Matthew Potzler
Term Paper
MSE 561
Hip Prostheses
The hip joint is used in everyday life. The most common need for replacement comes from this wear and tear of the joint resulting in osteoarthritis, necessitating a total hip replacement. Part of this replacement involves selecting an implant of proper material and size to fit the patient, with more and more implants heading toward metal on metal load bearing surfaces to increase life of the implant. The implant lasts an average of 15 years before failure. Some of this failure results from a fracture of the implant, while in 2% of cases a revision is required due to infection. The Medicare compensation for a total hip arthroscopy is $43,000, while an infection more than doubles that cost. Replacement of the hip joint results in higher quality of life for the patient and in some populations (Norway) even decrease long-term mortality rates. As the population grows older, the need for this procedure will increase and the burden to the healthcare system will exceed $15 billion per year.
The hip joint is one of the most important joints in the human body. The hip joint is an acetabulofemoral joint or ball and socket joint (Figure 1). The joint is formed between the femoral head and the acetabular cup of the hip, or coxa. The joint is a synovial joint, where the synovial membrane sits between the ball and socket. Figure 1. The femoral head (ball) fits into the acetabular (socket) forming the hip joint allowing for a high degree
A joint is a junction of two or more bones and is commonly referred to as an articulation.Without joint in the body no movement will be possible.There are three types of joints immovable/fibrous where no movements are possible(example- cranium).Slightly movable/cartilaginous joint is a joint
The bone structure of a normal hip consists of an acetabular and a femoral head, which is covered with articular cartilage, a smooth and strong cover. There is then a ring of cartilage which is called the acetabular labrum. This provides stability, maintains joint fluid pressure and distributes weight to the femoral head. With poor coverage of the femoral
During a total hip replacement, one or both parts of the hip joint are replaced, depending on the type of joint damage you have. The hip is a ball-and-socket type of joint, and it has two main parts. The ball part of the joint (femoral head) is the top of the thigh bone (femur). The socket part of the joint is a large indent in the side of your pelvis (acetabulum) where the femur and pelvis meet.
Patients that experience hip fractures will die within a year. Many of these fractures are due to immobility according to assessment and Management of Clinical Problems (1788). Many falls occur in the older adult population and usually age over 60. Hip fractures not only happen with falls but also can come from blunt trauma to the hip, car accident, disease like osteoporosis and obesity can all be a major concern to hip fractures. The video talks about the common hip joint site are dislocation. Hip fracture may involve both vascular and bony damage to the body. Hip fractures are determined by atomic location of the fracture. These common fractures occur at the head of the femur, neck and greater trochanter. Over my twenty years of health care experience I have witness patients going through some difficult physical therapy. Many patients do not bounce back and many give up because the rehab is so
If you have determined that you are indeed in need of hip replacement surgery, your next step is to schedule an appointment with your doctor to talk about a plan to prepare you for hip replacement surgery. You will need to plan carefully to ensure that the process goes smoothly, that you achieve the expected outcome, and that there will be minimal complications.
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).
For the human joint anatomy project, our group decided to research and construct the elbow joint. The following is a report and summary of the project including roles taken, challenges faced, solutions derived, and ultimately, contribution and experiences of both partners.
Joint replacements are among the most common and successful orthopedic surgeries, giving more people the opportunity to remain active well into their golden years. (American) The American Academy of Orthopaedic Surgeons estimates there are more than 300,000 total hip replacements (THRs) and 600,000 total knee replacements (TKRs) performed every year—numbers that will only increase in the future. Most patients who undergo total joint replacement, or arthroplasty, experience a dramatic reduction in pain and a significant improvement in their ability to function in daily life. (American Hip)
It is for structure, movement and to give you shape, it protects the brain with the skull, and the rib cage protects the heart and the lungs. Ref: Louise tucker book 5th edition Explain four different types of joints and their functions. According to Louise Tucker we have 5 different types of joints in our body.
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).
Hip arthroplasty is the replacement of the hip joint with a prosthesis, and is one of the most common reconstructive operations (Huo et al 2008). Hip arthroplasty may be performed when irreversible damage has occurred to the joint; this damage often causes pain, dysfunction and reduced quality of life.
These joints can be either stringy or cartilaginous. Every joint has its own particular portrayal of portability. Synothrosis depicts no development of the joint; Amphiathrosis is little development, for instance the sternum. Diathrosis is totally portable like the arms. Synarthrosis is a sinewy joint, which is two nearby bones bound by collagen filaments that emerge from one bone, crossing the space in the middle of them, and entering into the other. Sutures are stable or just somewhat mobile stringy joints that nearly tie to the bones of the skull to one another, they happen no place else. Serrate sutures demonstrate as wavy lines among which the connecting bones immovably interlock with one another by their serrated edges and lap sutures are two bones that have covering inclined edges. In Addition, the plane sutures are two bones have straight non covering edges. A cartilaginous joint is otherwise called amphiarthrosis which is two bones connected. The most widely recognized sort of bone the body has is our synovial joints, which are unreservedly portable. These sorts of joint are prone to create excruciating and handicapping
The knee is a hinge joint which gives the legs mobility. The muscles and ligaments of this joint allows flexion and extension of the leg. “Because the knee supports the majority of the body weight, it is at risk of overuse and traumatic injuries” (France). The knee is composed of 3 major bones; the femur, tibia, and the fibula. The femur is the biggest bone in the human body, the inferior end flares out into two rounded landmarks called femoral condyles. Their name comes from the side of the body they are on, which is where we get Lateral Femoral Condyle and Media Femoral Condyle. Superiorly to these condlyes are the medial and lateral femoral epicondyles. The bones inferior to the femur are the Tibia and Fibula. The superior end of the Tibia flares out into slightly concave structures called the Tibial Plateaus. A crescent wedge shape of cartilage sits in each plateau. These are the Medial Meniscus and the Lateral Meniscus. This cartilage acts as a shock absorber and distributes forces. “The menisci are bathed by the synovial fluid of the knee” (France). The meniscus is what separates the each side of the Tibia and Femur and the transverse ligament connects each menisci. There is a circular bone on the
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
Immobilizer splints can be used to prevent misalignment of hip and aid in the healing process. ("Oxford Textbook of Trauma and Orthopaedics," n.d.)