Surgical Dislocation of the Hip
Surgical dislocation of the hip was described by Ganz et al. over a decade ago for the treatment of femoroacetabular impingement (FAI) (see also Technique 8 ). The surgery is designed…
Core Decompression for Osteonecrosis of the Femoral Head — Percutaneous Technique
Core decompression is based on the belief that the procedure relieves intraosseous pressure caused by venous congestion, allowing improved vascularity and possible slowing the progression of the disease. While initial…
Trochanteric Osteotomy
Three basic types of trochanteric osteotomies are currently used in hip arthroplasty: (1) the standard or conventional type, (2) the so-called trochanteric slide, and (3) the extended trochanteric osteotomy (…
Direct Anterior Approach for Total Hip Arthroplasty
This technique does not include the use of a special traction table (i.e., Hanna table). ▪ Position the patient supine on the operating room table so that the bend of…
Bone Graft Harvest: Tibia, Fibula, Iliac Crest
Removal of a Tibial Graft ▪ To avoid excessive loss of blood, use a tourniquet (preferably pneumatic) when the tibial graft is removed. After removal of the graft, the tourniquet…
Total Hip Arthroplasty: Standard Posterolateral Approach
The posterolateral approach is a modification of the posterior approaches described by Gibson and by Moore. The approach can be extended proximally by osteotomy of the greater trochanter with anterior…
Osteoporosis
Osteoporosis consists of a heterogeneous group of syndromes in which bone mass per unit volume is reduced in otherwise healthy bone, resulting in fragile bone. The increment in bone porosity…
Spinal Orthoses
History of Spinal Orthotic Management The first evidence of the use of spinal orthoses can be traced back to Galen (c. 131-201 ad ). Primitive orthotic devices were made of…
Traumatic Brain Injury
A Note About Common Data Elements for Traumatic Brain Injury Research In recent years, the National Institute for Neurological Disorders and Stroke (NINDS) has funded interagency efforts to streamline research…
Sports Medicine and Adaptive Sports
Physiatrists are uniquely qualified to serve as sports medicine physicians and care for the recreational and competitive athlete as well as those who exercise for health-related benefits. Physiatrists are trained…
