Exeter Hip Unit
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Recent Submissions
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Clinical and cost effectiveness of single stage compared with two stage revision for hip prosthetic joint infection (INFORM): pragmatic, parallel group, open label, randomised controlled trial
(BMJ, 2022-10-31)OBJECTIVES: To determine whether patient reported outcomes improve after single stage versus two stage revision surgery for prosthetic joint infection of the hip, and to determine the cost effectiveness of these procedures. ... -
Obesity alone should not rule out knee replacement surgery
(BMJ, 2022-10-25)The studyEvans JT, Mouchti S, Blom AW, et al. Obesity and revision surgery, mortality, and patient-reported outcomes after primary knee replacement surgery in the National Joint Registry: a UK cohort study. PLoS Med 2021;18:7. -
The use of a modified posterior approach (SPAIRE) may be associated with an increase in return to pre-injury level of mobility compared to a standard lateral approach in hemiarthroplasty for displaced intracapsular hip fractures: a single-centre study of the first 285 cases over a period of 3.5 years
(Springer, 2022-07-25)BACKGROUND AND PURPOSE: A tendon-sparing modification of the posterior approach to the hip joint was introduced in the specialist hip unit at our institution in 2016. The SPAIRE technique-acronym for Saving Piriformis And ... -
Use of computerised adaptive testing to reduce the number of items in patient-reported hip and knee outcome scores: an analysis of the NHS England National Patient-Reported Outcome Measures programme
(BMJ, 2022-07-20)OBJECTIVE: Over 160 000 participants per year complete the 12-item Oxford Hip and Knee Scores (OHS/OKS) as part of the NHS England Patient-Reported Outcome Measures (PROMs) programme. We used a modern computational approach, ... -
Is rationing of total hip arthroplasty justified? Working to optimize patient accessibility to surgery using long-term patient-reported outcome data
(British Editorial Society of Bone and Joint Surgery, 2022-03-01)AIMS: The aim of this study was to assess medium-term improvements following total hip arthroplasty (THA), and to evaluate what effect different preoperative Oxford Hip Score (OHS) thresholds for treatment may have on ... -
Cement-in-cement revision of the femur in infected hip arthroplasty in 89 patients across two centres
(British Editorial Society of Bone and Joint Journal, 2022-02-01)AIMS: Femoral cement-in-cement revision is a well described technique to reduce morbidity and complications in hip revision surgery. Traditional techniques for septic revision of hip arthroplasty necessitate removal of all ... -
FUNCTIONAL OUTCOMES OF PELVIC OSTEOTOMIES FOR HIP DYSPLASIA: A STUDY USING THE UK NON-ARTHROPLASTY HIP REGISTRY (NAHR) DATASET
(British Editorial Society of Bone and Joint Journal, 2021-08-19)Pelvic re-orientation osteotomy is a well-recognised treatment of young adults with developmental dysplasia of the hip (DDH). The most commonly used technique is the periacetabular osteotomy (PAO), however, some surgeons ... -
CEMENT-IN-CEMENT REVISION OF THE FEMUR IN THE INFECTED HIP ARTHROPLASTY
(British Editorial Society of Bone and Joint Journal, 2021-08-19)Femoral cement-in-cement revision is a well described technique to reduce morbidity and complications in hip revision surgery. Traditional techniques for septic revision necessitate removal of all bone cement from the ... -
EARLY OUTCOMES OF SURGERY FOR FEMOROACETABULAR IMPINGEMENT: A STUDY USING THE UK NON-ARTHROPLASTY REGISTRY (NAHR) DATASET
(British Editorial Society of Bone and Joint Journal, 2021-08-19)FAI may cause pain or functional impairment for an individual, as well as potentially resulting in arthritis and degeneration of the hip joint. Results from recent randomised control trials demonstrate the superiority of ... -
Periacetabular Osteotomy for Developmental Dysplasia of the Hip and Femoroacetabular Impingement: A Study Using the U.K. Non-Arthroplasty Hip Registry (NAHR) Data Set
(Wolters Kluwer Health, Inc., 2020-08-05)Background: Periacetabular osteotomy (PAO) is a well-recognized procedure for the treatment of hip dysplasia in young adults and can be used for the surgical management of femoroacetabular impingement (FAI) with acetabular ... -
Long-term survival of the Cemented Exeter Universal Stem in patients 50 years and younger: an update on 130 hips
(Elsevier, 2020-04)There is variable evidence regarding survivorship beyond 20 years of total hip arthroplasties in young patients. We report the long-term results of the Exeter cemented hip system in patients ≤50 years at minimum of 20 years. -
Simultaneous or staged bilateral total hip arthroplasty? An analysis of complications in 14,460 patients using national data
(Elsevier, 2020-01)Simultaneous bilateral total hip arthroplasty (SimBTHA) is often performed in younger, fitter patients with bilateral hip disease. If patients are deemed not suitable for SimBTHA due to concurrent comorbidity, it may be ... -
Availability of specific tools to assess patient reported outcomes in hip arthroplasty in Spain. Identifying the best candidates to incorporate in an arthroplasty register. A systematic review and standardized assessment
(PLoS, 2019-04)1) To systematically review the available scientific literature regarding specific instruments developed and/or tested in a Spanish population, to assess these PROMs in hip arthroplasty; 2) to carry out a standardized ... -
The outcome of cemented acetabular componenets in total hip arthroplasty for osteoarthritis defines a proficiency threshold: results of 22,956 cases from the Australian Orthopaedic Association National Joint Replacement Registry
(Elsevier, 2019-08)The declining popularity of cemented acetabular components is incongruous, given the published results of prostheses implanted using contemporary techniques. The outcome of arthroplasty has previously been demonstrated to ... -
The Exeter Short Revision Stem for cement-in-cement femoral revision: a five to twelve year review
(Elsevier, 2019-07)Cement-in-cement femoral revision is a proven technique in revision total hip arthroplasty, with excellent results reported using standard-sized Exeter stems. The Exeter 44/00/125 short revision stem was introduced in 2004 ... -
A scoping review comparing two common surgical approaches to the hip for hemiarthroplasty
(Biomed Central, 2019-03)Hemiarthroplasty for hip fracture is a common surgical procedure. A number of distinct approaches are used to access the hip joint. The most commonly used are the direct lateral approach (DLA), and the posterior approach ... -
Not all cemented hips are the same: a register-based (NJR) comparison of taper-slip and composite beam femoral stems
(Taylor & Francis, 2019-03)No difference in outcome has been demonstrated comparing cemented taper-slip and composite beam designs in short-term randomised trials; we assessed outcome differences using a registry analysis -
Validation of inertial measurement units with optical tracking system in patients operated with Total hip arthroplasty
(BioMed Central, 2019-02-06)Patient reported outcome measurement (PROMs) will not capture in detail the functional joint motion before and after total hip arthroplasty (THA). Therefore, methods more specifically aimed to analyse joint movements may ... -
The Exeter V40 cemented femoral component at a minimum 10-year follow-up.
(British Editorial Society of Bone and Joint Journal, 2018-08)The aim of this study was to report the initial results of the Exeter V40 stem, which became available in 2000.