The Hip - book

TKR – Posterior Cruciate Ligament Retaining Prosthesis

[ooo id=”60132″] – See: – TKR Menu – Joint Line Position: – Posterior Stabilized Prosthesis: – Function of Posterior Cruciate Ligament: (see PCL) – as the knee flexes, eccentric postion of the PCL femoral orgin prodecues a tensile force in the ligament; – because of nonconforming low friction articlation, this tensile force is converted into … Read more

TKR: Valgus Deformity

– See: – TKR Menu: – Collateral ligaments: – Medial Collateral Ligament – Lateral Collateral Ligament – Discussion: – more common in females; – in valgus knee, ligament balancing is more difficult to fix; – the anatomic deformity is usually larger in valgus than in varus, and it is on the femoral side; – femur … Read more

TKR: Evaluation and Management of Bone Defects

[ooo id=”160755″] – See: – Revision TKR: – TKR Menu – Discussion: – asymmetrical bone loss often occurs in the proximal tibia; – CT scan have shown that once one get more than 1 cm below joint line quality and quantity of the supporting cancellous bone diminishes precipitously; – equally important, attachments of iliotibial band, … Read more

X-rays for Femoral Neck Fractures

– See:        – Calcar Femorale:        – Garden I & II:        – Garden III & IV:        – Garden’s Alignment Index:        – Pathologic Hip Fractures:        – Radiology of the Hip:        – Sigh Index – Radiographs:   … Read more

Work Up for Pelvic Fracture

– Trauma Management:     – damage control resusitation             – ref:  Damage-Control Orthopedics Versus Early Total Care in the Treatment of Borderline High-Energy Pelvic Fractures     – fluid management             – hypotension is associated with an increased risk of mortality, ARDS, and multiple organ failure;             – IV access is secured with at least … Read more

Workup for Femoral Shaft Fracture

[ooo id=”94347″] – Trauma Workup – assessment of perfusion: damage control orthopaedics – timing of surgery in orthopaedic patients with brain injury – surgical timing and prevention of pulmonary complications in patients with femur frx – PreOp Planning for IM Nailing: (IM Nailing Technique) – Fracture Classification – Open Femur Frx – Comminuted Frx – Proximal … Read more

Work Up and Treatment of Acetabular Frx

– See: Trauma Menu – Discussion:     – note that with acetabular fracture associated with major trauma that there will be 50% chance of            at least one other major injury;            – neuro and head injury (see Glasgow)            – abdominal and chest injury (pulmonary … Read more

Wheeless’ Textbook of Orthopaedics – Journal Watch

Journal of Bone and Joint Surgery Long-Term Results of Treatment of Fractures of the Medial Humeral Epicondyle in Children Operative Treatment of Interdigital Neuroma. A Long-Term Follow-up Study The Effects of Tibial Rotation on Posterior Translation in Knees in Which the Posterior Cruciate Ligament Has Been Cut Patellar Resurfacing in Total Knee Arthroplasty. A Prospective, … Read more