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This approach, which was commonly used for pelvic fracture repair surgery, has been adapted for use in hip replacement. When used with older hip implant systems that had a small diameter head, dislocation rates were reduced compared to posterior surgery.
Generally, radiation therapy should be delivered as close as practical to the time of surgery. A dose of 7-8 Gray in a single fraction within 24–48 hours of surgery has been used successfully. Treatment volumes include the peri-articular region, and can be used for hip, knee, elbow, shoulder, jaw or in patients after spinal cord trauma.
The modified posterior MIS approach to hip resurfacing and total hip arthroplasty (hip replacement) displays a host of advantages to the patient: Less post-operative pain; Less soft tissue damage and pressure on muscle fibres. Shorter hospital stay; Lower blood loss; Smaller incision; Quicker return to work and functional activities
Hip replacement surgery can be performed from three main directions, each with advantages and disadvantages The classical approach is the posterior, and requires dissection of the gluteus maximus and other large muscles of the back of the thigh to access the acetabulum.
Approaches to surgical reductions include the posterior approach for posterior dislocations (Kocher-Langenbeck), and the anterior (Smith-Petersen) approach for anterior dislocations. A CT scan or Judet views should be obtained prior to transfer to the surgical suite. Rehabilitation
The potential advantages of hip resurfacing compared to THR include less bone removal (bone preservation), a reduced chance of hip dislocation due to a relatively larger femoral head size (given that the person has an anatomically correct femoral head size), and easier revision surgery for any subsequent revision to a THR device because a ...
Hip arthroscopy. Intraoperative fluoroscopic image during an arthroscopic resection of a cam lesion of the femur. The upper instrument is the arthroscope (viewing device), while the lower is the high-speed burr used for reshaping the bone. Hip arthroscopy refers to the viewing of the interior of the acetabulofemoral (hip) joint through an ...
Arthroplasty (literally " [re-]forming of joint ") is an orthopedic surgical procedure where the articular surface of a musculoskeletal joint is replaced, remodeled, or realigned by osteotomy or some other procedure. It is an elective procedure that is done to relieve pain and restore function to the joint after damage by arthritis or some ...
The head is globular and forms rather more than a hemisphere, is directed upward, medialward, and a little forward, the greater part of its convexity being above and in front. The femoral head's surface is smooth. It is coated with cartilage in the fresh state, except over an ovoid depression, the fovea capitis, which is situated a little below ...
The capsule of hip joint, articular capsule, or capsular ligament is strong and dense attachment of the hip joint . Anterosuperiorly, it is attached to the margin of the acetabulum 5 to 6 mm. beyond the labrum behind; but in front, it is attached to the outer margin of the labrum, and, opposite to the notch where the margin of the cavity is ...