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Straight From The Hip

Straight From The Hip

Released: 2024-05-22
© pablocastaneda
Straight From The Hip - QR Code
23 Episodes
Audio
Listen on Apple Podcasts
23 Episodes
Audio
Listen on Apple Podcasts
Released: 2024-05-22
© pablocastaneda
Most Recent Episode
Ernie Sink, Surgical Dislocation of the Hip and Femoroacetabular Impingement (FAI)

Ernie Sink, Surgical Dislocation of the Hip and Femoroacetabular Impingement (FAI)

Time: 37:48
This week, I speak with Ernie Sink from the Hospital for Special Surgery (HSS) in New York.
Dr Sink is a world-renowned expert in hip preservation surgery, and today, we discuss surgical hip dislocation as an approach to treating hip pathology.
We talk about femoroacetabular impingement or FAI and its description by the group led by Prof. Reinhold Ganz in Bern, Switzerland, and the evolution towards arthroscopic approaches to treating it.
We discuss objective measures to quantify FAI, the importance of making an accurate diagnosis, and the difficulties in distinguishing subtle abnormalities. 
We talk about a recent paper he published that analyzed the outcomes of the surgical dislocation approach for treating complex FAI and how he distinguishes complex FAI from milder conditions, considering it a spectrum of pathology.
We then consider two papers comparing surgical hip dislocation and arthroscopy to treat this condition.
The first, a comparison in an adult population, showed that both treatments were equally effective. We discussed surgeon preference for one or another, leading to its being offered.
A more recent study in an adolescent population found that females with subtle Cam deformities on the femoral neck who did not participate in sports were at higher risk of having a sub-optimal outcome, and we discussed this.
We conclude on the current state and future of open hip surgery in the era of arthroscopy.
Episode ID: 1000656430175
GUID: f1c7df0d-44fb-4133-abdc-c57efbeca9b8
Release Date: 22/05/2024, 19:00:00

Description

This podcast is for anyone who wants to learn more about pediatric hip problems, including developmental dysplasia of the hip (DDH), slipped capital femoral epiphysis (SCFE), and other conditions. I’ll be interviewing experts in the field to get their insights on the latest treatments and research.
I aim to empower physicians, providers, and parents with the knowledge they need to make the best decisions.

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