Ortho Oracle - orthopaedic operative atlas

THR: Femoral Anteversion:

– Femoral Anteversion:      – femoral version is defined as the angular difference between axis of femoral neck and transcondylar axis of the knee;      – normal values:            – on average, femoral anteversion ranges from 30-40 deg at birth and decreases progressively throughout growth to                     about 15 deg at skeletal maturation;            – … Read more

THR: Cement Degradation & Fragmentaton

– Discussion:     – aging of cement results in decreased elastic modulus and flexural and compressive strength, and increased creep deformation;     – cracks occur as a result of creep deformation through voids in cement;     – w/ poor cement technique and varus position of stem, x-ray evidence of loosening may be … Read more

THR: Acetabular Reaming

      – Patient Position:     – ensure that patient has not rotated anteriorly, for this may allow acetabular component to be placed in retroverted position;     – ensure that patient’s torso is not tilted inferiorly (as can occur from a bean bag), as this can cause reaming in an              excessive … Read more

Thoracolumbar Scoliosis

– Choices for Instrumentation:      – Zielke Instrumentation:             – used for treatment of rigid or mobile lumbar or thoracolumbar Scoliosis w/ lordosis;      – CD instrumentation:             – for patients who have a mobile lumbar or thoracolumbar curve;           … Read more

Thoracolumbar fractures

– See:       – Burst Frx       – Thoracic & Thoracolumbar Spine :       – Posterolateral Decompression: – Discussion:     – frx at this level are frequently due to relative immobility of thoracic spine compared to the lumbar spine;          – upper thoracic spine (T1 … Read more

THR: Acetabular Component Anteversion:

– Discussion:        – see native acetabular anteversion and femoral anteversion and acetabular component position      – general considerations:               – simple visualization of length of anterior/posterior walls gives an accurate measure of native anteversion;               – references:                       – Femoral anteversion in THA and its lack of correlation with native acetabular anteversion.                       – … Read more

THR: Acetabular Component Biomechanics

– See:        – operative considerations for hip dyplasia        – acetabular component revision – Discussion:     – restoration of the normal hip center in acetabular reconstruction encourages restoration            of normal biomechanics;      – medial placement:            – moving hip center medially improves efficiency of … Read more

THR: Acetabular Component

 – See: Total Hip Replacement Menu / acetabular component revision: – Surgical Technique:     – preoperative planning:            – acetabular biomechanics:            – operative considerations for hip dyplasia            – protrusio            – types of components:     … Read more

Thoracis

origin: the transverse process of the 6th to 10 Thoracic vertebrae; insertion: the spinous process of the 1st to 4th thoracic and 6th-7th cervical vertebrae; action: extends the spine and rotates it toward the opposite side; nerve supply: posterior rami of the thoracic nerves,   T1  to T6; synergists: Longissimus Thoracis, Iliocostalis thoracis, Spinalis Thoracis

Thoracic Spine Burst Fractures

– See:       – Burst Fractures       – Thoracic and Thoracolumbar Spine: – Discussion:     – results from hyperflexion, which produces wedge compression of one or more vertebral bodies;     – due to the rigidity of the rib cage, most of these frxs are stable;     – thoracic spinal … Read more