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Sir John Charnley, CBE, FRS [1] (29 August 1911 – 5 August 1982) was an English orthopaedic surgeon.He pioneered the hip replacement operation, [4] which is now one of the most common operations both in the UK and elsewhere in the world, and created the "Wrightington centre for hip surgery".
The psoas major (/ ˈ s oʊ. ə s / or / ˈ s oʊ. æ s /; from Ancient Greek: ψόᾱ, romanized: psóā, lit. 'muscles of the loins') is a long fusiform muscle located in the lateral lumbar region between the vertebral column and the brim of the lesser pelvis.
The anterior cruciate ligament is one of the four main ligaments of the knee, providing 85% of the restraining force to anterior tibial displacement at 30 and 90° of knee flexion. [2] The ACL is the most frequently injured ligament in the knee.
The partial replacement does not disrupt the knee cap, which makes for a shorter rehabilitation period. A partial replacement also causes minimal blood loss during the procedure, and results in considerably less post-operative pain. The hospitalization time compared with a total knee replacement is also greatly reduced. [1] [3] [5]
Getting the patient to fully flex the contralateral hip. The hand in the lumbar region is used to confirm the back is straightened (flexed relative to the anatomic position). If there is a flexion contracture in the ipsilateral hip it should be evident, as the hip will appear flexed. Normal range of motion. Internal rotation – 40°
The anterior part acting alone helps to flex and internally rotate the hip. The posterior part acting alone helps to extend and externally rotate the hip. The anterior and posterior parts working together abduct the hip and stabilize the pelvis in the coronal plane. [3] Most of the muscle inserts behind the centre of rotation of the hip.
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