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The purpose of this study is to determine if the concentration of mesenchymal stem cells in the joint fluid of the hip increases to compare with the severity of the disease in patients with osteonecrosis ( bone decay) of the femoral head (leg bone/hip joint).
The purpose of this study is to to collect data from patients undergoing joint preservation hip surgery in order to analyze the effects of surgical treatment on patients with hip problems. The long-term goal of this research is to improve the surgical care, and quality of life of patients with pre/early arthritic hip disorders.
The study will assess the outcomes of patients treated with concomitant hip arthroscopy at the time of periacetabular osteotomy (PAO) for patients with hip dysplasia compared with patients treated with PAO alone.
The purpose of this study is to define the functionality of adipose-derived regenerative cells (ADRCs) and bone marrow concentrate (BMC) for a fundamental mechanistic understanding of these two regenerative cell populations.
This randomized clinical trial aims to determine if cells from a patient's own adipose tissue is safe and capable of helping regenerate the femoral head in patients with osteonecrosis. The standard of care is known as hip decompression which simply removes dead tissue from the femoral head and creates a new cavity to be filled in by healthy bone. This trial will use hip decompression plus saline injection in one hip and hip decompression supplemented with adipose derived regenerative cells in patients with osteonecrosis in both of their hips.
The purpose of this study is to assess perioperative and postoperative outcomes to date in patients treated with surgery (Periacetabular Osteotomy or PAO) for Developmental Dysplasia of the Hip (DDH) receiving formal postoperative physical therapy versus those patients who did not receive formal postoperative physical therapy.
The purpose of this study is to document the effects of clinical and/or x-ray abnormalities of the hip suggestive of femoroacetabular impingement (a structural deformity in the hip joint) of asymptomatic adolescents to see if they show progression of their first pathology findings on MRI, after 5 years of follow up.
The purpose of this study is to determine potential genetic predisposition to FAI through NGS in a family with multigenerational disease. Provide genetic counseling and orthopedic management options to family members with unknown disease status. Establish screening and risk-stratification parameters via NGS through publication of genetic abnormalities associated with FAI.
Hip dysplasia is a complex problem that exists on a spectrum from mild to severe disease. Periacetabular osteotomy (PAO) remains the gold standard for most patients with dysplasia; however, the procedure is quite invasive making the decision to proceed in cases of mild disease difficult. Hip arthroscopy (HA) is an alternative minimally invasive technique that can be used to address mild dysplasia. Nevertheless, HA has less capability for correction and in rare instances can exacerbate instability in the dysplastic hip. There is a paucity of data examining outcomes between these two treatment strategies for this challenging problem.
The purpose of this study is to correlate various stages of preoperative gluteus medius muscle atrophy/fatty infiltration with post reconstruction outcomes in order to determine which reconstruction procedure is most appropriate.
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