2 Arthrodesis Definitions: Bones of joint fuse, no articular cartilage. When and why would an arthrodesis be done?ArthrodesisDefinitions: Bones of joint fuse, no articular cartilage.Pseudoarthrodesis: fibrous union
3 Prosthesis Non-porous coated Porous coated Non-cemented Use methylmetha-crylate (cement)Early ambulationPorous coatedNon-cementedBetter fitBone MUST healDelay full ambulation
4 Cemented or non-porous coated prosthesis No bone healing for cemented prosthesis
30 Keys to Care Prevent dislocation! Progressive activity Prevent infection! Long term considerations? If little or no drainage post-op, what to do?
31 Discharge Instructions Total Hip Do NotForce hip more than 90 degreesForce into adductionNo internal rotationPut on own shoes, stockings for 8 wksDoUse elevated toilet seatSleep with pillow between legs for 1st. 8 wksKeep hip neutralUse prophylactic antibioticsEXERCISE