By Rosenberg, Aaron G.; Barrack, Robert L
This quantity of the acclaimed Master strategies in Orthopaedic Surgery sequence is now in its thoroughly revised moment Edition—with a brand new editor and crew of participants who symbolize modern-day most popular leaders in hip surgical procedure. those world-renowned grasp surgeons describe their most well liked suggestions in step by step aspect, clarify the symptoms and contraindications, establish pitfalls and strength issues, and provide pearls and assistance for making improvements to effects. The publication is punctiliously illustrated with full-color, sequential, surgeon's-eye view intraoperative pictures, in addition to drawings via famous scientific illustrators.
This variation has brand-new chapters on surgical making plans and selection making, hip arthroscopy, and surgical procedure for avascular necrosis, together with hemiarthroplasty, center decompression, impaction, non-vascularized grafting, and vascularized fibular grafting. the first overall hip arthroplasty part contains new chapters on tapered, modular, cemented, and cementless stems and cemented and ingrowth sockets. The revision overall hip arthroplasty part contains a new bankruptcy at the megaprosthesis and significantly increased insurance of acetabular revision, together with cement with roof jewelry, cementless, bulk grafts, and cages.
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Additional resources for The hip
Active abduction is allowed immediately except if an extended trochanteric osteotomy is performed. ps 10/6/05 8:15 AM Page 46 A B Figure 11. 7-mm drill bit in the posterior aspect of the trochanter. The most proximal hole is near the junction of the posterior aspect of the gluteus medius and the trochanter. Each subsequent hole is 5 to 8 mm distal, depending on the size of the femur. Figure 12. The sutures are passed through the drill holes using a Huson suture passer. ps 3 10/6/05 8:15 AM Page 47 POSTEROLATERAL APPROACH A B Figure 13.
Drains are removed, and dressings are changed on the second postoperative day. Patients use a walker and generally can bear weight as tolerated for both hybrid and cementless modes of fixation. Active abduction is allowed immediately except if an extended trochanteric osteotomy is performed. ps 10/6/05 8:15 AM Page 46 A B Figure 11. 7-mm drill bit in the posterior aspect of the trochanter. The most proximal hole is near the junction of the posterior aspect of the gluteus medius and the trochanter.
Deepening of the acetabulum is performed with hand or power reaming. Care must be taken to avoid excessive weakening of the floor, which could eventually lead to fatigue fractures of the pelvis. The component may be inserted after adequate preparation of the bed. Proper orientation of the socket is essential. The aim is to achieve 42 to 45 degrees of inclination (see Fig. 13A) and 5 to 15 degrees of anteversion (Fig. 13B) in order to obtain a range of flexion of 110 degrees or more. Periacetabular Soft Tissue Examination After completion of the insertion of the acetabular component, an examination of the soft tissue tension is in order.
The hip by Rosenberg, Aaron G.; Barrack, Robert L
Categories: Physical Medicine Rehabilitation