Femoral Component Rotation Essay

The surgical procedure. A total knee replacement is a surgical procedure where the diseased knee joint is completely replaced by artificial materials that resemble the original knee joint. The orthopedic surgeon removed the end of the femur and the end of the tibia by using metal pieces and sawing the bone, to ensure that he removes the right amount of bone. The end of the femur bone is replaced with metal and the end of the tibia bone is replaced with plastic and metal. A plastic piece was added under the patella because the surface under the patella was damaged as well. These artificial materials, called prosthesis, have smooth surfaces so when they rub against each other, it does not cause damage and is pain-free. The purpose of this surgery is to remove the diseased portions of the joint and replace it with artificial materials to prevent further deterioration and eliminate pain, stiffness, and decreases in function that were caused by the osteoarthritis.

This was then measured and 85 mm was found to be the appropriate length. The core was cut for the sliding screw without complication using a pre-set reamor set at 85 mm. The tap was then used to tap the way for the proximal screw and an 85 mm sliding screw was inserted across the fracture sight into the head and neck without complication. A four hole 135 degree side plate was then attached. We slid it over the depwheeze sliding screw and attached it to the proximal femur using a lommen turkey claw clamp. With the fixation in place AP and lateral fluoroscopic images throughout the fracture sight and hardware position confirmed good reduction and good placement of the hardware. At this point the side plate was then secured to the proximal femur using the 3-2 drill bit to drill a hole measuring the approximate length with the depth gauge and placing 4-5 cortical screws of the appropriate length without complication. At this point the compression screw was inserted. All traction was left off and the compression screw was tightened impacting the fracture nicely. All screws were then tightened with the screwdriver. The lommen was removed, as was all hardware. Multiple views in the AP and lateral plains of the fracture

It is expected that the forms are equivalent. To analyze this idea, comparisons were made between the form, with different scoring methods as well as the IDKC to determine the similarities with responsiveness, and whether the construct of the ADLS form changed. This evaluation is imperative to confirm that the ADLS is comparable to other standardized forms, such as the IDKC. Therefore, this knowledge would be able to further the advancement of knee quality for patients in limitations, results, techniques and accuracy in surgeries after

Outcome measures: Pain will be assessed with Numeric Pain Rating Scale (NPRS), functional performance will be assessed with Kujala score, Patellofemoral Disability Index (PDI), and Lateral Step-up Test. Palpation meter (PALM) Inclinometer will be used to measure pelvic tilt angle, and the Baseline Bubble Inclinometer will be used to measure hip internal, external rotation and adduction. Global Rating of Change Scales (GROC) will be used to assess the overall

Slipped capital femoral epiphysis, is a disease that slithers upon you like a snake. The pain begins in your lower leg, usually in the knee or ankle. However, that is not where the pain is truly located, the pain is located at the hip. The pain is caused by the displacement of the proximal femoral epiphysis from the metaphysis. A study of the disease in Germany, “with 411 overweight children in the study, 196 of them being males, the investigation showed 18.2% experienced reduced range of motion for hip flexing” (Wabitsch et al 2-3). The results from the German study showed that “eleven out of 54, showed signs of an abnormal head-neck ratio, this is a sign of prior silent slipped capital femoral epiphysis”

Observational prospective cohort study: An advantage of this design is a careful analysis of the trends and relationships and differences among the variables can be explored. Rationale: to determine the relationship and trends of early activity with postoperative total knee replacement.

The continuous aging of the human body combined with the stress of physical activities create a repeated stress on the joints of our bodies that carry the potential risk of developing osteoarthritis. Osteoarthritis is one of the most common forms of arthritis that is the worsening of the joints occurring particularly in the hands, knees, and hip. Osteoarthritis occurs primarily with elderly individuals who have severely worsened their joints leading to disability. When studying joint deterioration “radiographic signs of OA include joint space narrowing, subchondral bone sclerosis, and osteophyte formation” (Bennell, Poquet, Williams, 2016, P. 1689). These signs prove detrimental for some individuals who begin to suffer severe pain leading to the inability of performing simple tasks such as writing and/or walking. Hip disabilities are especially common as a result of osteoarthritis, leaving individuals with several choices of treatment. Whether it’s physical therapy, exercise, or taking medicine, these options might not prove helpful depending on the severity of the hip joint. In this essay, I will be comparing minimally invasive hip replacement to traditional hip replacement to determine why someone need’s a hip replacement procedure, which option more favorable, and the physical therapy following post-replacement.

Introduction: In case of advanced knee arthritis, Total Knee Arthroplasty (TKA) represents an effective and reproducible surgical technique. In the last decade, Computer-Assisted Systems (CAS) have been introduced in TKA to allow more accurate prosthesis component implantation via intra-operative anatomy-based data tracking of the tibio-femoral joint (TFJ). Particularly, these systems were expected to result in better post-operative clinical outcomes under loading conditions and longer implant survivorship than Conventional Instrumentation (CI). This is generally due to more precise targeted bone cuts and Mechanical Axis (MA) using CAS. Unfortunately, only a few studies have compared so far TKA via CAS and CI at a long term follow-up in terms of clinical outcomes, MA alignment and implant survivorship.

However5, the amount of younger patients receiving the surgery grew between the decades 1990 and 2000. Relieving pain and improving quality of life are the primary goals for the procedure. According to Colby and Kisner’s text book, Therapeutic Exercise,5(778) common indications for the TKA include: severe joint pain when weight bearing, deterioration of articular cartilage secondary to severe arthritis, deformity of the knee, instability or range of motion limitations, and failure of nonoperative management or a previous surgical procedure. The patient chosen for this case study had four out of the five indications for surgery. For the TKA, the patient received an implant of a stryker triathlon, a #4 PCL substituting femur, a number 4 tibial tray, a number 13x3 polyethylene, and a 29mm patella button. In other words, she had a femoral component, tibial component, and patella button implanted into her left knee. General anesthesia and a hemovac drain were used during the surgery. The patient also had a cemented prosthesis, so she was weight bearing as tolerated in the maximum phase of

In 1997 the Oswestry Outcome centre was setup to serve as an independent international register for the collection, analysis and reporting of outcomes following hip resurfacing arthroplasty. Between 1997 and 2002, 4535 patients were recruited by 139 surgeons from different centres in 38 countries. We selected 70 patients (73 hips) which included 58 patients (59 hips) with SCFE and 12 patients (14 hips) with LCP. These patients were age and gender matched to a group of 73 patients with primary osteoarthritis whose outcomes were unknown to us. The selected patients in both groups were operated by 39 surgeons from 4 countries. The primary osteoarthritis group was labeled as group OA and secondary arthritis group was labeled as group LS. All patients were entered in this study after informed consent by the operating surgeon who provided the demographic and clinical details of each patient. These details were stored on a secure electronic database in the outcome centre and patients were followed annually in context of function, complications, revision and

Surgical dislocation of the hip gives a sheltered intends to treat FAI. It is conceivable to completely assess the femoral head-neck junction, and to examine the labrum and adjacent acetabular cartilage . An entire 360º perspective of the acetabulum can be obtained . With a blunt probe, the articular cartilage assessed and the integrity of the labrum and the articular cartilage is determined. This methodology gives access to perform osteochondroplasty and labral reattachment as required. By restoring the congruency between the femoral head and the acetabulum, this approach might permit the patient to come back to appeal exercises without encountering the manifestations and dynamic joint obliteration seen with FAI. [22]

Introduction: This analysis reports the outcome of all 1st revisions of primary total knee procedures reported to the Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR). To fully understand the outcome of a revision procedure, it is necessary to know the details of the primary procedure. To minimise confusion, the AOANJRR has used a numerical approach to describe revision procedures. The 1st revision is the revision of a primary procedure. The 2nd revision is the revision of the 1st revision and so on.

This case report is about total knee arthroplasty in a Rheumatoid patient with both valgus deformity and flexion contracture. Rheumatoid patients still have deformity occurring despite new treatment, hence the need for surgery such as total knee arthroplasty. In this case report we will discuss more about the different techniques in the management of bone defect during surgery and use of the screw and cement method for defect correction. This method has been through several debates about its efficacy and failure and a global consensus has not still been

Conclusions: The knees with higher pre-op PTS tend to have higher MDA and vice-versa. Although most surgeons are able to achieve the desired PTS at the higher extreme of the widely accepted range of 0-7 degrees , patients with MDA above 19 degree tend to have post-op PTS significantly higher than the desired range making them vulnerable to complications. Hence , necessary modifications (like pre-operative templating, intra-operative extramedullary zig angle setting, using intra-medullary zigs etc ) shall be done in the current protocols to achieve desired PTS in patients with knees having MDA in the higher

LCPD can lead to a miss hapen femoral head that impinges with flexion and internal rotation.This impingement can lead to labral tears. In addition, inteaarticular loose bodies can develop from osteochondritis of the femoral head. All of these associated pathologies of LCPD could be addressed utilizing the surgical dislocation technique. In a single operative procedure, all intraarticular lesions could be inspected