Biomedical subjects

Madelyn C Curry

Publications and source records attributed to Madelyn C Curry.

3 recordsLinked to original sources

PubMed2006

Efficacy of combined modality prophylaxis including short-duration warfarin to prevent venous thromboembolism after total hip arthroplasty.

This study reviewed the effectiveness of a trimodality deep venous thrombosis (DVT) prophylactic regimen after primary and revision total hip arthroplasty. Seven hundred five patients were treated with pneumatic compression, adjusted dose warfarin (7 days), and early mobilization. Bilateral lower extremity venous ultrasonography was obtained on postoperative day 3 or 4. The incidence of asymptomatic DVT, symptomatic DVT/pulmonary embolus events within 90 days of surgery, and potential influence of risk factors was retrospectively assessed. Deep venous thrombosis incidence was 4.4% with one (0.1%) nonfatal pulmonary embolus. Increased age, male sex, and DVT history were significant risk factors for thromboembolic events within 90 days of hip arthroplasty. The combination of short-duration warfarin and mechanical prophylaxis with predischarge ultrasound screening was safe and effective in limiting the occurrence of venous thromboembolism.

Adolescent↗

PubMed2006

Surgical procedure profile in a comprehensive hip surgery program.

Surgical management of hip disease in adolescents and young to middle-aged adults is rapidly evolving, and a variety of operative techniques are needed to provide comprehensive care. The purpose of this study was to determine the utilization of surgical procedures and recent changes in procedure utilization in a comprehensive hip surgery program. We performed a retrospective review of 983 hip procedures in 854 patients performed over a seven year time period. The average patient age was 37.4 years (range 10-55). Five hundred fifty-six procedures were performed in female patients and 427 in male patients. Total hip arthroplasty (32.9%), hip arthroscopy (25.1%), and periacetabular osteotomy (13.1%) were the most common surgical procedures. Techniques utilized less often included osteochondroplasty of the femoral head-neck junction (7.9%), hip implant revisions (7.9%), and proximal femoral osteotomy (4.1%). Uncommon procedures included core decompression (2.2%), soft tissue releases (1.2%), femoral head resurfacing (0.6%), arthrodesis (0.3%), and Chiari pelvic osteotomy (0.2%). The most dramatic changes in utilization over the seven year time period included a marked increase in hip arthroscopies and osteochondroplasties of the femoral head-neck junction. These data underscore the variety of surgical techniques needed to treat this patient population, and emphasize an expanding role for nonarthroplasty surgical interventions.

Adolescent↗

PubMed2005

Acetabular and femoral radiographic abnormalities associated with labral tears.

UNLABELLED: The purpose of our study was to define the incidence of acetabular and femoral osseous abnormalities associated with symptomatic acetabular labral tears. We reviewed the radiographs of 78 patients treated arthroscopically for labral tears and 22 patients with asymptomatic hips for comparison. Overall, 49% of patients with labral tears had at least one radiographic abnormality (17% acetabular, 14% femoral, and 18% both). Hip dysplasia was more prevalent in patients with labral tears (36%) compared with control subjects (0%). A decreased head-neck offset was present in 18% of patients with labral tears versus 5% of the control subjects. An anterolateral prominence at the femoral head-neck junction, creating an aspherical femoral head, was present in 29% of patients with labral tears. Sixty-one percent of those patients also met criteria for dysplasia and/or decreased head-neck offset. A retroverted acetabulum was present in 12% of patients with labral tears and none of the control subjects. Osteoarthritis was more common in patients with labral tears (33%) than in control subjects (9%). Because acetabular and femoral osseous abnormalities commonly are associated with labral tears, recognition of these abnormalities is important to optimize surgical treatment of patients with symptomatic labral disease. LEVEL OF EVIDENCE: Diagnostic study, Level II (development of diagnostic criteria on consecutive patients-with universally applied reference "gold" standard). See the Guidelines for Authors for a complete description of levels of evidence.

Acetabulum↗