orthopaedic Handels GmbH, Osterweide 2c, 23562, Lübeck, Deutschland. info@eskaorthopaedic.de.
[Ti] Title:Anschlussadapter zur Ankopplung der Exoprothese an den Endostiel : Anforderungen an den Orthopädietechniker hinsichtlich Planung und Anwendung. [Connecting adapter for coupling exoprostheses to endoshafts : Demands on orthopedic technicians with respect to planning and application].
[So] Source:Unfallchirurg;120(5):378-384, 2017 May.
[Is] ISSN:1433-044X
[Cp] Country of publication:Germany
[La] Language:ger
[Ab] Abstract:INTRODUCTION: Transcutaneous, bone anchored prostheses have proved to be an alternative for amputees. In addition to the safe osseointegration of the implant, the correct prosthetic alignment is also important. Therefore, the interaction between prosthesis components and the prosthesis wearer is significant and the role of the certified prosthetist should not be underestimated. AIM: The aim of treatment is the best possible compensation of disability after limb loss with increase of physical abilities and comfort of the prosthesis wearer by means of bone anchored prosthesis. METHOD: Endoprosthesis inserted by the surgeon carrying out both surgery with the implant and a double-cone and 6 weeks later the exoprosthesis is fitted by the certified prosthetist orthotist (CPO). Mounting the external adaptors, assembly of the prosthesis. RESULTS: The long-term results with cementless implants and more than 35 years experience are presented. Clinical experience with the endo-exo prosthesis since 1999. A total of 135 patients treated after transfemoral amputation, 8 of them bilateral, 8 out of 135 were transtibial amputees and 1 of them bilateral. A total of 85% were amputated as a consequence of trauma and 12 out of 135 had a full range of motion at the beginning of the prosthetic work following osseointegration. In other cases, a hip flexion contracture between 3 and 12 ° had to be considered by corresponding posterior displacement adaptors. CONCLUSION: Bone anchored prostheses influence the skeleton and joints in a more direct way. This fact requires specific prosthetic measures concerning the connection between the endo-implant and the exoprosthesis. Therefore, specially matched adaptors and the prosthetic alignment are the focus of interest. Prostheses connected to an osseointegrated implant have many biomechanical advantages compared to socket-guided prostheses. Because the quality of rehabilitation is clearly affected by the prosthetic alignment, it has to be carried out extremely carefully and precisely if the prosthesis is connected to an osseointegrated implant. According to the survey, none of the prosthesis wearers wanted to return to a socket-guided prosthesis.
[Mh] MeSH terms primary: Amputation Stumps/surgery
Amputation/rehabilitation
Arthroplasty, Replacement/instrumentation
Artificial Limbs
Exoskeleton Device
Joint Prosthesis
Leg/surgery
[Mh] MeSH terms secundary: Arthroplasty, Replacement/methods
Combined Modality Therapy/instrumentation
Combined Modality Therapy/methods
Humans
Osseointegration
Prosthesis Design
Retrospective Studies
Treatment Outcome
[Pt] Publication type:JOURNAL ARTICLE; REVIEW
[Em] Entry month:1803
[Cu] Class update date: 180306
[Lr] Last revision date:180306
[Js] Journal subset:IM
[Da] Date of entry for processing:170505
[St] Status:MEDLINE
[do] DOI:10.1007/s00113-017-0351-0

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[PMID]: 29385865
[Au] Autor:Ohmori T; Kabata T; Kajino Y; Inoue D; Taga T; Yamamoto T; Takagi T; Yoshitani J; Ueno T; Ueoka K; Tsuchiya H
[Ad] Address:a Department of Orthopaedic Surgery , Kanazawa University Hospital , Kanazawa , Ishikawa , Japan.
[Ti] Title:Three-dimensional limb lengthening after total knee arthroplasty in a simulation study.
[So] Source:Mod Rheumatol;:1-6, 2018 Feb 20.
[Is] ISSN:1439-7609
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:OBJECTIVES: Limb lengthening after total knee arthroplasty (TKA) has been reported in some cases, all of which were evaluated using two-dimensional images. To our knowledge, no case has been evaluated using three-dimensional (3D) images. We investigated 3D limb lengthening after TKA. METHODS: We simulated 100 varus knees using 3D templating software. Virtual TKA was performed to maintain the original joint line by conducting a measured-resection technique. We examined the relationships of 3D distance between the femoral head center and ankle center before and after TKA, degree of hip-knee-ankle angle (HKA) improvement, and degree of flexion contracture angle improvement. RESULTS: All cases showed limb lengthening (average, 9.4 ± 6.0 mm). The coefficients of correlation with limb lengthening and the degree of HKA improvement and the degree of flexion contracture angle improvement were good (0.730 and 0.751, respectively). The correlation between the degree of total improvement (the degree of HKA improvement + the degree of flexion contracture angle improvement) and limb lengthening was strong (r = 0.896). CONCLUSION: The expected limb lengthening when performing measured-resection TKA is expressed as 0.58 × (the degree of HKA improvement + the degree of flexion contracture angle improvement) mm and is a useful index.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180220
[Lr] Last revision date:180220
[St] Status:Publisher
[do] DOI:10.1080/14397595.2018.1436119

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[PMID]: 29388928
[Au] Autor:Mazaev MS; Malchevskiy VA; Prokopev NY; Khrupa DA
[Ad] Address:Tyumen Scientific Center of the Russian Academy of Sciences.
[Ti] Title:[The influence of the technique for the post-isometric relaxation of the muscles of the lumbosacral region of the spine on the manifestations of the flexion contracture in the hip joint in the men at the age of 50-60 years following amputation of the lower limb at the hip level in the course of the rehabilitation process].
[So] Source:Vopr Kurortol Fizioter Lech Fiz Kult;94(6):18-21, 2017 Dec 28.
[Is] ISSN:0042-8787
[Cp] Country of publication:Russia (Federation)
[La] Language:rus
[Ab] Abstract:AIM: The objective of the present study was to evaluate the outcome the application of the technique for the post-isometric relaxation of the muscles of the lumbosacral region of the spine and of the lumbosacral junction as a component of the combined rehabilitation on the manifestations of the flexion contracture in the hip joint in the men at the age of 50-60 years following amputation of the lower limb at the hip level throughout the course of the rehabilitative process. MATERIALS AND METHODS: A total of 243 patients who had undergone ablation of a femur available for the examination. 153 of them were treatment with the use of the technique for the post-isometric relaxation of the muscles of the lumbosacral region of the spine and of the lumbosacral junction. The control group was comprised of the remaining 90 patients treated without the application of the technique for post-isometric relaxation. The analysis of the degree of flexion contracture of the hip joint on the side of ablation was carried out by means of the Thomas test. RESULTS: The results of the study give evidence that that use of the technique for the post-isometric relaxation of muscles of the lumbar spine and sacroiliac joint makes it possible to reduce the time needed to decrease the severity of contracture of the hip joint during the rehabilitation process. CONCLUSION: The data obtained provide a basis for recommending the inclusion of the technique for the post-isometric relaxation of muscles of the lumbar spine and the lumbosacral junction into the program of the combined rehabilitation of the patients who had undergone ablation of a femur.
[Pt] Publication type:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180201
[Lr] Last revision date:180201
[St] Status:In-Data-Review
[do] DOI:10.17116/kurort201794618-21

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[PMID]: 29295638
[Au] Autor:Holmes C; Brock K; Morgan P
[Ad] Address:a St. Vincent's Hospital , Melbourne , Australia.
[Ti] Title:Postural asymmetry in non-ambulant adults with cerebral palsy: a scoping review.
[So] Source:Disabil Rehabil;:1-10, 2018 Jan 02.
[Is] ISSN:1464-5165
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:PURPOSE: Non-ambulant adults with cerebral palsy are vulnerable to development of postural asymmetry and associated complications. The primary aim of this scoping review was to identify postural deformities in non-ambulant adults with cerebral palsy. MATERIALS AND METHODS: Comprehensive searches were undertaken in EMBASE, CINAHL, AMED, Cochrane, Psych INFO, and Joanna Briggs (1986-Jan 2017), supplemented by hand searching. Two reviewers independently extracted data using a customised tool focusing on study design, participant characteristics, postural descriptors, measurement tools, and interventions. RESULTS: From 2546 potential records, 17 studies were included. Variability in populations, reporting methodology, and measurement systems was evident. Data suggest more than 30% of this population have hip migration percentage in excess of 30%, more than 75% experience "scoliosis", and more than 40% demonstrate pelvic obliquity. Estimates ranged from 14% to 100% hip and 32% to 87% knee contracture incidence. Conservative interventions were infrequently and poorly described. CONCLUSION: Many non-ambulant adults with cerebral palsy experience postural asymmetry associated with windswept hips, scoliosis, pelvic obliquity, and limb contracture. Options for non-radiographic monitoring of postural asymmetry should be identified, and conservative interventions formally were evaluated in this population. Implications for rehabilitation The common postural asymmetries of windswept hips, scoliosis, pelvic obliquity, and limb contracture require standardised clinical measurement. Radiography is most commonly used to monitor postural asymmetry in this population, but standardised positioning is not applied and may not be feasible indicating a need for alternate methods and rigorous documentation. The Posture and Postural Ability Scale may be considered for use in the management of body shape in adults with CP.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1801
[Cu] Class update date: 180103
[Lr] Last revision date:180103
[St] Status:Publisher
[do] DOI:10.1080/09638288.2017.1422037

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[PMID]: 29167992
[Au] Autor:Birkenmaier C; D'Anastasi M; Wegener B; Melcher C
[Ad] Address:Department of Orthopaedics, Physical Medicine and Rehabilitation, Grosshadern Medical Center, Ludwig-Maximilian-University, 81377, Munich, Germany. Christof.birkenmaier@med.uni-muenchen.de.
[Ti] Title:Slow correction of severe spastic hyperlordosis in an adult by means of magnetically expandable rods.
[So] Source:Eur Spine J;, 2017 Nov 22.
[Is] ISSN:1432-0932
[Cp] Country of publication:Germany
[La] Language:eng
[Ab] Abstract:BACKGROUND: We describe a case of severe and progressive lumbar hyperlordosis (160°) in a 28-year-old female university student with cerebral palsy. Her main complaints were abdominal wall pain and increasing inability to sit in her custom wheelchair. METHOD: When deciding on our opinion about the most promising treatment strategy, we contemplated slow continued correction by means of percutaneously expandable magnetic rods (MAGEC) after the index surgery as a key component of a satisfactory correction in this severe and rigid curve. After an initial radical release and partial correction, a release and correction procedure was required for the bilateral hip flexion contracture. A final in situ posterior fusion was performed as a second spinal procedure, once the desired final correction at 66° of lumbar lordosis was achieved. RESULT: Three years after the completion of surgery, the patient has a stable clinical and radiological result as well as a solid posterior fusion on CT. CONCLUSION: This is the first case published in which percutaneous magnetic distraction was successfully used in an adult patient.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171123
[Lr] Last revision date:171123
[St] Status:Publisher
[do] DOI:10.1007/s00586-017-5366-2

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[PMID]: 29048697
[Au] Autor:Dai Z; Chen Z; Liao Y; Tang Z; Cui J
[Ad] Address:Department of Orthopaedics, The First Affiliated Hospital of University of South China, Hengyang, Hunan - China.
[Ti] Title:Comparison of arthroscopic versus open surgery on external snapping hip caused by gluteal muscle contracture.
[So] Source:Hip Int;:0, 2017 Oct 16.
[Is] ISSN:1724-6067
[Cp] Country of publication:Italy
[La] Language:eng
[Ab] Abstract:PURPOSE: To compare the outcomes of contracture release by arthroscopic versus open surgical approach in patients with external snapping hip (ESH) caused by gluteal muscle contracture (GMC). METHODS: Medical records of patients with ESH due to GMC who underwent open surgery (n = 44) or arthroscopic surgery (n = 48) between October 2008 and October 2014 were reviewed. Patients were followed up at 1, 3, 12, and 24 months postoperatively. Operation time, incision length, postoperative pain, postoperative complication rate, and recurrence rate were compared between the 2 groups. Hip adduction, and Harris Hip Scores (HHS) at 1 and 2 years postoperatively were compared between the groups and with preoperative data. RESULTS: Mean operation time did not differ between the 2 groups (p>0.05). The arthroscopic surgery group had smaller incisions (p<0.05), less postoperative pain (p<0.05), lower complication rates (p<0.05) than did the open surgery group. The recurrence rates were similar for the 2 groups (p>0.05). Hip adduction, and HHS 1 year and 2 years postoperatively were significantly better postoperatively than they had been preoperatively for both groups (all p<0.01), and were similar for the 2 groups (all p>0.05). CONCLUSIONS: Arthroscopic release of contracture tissue is a safe and effective approach for the treatment of ESH caused by GMC, with the advantages of small scars, less postoperative pain, fewer complications compared with open surgery.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1710
[Cu] Class update date: 171117
[Lr] Last revision date:171117
[St] Status:Publisher

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[PMID]: 29029869
[Au] Autor:Bombaci H; Simsek B; Soyarslan M; Murat Yildirim M
[Ad] Address:Haydarpasa Numune Education and Research Hospital, Orthopaedics and Traumatology Department, Tibbiye Cad. Uskudar, Istanbul, Turkey. Electronic address: bombacih@hotmail.com.
[Ti] Title:Determination of the hip rotation centre from landmarks in pelvic radiograph.
[So] Source:Acta Orthop Traumatol Turc;, 2017 Oct 10.
[Is] ISSN:1017-995X
[Cp] Country of publication:Turkey
[La] Language:eng
[Ab] Abstract:OBJECTIVE: The hip rotation centre (HRC) is an important reference point in cases of total hip arthroplasty (THA). The aim of this study is to investigate the reference points in the Turkish population that enable the identification of the HRC in standard pelvic radiographs. METHODS: The pelvic radiographs of 50 women and 50 men were examined. The mean age was 46.2 (range; 18-91). Patients with deformity of the hip joint and non-standard pelvic radiograph due to hip flexion contracture were excluded from the study. The pelvic height (PH), the distance between the HRC and teardrop (HRC-Td), and the HRC and the line tangent tuber ischiadicums (HRC-TI) were measured. The ratio of HRC-Td and HRC-TI to PH were calculated. The first is called "the horizontal-HRC ratio" and the second, "the vertical-HRC ratio". RESULTS: Mean PH was 239 (±13.58) mm in males and 225 (±12.52) in females (p < 0.0001). The distances of HRC-TI were 71 (±6.35) and 65 (±6.72) mm (p < 0.0001) and the distance of HRC-Td were 34 (±3.73) and 30 (±4.05) mm (p = 0.0007), respectively. The vertical-HRC ratios were 30.01% (±2.05) for males, 29.10% (±2.35) for females, the horizontal-HRC ratio, 14.25% (±1.42) and 13.69% (±1.38), respectively (p > 0.05). CONCLUSION: Although the quantitative values obtained in the present study differ between the genders, the ratios ("vertical-HRC" and "horizontal-HRC") are comparable in both sexes. The results show that these proposed ratios can be used in THA planning, regardless of gender in the Turkish population LEVEL OF EVIDENCE: Level IV, diagnostic study.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1710
[Cu] Class update date: 171014
[Lr] Last revision date:171014
[St] Status:Publisher

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[PMID]: 28987968
[Au] Autor:Ágústsson A; Sveinsson Þ; Rodby-Bousquet E
[Ad] Address:University of Iceland, School of Health Sciences, Research Centre of Movement Science, Reykjavík, Iceland. Electronic address: atli@hi.is.
[Ti] Title:The effect of asymmetrical limited hip flexion on seating posture, scoliosis and windswept hip distortion.
[So] Source:Res Dev Disabil;71:18-23, 2017 Dec.
[Is] ISSN:1873-3379
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:BACKGROUND: Postural asymmetries with seating problems are common in adults with cerebral palsy. AIMS: To analyse the prevalence of asymmetrical limited hip flexion (<90°) in adults with CP, and to evaluate the association between asymmetrical limited hip flexion and postural asymmetries in the sitting position. METHODS AND PROCEDURES: Cross-sectional data of 714 adults with CP, 16-73 years, GMFCS level I-V, reported to CPUP, the Swedish cerebral palsy national surveillance program and quality registry, from 2013 to 2015. Hip range of motion was analysed in relation to pelvic obliquity, trunk asymmetry, weight distribution, scoliosis and windswept hip distortion. OUTCOMES AND RESULTS: The prevalence of asymmetrical limited hip flexion increased as GMFCS level decreased. Of adults at GMFCS level V, 22% had asymmetrical limited hip flexion (<90°). The odds of having an oblique pelvis (OR 2.6, 95% CI:1.6-2.1), an asymmetrical trunk (OR 2.1, 95% CI:1.1-4.2), scoliosis (OR 3.7, 95% CI:1.3-9.7), and windswept hip distortion (OR 2.6, 95% CI:1.2-5.4) were higher for adults with asymmetrical limited hip flexion compared with those with bilateral hip flexion>90°. CONCLUSIONS AND IMPLICATIONS: Asymmetrical limited hip flexion affects the seating posture and is associated with scoliosis and windswept hip distortion.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1710
[Cu] Class update date: 171107
[Lr] Last revision date:171107
[St] Status:In-Process

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[PMID]: 28913399
[Au] Autor:Chowdhry M; Matsen Ko L; Franklin C; Parvizi J
[Ad] Address:Department of Orthopaedic Surgery, The Rothman Institute at Thomas Jefferson University, Philadelphia, PA, USA.
[Ti] Title:Reactive scoliosis: a challenging phenomenon in adolescent patients with hip arthritis.
[So] Source:Arthroplast Today;3(3):160-163, 2017 Sep.
[Is] ISSN:2352-3441
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Functional limb length discrepancy (LLD) in adolescents can result from soft tissue contracture following long-standing hip disease. We present a case of a 13-year-old girl with difficulty in ambulation due to right hip pain and LLD. Radiographs revealed severe arthritis of right hip with signs of avascular necrosis of the femoral head. The patient had developed reactive scoliosis of lumbar spine along with pelvic obliquity. After failing conservative management, total hip arthroplasty (THA) without attempting to equalize LLD was performed. At 6-month follow-up, patient was pain free with full range of motion and her functional LLD was completely resolved. In such adolescent patients, reactive scoliosis of spine is reversible, and with no evidence of true LLD, THA without correcting LLD should be the right choice.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1709
[Cu] Class update date: 170917
[Lr] Last revision date:170917
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.1016/j.artd.2017.02.009

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[PMID]: 28893707
[Au] Autor:Kang N; Kenel-Pierre S; DeAmorim H; Karwowski J; Bornak A
[Ad] Address:Division of Vascular and Endovascular Surgery, University of Miami, Bruce W. Carter Miami VAMC, Miami, FL.
[Ti] Title:Endovascular Aortoiliac Revascularization in a Patient with Spinal Cord Injury and Hip Contracture.
[So] Source:Ann Vasc Surg;, 2017 Sep 08.
[Is] ISSN:1615-5947
[Cp] Country of publication:Netherlands
[La] Language:eng
[Ab] Abstract:Treatment of chronic peripheral ischemic wounds in patients with spinal cord injury (SCI) can be technically challenging, especially if they have significant hip contracture. This article describes the endovascular aortoiliac revascularization of a paraplegic patient with hip contracture and a hostile abdomen. It also reviews the particularity of the peripheral arterial system in SCI patients.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1709
[Cu] Class update date: 171009
[Lr] Last revision date:171009
[St] Status:Publisher


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