Article
Surgery
Guanbao Li, Qiuan Chen, Wei Zhou, Pinquan Li, Peng Ma, Tongyuan Liu, Hai Tang
Summary: The study shows that reconstructing the joint capsule and conjoint tendon during direct anterior approach total hip arthroplasty can improve the functional recovery and joint stability of patients.
FRONTIERS IN SURGERY
(2022)
Article
Medicine, General & Internal
Ron Ben Elyahu, Nissim Ohana, Eltaieb Agabaria, Ahmad Biadsi, David Segal, Eyal Yaacobi, Ezequiel Palmanovich, Michael Markushevich, Yaron Shraga Brin
Summary: This study compared the outcomes of two different approaches, DAA and DLA, for treating displaced femoral neck fractures in active elderly patients. The results showed that patients who underwent DAA had better short-term outcomes, with shorter hospital stays and potential cost savings in terms of rehabilitation and medical expenses.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Engineering, Biomedical
Giorgio Ippolito, Mariano Serrao, Carmela Conte, Stefano Filippo Castiglia, Ferdinando Rucco, Enrico Bonacci, Massimo Miscusi, Francesco Pierelli, Fabiano Bini, Franco Marinozzi, Michele Zitiello, Chiara Ragona, Giancarlo De Marinis
Summary: The study on total hip arthroplasty with direct anterior approach found that most patients showed significant improvement in gait parameters after surgery, with reduced activation of muscles around the hip joint. However, the range of motion of the hip joint did not fully recover to normal levels.
CLINICAL BIOMECHANICS
(2021)
Article
Medicine, General & Internal
Martin Thaler, Dietmar Dammerer, Michael Ban, Hermann Leitner, Ismail Khosravi, Michael Nogler
Summary: The study reports clinical outcomes for femoral revision total hip replacement using the Direct Anterior Approach, showing similar results with other surgical approaches in terms of clinical outcomes and complications.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Orthopedics
Guido Garavaglia, Amanda Gonzalez, Christophe Barea, Robin Peter, Pierre Hoffmeyer, Anne Lubbeke, Didier Hannouche
Summary: This study reported the rate of complications and mid-term clinical and radiological results of total hip arthroplasties using a short stem implanted through the direct anterior approach. Patients with radiological alterations at five years post-surgery had a higher risk of revision for aseptic stem loosening and inferior clinical outcomes. Further scrutiny of the long-term survivorship of this short stem is warranted.
INTERNATIONAL ORTHOPAEDICS
(2021)
Article
Orthopedics
Lucas Martinez, Nathalie Noe, Julien Beldame, Jean Matsoukis, Thomas Poirier, Helena Brunel, Stephane Van Driessche, Matthieu Lalevee, Fabien Billuart
Summary: This study compared the data from quantitative gait analysis and electromyography tests of patients who underwent total hip arthroplasty (THA) through the minimally invasive anterior approach (MIAA) with an asymptomatic control group. The study found that walking deficits persisted beyond one year postoperatively and observed alterations in muscle strength, kinetic parameters, and kinematic parameters.
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
(2022)
Article
Orthopedics
Andrew M. Schwartz, Rahul K. Goel, Aidan P. Sweeney, Thomas L. Bradbury
Summary: This study compared capsular repair and capsulectomy in direct anterior approach total hip arthroplasty, showing no significant impact on postoperative pain and range of motion. The role of the anterior capsule in prosthetic stability remains uncertain, and capsular repair does not seem to provide added benefit in this context.
JOURNAL OF ARTHROPLASTY
(2021)
Review
Orthopedics
Leah Nairn, Lauren Gyemi, Kyle Gouveia, Seper Ekhtiari, Vickas Khanna
Summary: The direct anterior approach for total hip arthroplasty has a substantial learning curve with operative time plateauing after approximately 100 cases and substantial decrease in complication rates from early to late groups.
INTERNATIONAL ORTHOPAEDICS
(2021)
Article
Orthopedics
Nimatullah Idris, Matthieu Zingg, Morgan Gauthier, Carlo M. M. Oranges, Daniel F. F. Kalbermatten, Didier Hannouche
Summary: This case report describes a complication of extensive skin necrosis after total hip arthroplasty, but without joint infection. The patient underwent debridement and tissue reconstruction, and achieved satisfactory outcomes with pain-free hip and restored motion after 1 year.
BMC MUSCULOSKELETAL DISORDERS
(2023)
Article
Orthopedics
Jacob M. Wilson, Matthew L. Hadley, Cameron K. Ledford, Joshua S. Bingham, Michael J. Taunton
Summary: This study evaluated the risk factors, reoperations, and revisions in patients who developed superficial wound dehiscence following direct anterior approach total hip arthroplasty (DAA THA). It was found that higher body mass index and female gender were associated with superficial wound dehiscence. However, proper management reduced the risk of revision THA and periprosthetic joint infection for these patients.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Orthopedics
Leonard T. Buller, Luke G. Menken, Evan J. Hawkins, Marcel A. Bas, Gilbert C. Roc, H. John Cooper, Jose A. Rodriguez
Summary: This study evaluated the occurrence, natural history, treatment response, and risk factors for AIPI after DAA THA. Findings suggest that AIPI often improves with conservative measures, and predisposing factors include female gender, small native femoral head diameter, and acetabular component overhang.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Hematology
Mohammad Hasan Kaseb, Seyyed Hossein Shafiee, Ahmad Shamabadi, Seyyed Alireza Aminjavaheri, Seyed Mohammad Javad Mortazavi
Summary: A study evaluating the outcomes of THA using DAA in patients with haemophilia found that complications were comparable to other surgical approaches, with the potential for less bleeding. The mean Harris Hip Score significantly improved postoperatively, and most patients were satisfied with the surgery outcomes at the final follow-up visit.
Article
Orthopedics
Kent R. Kraus, Julian E. Dilley, Mary Ziemba-Davis, R. Michael Meneghini
Summary: This study compared operative time and readmission rates between direct anterior and posterior approach total hip arthroplasty, finding that direct anterior procedures had longer anesthesia time but no significant impact on nontraumatic readmissions within 90 days.
JOURNAL OF ARTHROPLASTY
(2022)
Article
Orthopedics
Justin K. Fritz, Bradford S. Waddell, Kurt J. Kitziger, Paul C. Peters, Brian P. Gladnick
Summary: The study demonstrates that there is no increased risk of total hip arthroplasty (THA) dislocation in patients who have a negative pubic symphysis-sacrococcygeal distance (PSCD) and undergo a direct anterior (DA) approach. This suggests a protective effect of the DA approach against dislocation, even in historically high-risk populations.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Orthopedics
Brandon H. Naylor, Cesar R. Iturriaga, Yash B. Bisen, Matthew J. Caid, Keith R. Reinhardt
Summary: The study showed a significant reduction in the risk of heterotopic ossification following DA THA when using postoperative analgesic celecoxib as part of a multimodal pain protocol. Prospective randomized studies are needed to determine the ideal dosage, duration, and formulation for reducing HO risk while optimizing pain management.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Rehabilitation
Susan W. Hunter, Claudia Meyer, Alison Divine, Keith D. Hill, Andrew Johnson, Walter Wittich, Jeff Holmes
Summary: People with Alzheimer's dementia and their caregivers view the use of mobility aids as increasing independence, with themes including acknowledgment of need, protecting a sense of self, and healthcare professional involvement.
DISABILITY AND REHABILITATION
(2021)
Article
Rehabilitation
Laura Churchill, Michael J. Lukacs, Ryan Pinto, Steven J. Macdonald, J. Robert Giffin, Debbie Laliberte Rudman, Dianne Bryant
Summary: This study aimed to evaluate the use of educational whiteboard videos for non-operative management and decision making in knee osteoarthritis (OA) patients. The results showed that these videos improved patients' confidence and clarity in making the decision to undergo total knee replacement (TKR) and addressed knowledge gaps in OA management. However, barriers to education uptake were still identified.
DISABILITY AND REHABILITATION
(2022)
Article
Rehabilitation
Humberto Omana, Edward Madou, Alison Divine, Walter Wittich, Keith D. Hill, Andrew M. Johnson, Jeffrey D. Holmes, Susan W. Hunter
Summary: The study evaluated the differences in the effect of initial single-point cane use on gait between younger and older adults. It found that using a single-point cane decreased velocity and increased stride time variability in both age groups, and the cognitive load and effect on gait of initial cane use were not different between them. Standardized guidelines for transitioning to the safe use of walking aids are necessary, and future research should explore if training can mitigate adverse changes to gait stability with initial walking aid use.
Article
Orthopedics
Lachlan M. Batty, Andrew Firth, Gilbert Moatshe, Dianne M. Bryant, Mark Heard, Robert G. McCormack, Alex Rezansoff, Devin C. Peterson, Davide Bardana, Peter B. MacDonald, Peter C. M. Verdonk, Tim Spalding, Alan M. J. Getgood
Summary: Factors associated with high-grade pivot shift in ACL-injured knees include ligamentous laxity, male sex, medial or lateral meniscal injury, increased tibial slope, and chronicity. Tibial slope <9 degrees is related to high-grade pivot only in the presence of a medial meniscal injury. Patients with high-grade pivot shift had higher baseline pain intensity scores, but similar baseline PROMs compared to those without high-grade pivot shift.
ORTHOPAEDIC JOURNAL OF SPORTS MEDICINE
(2021)
Article
Orthopedics
Joy C. MacDermid, Dianne Bryant, Richard Holtby, Helen Razmjou, Kenneth Faber
Summary: Both mini-open (MO) and all-arthroscopic (AA) rotator cuff repair provide significant clinical benefits with few adverse events. There is strong evidence of equivalent clinical improvements between the two surgical approaches.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2021)
Review
Rehabilitation
Humberto Omana, Edward Madou, Manuel Montero-Odasso, Michael W. Payne, Ricardo Viana, Susan W. Hunter
Summary: This study systematically reviewed the literature on the effect of dual-task testing on the balance and gait of people with lower limb amputations, and found that individuals with lower limb amputations demonstrated greater instability and abnormal gait during dual-task testing. Further research is needed to understand how specific factors related to lower limb amputations influence dual-task performance.
Article
Rehabilitation
Humberto A. Omana, Edward Madou, Alison Divine, Walter Wittich, Keith D. Hill, Andrew M. Johnson, Jeffrey D. Holmes, Susan W. Hunter
Summary: The study examined the effect of initial 4-wheeled walker use on spatiotemporal gait parameters between younger and older adults, finding that using a walker resulted in a slower and more inconsistent gait pattern across both age groups.
Editorial Material
Sport Sciences
Hana Marmura, Anita Kothari, Alan Mj Getgood, Jane S. Thornton, Dianne M. Bryant
BRITISH JOURNAL OF SPORTS MEDICINE
(2022)
Article
Rehabilitation
Kristin Nugent, Michael W. Payne, Ricardo Viana, Susan W. Hunter
Summary: This study aimed to evaluate the reliability and agreement of commonly used scales to evaluate a concern for falling among people with lower extremity amputation (PLEA). The results demonstrated good relative reliability and agreement for the mSAFFE, FES-I, COF, and PAMF scales, providing initial evidence for their suitability in this population.
Article
Rehabilitation
Susan Hunter, Michele Callisaya, Katherine Lawler
Summary: This study explored the experiences of physiotherapy students on working with people with dementia during their clinical placements. The results showed that physiotherapy students need continual education and development in dementia care, and also revealed the inequities faced by people with dementia in receiving excellent physiotherapy care.
PHYSIOTHERAPY THEORY AND PRACTICE
(2023)
Article
Medicine, General & Internal
Den-Ching A. Lee, Elissa Burton, Claudia Meyer, Terry P. P. Haines, Susan Hunter, Helen Dawes, Plaiwan Suttanon, Stephanie Fullarton, Fiona Connelly, Julie C. C. Stout, Keith D. D. Hill
Summary: This study investigated the potential impact of a six-week gait aid training program for elderly people with dementia on their gait outcomes, perception of use, and falls associated with gait aid use. The program consisted of four 30-minute physiotherapy home visits and was supplemented by caregiver supervision. Overall, 87.5% of participants achieved safe gait aid use, with improvements in walking speed, step length, and cadence observed at the end of the program. However, these improvements were not sustained at the 6-week post-program follow-up. Physiotherapists were more likely to perceive improved safety with gait aid use after subsequent training visits. Larger studies are needed to further evaluate the effectiveness of gait aid training for individuals with dementia.
JOURNAL OF CLINICAL MEDICINE
(2023)
Meeting Abstract
Clinical Neurology
J. Garland, K. Miller, C. Pollock, D. Bryant, M. Hunt
INTERNATIONAL JOURNAL OF STROKE
(2022)
Meeting Abstract
Orthopedics
R. S. Dima, T. Birmingham, H. Philpott, D. Bryant, A. Fenster, C. T. Appleton
OSTEOARTHRITIS AND CARTILAGE
(2022)
Review
Rehabilitation
Jacqueline Baker, Danielle de Laat, Emily Kruger, Sarah McRae, Sabrina Trung, Carly Zottola, Humberto Omana, Susan W. Hunter
Summary: This article systematically reviewed the literature on clinical balance or gait tests for older adults with dementia, and summarized the reliable tests for community-dwelling and institutional-dwelling individuals.
EUROPEAN JOURNAL OF PHYSIOTHERAPY
(2022)
Meeting Abstract
Surgery
G. James, D. Bryant
BRITISH JOURNAL OF SURGERY
(2021)