– See: Anesthesia Considerations and Timing – PreOp Management: – Etiology of Fracture: – arrhythmia: consider continuous monitoring – hypoxia – osteoporosis – pathologic hip fractures – seizure – stroke – … Read more
– See: Addition of Antibiotics to Cement – Discussion: – full discussion of technique for cementing femoral stems – mixing under vacuum reduces retained air & incr cement strength; – typically 2 bags are needed; – slower mixing of cement over a shorter time decreases air voids within cement and … Read more
– Discussion: – once femoral and acetabular components have been removed, residual cement can be removed from the femoral canal; – it is better to move onto to the acetabular revision prior to cement removal since the cement will prevent blood loss from the canal; – … Read more
– See: Total Hip Replacement Menu: – Cemented Femoral Component: Loosening: – Collar: in THR – Optimal Cementing Technique – Removal of Cemented Femoral Stems: – Indications: – cemented femoral stems probably remain gold standard for total … Read more
– See: Total Hip Replacement Menu: – Addition of Antibiotics to Cement: – Cemented Femoral Component Loosening: – Insertion of Cemented Femoral Stems: – Discussion: – first generation technique: – finger packing … Read more
– Discussion: – central frx/dislocation is crippling injury with a poor prognosis; – extensive degree of concomitant articular injury occurs; – 22% incidence of sciatic nerve injury; – distal and occassionally, lateral traction of proximal femur may be necessary to effect and maintain reduction of the femoral head; – total … Read more
– Discussion: – anterior approach: – femoral artery may be palpated in femoral triangle, & may be used as a guide in aspirating the hip joint; – palpate the femoral pulse just as it exits the inguinal ligament; – entry point is one inch lateral to the artery (at the inguinal ligament) and one inch … Read more
Discussion ascending cervical branches arise from extracapsular arterial ring; anteriorly, they penetrate capsule of hip joint at intertrochanteric line; posteriorly, they pass beneath the orbicular fibers of capsule; ascending cervical branches may be divided into 4 br; anterial, medial, lateral, posterior; of these lateral provides most of blood supply to femoral head; at margin of … Read more
– See: – Chondral and Osteochondral Injuries of the Knee / Articular Cartilage: Injury and Potential for Repair: / Osteoarthritis – Enchondral Ossification – Discussion: – hyaline cartilage caps ends of bones that form synovial joints; – in other hyaline cartilage structures, surrounding perichondrium contains both capillaries for nutrition and the cells that become … Read more
– Discussion: – need to determien whether the fibrous has primarily affected flexion or extension; – need to determine either from radiographs or from MRI, whether incorrecttunnel placement, is the cause of the decrease motion and fibrosis; – also evaluate for patella baja; – … Read more