– See: Total Hip Replacement Menu – Discussion: – evaluation of the painful THR – indications for revision – evaluation for loosening – outcomes: – references: – Why revision total hip arthroplasty fails. – Revision Hip Arthroplasty: Infection is the Most Common Cause of Failure … Read more
– See: Total Hip Replacement Menu: – revision arthroplasty menu – Femoral Revision: – exposure of femur: – it is essential that prior to attempted femoral component removal, that there is a clear retrograde path for stem removal; – this means that … Read more
– TKR Menu: AP cutting guide – Determine Appropriate AP Component Size: – most instrument systems incorporate cutting block that is placed on end of femur & rotated to appropriate orientation; – prior to inserting the AP sizing guide, remove any prominent meniscal remnants so that the posterior “fins” of the … Read more
– See: – Joint Line Position – Patella Infera: – Discussion: – elevation of the joint line occurrs when only very small amount of tibial plateua surface is removed and “space” for the components created by removing portion of the distal … Read more
– See: Femoral Component – Resection of the Distal Femur: – cushing rongeur is used to remove osteophytes in medial & lateral aspects of the femoral condyles as well as the intercondylar space; – this avoids, possible mis-sizing of the femoral component; – femoral IM alignment rod: (discussion) … Read more
– Component Insertion: – tibial insertion: – cement is applied to the proximal tibial surface, and the surgeon uses gloved fingers to manually press cement into proximal tibial surface; – subsequently additional cement is applied to the proximal tibial surface; … Read more
– See: Innerv. Musc. Lower Limb: – Anatomy: – tibial nerve is derived from L4, L5, S1, S2, S3; – the anterior component, supplies muscles of posterior thigh (except short head of biceps whch is supplied by peroneal nerve); – in popliteal space it gives off branches that supply … Read more
– Considerations: – consider applying an arthroscopy post to the table inorder to assist w/ reduction; – w/ the post in place, 3 point pressure can be applied; – fracture should be reduced as much as possible prior to application of external fixator; – … Read more
– See: – Enhancement of Fixator Stability – Ilizarov Menu – Ring characteristics – Safe Zone of Pin Insertion – Foot Inclusion – Synthes Hybrid Fixator – Wire Insertion Technique – Discussion: – in the report by Paley D and Maar DC (2000), … Read more
– Anatomy of CMC joint – Sesamoid Bones of the Thumb – Radiographs – AP view taken w/ hand in maximum pronation (Robert View); – Types of Injuries and Treatment: – Mallet Fracture of Thumb – Gamekeeper’s Thumb – Frx Dislocations of the Thumb MP Joint – … Read more