Revision Total Hip Arthroplasty: Preoperative Planning

Jun 10, 2019 by in ORTHOPEDIC Comments Off on Revision Total Hip Arthroplasty: Preoperative Planning

CHAPTER OUTLINE History and Physical Examination 256 Radiographic Evaluation 257 Classification of Bone Deficiencies 258 Templating 258 Ordering Equipment and Parts 260 Summary 260 Revision total hip arthroplasty is a…

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The Cemented All-Polyethylene Acetabular Component

Jun 10, 2019 by in ORTHOPEDIC Comments Off on The Cemented All-Polyethylene Acetabular Component

CHAPTER OUTLINE Indications and Contraindications 137 Preoperative Planning 138 Technique 138 Perioperative and Postoperative Management 140 Complications 140 Summary 141 KEY POINTS ▪ This component is the most common fixation…

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Anesthesia for Hip Surgery

Jun 10, 2019 by in ORTHOPEDIC Comments Off on Anesthesia for Hip Surgery

CHAPTER OUTLINE General Anesthesia 206 Neuraxial Anesthesia 207 Pre-emptive Analgesia and Postoperative Pain 208 Lumbar Plexus Blockade 208 Anesthetic Contraindications 209 Major Morbidity and Mortality 209 Minor Morbidity 209 Postoperative…

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Cementless Acetabular Fixation

Jun 10, 2019 by in ORTHOPEDIC Comments Off on Cementless Acetabular Fixation

CHAPTER OUTLINE Design 151 Ingrowth 151 Geometry 152 Surface and Coatings 152 Fixation 153 Interface 153 Indications 154 Technical Considerations 154 The first total hip arthroplasty was performed in 1938…

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Evaluation of the Painful Total Hip Arthroplasty

Jun 10, 2019 by in ORTHOPEDIC Comments Off on Evaluation of the Painful Total Hip Arthroplasty

CHAPTER OUTLINE Differential Diagnosis 235 History 235 Physical Examination 236 Laboratory Tests 236 Aspiration 237 Radiography 237 Arthrography 238 Radionuclide Arthrography 238 Nuclear Imaging 238 Computed Tomography 238 Magnetic Resonance…

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The Cementless Modular Stem

Jun 10, 2019 by in ORTHOPEDIC Comments Off on The Cementless Modular Stem

CHAPTER OUTLINE Clinical Application 173 Metaphyseal/Diaphyseal Mismatch 173 Developmental Dysplasia of the Hip 174 Previous Surgery 174 Other Indications 174 Preoperative Planning/Surgical Technique 175 Results 176 Summary 176 Encouraging results…

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The Rapid Recovery Program for Total Hip Arthroplasty

Jun 10, 2019 by in ORTHOPEDIC Comments Off on The Rapid Recovery Program for Total Hip Arthroplasty

CHAPTER OUTLINE Surgical Factors 225 Minimally Invasive Surgical Techniques 226 Patient Factors 226 Patient Education 226 Nutritional Status 227 Smoking 227 Pre-arthroplasty Rehabilitation 227 Nursing Issues 228 Aggressive Postoperative Physical…

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Pain Control

Jun 10, 2019 by in ORTHOPEDIC Comments Off on Pain Control

CHAPTER OUTLINE Principles of Acute Pain Physiology 216 Techniques of Pain Management 217 General versus Regional Anesthesia 217 Parenteral Opioid Analgesics 217 Neuraxial Analgesia 218 Single-Dose Spinal and Epidural Opioids…

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Preoperative Rehabilitation

Jun 10, 2019 by in ORTHOPEDIC Comments Off on Preoperative Rehabilitation

CHAPTER OUTLINE Preoperative Rehabilitation Program 203 Initial Assessment 203 Video and Educational Courses 203 Preoperative Physical Therapy Visit 204 Walking 204 Stairs 204 Transfers 204 Arm Strength 204 Leg Exercises…

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The Dual-Incision Approach

Jun 10, 2019 by in ORTHOPEDIC Comments Off on The Dual-Incision Approach

CHAPTER OUTLINE Indications and Contraindications 131 Preoperative Planning 132 Technique 132 Perioperative and Postoperative Management 135 Complications 136 KEY POINTS ▪ Lateral decubitus patient positioning is used. ▪ The skin…

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