– 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
– 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
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
Specific agents aspirin heparin agents: (see low molecular wt agents) in TKA, w/ low molecular wt heparins relative risk reduction of DVT is about 50% controversies in the report by Comp, et al., the authors evaluated the efficacy and safety of a prolonged post-hospital regimen of enoxaparin following elective total hip or knee replacement, 968 … Read more
– See: – DVT Discussion – Pulmonary Embolism – References – Role of Dextran in Hip Frx – Role of Heparin in Hip Frx – Discussion: – Choice of Anesthesia: – in elective hip … Read more
Tenecteplase (TNKase) modified version of alteplase with longer half-life, so it can be given as a single bolus over 5-second infusion availability – 10 mL syringe indication (non-comprehensive) reduce mortality associated with acute myocardial infarction Urokinase (Abbokinase) used clinically as a thrombolytic agent, often referred to as a “blood clot buster” drug availability – in … Read more
(see: Total Hip Replacement Menu) – PreOp: – Theory and Background: – Checklist for THR and Radiographs: – Initial Exposure: – positioning, prepping and antibiotics: – posterolateral skin incision: – incise thru iliotibial band: – split gluteus maximus: – The course of the superior gluteal nerve in the lateral approach to the hip; – identify the … Read more
When should prophylaxis be initiated? in the review article by Salvati, et al., the authors point out that timing of heparin administration may be critcal for DVT prophylaxis they point out that thrombogenesis begins during the preparation of the femur and is most pronounced with implantation of femoral components with cement rather than without cement … Read more
– See: Diagrams kindly … Read more
– Main Menu: – PreOp Planning – radiographs and templating – Surgical Exposure: – Patient Positioning, Preping, Draping – Anterior Longitudinal Midline Approach – Deep Articular Exposure – Patellar Eversion: – Patella: – patellar resurfacing – prior to patellar resurfacing, determine the propensity for the native patella to subluxate; – if subluxation is present (tibial component … Read more