Frozen Autograft Case Study

PROCEDURE IN DETAIL: The patient was brought into the operating room, after satisfactory anesthesia, was placed in the left lateral dicubitis position. The right hip was prepped and draped. A previous made incision was reopened over the greater trochanter and carried down to Illiotibial (IT) band. The IT band was opened in the direction of the skin incision. The anterior 1/3 of the gluteus medius/minimus group was reflected off the trochanter over to the anterior brim of the pelvis. The hip was dislocated. The femoral component was easily removed. It was loose in the cement. The polyethylene was loose and easily removed. There was a lot of cement in and around the acetabulum. We debridement most of this. There was a wired mesh plug that went medially into the pelvis that was left in place. There was also one in the ishium that was quite stable and it was left in place. There was a large defect in the medial wall of the acetabulum about the size of a silver dollar.

The patient underwent repeat MRI of his right knee on 1/28/16. As per office notes dated 7/25/16, review of system revealed that the patient has a history of weakness, shortness of breath, joint pain, muscular weakness, stiffness and muscular pain, headache and dizziness, as well as nervousness. The patient presents today stating that he would like to have his rod removed. He says that his right knee continues to give out on him and he wants to go on longer than 2 mile hikes without having knee pain and feeling instability. Examination of the right lower extremity revealed that the patient’s incisions are clean, dry, intact, and well-healed. The patient’s knee demonstrates discomfort with patellar grind-the symptoms are consistent with his last several exams, and are relatively unchanged. Knee is stable to varus and valgus stress, however, valgus stress does cause some discomfort on the lateral side. Distal neurovascular status is intact. Impression includes right displaced comminuted fracture of shaft of right femur, initial encounter for closed fracture; right chondromalacia patellae, right knee, and right sprain of other specified parts of right knee, initial

During the weeks of February 7 through February 17, I observed a total hip arthroplasty on a 56-year-old Caucasian female patient who suffered from a femoral neck fracture and damage to the acetabulum. The fracture was a result from a car accident where the patient's knees collided with the dashboard, forcing the femur into the hip and breaking the femur.

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

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

Total joint replacements are very common in the United States, and are becoming even more common with increasing obesity rates and an increase in life expectancy. Long-lasting and high-performance implants are needed for the younger, active population that receives them. The Agency for Healthcare Research and Quality states more than 285,000 total hip arthroplasties (THA) and 600,000 total knee arthroplasties (TKA) are performed in the United States alone each year (2). Longevity of these joint replacements is dependent on several factors: the durability of the fixation of the implant surface to the bone, the bearing surface’s wear rate, and the accuracy of the surgeon in implantation of the total joint (2). Of these total joint replacements, periprosthetic osteolysis and aseptic loosening occurs in about twenty percent of cases, and aseptic loosening is responsible for about seventy-five percent of total joint replacement failures (2). This is

A total hip replacement is when the ball of the hip joint (which is also known as the femoral head) and the socket ( also known as the acetabulum) are removed and replaced with prosthetic part. Most people who have this procedure suffer from either sever hip fracture, they were born with a hip condition, or they suffer from an acute chronic arthritis(Stuart Fischer md,2010). The most common reason for a total hip replacement is a form of arthritis(osteoarthritis). Patient have this surgery to relive chronic pain they are suffering from. Someone who is suffering from a damage or a disease joint will be in constant pain(Stuart Fischer md, 2010).

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.

Joint replacement is one of five priority areas targeted for shorter wait times in Canada. Ontario’s current wait time is 207 day.(F) The number of THAs in Canada increased 11% between 2006–2007 and 2010–2011. In 2013–2014, there were 49,503 hospitalizations for hip replacements(B). THA has been used to manage conditions in which the hip joint has responded poorly to less-invasive treatments(D). The most common of which is severe osteoarthritis of the hip joint, which affects more than 10% of Canadians aged 15 or older(G), and accounts for 70% of cases. The procedure has proved to be remarkably successful in eliminating pain and restoring function in hips severely involved with diseases, improving mobility, daily functioning and quality of life(A,D,G). THA provides pain relief and improves physical function and quality of life in patients with end-stage hip osteoarthritis. The incidence of THA is expected to increase due to the growing elderly population. Nevertheless, THA is becoming more common in younger populations because of the improvements in

•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

Group 2 cases were performed after we implemented all major improvements described herein. The 8-year KM implant survivorship was 97.7% in Group 2 compared to 89.9% in Group 1 (p <0.0001). Correspondingly, the occurrence of the following failure mechanisms significantly decreased after 2008: AWRF, acetabular component loosening, femoral component loosening, and unexplained pain. Additionally, there were no revisions beyond 3 years in Group 2, while Group 1 had 27 late failures.

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

Per the progress report dated 8/4/2016, patient returns with improving symptoms to her left knee and has been undergoing post-operative physical therapy times seven visits and has been utilizing Transcutaneous Electrical Nerve Stimulation (TENS) unit as well. She does still experience significant intermittent post-operative pain which she currently rates as 6/10 in intensity. Patient remains on her current oral analgesic mediations

The mean Lysholm score improved from 43 points to 72.7 points. Visual Analogue Scale and Lysholm scores at the latest follow-up were significantly worse in patients with a pre-operative BMI ≥26 kg/m2, HKA >5 degrees, grade 3 or 4 chondral lesion according to Outerbridge classification, degenerative changes in patellofemoral joint surfaces, and an ACL which was either partially ruptured or degenerative with increased laxity. Age at the time of surgery, pre-operative grade of medial joint space narrowing determined according to Kellgren-Lawrence classification, duration of symptoms until decision of the surgery, degenerative changes in the lateral meniscus, presence of a medial supra- or infra-patellar plica, and synovial hypertrophy and/or arthroscopic findings of synovitis had no effects on the clinical

An incision will be made in your hip. Your surgeon will take out any damaged cartilage and bone.