There are approximately 1.6 million lower extremity amputees in the United States. Lower extremity amputees are subject to increased physical demands proportional to their level of amputation. Lower extremity amputees have a 6-fold higher risk of developing radiographic osteoarthritis in the ipsilateral hip and a 2-fold risk of developing radiographic osteoarthritis in contralateral hip when co...

In this issue of the Annals, Jones et al 1 (pp 172) report the results of a ran-domised clinical trial (RCT) of canes for knee osteoarthritis. Current recommendations on the management of hip and knee osteoarthritis emphasise non-pharmacological interventions, with sticks or canes universally recommended in existing guidelines. 2 According to the Osteoarthritis Research Society International (O...

Osteoarthritis is characterised by degenerative changes in the articular cartilage and the bones of the affected joints. These abnormalities are apparent in radiographs and museum specimens. The surgeon who operates upon these joints is, in addition, aware of the striking changes that occur in the capsular and synovial tissues in advanced cases. In this paper I will describe these soft-tissue c...

OBJECTIVE To assess the contribution of radiological osteoarthritis of the hips and knees to disabilities in the activities of daily living related to lower limb function. METHODS During a home interview 1156 men and 1739 women, randomly chosen from the source population of all independently living residents aged 55 years and over living in a district of Rotterdam (the Rotterdam Study) were a...

BACKGROUND National and international evidence-based guidelines for hip and knee osteoarthritis recommend to start with (a combination of) conservative treatments, followed by surgical intervention if a patient does not respond sufficiently to conservative treatment options. Despite these recommendations, there are strong indications that conservative treatments are not optimally used in orthop...

Osteoarthritis, osteonecrosis, and rapidly progressive osteoarthritis are hip arthropathies that result in marked pain and disability. Although these diseases share features of arthritis-like symptoms and are all treated with total hip arthroplasty, they are separate diseases with distinct epidemiologic, radiographic, and histopathologic findings. In this article, the authors present clinical t...

It has long been felt that osteoarthritis is the result of wear and tear. Many physicians are not aware biological science now validated this increased “wear tear” on joint loading-induced stresses undermine cell function aging. The loading creates shear forces cartilage leads to oxidants. These oxidants then cause chondrocyte premature aging, leading development what we know as osteoarthritis....

background: the prevalence of hip dysplasia is 1 in 1000. several pelvic osteotomy methods have been developed to prevent early osteoarthritis, such as triple osteotomy. in this study we are going to introduce our new technique that was done on 4 patients with favorable short-term results.   methods: four patients underwent triple osteotomy and fixation using a reconstruction plate and early we...

Patients with osteoarthritis of the hip were treated with a conservative therapy of heel lifting. Orthoses were applied on 35 hips in 33 subjects and the cases were followed for 23 months on average. Dramatic pain relief was reported, but the time required to reduce or completely relieve pain increased according to the stage of osteoarthritis. The radiological results were not satisfactory. Dur...

OBJECTIVE This study aims to train students on public health survey; correlate risk factors of osteoarthritis and to identify modifiable risk factors. METHODS Osteoarthritis survey was carried out among 420 Bahraini women, above 40 years of age, diagnosed of osteoarthritis, attending ministry of health facilities. RESULTS Most cases in the study were from the age group of 50-59 years with a...