Femoral Neck Fractures in the Young
Fig. 5.1 The distribution of young hip fractures by 10-year cohorts according to mechanism of injury, as presented by Duckworth et al. [5] (Reproduced with permission and copyright © of…
Intertrochanteric Femur Fractures: Plates and Screws
Fig. 7.1 Evans classification of intertrochanteric hip fractures; division of stable fractures suitable for plates and screws and unstable fractures Initial diagnostic studies should include an AP and cross-table lateral…
Ipsilateral Femoral Neck and Shaft Fractures
Fig. 11.1 Ipsilateral femoral neck and shaft fracture treated with a sliding hip screw with antirotation screw, followed by retrograde nail fixation of the shaft component Surgical Technique When employing…
Nonunions of the Proximal Femur
Fig. 10.1 A 38-year-old male who sustained an ipsilateral femoral neck and shaft fracture. (a) Anteroposterior (AP) radiograph at 4 months suggests nonunion. (b) A reconstructed CT image demonstrating a…
Quality and Safety
Risk factor Preventative measures Age greater than 65 years Preoperative cognitive impairment Screening with MMSE (helps assess risk) Severe illness or comorbidity Geriatric medicine comanagement/consultation, preoperative geriatric medical assessment, appropriate…
Medical Management
Complication Incidence (%) Prevention Surgical site infections 1.6–22.7 Preoperative medical optimization Prophylactic antibiotics Intraoperative sterility Glycemic control Chest infections Unknown Handwashing Early extubation and remobilization Avoidance of PPI Avoidance of…
Modular Augments in Revision Total Knee Arthroplasty
Fig. 9.1 Intraoperative image of 4.5 screws being placed in medial tibial bone defect as “rebar” for cement Fig. 9.2 Intraoperative image of screws being placed level with tray in…
Implant Bearings in Total Knee Arthroplasty
Primary Revision Total Knees 759,600 89,000 848,600 Hips 492,900 58,400 551,300 Total 1,252,500 147,400 1,399,900 Data from Orthopaedic Network News [1] The Triad: The Implant The Evolution of UHMWPE…
Restoration of Stability, Maintaining Joint Line, Gap Balancing, and Constraint Selection in Revision Total Knee Arthroplasty
Fig. 14.1 x, y, and z axes. The three-dimensional universe can be plotted on the axes: x, y, and z. Considering that objects in space may either translate (move to…
Restoration of Stability, Maintaining Joint Line, Gap Balancing, and Constraint Selection Through the Use of a Trial Cutting Guide
Fig. 16.1 Stress X-ray indicating degree of medial opening in a painful TKA Classification System for Instability Parrate and Pagnano defined three types of instability after TKA—extension instability, flexion instability,…
