Surgical management of hip osteoarthritis

Gandhi, Rajiv; Perruccio, Anthony V.; Mahomed, Nizar N.

doi:10.1503/cmaj.121584

Cited by 18 publications

(17 citation statements)

References 104 publications

(97 reference statements)

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“…Similar to MacLeod et al [11], current evidence [12][13][14][15][16][17] and expert opinion were used to design two new grading systems, one for the analysis of diagnostic information quality (Table 1) and a second for the assessment of treatment information quality (Table 2). Both grading systems had a scale of 0 to 12.…”

Section: Methodsmentioning

confidence: 99%

YouTube provides irrelevant information for the diagnosis and treatment of hip arthritis

Koller

Waldstein

Schatz

et al. 2016

International Orthopaedics (SICOT)

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Purpose YouTube is increasingly becoming a key source for people to satisfy the need for additional information concerning their medical condition. This study analyses the completeness of accurate information found on YouTube pertaining to hip arthritis. Methods The present study analyzed 133 YouTube videos using the search terms: hip arthritis, hip arthritis symptoms, hip arthritis diagnosis, hip arthritis treatment and hip replacement. Two quality assessment checklists with a scale of 0 to 12 points were developed to evaluate available video content for the diagnosis and the treatment of hip arthritis. Videos were grouped into poor quality (grade 0-3), moderate quality (grade 4-7) and excellent quality (grade 8-12), respectively. Three independent observers assessed all videos using the new grading system and independently scored all videos. Discrepancies regarding the categories were clarified by consensus discussion. For intra-observer reliabilities, grading was performed at two occasions separated by four weeks.Results Eighty-four percent (n = 112) had a poor diagnostic information quality, 14% (n = 19) a moderate quality and only 2% (n = 2) an excellent quality, respectively. In 86% (n = 114), videos provided poor treatment information quality. Eleven percent (n = 15) of videos had a moderate quality and only 3% (n = 4) an excellent quality, respectively. Conclusions The present study demonstrates that YouTube is a poor source for accurate information pertaining to the diagnosis and treatment of hip arthritis. These finding are of high relevance for clinicians as videos are going to become the primary source of information for patients. Therefore, high quality educational videos are needed to further guide patients on the way from the diagnosis of hip arthritis to its proper treatment.

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Section: Methodsmentioning

confidence: 99%

YouTube provides irrelevant information for the diagnosis and treatment of hip arthritis

Koller

Waldstein

Schatz

et al. 2016

International Orthopaedics (SICOT)

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“…Total hip replacement is a surgery to remove all the damaged cartilage and epiphyseal bone of the acetabulum and femoral head, and then replace them with a total artificial joint including artificial acetabulum, femoral head and a stem placed into the hollow center of the femur [1,2].…”

Section: Introductionmentioning

confidence: 99%

Premilinary Results of Surgical Results of Total Hip Joint Replacement at the 7A Military Hospital

Lê¹,

Nguyen²

2020

SJM

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Purpose: Initial assessment of total hip replacement surgery at 7A Military Hospital. Subjects and research methods: A cross-sectional descriptive study, conducted from 3/2014 -4/2018 on 47 patients with a total of 52 total hip joints (THJ) were replaced at 7A Military Hospital. Result: The average time of surgery was 91.92 ± 15,847 minutes. The average length of treatment: 15.5 ± 4,948 days. Evaluation by HARRIS score: Very good + good: 96.2%, Average + poor 3.8%. Complications: Superficial Infections on incision 1.9%, dislocated joints 1.9%, loose stem 1.9%, no serious complications. Conclusion: Total hip joint replacement to treat osteoarthritis, aseptic necrosis of femoral head, femoral neck fracture is an effective treatment, restoring the patients' joint movement function, and with low complication rate.

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“…Therefore, such persons face increased risk of falls [3]. In such cases total hip replacement (THR) is generally the treatment method of choice [4]. It is worth pointing out, however, that undergoing the surgery later in the history of functional decline has been associated with worse outcomes [5].…”

Section: Introductionmentioning

confidence: 99%

Balance a few years after total hip replacement

Wareńczak

Lisiński

2019

Preprint

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Background: The aim of the study was to conduct a long-term evaluation of whether total hip replacement permanently affects the quality of postural reactions and body balance. Material and methods: The unilateral Total Hip Replacement (THR) group consisted of 30 subjects (mean age: 69.4). The control group consisted of 30 healthy subjects (mean age: 68.8). The force platform and functional tests such as Timed Up and Go, 3m walk test, Functional Reach Test, 30s Chair Stand Test, Step Test and Berg Balance Scale were used to assess dynamic balance. Results: Subjects from the study group exhibited significantly increased time (p=0.002) and distance (p=0.012) in the tests performed on the force platform compared to the control group. We also observed worse balance and functional test scores in the THR group: Timed Up and Go test (p<0.001), 3m walk test (p<0.001), Functional Reach Test (p=0.003), 30s Chair Stand Test (p=0.002) and Step Test (operated leg: p<0.001, non-operated leg: p=0.002). The results obtained in the Berg Balance Scale tests were not significantly different between the groups (p=0.597). Conclusions: Our research shows that total hip replacement permanently impairs patients’ dynamic balance and functionality in certain lower-extremity activities. Keywords: balance, total hip replacement, gait, muscle strength

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Surgical management of hip osteoarthritis

Cited by 18 publications

References 104 publications

YouTube provides irrelevant information for the diagnosis and treatment of hip arthritis

YouTube provides irrelevant information for the diagnosis and treatment of hip arthritis

Premilinary Results of Surgical Results of Total Hip Joint Replacement at the 7A Military Hospital

Balance a few years after total hip replacement

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