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…
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…
Total Knee Arthroplasty — Standard Midline Approach and Bone Preparation
Surgical Approach See alsoVideo 10-1 . The most commonly used skin incision for primary TKA is an anterior midline incision. Variations may be considered, but in general most incisions will…
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…
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…
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…
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,…
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 (…
