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Hip Surgery: Clinical Treatment and Management: 2nd Edition
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Hip Surgery: Clinical Treatment and Management: 2nd Edition

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: closed (15 January 2025) | Viewed by 2607

Special Issue Editor

Dr. Lukas A. Holzer

E-Mail Website
Guest Editor
Department of Orthopaedics and Traumatology, Medical University of Innsbruck, Anichstraße 35, 6020 Innsbruck, Austria
Interests: adult joint reconstruction; knee surgery; lower limb trauma; osteoarthritis
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

We are thrilled to announce the release of the second volume of our Special Issue, “Hip Surgery: Clinical Treatment and Management: 2nd Edition”. As we all know, the management of hip disorders has seen tremendous advancement within the last few decades. Total hip replacement can be considered the most successful surgery of the previous century. We would like to cover the broad field of hip surgery, the diagnostical approaches to various hip disorders, and their specific management. In the first volume, we have included a diverse set of research articles covering the whole field of hip surgery. We hope to continue collecting innovative articles in this field.

It is worth noting that this Special Issue is a continuation of the successful first volume. Fortunately, participation was high, with 11 manuscripts including original research and reviews.

We invite you to visit our website to access the first volume of our Special Issue, which is available at the following link: https://www.mdpi.com/journal/jcm/special_issues/5J20KY5Y76

Thank you for your continued support of our Special Issue. We look forward to your contributions to future volumes.

Dr. Lukas A. Holzer
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • total hip replacement
  • revision total hip replacement
  • femoroacetabular impingement
  • hip fracture
  • hip–spine relationship
  • developmental dysplasia of the hip

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Related Special Issue

Published Papers (3 papers)

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Research

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10 pages, 3691 KiB  
Article
The Effect of Overall Limb Torsion on Functional Femoral Version and Its Functional and Biomechanical Implications on Lower Limb Axial Anatomy: A Study on CT and EOS Imaging
by Loïc Vercruysse, Michele Palazzuolo, Riza Gultekin and Lachlan Milne
J. Clin. Med. 2025, 14(7), 2448; https://doi.org/10.3390/jcm14072448 - 3 Apr 2025
Viewed by 333
Abstract
Background: Variations in femoral version are increasingly recognized as contributing factors to the development of symptomatic femoroacetabular impingement (FAI) and ischiofemoral impingement (IFI). Despite having implications for both hip arthroplasty and hip preservation surgery, functional femoral version (FFV) and overall limb torsion (OLT) [...] Read more.
Background: Variations in femoral version are increasingly recognized as contributing factors to the development of symptomatic femoroacetabular impingement (FAI) and ischiofemoral impingement (IFI). Despite having implications for both hip arthroplasty and hip preservation surgery, functional femoral version (FFV) and overall limb torsion (OLT) are understudied. This study was conducted with the primary aim of defining and measuring FFV as a function of OLT. Methods: A cohort of 106 patients scheduled for primary hip arthroplasty underwent detailed retrospective assessment through CT and EOS imaging. Femoral torsion, transmalleolar axis, tibial torsion, trochanteric station and limb torsion were measured. The trochanteric station distance was also defined on both CT as well as on the lateral standing EOS. Statistical analyses examined the relationships between FFV, OLT, and other measurements. Results: Findings indicate a strong correlation between OLT and FFV. Agreement between CT and EOS imaging for trochanteric station was 0.88. Conclusions: The study reveals that OLT offers a more comprehensive assessment of impingement risk than anatomical femoral version alone. As OLT correlates with FFV, it highlights the role of axial limb alignment in hip joint biomechanics. Understanding the interplay between FFV and OLT can guide more individualized surgical techniques, potentially improving patient outcomes. Full article
(This article belongs to the Special Issue Hip Surgery: Clinical Treatment and Management: 2nd Edition)
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11 pages, 732 KiB  
Article
Effect of Oral + Topical and Only Topical Tranaxamic Acid Application on Blood Loss and Postoperative Transfusion in Primary Total Hip Arthroplasty
by Tansel Mutlu, Mehmet Arıcan, Zekeriya Okan Karaduman, Yalçın Turhan, İlyas Kaban, Raşit Emin Dalaslan, Sönmez Sağlam and Mücahid Osman Yücel
J. Clin. Med. 2025, 14(4), 1275; https://doi.org/10.3390/jcm14041275 - 14 Feb 2025
Viewed by 510
Abstract
Objectives: Total hip arthroplasty is one of the most common procedures performed to reduce pain and improve hip functions in patients with advanced hip osteoarthritis, but perioperative blood loss, acute anemia and transfusion requirement increase the risk of morbidity and mortality during [...] Read more.
Objectives: Total hip arthroplasty is one of the most common procedures performed to reduce pain and improve hip functions in patients with advanced hip osteoarthritis, but perioperative blood loss, acute anemia and transfusion requirement increase the risk of morbidity and mortality during and after surgery and negatively affect functional recovery. We aimed to present the comparative results of oral + topical and only topical tranexamic acid application to reduce blood loss and postoperative transfusion in primary total hip arthroplasty. Methods: We retrospectively evaluated the patients who applied to the Orthopedics and Traumatology outpatient clinic with complaints of hip pain and limited movement between January 2014 and December 2020, who underwent primary total hip arthroplasty with the diagnosis of coxarthrosis and who were administered oral + topical and only topical tranexamic acid before and during surgery, in terms of blood loss and transfusion requirement. Results: No statistically significant difference was observed between the preoperative, day 0 and day 1 hemoglobin means in those that were applied oral + topical tranexamic acid and those that were applied only topical (p > 0.05). However, the second- and third-day hemoglobin means in those that were treated with topical medication alone were found to be statistically significantly lower than in those that were treated with oral + topical tranexamic acid (p = 0.032, p = 0.0001). Conclusions: Oral + topical tranexamic acid application in total hip arthroplasty surgery is more effective than topical applications alone when it comes to reducing blood loss, hemoglobin and hematocrit decrease without increasing the risk of thromboembolic diseases and wound complications. Full article
(This article belongs to the Special Issue Hip Surgery: Clinical Treatment and Management: 2nd Edition)
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Other

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13 pages, 1385 KiB  
Systematic Review
State of the Art in Rehabilitation Strategies After Hip Arthroscopy for Femoroacetabular Impingement Syndrome: A Systematic Review
by Claudio Monselli, Luca Bianco Prevot, Riccardo Accetta, Livio Pietro Tronconi, Vittorio Bolcato and Giuseppe Basile
J. Clin. Med. 2024, 13(23), 7302; https://doi.org/10.3390/jcm13237302 - 30 Nov 2024
Cited by 2 | Viewed by 1283
Abstract
Background/Objectives: Femoroacetabular impingement (FAI) is a common cause of hip pain in athletes and active individuals, often requiring hip arthroscopy followed by a structured rehabilitation program. Effective rehabilitation is crucial for optimizing surgical outcomes and facilitating a return to sport. Methods: A systematic [...] Read more.
Background/Objectives: Femoroacetabular impingement (FAI) is a common cause of hip pain in athletes and active individuals, often requiring hip arthroscopy followed by a structured rehabilitation program. Effective rehabilitation is crucial for optimizing surgical outcomes and facilitating a return to sport. Methods: A systematic review following PRISMA guidelines was conducted to evaluate post-operative rehabilitation protocols after hip arthroscopy for FAI. Databases searched included PubMed, Embase, and Cochrane Library up to April 2024. Inclusion criteria focused on studies documenting rehabilitation post-arthroscopy for FAI, with a final selection of 14 studies encompassing 1105 patients. Data extraction focused on rehabilitation techniques, functional outcomes, and return-to-sport rates. The risk of bias was assessed using RoB2 and ROBINS-I tools. Results: Rehabilitation protocols were categorized into four phases, emphasizing manual therapy, strengthening, stretching, aquatic exercises, and sport-specific drills. The average return-to-sport rate was 90.3%. Manual therapy and aquatic programs were critical in early recovery, while strengthening and proprioception exercises were central to later stages. Variability in protocols across studies was noted. Conclusions: Post-operative rehabilitation following hip arthroscopy for FAI is essential for recovery. A phased, individualized approach, integrating manual therapy, aquatic exercises, and sport-specific training, yields positive outcomes. However, the heterogeneity of protocols suggests the need for standardized guidelines tailored to individual patient needs and activity levels. Full article
(This article belongs to the Special Issue Hip Surgery: Clinical Treatment and Management: 2nd Edition)
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