Previous Acetabular Fracture

Dec 14, 2019 by in ORTHOPEDIC Comments Off on Previous Acetabular Fracture

Previous Acetabular Fracture David G. Lewallen Key Concepts Posttraumatic degenerative changes of the hip are common after acetabular fracture. Fracture sequelae can include residual deformity due to malreduction and/or malunion….

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Transtrochanteric Approaches

Dec 14, 2019 by in ORTHOPEDIC Comments Off on Transtrochanteric Approaches

Transtrochanteric Approaches Daniel J. Berry Key Concepts Transtrochanteric approaches to the hip joint are not needed for most primary total hip arthroplasties (THA) but when used can provide wide exposure…

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Anterolateral Approaches

Dec 14, 2019 by in ORTHOPEDIC Comments Off on Anterolateral Approaches

Anterolateral Approaches Stephen M. Petis Kevin I. Perry Key Concepts The anterolateral approach to the hip, also known as the modified Hardinge approach, is a well-established surgical approach to the…

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Uncemented Tapered Fluted Stems

Dec 14, 2019 by in ORTHOPEDIC Comments Off on Uncemented Tapered Fluted Stems

Uncemented Tapered Fluted Stems Robert T. Trousdale Key Concepts Uncemented tapered fluted stems can provide durable fixation during primary total hip arthroplasty. These stems are relatively simple to use as…

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Uncemented Acetabular Components

Dec 14, 2019 by in ORTHOPEDIC Comments Off on Uncemented Acetabular Components

Uncemented Acetabular Components Joseph M. Statz Rafael J. Sierra Key Concepts Choosing an uncemented acetabular component over a cemented acetabular component for total hip arthroplasty (THA) is largely surgeon preference…

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Acute Hip Fracture

Dec 14, 2019 by in ORTHOPEDIC Comments Off on Acute Hip Fracture

Acute Hip Fracture Adam Hart Daniel J. Berry Key Concepts The first decision to make when treating a patient with an acute femoral neck fracture is to consider internal fixation…

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Uncemented Tapered Stems

Dec 14, 2019 by in ORTHOPEDIC Comments Off on Uncemented Tapered Stems

Uncemented Tapered Stems Timothy S. Brown Michael J. Taunton Key Concepts The starting point for preparation of the femur is key and can differ by implant. Special attention must be…

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Uncemented Cylindrical Stems

Dec 14, 2019 by in ORTHOPEDIC Comments Off on Uncemented Cylindrical Stems

Uncemented Cylindrical Stems Tad M. Mabry Key Concepts The surgeon must take great care to obtain excellent femoral exposure, as cylindrical stems require both preparation and implantation in line with…

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Direct Anterior Approach

Dec 14, 2019 by in ORTHOPEDIC Comments Off on Direct Anterior Approach

Direct Anterior Approach Michael J. Taunton Timothy B. Alton Key Concepts The direct anterior approach (DAA) provides access to the hip joint through an intramuscular, internervous interval without abductor disruption….

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Posterior Approach

Dec 14, 2019 by in ORTHOPEDIC Comments Off on Posterior Approach

Posterior Approach Timothy S. Brown Robert T. Trousdale Key Concepts Lateral positioning with patient rigidly immobilized at the pelvis is critical to prevent the pelvis from tilting which can lead…

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