ORTHOPEDIC

Hip Resurfacing

Feb 16, 2019 by in ORTHOPEDIC Comments Off on Hip Resurfacing

Hip resurfacing is an attractive option for younger patients with severe hip disease. Advantages of the procedure include easier revision, decreased risk of hip dislocation, more normal walking pattern, greater…

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Ligament Balancing: Varus Knee

Feb 16, 2019 by in ORTHOPEDIC Comments Off on Ligament Balancing: Varus Knee

Arthroplasty ▪ Make the initial exposure using your preferred surgical approach (medial parapatellar, intermedius, midvastus, subvastus) to include release of the deep medial collateral ligament off the tibia at the…

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Hip Arthroscopy for Femoroacetabular Impingement

Feb 16, 2019 by in ORTHOPEDIC Comments Off on Hip Arthroscopy for Femoroacetabular Impingement

Femoroacetabular impingement (FAI) occurs when anatomic variation of the hip causes impingement between the femoral-head junction and the acetabular rim during functional range of motion. Cam impingement occurs when a…

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Ligament Balancing: Pie-Crusting

Feb 16, 2019 by in ORTHOPEDIC Comments Off on Ligament Balancing: Pie-Crusting

William M. Mihalko A technique used for soft tissue balancing in knees with valgus deformity is pie-crusting of the lateral soft tissue sleeve. This technique allows the surgeon to direct the…

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Ligament Balancing: Valgus Knee

Feb 16, 2019 by in ORTHOPEDIC Comments Off on Ligament Balancing: Valgus Knee

Valgus Deformity Correction ▪ During exposure of a knee with a valgus deformity take care not to compromise the medial soft tissue sleeve, which may already be attenuated. ▪ Make…

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Hip Arthroscopy and Limited Open Osteochondroplasty

Feb 16, 2019 by in ORTHOPEDIC Comments Off on Hip Arthroscopy and Limited Open Osteochondroplasty

This approach described by Clohisy et al., Laude et al., and others has been used for patients with cam impingement. After hip arthroscopy for intraarticular or central compartment labral débridement or repair,…

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Surgical Dislocation of the Hip

Feb 16, 2019 by in ORTHOPEDIC Comments Off on 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…

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Trochanteric Osteotomy

Feb 16, 2019 by in ORTHOPEDIC Comments Off on 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 (…

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