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Arthroplasty Masterclass: Bipolar Hip Replacement
นอกจากการดูบทความนี้แล้ว คุณยังสามารถดูข้อมูลที่เป็นประโยชน์อื่นๆ อีกมากมายที่เราให้ไว้ที่นี่: ดูเพิ่มเติม
ARTHROPLASTY MASTERCLASS
Bipolar hip replacement
Case File:
Woman in her eighties.
High sub capital fracture neck of femur 5 days old
Cemented bipolar hemiarthroplasty
Moores approach through lateral incision
Small incision, minimum dissection.
Hand pressurised cement.
Important tricks are only three.
1, The neck should be cut at the correct angle for precise prosthesis seating.
2, The prosthesis should be fifteen degrees away from lesser trochanter to be in correct anteversion.
3, The prosthesis should be in valgus, with the stem tip touching or close to the medial cortex. This is achieved by going as far back into the trochanteric fossa as possible, when the first femoral broach is inserted.
Here no drains were used, and the blood loss was less than 200 ml. So no transfusions were given.
The patient was mobilised the same evening and discharged on the next day
Detailed video here
Hip replacement surgery techniques – Dr. Scott Devinney
Presented by Dr. Scott Devinney
ETMC Orthopedic Institute
ETMC Knowledge First
July 7, 2015
Hemiarthroplasty of the hip.
FACT FILE
Age: 83 years, Sex female
History: Untreated basotrochanteric fracture of one month duration.
Procedure: Monopolar cemented hemi arthroplasty.
Implant used: LARA supreme hip. ($150)
Approach: Muller’s modified Moore approach.
Structures dissected: Skin, subcutaneous tissue. Gluteal fibres split in their line by finger. Small lateral rotators cut. Capsule is cut with a T incision.
Steps of the procedure: Exposure. Head removal and measurement. Femoral T broaching. Rasping in valgus orientation. Insertion of trial prosthesis in correct version; which is 15degrees away from lesser trochanter. Trial reduction. Medullary wash and packing. Cement mixing. Pressure injection. Prosthesis insertion in the correct version. Sustained pressure while cement sets. No hammering. Excess cement removal. No drain. Closure in layers. Mobilisation and discharge next day.
Hemiarthroplasty-ReverseShoulderArthroplastyProximalHumerusFracture Dr.bancha Dr.Limไหล่หักไหล่เทียม
Total hip replacement – Day 1
Surgery: April 4th, 2016 5:00pm
This video takes place April 7th from 10:00amAfternoon
The first day is difficult. I was nauseas due to the painkillers, also pain was high but not as bad as expected. By the end of the afternoon I was doing 810 linked steps with the aid of a walker.
นอกจากการดูหัวข้อนี้แล้ว คุณยังสามารถเข้าถึงบทวิจารณ์ดีๆ อื่นๆ อีกมากมายได้ที่นี่: ดูบทความเพิ่มเติมในหมวดหมู่GENERAL NEWS
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