– Discussion: – operative considerations: hemiarthroplasty vs total shoulder arthroplasty – anatomy: – normal population, glenoid version: from 5 deg of anteversion to 15° of retroversion, with an avg preop retroversion range from 1 deg to 6 deg; – surgical goal of resurfacing is to place the glenoid in 0° … Read more
– Discussion: – traction is often required for Pavlik harness treatment failures or for lately diagnosed cases; – reduction of hip may be difficult in infants w/ delayed diagnosis of DDH; – in children < 3 years of age, preop traction may decrease avascular necrosis, and may improve chances … Read more
– See – Total Hip Arthroplasty Anterior Approach – Surgical Technique: (posterolateral approach) – Hip and Knee Infiltration Technique – Local Analgesia Infiltration Techniques – Hip and Knee Arthroplasty – pre op planning: – post operative evaulation of THR: – Acetabular Component – Acetabular Fracture and THR – Approach: – anterior approach – anterolateral approach … Read more
– See: Total Hip Replacement Menu: Tissue ingrowth and differentiation in the bone-harvest chamber in the presence of cobalt-chromium-alloy and high-density-polyethylene particles. Histological and radiographic assessment of well functioning porous-coated acetabular components. A human postmortem retrieval study. Osseointegration of titanium implants in total hip arthroplasty. Hydroxyapatite-Coated Femoral Stems. Histological Analysis Of Components Retrieved at Autopsy. … Read more
– PreOp Planning – Local Analgesia Infiltration Techniques – THA/TKA and Datatrace TKR Teaching Video- Surgical Technique – Arthrodesis – Arthroscopy following TKR – Axis for TKR – Axis – Alignment – mechanical axis – anatomic axis – Bilateral Knee Replacement – Biomechanics of the Joint – Bone Grafting & Wedges – Collateral ligaments – … Read more
– See: – Lateral Retinacular Release: – Patella in TKR; – Discussion: – this is one of the most common causes of failed knee replacement; – position of each TKR components will determine success of patellar component: – no patellar prosthesis will track correctly if the … Read more
– See: Patella in TKR – Discussion: – indications for patellar resurfacing – patellar malalignment – lateral retinacular release – Technique: – start by everting the patella laterally and reflecting the fat pad & synovium from around its periphery; – remove any overhanging osteophytes; – limited patellar fasciectomy should be a part … Read more
Methods to Prevent Infection: – prophylactic antibiotics – skin prep agents – Considerations: – patient is placed in supine position, hip bump is optional; – tourniquet: – in the study by Wakankar HM, et al (1999) the authors prospectively studied the effect of tourniquet … Read more
– See: TKR: Soft Tissue Balance and Collateral Ligaments – Discussion: – fixed varus is the most common angular contracture in pts undergoing tkr; – this deformity may be accentuated by the presence of medial tibial plateau or medial femoral condyle osteophytes; – it is essential that … Read more
– See: – TKR Menu – blood supply to the knee: – standard lateral retinacular release: – Discussion: – at completion of TKR, patellar tracking are critically evaluated to insure stability; – patellar tracking may be improved by removal of patellar osteophytes … Read more