The Hip Labrum Reconstruction: Indications and Outcomes-an Updated Systematic Review.

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Abstract

Conflict of interest statement: Latifah Al Mana, Ryan P. Coughlin, Veeral Desai, Nicole Simunovic, Andrew Duong. Olufemi R. Ayeni is a section editor for Current Reviews in Musculoskeletal Medicine. Dr. Ayeni is on the speakers’ bureau for Conmed and Smith and Nephew. 13. J Am Acad Orthop Surg. 2002 Jul-Aug;10(4):249-58. doi: 10.5435/00124635-200207000-00003. Hip arthrodesis: current indications and techniques. Beaulé PE(1), Matta JM, Mast JW. Author information: (1)Joint Replacement Institute at Orthopaedic Hospital, Los Angeles, CA, USA. The management of young adults with severe osteoarthritis of the hip remains a problem because of the increased failure rates of total hip arthroplasty (THA) as well as the prospect of multiple revisions in this population. Although hip arthrodesis is not perceived favorably as an alternative by most orthopaedic surgeons or patients because of the presumption of less than optimal functional outcomes, it is a viable technique, especially for younger patients with a recent history of local infection and/or trauma. With current internal fixation techniques, a fusion rate >80% can be achieved with maximal preservation of bone stock. Proper patient selection and optimal arthrodesis position (flexion of 20 degrees to 30 degrees, adduction of 5 degrees, external rotation of 5 degrees to 10 degrees, and limb-length discrepancy