Slipped Capital Femoral Epiphysis Essay

Katz, J. N., Wright, E. A., Polaris, J. J., Harris, M. B., & Losina, E. (2014, May 22). Prevalence and risk factors for periprosthetic fracture in older recipients of total hip replacement: a cohort study. BMC Musculoskeletal Disorders, 15(1), 1-9. http://dx.doi.org/10.1186/1471-2474-15-168Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., Bucher, L., & Camera, I. M. (2011). Medical-surgical nursing: Assessment and management of clinical problems (8th ed.). St. Louis, MO: else

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

These findings could appeal to individuals who might question if they have hip dysplasia. It could also appeal to the individuals that have developed hip dysplasia and are questioning if they could benefit more from a hip replacement or other methods. My interest in this topic began a few years ago during a recreational soccer season. My hips both were not as strong as they were during childhood. Over the course of my high school career, I have spent multiple hours at different specialists for my hips, physical therapy and hydrotherapy. Shortly after my sophomore year of high school, I decided I needed to have periacetabular osteotomy surgery. I know that there are many options to correct a hip, however, I am wondering if a PAO would be better for someone as a young adult.

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.

She most likely faced many challenges coming to the decision to pursue this procedure, and will face many challenges in the days that follow it. The end-goal of the surgery the surgeon will be performing will be to replace SP’s hip without complication, which will in turn greatly improve the quality of her life. The surgeon who will be performing this surgery should consider not only the success of the surgery, but his/her engagement with the patient both before and after the surgery. According to the Guglielmi et al. (2014), when surgeons realize that the overall results of their surgery depend highly on the patients involvement in results they will realize the utilization of communication to empower and educate their patients. By working to effectively communicating with SP the risks, benefits, and potential outcomes of her surgery the surgeon will find that his/her patient not only feels more cared for, but is also more likely to see successful results from the

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

Osteoarthritis, the most common type of arthritis, is most prevalent in older patients. Osteoarthritis is a degenerative bone disease due to the gradual loss of cartilage. A primary type of osteoarthritis is hip arthritis where it is caused by joint injury, increasing age, and being overweight (“Hip Osteoarthritis,” n.d.). However, osteoarthritis can also be caused by immature joints, inherited defects in cartilage, and extra stress on a patient’s joints (Hip Osteoarthritis,” n.d.). As a result, hip arthritis becomes a huge detriment in patient’s social, emotional, physical lifestyles. In order to treat hip arthritis, doctors choose from a variety of non-drug treatments, medications, and surgeries. Uniquely, I was inspired to research about the treatments of hip arthritis because my very own brother was pronounced with hip arthritis a few years back. Therefore, his determination to battle this disease encouraged me to investigate about the treatment of hip arthritis.

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).

1. I diagnosed my patient Tammy with slipped capital femoral epiphysis (SCFE), a disorder when the ball at the upper end of the femur slips off in a backward direction. Tammy is a 10 years old girl, who is very active and is 5’0” and weigh 135 pounds which indicate she is obese. SCFE is common in adolescent girls going a growth spurt between ages 10 through 13 but the most important risk factor is obesity. Tammy’s personal lifestyle had an affect on her diagnosing her with SCFE knowing that she is obese, physically active, and she is an adolescent. On Tammy’s physical examinations her X- rays of her knee and hip were both negative for fractures, no bruising, swelling, or discoloration, her left lower limb was laterally rotation. Tammy’s symptoms were pain in left knee, slight limp and she have a difficult time moving

Total knee replacements are known as the most effective orthopedic procedures in the world. These surgeries are most often preformed on geriatric patients. Over time, because the knee is one of the lowest joints in the body, it is typically more prone to wear compared to joints holding less body weight. In the United States, the overall amount of total knee replacements exceeds over four times the overall number of total hip replacements. In the year of 2015, the estimated number of total knee replacements was predicted to be about 719,000 ("Inpatient Surgery." Centers for Disease Control and Prevention). Ordinarily knee replacements are used to ease pain and disability caused by arthritis or other joint problems, while preserving movement.

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.

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)

Introduction: The number of revision arthroplasties performed each year is growing. Last year 9751 revision hip arthroplasties and 5783 revision knee arthroplasties were performed in England and Wales. Between 2005 and 2010, the number of revision hip arthroplasties rose by 49.1%, and revision knee arthroplasties by 92.1%. This number is predicted to rise by 31% and 332% respectively by 20303. It is perhaps a concern that many surgeons and units perform small numbers of revisions. The Getting It Right First Time (GIRFT) report suggested that about 80% of surgeons carrying out revision knee surgery, and 60% of surgeons carrying out revision hip surgery, perform fewer than 10 procedures per year. In the report a recommendation was made that specialist networks be set up to support revision arthroplasty.

What were once considered high-tech, joint replacements are now a common operation. Surgeons replace more than a million hips and knees each year in the U.S. Studies show joint replacements can significantly relieve pain and increase mobility in about 90% of people who get them. Feature, R. Morgan, Griffin WebMD. “Should You Have Knee or Hip Replacement Surgery?” WebMD. WebMD, 30 Dec. 0089. Web. 21 Oct. 2013. What symptoms should tell a person that it is time for a hip replacement? The first and most important sign is pain and

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 in 309 females performed before 2008, prior to the establishment of the newly developed surgical interventions. Group 2 comprises 654 resurfacings in 556 females. Group 2 females were significantly older, at a mean of 54 years compared to 50 years (p30% uncovered, and in all patients who have had an acetabular complication on the opposite hip, or who have a DEXA scan T-score 30. We have also demonstrated that a slowed weight bearing protocol and alendronate can prevent EFF [26]. Over time we evolved to develop a comprehensive protocol which establishes three groups based on proven risk factors: Group A, femoral neck T-score >0 and BMI 30; and Group C, Femoral neck T-score< -1.5.