– See: – Achilles Tendon: – Gastrocnemius Flap: (see reconstructive surgery for the leg): – Anatomy: (see superficial posterior compartment); – origin: – lateral head: lateral condyle and posterior surface of femur; – medial head: medial condyle … Read more
– Positioning and Prepping: The patient is placed on a beanbag support in the lateral position. The entire axilla to foot area is prepped with betadine solution. A waterproof stockinette is used on the lower extremity with a sterile tourniquet in place at the thigh. Betadine impregnated vidrapes are used to isolate the hip and … Read more
– Technique: When the lateral femur is exposed, a 3 mm guide pin is placed into the center of the necrotic area. Care must be taken, particularly on the lateral view, that there is enough room in the neck on both sides of the guide pin to pass a 21 mm reamer if needed. The … Read more
– Discussion: – Fibular Harvest: – Hip Preparation: Various methods have been advocated for the treatment of acascular necrosis of the hip in the young patient. From the literature an operative treatment for the symptomatic hip is the conservative method of management. Reports on core decompression, osteotomies, electrical stimulation, and bone grafting have been difficult … Read more
– See: – Femoral Neck Frx – Discussion: – these injuries occur from high energy trauma and comprise 1-6% of all femoral shaft frx; – in up to 20% of cases, this injury is missed, which is often due to failure to take good quality femoral neck radiographs … Read more
– Work Up: anesthesia, medical considerations, and timing of surgery – X-rays for Femoral Neck Frx – Operative Techniques: Cannulated Screws: IM Nailing and Sliding Hip Screws for Femoral Neck Frx Hemiarthroplasty Open Reduction of Femoral Neck Fracture Anesthesia and Timing for Femoral Neck Fractures Antibiotic Prophylaxis … Read more
– Lesser Trochanteric Fracture: – isolated fracture of the lesser trochanter is quite rare but may develop as a result of the avulsion force if the iliopsoas muscle; – it occurs commonly as a component of intertrochanteric fracture; – frx of the lesser trochanter along with a subtroch or intertroch fracture … Read more
– Discussion: – hip dislocations are typically caused by high-energy trauma, usually from motor-vehicle accidents. – they occur most frequently in young patients; – types of dislocations: – anterior dislocation – central acetabular fracture dislocations … Read more
– Discussion: – broad range of forces acts upon the hip joint; – muscles that cross hip joint generate most of the load that it bears; – femoral neck fracture: – distance between the head and shaft of the femur determines the moment arm … Read more
– Discussion: – in the majority of cases, there will be an open fracture of either the femur or tibia; – multiple injuries are common and hospital stays can last over one month; – amputation may be required in upto 20-30% of cases; – Technical Considerations: – … Read more