Frozen Autograft Case Study

Postoperative Diagnosis: Same. Operative Procedures: 1. Reversion of total hip replacement, right hip. 2. Allograft bone graft, right hip.

Total Hip Replacement Total hip replacement is a surgical procedure to remove damaged bone in your hip joint and replace it with an artificial hip joint (prosthetic hip joint). The purpose of this surgery is to reduce pain and improve your hip function. During a total hip replacement, one or both parts

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

Forty-seven fresh-frozen cadaver knees were included in the study. Twenty-two were males and twenty-five were female. The average age of the male knees was thirty-four and the females age was twenty-eight. Before any testing began all the knees were

•Provide immobilization using a cast or splint •Use manipulation or surgery to unite the bones into the correct position; which can depend on where and how serious the injury is and, the patient's age

Introduction: Total hip arthroplasty (THA), commonly known as hip replacement, is a reconstructive orthopedic procedure that involves the surgical excision of the head and proximal neck of the femur and removal of the acetabular cartilage and subchondral bone(A). The damaged joint is replaced with an implant that mimics the motion of the natural joint and is made from combinations of metal, plastic and/or ceramic components(D).

Mrs. A, 76 years old, first came to the orthopedic surgeon with her painful hip in 2013 because she had progressive pain and functional limitations. Pain medication was not sufficient anymore. Because of a history with severe muscle- and joint pain, degenerative deviations of her back and breast cancer, she was first referred to a rheumatologist and for a bone scan to rule out other diagnoses. The diagnosis hip OA was confirmed by Xray and use of injection of local anesthetics in the hip. Mrs. A. has deliberately chosen her doctor, because of his surgical technique, the anterior minimal invasive surgery (AMIS) and the good experiences she heard from other people. Both the patient and the orthopedic surgeon agreed on planning THA.

When a person is 20% or more over the ideal body weight they are categorized as obese1. The patient also has DJD which made her a poor candidate for the procedure; many times these patients are recommended not to have TKAs 1(p1). Obese patients tend to have total knee replacements at younger ages. 2 The procedure may be more challenging for the surgeon because of difficulty identifying anatomical landmarks.2 (p27) One study from Clinical Orthopaedics and Related Research2 (p26) found that super-obese patients were approximately 3.1 times more likely to experience complications when compared to those of normal weight. Intraoperative complications such as fractures and nerve damage are uncommon in a TKA5 (780). Infection, joint instability, polyethylene wear, and component loosening are several postoperative complications5 (780). Reported finding2 (26) show that super-obese patients had an approximately 9.4 times higher chance of implant loosening that would require revision. Implant loosening typically occurs at the tibial component and with cementless or hybrid TKAs5 (780). As previously mentioned, the patient wanted to work towards meeting several long term goals. She wanted to lose weight, and regain a normal schedule with her job and family. Losing weight would significantly increase her chances of a successful TKA. Since the

this disease, nerve cells break down, which reduces functionality in the muscles that they supply. The cause unknown. The main symptom is muscle weakness. Medication and therapy can slow ALS and reduce discomfort, but there's no cure. Neale Daniher Every three months, he has lung function tests which determine how well he is able to draw breath. He says those tests showed a marked downward trend in the past six months. Until a year ago he could still breathe well enough for a short swim, but can't do that now .said Neale He says his lung function is below the typical level for a healthy 56-year-old This much-loved man of football earned respect first as an outstanding footballer then as the coast of the Melbourne Demons. Friends lauded his

Introduction: Acute meniscal tears may interfere with the normal biomechanics and functions of the knee joint during motion and thus, may lead to severe pain accompanied by mechanical symptoms throughout daily living activities as well as impairment of the quality of life. Objectives: The main purpose of the present study was

This is just one of the many different causes of external snapping hip but is the main focus in this report. To relieve the patient of the pain the therapist used Active Release Techniques (ART). Active Release Techniques are a type of soft tissue therapy that involves patient movement and the therapist’s pressure to cause tension over scar tissue to relieve tightness of muscles and nerve trigger points. In the case of external snapping hip it relieves tension of the ITB and scar tissue around the region of the greater trochanter to stop the snapping of the ITB over the greater trochanter. The patient reported a 50% decrease in pain after 4 days and a total relief of pain after one month. Even after a one year visit the patient was still pain free and no snapping could be heard or palpable. Thus showing ART can be effective in treating external coxa saltans short term and long

In treatment groups removal of the circular layer of periosteum was followed by omentalfree graft sandwich replacement The femoral head was relocated. The articular capsule and the gluteal muscles were sutured with vicryl 4-0 stitches. The skin was closed with nylon 4-0 stitches. The animals were euthanized by CO 2 inhalation after general anesthesia with ketamine-xylazine at 4, 12, 21, 28, 42 and 52 days after the surgery. Both femoral heads were harvested and the soft tissue was excised. The specimens were fixed in formalin for a week. Following decalcification in formic acid for two weeks, Paraffin blocks of 4 µm were cut, and the sections were stained with hematoxylin and eosin. All the histologic specimans were numbered randomly. The result of present study showed the omental free graft sandwich implantation can improve femoral head repair in experimentally induced

There can be disruption of the tibial – femoral joint. There is possible damage to neurovascular structures. It’s possible to disrupt the medial cortex, resulting in instability and non- union between the upper and lower bone because of possible soft tissue interference. It can also be extremely difficult to compute the correct amount of bone to remove, meaning several extra cuts are sometimes made. While closed wedge osteotomy is most common, it also had the most reduced risk of failure. The surgeons use a specific technique where a wedge of bone is removed with the tibia on an anterolateral approach, because it gives the patient a massive disadvantage: “The patient has more inherent stability which allows for faster rehab and weight bearing as well as not requiring bone grafting” (High

Patient Cohort From January 2001 to December 2014, a single surgeon (TPG) performed 3777 consecutive metal-on-metal HRA procedures, of which, 27% were women. Choosing December 2014 as our date range cut-off point ensured a minimum of 2 years of follow-up results for both study groups. Group 1 consisted of 357 cases

iii. X-ray Patients who have osteolytic lesions of Paget’s disease is suggested to have a repeat x-ray approximately 1 year after radiological diagnosis to determine whether there has been improvement with therapy or worsening in the absence of therapy. Subsequent x-rays may be considered in the event of persistent elevations of biochemical