2025年2月 保髋进展 JCR Q2 区

Sufficient hip distraction is crucial for the assessment of the central compartment in hip arthroscopic surgery. The aim of this study was to identify the risk factors linked to insufficient hip distraction during hip arthroscopic surgery. We hypothesized that the presence of pincer- or mixed-type femoroacetabular impingement (FAI) could hinder effective hip distraction during the procedure. Inclusion criteria included indication for hip arthroscopy, and persistent symptoms that have not responded to extensive conservative treatment, such as activity adjustments and physical therapy over a period of 6-12 weeks. The enrollment period spanned from January 2003 to May 2021. Data on age, sex, diagnosis of FAI, body mass index, body height, body weight, lateral center-edge angle (LCEA), hip joint space, Tönnis grading, and Beighton score were collected. Among the cases, 34 had insufficient hip distraction while 643 did not. Crude odds ratio analysis revealed that male gender, body height, increased LCEA, the presence of pincer- or mixed-type FAI, and a lower Beighton score were associated with a higher risk of insufficient distraction. Further analyses confirmed that only FAI, sex, and Beighton score remained significant predictors of risk. Adjusted odds ratios indicated a strong association with pincer- or mixed-type FAI. The presence of pincer- or mixed-type FAI is identified as a risk factor for insufficient hip distraction during hip arthroscopic surgery. In high-risk patients, adopting a peripheral compartment approach initially and avoiding hip traction can help prevent traction-related complications.

The main aim of this study was to analyze correlations between individual international hip outcome tool 12 (iHOT-12) items and overall iHOT-12 score within and across timepoints. A retrospective multicenter hip arthroscopy registry was queried for patients from January 2014 to October 2023 with completed iHOT-12 reports. Pearson coefficient analysis was used to identify correlations between individual iHOT-12 items and overall iHOT-12 score at each timepoint and between preoperative individual iHOT-12 items and postoperative overall iHOT-12 scores. Validity, reliability, and responsiveness of the iHOT-12 were analyzed at each timepoint. Within timepoints, correlations ranged in strength from fair (preoperative maintain fitness level, r = 0.33) to strong (postoperative recreational activities, r = 0.75). All preoperative items were correlated with postoperative overall score, with the strongest correlations for preoperative recreational activities (r = 0.45) and confidence (r = 0.44). The iHOT-12 demonstrated strong validity, reliability, and responsiveness at all timepoints. The strongest correlations between individual items and overall score were observed for items related to recreational activities, confidence, and work, while items related to maintaining fitness level and limping showed weaker correlations. These findings suggest that the iHOT-12 is a valid and reliable tool for assessing hip outcomes in patients undergoing hip arthroscopy, with specific items showing stronger predictive value for postoperative outcomes.

Developmental dysplasia of the hip (DDH) encompasses abnormalities in the acetabulum or the femoral head, ranging from mild dysplasia to complete dislocation. The primary goal of DDH treatment is to achieve and maintain a concentric reduction of the hip joint, allowing for normal acetabular and femoral head remodeling.

There are many controversies regarding the ideal pelvic osteotomy in managing Developmental dysplasia of the hip (DDH). We introduce a new high trans-iliac incomplete bi-cortical pelvic osteotomy (HTIBO) by starting the osteotomy at a higher point proximal to the anterior superior iliac spine and hinging on the post limb of the triradiate cartilage, comparing the results with Dega osteotomy (DO).

Femoroacetabular impingement syndrome (FAIS) is a leading cause of chronic hip pain in young adults, often treated with hip arthroscopy. While effective, the procedure involves traction with a perineal post that can impact the urogenital system. This study aims to evaluate urinary function changes in patients undergoing hip arthroscopy for FAIS.

Postoperative venous thromboembolism (VTE) following hip arthroscopy is associated with increased hospital readmissions and significant medical costs. However, the risk factors for postoperative VTE after hip arthroscopy remain a topic of debate. In this study, we aimed to quantitatively and comprehensively identify risk factors for postoperative VTE after hip arthroscopy, providing evidence for the development of clinical prevention strategies.

We aimed to analyze frequently searched questions through Google's "People Also Ask" feature related to four common treatments for developmental dysplasia of the hip (DDH): the Pavlik harness, rhino brace, closed reduction surgery and open reduction surgery.

In this study, we examined whether there was a change in the number of children who had been screened by hip ultrasound, the age of first diagnosis, and the number of invasive and conservative treatments applied due to developmental dysplasia of the hip between 2016 and 2022 among refugees who were in "Temporary Protection Status" in Türkiye?