The Hip book

Role of Arthroscopy in HTO

– See: Arthroscopy of the Arthritic Knee – Discussion:     – thickness of articular cartilage cannot be assessed by visualization alone, but denuded and eburnated areas of bone can be seen;     – these areas are usually spotty, and assessing their importance is difficult High tibial osteotomy in the treatment of osteoarthritis of … Read more

Role of Fibula in Tibial Plateau fractures

– Discussion:     – Tibial Plateau Frx Menu     – condition of fibula, whether frxed or intact, determines angulatory behavior of these frx under wt bearing and functional conditions;     – isolated frx of lateral plateau w/ intact fibula do not tend to collapse further because of the support of the fibula;     – … Read more

Rim Fractures

– Discussion:    – 2 subtypes: rim avulsions and rim compression frx;    – all knees w/ rim frxs have capsular and collateral ligament injuries;    – avulsions of rim of tibial plateau articular surface or compression frx of that rim almost always are accompanied by significant collateral or cruciate ligament injury;    – may … Read more

Revision Total Knee Arthroplasty

– PreOperative Considerations and Implant Selection:     – work up of the painful TKR: – Hip and Knee Infiltration Technique     – Local Analgesia Infiltration Techniques – Hip and Knee Arthroplasty – Exposure for Revision Arthroplasty:      – surgical approach for primary TKR       – intraoperative gram stain, frozen section, and culture             – The Routine Use … Read more

Revision TKR: Isolated Liner Exchange

– Discussion:     – may be indicated for patients with knee stiffness and pain with securely fixed and appropriately aligned components;     – involves arthrolysis of adhesions and exchange to a thinner tibial polyethylene insert;     – in the report by Babis GC, et al, the authors reviewed their experience with this technique; … Read more