The Collum Femoris Preserving Stem: Early Results

Ghera, S; Bisicchia, Salvatore

doi:10.5301/hip.2013.10718

Cited by 13 publications

(10 citation statements)

References 23 publications

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“…In addition, a comprehensive hip evaluation including ROM and impingement testing should be performed. This allows the practitioner to glean a better understanding of the patient’s specific lumbopelvic mechanics [30–32].…”

Section: Discussionmentioning

confidence: 99%

Co-diagnoses of spondylolysis and femoroacetabular impingement: a case series of adolescent athletes

Moley

Gribbin

Vargas

et al. 2018

Journal of Hip Preservation Surgery

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Locating the source of lumbopelvic–hip pain requires the consideration of multiple clinical pathways. Although low back pain has an incidence of 50% in the adolescent population, the pathophysiology in this population typically differs from that of other age groups. Dynamic mechanical impairments of the hip, such as femoroacetabular impingement, may contribute to the pathogenesis of adolescent low back pain. Eight adolescent male athletes who presented to a single provider with a primary complaint of low back pain with hip pain or motion loss on exam and were ultimately diagnosed with lumbar spondylolysis and dynamic mechanical hip issues between 2009 and 2011 were included. The age at spondylolysis diagnosis ranged from 15 to 19 years (mean ± standard deviation: 16.3 ± 1.3 years). Seven patients had cam-type impingement, whereas one presented with pincer-type impingement. All patients demonstrated either decreased internal rotation at 90 degrees of hip flexion and neutral abduction or pain on the Flexion Adduction Internal Rotation test on at least one of hip. All eight patients were treated initially with 6 weeks of physical therapy consisting of attempted restoration of hip motion and the graduated progression of hip and spine stabilization exercises. Five patients (62.5%) returned to sport at an average of 11.2 weeks (range: 6–16 weeks). For three patients (37.5%), hip pain and motion loss persisted, thus requiring surgery. All subjects had symptoms for at least 6 weeks, with 6 months as the longest duration. This report is the first documented series of adolescent athletes with co-diagnoses of spondylolysis and femoroacetabular impingement. Study Information: This retrospective case series was approved by the Institutional Review Board at Hospital for Special Surgery.

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Section: Discussionmentioning

confidence: 99%

Co-diagnoses of spondylolysis and femoroacetabular impingement: a case series of adolescent athletes

Moley

Gribbin

Vargas

et al. 2018

Journal of Hip Preservation Surgery

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“…[3], Pipino F., Nowak M., Ghera S. [4], tỷ lệ còn tồn tại của nhóm khớp này là 99,3% (từ 96,6% đến 100%) với thời gian theo dõi trung bình 6,3 năm (từ 2 -17 năm).…”

Section: Kết Quả Nghiên Cứu Và Bàn Luậnunclassified

Khớp Háng Cán Ngắn: Phân Loại Và Kết Quả Phẫu Thuật

Thuận¹,

Dũng²,

Lâm³

2021

VMJ

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Mục tiêu: Cập nhật, hệ thống lại phân loại cũng như kết quả trên lâm sàng của khớp háng cán ngắn. Đối tượng và phương pháp: Đối tượng của chúng tôi là các bài báo trên dữ liệu Pubmed, qua các tài liệu tìm được tiến hành phân tích, phân loại khớp háng cán ngắn và tổng hợp kết quả điều trị phẫu thuật theo từng phân loại đó. Kết quả: Có hai phân loại được sử dụng nhiều hơn cả đó là phân loại theo Khanuja H.S. (4 loại) và phân loại theo Hội nghiên cứu và phẫu thuật khớp (Joint implant surgery and research foundation-JISRF) 2 loại: Nhóm cố định vùng cổ và nhóm cố định vùng hành xương. Tại Việt Nam chỉ mới có khớp háng cán ngắn Spiron. Kết luận: khớp háng cán ngắn được phân loại tùy theo hình dáng, vị trí cố định và mức độ bảo tồn xương. Kết quả theo dõi chủ yếu tập trung trong thời gian ngắn hạn và trung hạn và tương đối khả quan.

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“…7 A previous study showed that the CFP stem effectively restores FO and optimizes biomechanical properties. 8 However, another study comparing the CFP stem with the ribbed stem demonstrated that the CFP stem was more likely to cause an increase in the leg length and the occurrence of periprosthetic fractures. 9 Klein et al 10 showed that both the CFP stem and the Corail stem (DePuy Orthopaedics, Warsaw, IN, USA) had similar hip function scores, but they did not evaluate the FO or leg length.…”

Section: Introductionmentioning

confidence: 99%

Greater increase in femoral offset with use of collum femoris-preserving stem than Tri-Lock stem in primary total hip arthroplasty

et al. 2020

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Objective This study was performed to compare the clinical outcomes and performance of the collum femoris-preserving (CFP) stem (Waldemar Link GmbH & Co., Hamburg, Germany) and the Tri-Lock stem (DePuy Orthopaedics, Warsaw, IN, USA) in terms of femoral offset (FO) and leg length reconstruction. Methods Clinical and radiographic data of patients who underwent total hip arthroplasty with either a CFP stem or Tri-Lock stem from January 2016 to March 2017 were compared (65 and 57 patients, respectively). The Harris hip score and Western Ontario and McMaster Universities Osteoarthritis Index were recorded. The FO, femoral vertical offset, and neck–shaft angle were measured at the last follow-up. The occurrence of dislocation and periprosthetic fracture during the follow-up period was recorded. Results The CFP stem induced significantly more FO than did the Tri-Lock stem on the operated side than contralateral side (3.63 ± 4.28 vs. 0.83 ± 5.46 mm). Significantly fewer patients had a >5-mm decrease in FO on the unaffected side in the CFP stem group ( n = 1) than Tri-Lock stem group ( n = 10). Conclusion Both stems similarly improved hip function and reconstructed the leg length, but the CFP stem was superior to the Tri-Lock stem in reconstructing FO.

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The Collum Femoris Preserving Stem: Early Results

Cited by 13 publications

References 23 publications

Co-diagnoses of spondylolysis and femoroacetabular impingement: a case series of adolescent athletes

Co-diagnoses of spondylolysis and femoroacetabular impingement: a case series of adolescent athletes

Khớp Háng Cán Ngắn: Phân Loại Và Kết Quả Phẫu Thuật

Greater increase in femoral offset with use of collum femoris-preserving stem than Tri-Lock stem in primary total hip arthroplasty

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