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A total hip replacement (total hip arthroplasty or THA) consists of replacing both the acetabulum and the femoral head while hemiarthroplasty generally only replaces the femoral head. Hip replacement is one of the most common orthopaedic operations, though patient satisfaction varies widely.
Anterior dislocations is when the femoral head lies anteriorly after dislocation. Anterior dislocations are subdivided into two types being inferior (obturator) dislocation and superior (iliac or pubic) dislocation. [4] [5] There is also a Thompson and Epstein classification system for anterior hip dislocations. [8]
Incisions for hip resurfacing (posterior approach) have been well documented to stretch in excess of 20 cm in length. Hip resurfacing has been described as a more complicated procedure in comparison to hip replacement, and the operative technique described by Derek McMinn FRCS Ed, for posterior hip resurfacing shows operative incision similar ...
The hip region is located lateral and anterior to the gluteal region, inferior to the iliac crest, and lateral to the obturator foramen, with muscle tendons and soft tissues overlying the greater trochanter of the femur. [2] In adults, the three pelvic bones ( ilium, ischium and pubis) have fused into one hip bone, which forms the superomedial/deep wall of the hip region.
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.
Standard anatomical terms of location are used to unambiguously describe the anatomy of animals, including humans. The terms, typically derived from Latin or Greek roots, describe something in its standard anatomical position. This position provides a definition of what is at the front ("anterior"), behind ("posterior") and so on. As part of defining and describing terms, the body is described ...
The posterior approach is the most common and practical of those used to expose the hip joint. The posterior approaches allow excellent visualization of the femoral shaft, thus are popular for revision joint replacement surgery in cases in which the femoral component needs to be replaced.
Posterior pelvic tilt is the opposite, when the front of the pelvis rises and the back of the pelvis drops. For example, this happens when the hip flexors lengthen and the hip extensors shorten, particularly the gluteus maximus which is the primary extensor of the hip.
The iliofemoral ligament is a thick and very tough triangular capsular ligament of the hip joint situated anterior to this joint. It attaches superiorly at the inferior portion of the anterior inferior iliac spine and adjacent portion of the margin of the acetabulum; it attaches inferiorly at the intertrochanteric line. [1]
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 ...