Ortho Oracle - orthopaedic operative atlas

THR: Cemented Acetabular Component

  – See: Total Hip Replacement Menu:            – cementless components            – cement technique            – acetabular component revision            – operative considerations for hip dyplasia            – protrusio – Discussion:     – technical considerations:     – in the report by Crites BM, et al (2000), the effect of porosity reduction            cementing techniques with respect to radiolucent lines … Read more

THR: Changes in Stem Position

– Discussion:     – any change in stem positioning represents definite radiologic loosening;     – changes include:           – pistoning:           – medial midstem pivot:           – calcar pivot:           – subsidence;           … Read more

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

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

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

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

 – 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

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

Thoracic Spine

– See: Thoracolumbar fractures: – Frx Discussion:     – frx in this region are usually the result of hyperflexion, which produces wedge compression of one or more vertebral bodies;     – due to the rigidity of the rib cage, most of these fractures are stable; (See Burst Fx)     – where kyphosis > … Read more