– Types of Injuries: – short leg syndrome: (see growth deformities of the limbs) – unequal leg lengths may predispose to injury in shorter leg; – trochanteric bursitis: – gluteus medius attaches by a broad insertion into its lateral … Read more
– Discussion: – TKR: effects of malrotation – patellar effects: – malrotation of femoral component may lead to patellofemoral dislocation or subluxation; – slight external rotation of femoral component on femur places patellofemoral groove more laterally, enhances patellofemoral stability (external rotation moves … Read more
Low-molecular-weight heparinoid compared with warfarin for prophylaxis of deep-vein thrombosis in patients who are operated on for fracture of the hip. A prospective, randomized trial. Dose relation in the prevention of proximal vein thrombosis with a low molecular weight heparin (tinzaparin) in elective hip arthroplasty. Prevention of fatal pulmonary embolism in patients with fractures of … Read more
– Discussion: – see allograft menu and ocd menu; – indicated for larger chondral or osteochondral defects (larger than 2 cm); – donor characteristics: – donors should be less than 30 years of age, with the graft harvesting the intact knee within 24 hrs … Read more
Prevention of thrombosis after hip fracture surgery. Comparison of dextran 70 with and without dihydroergotamine. Prevention of fatal pulmonary embolism in patients with fractures of the neck of the femur.
– Assistance provided by Michael Berend MD. … Read more
– See: – Removal of Cemented Femoral Stems: – Removal of Press Fit Stems: – Discussion: – stem considerations: – calcar replacment: bone loss at the lower limit of the lesser trochanter may requires a 30-mm calcar replacement; – length: stems that are longer than 175 mm long … Read more
Revision Total Knee Arthroplasty – Assistance provided by Michael Berend MD – PreOperative Considerations and Implant Selection: – work up of the painful TKR: – Surgical Approach: (Surgical Approach for Primary TKR); – Component Removal: – prior to component removal, take the knee thru a range of motion and evaluate patellar tracking and … Read more
– See: Unstable Intertrochanteric Fractures – Discussion: – in reverse oblique fractures, the major frx line extends from proximal-medial to distal-lateral through intertroch-subtrochanteric region; – marked tendency toward medial dispacement of shaft 2nd hip adductors; – tendency for medial shaft migration may result in … Read more
– Discussion: – may be indicated for: – combined fractures of the femoral neck and shaft and for distal femoral fractures; – multi-trauma patient (procedure can be performed in supine position on regular flouro table); – obese patients (starting hole is not a problem); – advantages: – avoids damage to the blood supply to the … Read more