We think you have liked this presentation. If you wish to download it, please recommend it to your friends in any social system. Share buttons are a little bit lower. Thank you!
Presentation is loading. Please wait.
Published byOrion Noble
Modified about 1 year ago
SHORTENING SUBTROCHANTERIC OSTEOTOMY FOR HIGH HIP DISLOCATION Daniel J. Berry, MD Mayo Clinic Rochester, MN
SUBTROCH. SHORTENING OSTEOTOMY Introduction High Dislocation: Goals of Surgery: Normalize hip center Gain stable implant fixation Optimize abductor function Protect sciatic nerve
SUBTROCH. SHORTENING OSTEOTOMY Introduction Traditional Method: Greater trochanteric osteotomy Shorten femur until hip can be reduced Insert cemented stem
SUBTROCH. SHORTENING OSTEOTOMY Traditional Method Drawbacks to Traditional Method: Problems with greater trochanter– which doesn’t always heal
SUBTROCH. SHORTENING OSTEOTOMY Traditional Method Drawbacks to Traditional Method: Permanently changes shape of proximal femur - no metaphyseal flare
SUBTROCH. SHORTENING OSTEOTOMY Traditional Method Drawbacks to Traditional Method: Requires cemented stem - less desirable in younger patients?
SUBTROCH. SHORTENING OSTEOTOMY Advantages Advantages of Shortening Osteotomy: No greater trochanteric problems
SUBTROCH. SHORTENING OSTEOTOMY Advantages Advantages of Shortening Osteotomy: Preserves architecture of proximal femur
SUBTROCH. SHORTENING OSTEOTOMY Advantages Advantages of Shortening Osteotomy: Allows use of uncemented implants
SUBTROCH. SHORTENING OSTEOTOMY Advantages Advantages of Shortening Osteotomy: Protects sciatic nerve
SUBTROCH. SHORTENING OSTEOTOMY Advantages Advantages of Shortening Osteotomy: Allow leg length, femoral anteversion correction
SUBTROCH. SHORTENING OSTEOTOMY Results Masonis et al. (London, Ontario): 21 hips (F/U 6 yrs) 10 uncemented, 11 cemented 2 nonunions 1 loose cemented stem
SUBTROCH. SHORTENING OSTEOTOMY Results Masonis et al. (London, Ontario): 3 dislocations No sciatic n. injury
SUBTROCH. SHORTENING OSTEOTOMY Results Mayo Clinic: Uncemented fully coated or modular stem 18 hips
SUBTROCH. SHORTENING OSTEOTOMY Results Results: 100% stable implants 0% nonunions Complications: 1 dislocation 0 infection
SUBTROCH. SHORTENING OSTEOTOMY Results Functional Results: Favorable return of abductor function
SUBTROCH. SHORTENING OSTEOTOMY Method Posterior hip dislocation Osteotomize femoral neck Preliminary femoral preparation
SUBTROCH. SHORTENING OSTEOTOMY Method Limited exposure of femur at planned osteotomy level Transverse osteotomy
SUBTROCH. SHORTENING OSTEOTOMY Method Retract femur anteriorly Direct exposure of acetabulum Insert cup
SUBTROCH. SHORTENING OSTEOTOMY Method Reduce hip with trial in proximal fragment only Shorten femur appropriately Trial with osteotomy reduced
SUBTROCH. SHORTENING OSTEOTOMY Method Insert femoral component Add autogenous strut if desired
SUBTROCH. SHORTENING OSTEOTOMY Conclusions Elegant method Safe and effective Satisfies goals of surgery: -normalize hip center -protect nerve -stable implant fixation
THA TO SALVAGE FAILED ACETABULAR FRACTURES Daniel J. Berry, MD Mayo Clinic Rochester, MN.
In the name of GOD THA & DDH By : paisoudeh karim MD Firoozgar hospital Iran university of medicine.
OSTEONECROSIS OF THE FEMORAL HEAD: Modern Results of Total Hip Arthroplasty Daniel J. Berry, MD Prof and Chairman Mayo Clinic Rochester, MN.
FEMORAL COMPONENT Prosthetic design M. E. Cabanela, M.D. Professor of Orthopedic Surgery Mayo Clinic College of Medicine Rochester, MN.
Distal Third Femoral Shaft Fracture: Antegrade vs. Retrograde Nailing Michael Zlowodzki MD University of Minnesota Department of Orthopaedic Surgery.
Congenital Hip Dislocation. Introduction THA in the DDH patient presents a difficult challenge to the reconstructive hip surgeon.
Role of Hip Resurfacing for the older patients Pascal A. Vendittoli, MD MSc FRSC Montréal, Canada.
TOTAL HIP ARTHROPLASTY IN ADULT PATIENTS WITH SICKLE CELL DISEASE ( ) P. Hernigou Hospital Henri Mondor Créteil 336 hips(M=15/year since.
Type C: 4/5 patients treated successfully by functional bracing Campbell et al Type C: 2/3 healed successfully with nonoperative management Kumar.
Dr.A.K.Venkatachalam MS Orth, DNB Orth, FRCS, M.Ch Orth Consultant Orthopedic surgeon Associate professor Chennai THR in mal-united acetabular fractures-
Post Fracture Arthritis of the Acetabulum THA in the treatment of post-traumatic arthritis of acetabulum is challenging --extensive scarring --retained.
Femoral Deformity and Deficiency in Complex Primary & Revision THA David A. Mattingly, MD Chief, Joint Reconstruction Director, Otto E. Aufranc Fellowship.
Treatment of Congenital Femoral Shortening with Coxa Vara 김용욱 김용욱 정형외과 Yong U Kim Dr.Kim’s Orthopaedic Clinic.
Slower Recovery After Two-Incision Than Mini-Posterior- Incision Total Hip Arthroplasty by Mark W. Pagnano, Robert T. Trousdale, R. Michael Meneghini,
Hip Arthroplasty. Anatomy of Hip Hip Joint Ball and socket Ball is the femoral head Socket is Acetabulum Half sphere depression Lined with cartilage.
Trochanteric Nail Insertion for the Treatment of Femoral Shaft Fractures Journal of Orthopedic Trauma vol.19,8,Sep.2005 DR.ABDULRAHMAN ALGARNI.
Capsular and Pericapsular Contributions to Acetabular and Femoral Head Perfusion by Morteza Kalhor, Martin Beck, Thomas W. Huff, and Reinhold Ganz J Bone.
N. LEM. F. 47 y. 1 m50 49 Kg Bilateral high dislocated hip 1986 Right leg shortening 7.5 cm Left leg shortening 7 cm No leg length discrepancy No deformation.
Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Periprosthetic Fracture of the Femur after Total Hip Arthroplasty. Treatment.
Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Femoral Bone Loss in Patients Managed with Revision Hip Replacement: Results.
Aseptic loosening of Hip Prostheses Ernesto Pintore Clinica Malzoni Agropoli - Italie.
Dislocation after Total Hip Replacement Etiology and management Pekka Ylinen ORTON/ Invalid Foundation.
THA after Chiari osteotomy: Intraoperative complications and behaviour of cup fixation in 24 cases Migaud H., Beniluz J., Gougeon F., Pinoit Y., Besson.
WHAT MUST BE A WELL-CEMENTED PROSTHESIS? Graham Gie FRCSEd(Orth) PEOC Exeter.
Subtrochanteric Valgus Osteotomy for Chronically Dislocated, Painful Spastic Hips by Kathleen A. Hogan, Matthew Blake, and Richard H. Gross J Bone Joint.
Surgical dislocation Vasu Pai [VOL. 83-B, NO. 8, NOVEMBER 2001]
Percutaneously Assisted Total Hip Arthroplasty (PATH): A Preliminary Report by Brad L. Penenberg, W. Seth Bolling, and Michelle Riley J Bone Joint Surg.
Revision Hip Replacement Richard Boden Consultant Trauma and Lower Limb Orthopaedic Surgeon (locum) Lancashire Teaching Hospitals NHS Foundation Trust.
ICJR Cleveland Clinic: How I do the Direct Anterior Approach with a table Stefan Kreuzer, MD Houston, Texas Memorial Bone and Joint Clinic.
Total Hip Replacement for the Dislocated Hip by Greg Jaroszynski, Ian Woodgate, Khaled Saleh, and Allan Gross J Bone Joint Surg Am Volume 83(2):
Proximal Femoral Allograft Treatment of Vancouver Type- B 3 Periprosthetic Femoral Fractures After Total Hip Arthroplasty by Catherine F. Kellett, Petros.
BY BLUE TEAM. By Dr Kabiru Salisu NOHD INTRODUCTION HISTORY EPIDEMIIOLOGY AETIOLOGY PATHOPHYSIOLOGY SURGICAL ANATOMY CLASSIFICATION.
Extracapsular Fractures. Intertrochanteric Fractures Common in elderly, osteoporotic women. They unite easily, rarely cause Osteonecroses. Mechanism.
Lower Extremities Third Part Dr Mohamed El Safwany, MD.
The Use of Allografts in Orthopaedic Surgery - Part II: The Role of Allografts in Revision Arthroplasty of the Hip by Allan E. Gross, Hugh Blackley, Paul.
Enhanced Early Outcomes with the Anterior Supine Intermuscular Approach in Primary Total Hip Arthroplasty by Keith R. Berend, Adolph V. Lombardi, Brian.
Copyright © F.A. Davis Company Part IV: Exercise Interventions by Body Region Chapter 20 The Hip.
Hospital for Special Surgery Weill Medical College of Cornell University New York, New York.
Arthroscopic Treatment of Abductor Failure ICL 250: Advanced Surgical Techniques Wednesday, February 16 th, 2011 Bryan T. Kelly, MD Co-Director Center.
The Role of Hip Resurfacing John R. Moreland, M.D. Transforming Orthopaedics: Advanced Outcomes and Techniques January 30-February 2,2008 Vail, Colorado.
Preoperative Planning for Revision Total Hip Arthroplasty by Robert L. Barrack, and R. Stephen J. Burnett J Bone Joint Surg Am Volume 87(12):
Anterior Approach Total Hip Replacement: Cutting Edge Treatment for the Relief of Hip Pain Vahan Cepkinian, M.D. Orthopaedic Surgery.
THA in failed acetabular fractures Dr Ali Yeganeh Associat professor of Iran university of medical sciences.
Femoral neck fractures Borrowed heavily from OTA core curriculum Authors: Steven A. Olson, MD and Brian Boyer, MD Kenneth J Koval, MD.
Rotational Profile of the Lower Extremity in Achondroplasia : Computed Tomographic Examination of 25 patients Hae-Ryong Song, M.D., Keny Swapnil.M M.S,
WEEK 1 ORTHO CURRICULUM Lower Extremity H&P: Hip Exam.
Panel Salvage of Failed Treatment of Proximal Femoral Fractures MT Ghazavi MD FRCSC May 2015 Esfahan.
Acetabular fractures: the first three days. Peter Worlock Newcastle General Hospital.
The Hip Joint Exercises and Injuries. Pelvis Abnormalities To appreciate the abnormalities that may occur, picture a box around the pelvis. The two most.
5 h Lecture Biome II Dr. Manal Radwan Salim Lecturer of Physical Therapy Tuesday Saturday
© 2017 SlidePlayer.com Inc. All rights reserved.