Ortho Oracle - orthopaedic operative atlas

Patella in TKR

– See: TKR Menu – Discussion: – anatomy / q angle – blood supply to the knee – indications for patellar resurfacing – design and function of the patellar component in TKR:            – effects of component rotation – Patellar Resurfacing: (technique) – indications for patellar resurfacing – lateral retinacular release: – Non Resurfaced Patella Considerations: … Read more

Patella Infera following TKR

– See:        – Malposition of Joint Line:        – Patellar Clunk Syndrome: – Discussion:     – more frequent than patella alta;     – data suggest that maintenance of a ht between 10 and 30 mm is optimal     – this problem may be prevented by keeping resection … Read more

Patella Alta

– See:       – Lateral radiograph of the Knee       – Patella Infera       – Subluxation of the Patella – Discussion:     – patella alta refers to an abnormally high patella in relation to femur;     – may result in Subluxation and dislocation of patella; – Associated Conditions:   … Read more

Evaluation of the Painful Total Hip Replacement:

– See: THR Main Menu and Radiographic evaluation of THR – Discussion:      – normal gait adaptions:          – trendelenburg limp after THR is a clinical sign of gluteal insufficiency;                – static trendelenburg sign: drop of the pelvis on the contralateral side while the individual stands on the operative side;                – many patients will compensate for … Read more

Pagets Disease

– Discussion: – a chronic progressive disease osteoblasts and osteoclasts which results in abnormal bone remodeling; – etiology, staging, and pathogenesis – prevalence: – uncommon in pts under age of 55 yrs but relatively common in later life, occurring in 3-4% of persons over 55 yrs & occurs in 10% in pts over age 80; – reference: – … Read more