The Hip - book

Retinacular Arteries (their formation)

– Discussion:     – Ascending Cervical Branches travel proximally under the hip capsule and continue proximally along neck deep to synovial membrane toward the femoral head;            – these arteries are known as retinacular arteries;            – as cervical arteries traverse superficial surface of femoral neck, they send many … Read more

Removal of Cementless Stems

– Pre Op Planning:      – exam for THR loosening:      – radiology of press fit stems            – note degree of porous coating around the stem;            – note any migration or subsidence of component which may indicate presence of fibrous membrane and poor … Read more

Renal Osteodystrophy

– See:          – Calcitriol          – Hyperparathyroidism          – Renal Failure: (Orders for the CRF Patient)          – Renal Spondyloarthropathy          – Vit D – Effects on Adult Bone:     – abnormalities of renal function can produce profound bone disease;     … Read more

Removal of Cemented Femoral Stems

– PreOp Planning: – Proximal Exposure:     – if there is extreme difficulty in dislocating the hip, attempt to perform a wide capsulotomy or perform a trochanteric osteotomy;     – it is essential to avoid a proximal femoral frx while extracting the stem;     – before attempting prosthesis removal, remove granulation tissue … Read more

References for Thromboembolic Rx in Hip Frx

Compression ultrasonography for the detection of deep venous thrombosis in patients who have a fracture of the hip. A prospective study. 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. Prevention of DVT after elective hip surgery. A randomized trial comparing low … Read more

References for Osteoporosis

Appendicular bone density and age predict hip fracture in women. The Study of Osteoporotic Fractures Research Group Intermittent cyclical etidronate treatment of postmenopausal osteoporosis A prospective study to evaluate the dose of vitamin D required to correct low 25-hydroxyvitamin D levels, calcium, and alkaline phosphatase in patients at risk of developing antiepileptic drug-induced osteomalacia. Hypothalamic … Read more

References for Prognostic Features of Osteosarcoma

Limb-salvage treatment versus amputation for osteosarcoma of the distal end of the femur. The effect of local extent of the tumor on prognosis in osteosarcoma. Prognosis for patients who have osteosarcoma with skip metastasis. Stage IIB osteogenic sarcoma. IIB osteosarcoma. Current management, local control, and survival statistics–São Paulo, Brazil. Survival and management considerations in postirradiation … Read more

References for Respiratory Failure / Ventilators

[Sinusitis in long-term intubated, intensive care patients: nasal versus oral intubation]  High-dose corticosteroids in patients with the adult respiratory distress syndrome. Blunt multiple trauma (ISS 36), femur traction, and the pulmonary failure-septic state.  A prospective study of indexes predicting the outcome of trials of weaning from mechanical ventilation Nosocomial maxillary sinusitis during mechanical ventilation: a … Read more

Reduction of Femoral Shaft Frx

 – See:        – Proximal Frx        – Distal Frx        – Rotational Alignment   – Deforming Forces:      – muscular forces deform the femur after fracture;      – abductor muscles:           – abducts proximal femur following subtrochanteric & high proximal shaft fractures;      – psoas:           – proximal 1/3 frx of shaft are also … Read more

Rectus Femoris

– See Quads – Origin:       – Straight Head: Anterior Inferior Iliac Spine       – Reflected Head: Groove on upper brim of acetabulum; – Insertion: Upper border of patella by the ligamentum patella into tibia tuberosity; – Reversed origin-insertion action: Flexes the pelvis on the femur and gives anterior stabilization to the pelvis; … Read more