1. The document discusses various techniques for performing total hip arthroplasty in difficult primary cases such as dysplastic hips, ankylosed hips, and hips with fractures or previous failed surgery.
2. Key factors discussed are implant selection, surgical approach, restoration of hip biomechanics, addressing bone defects, and postoperative care to prevent complications.
3. The goal of these surgeries is to restore a biomechanically sound and stable hip joint with the femoral head in a normal center of rotation.
Correcting Varus Deformity of the Knee in Total Knee ReplacementVaibhav Bagaria
Varus Deformity is one of the commonest deformity encountered during TKR. An algorithmic approach helps to address the deformity correctly and allows the surgery to be successful.
Deformity: It’s the position of a limb/Joint, from which it cannot be brought back to its normal anatomical position.
Described as abnormalities of :
Length
Angulation
Rotation
Translation
Combination
Total Knee Arthroplasty | Knee Replacement | South Windsor, Rocky Hill, Glast...James Mazzara
https://hartfordsportsorthopedics.com/
In this presentation, Dr. Mazzara discusses total knee arthroplasty. His presentation highlights:
The anatomy of the knee
Normal articular cartilage
Causes and symptoms of osteoarthritis
Diagnosis of osteoarthritis
Non-surgical treatment for osteoarthritis
Candidates for total knee arthroplasty
Surgical approach to knee replacement
Potential complications of knee arthroplasty
Computer-assisted total knee replacement
Post-operative protocol
To learn more about total knee arthroplasty, please visit: https://hartfordsportsorthopedics.com/computer-guided-total-knee-replacement-south-windsor-rocky-hill-glastonbury-ct/
Correcting Varus Deformity of the Knee in Total Knee ReplacementVaibhav Bagaria
Varus Deformity is one of the commonest deformity encountered during TKR. An algorithmic approach helps to address the deformity correctly and allows the surgery to be successful.
Deformity: It’s the position of a limb/Joint, from which it cannot be brought back to its normal anatomical position.
Described as abnormalities of :
Length
Angulation
Rotation
Translation
Combination
Total Knee Arthroplasty | Knee Replacement | South Windsor, Rocky Hill, Glast...James Mazzara
https://hartfordsportsorthopedics.com/
In this presentation, Dr. Mazzara discusses total knee arthroplasty. His presentation highlights:
The anatomy of the knee
Normal articular cartilage
Causes and symptoms of osteoarthritis
Diagnosis of osteoarthritis
Non-surgical treatment for osteoarthritis
Candidates for total knee arthroplasty
Surgical approach to knee replacement
Potential complications of knee arthroplasty
Computer-assisted total knee replacement
Post-operative protocol
To learn more about total knee arthroplasty, please visit: https://hartfordsportsorthopedics.com/computer-guided-total-knee-replacement-south-windsor-rocky-hill-glastonbury-ct/
Planning and performance of a total hip replacement for a case of neglected acetabular fracture. Surgery performed by Dr.A.K.Venkatachalam of www.hipsurgery.in.
Exercise May Put Hip Replacement Surgeries Off the Picturedepuysettlements
It is a constant remark from studies that exercise may prevent heart disease, stroke, diabetes, muscle pains, high blood pressure, obesity and osteoporosis. Yet another study reveals a new significant benefit of exercises, especially to patients with bone and hip problems. The company has announced that hip replacement recall costs $3 billion quarterly, as was reported by Reuters. Read more here: depuysettlements.com
Surgery vs IMRT for High Risk Prostate Cancer Debate - ACRO 2015drewzer
American College of Radiation Oncology Annual Meeting, Alexandria, Virginia. Drew Moghanaki, MD, MPH, Hunter Holmes McGuire Veterans Affairs Medical Center, Virginia Commonwealth University
Total Hip replacement for Ankylosing Spondylitis: Planning & Execution Vaibhav Bagaria
Performing Total Hip replacement in Ankylosing Spondylitis requires a well thought of strategy. Preoperative planning, Inventory ordering, positioning, cup and stem orientation all play a role.
Objectives:
-Recognize the anatomy of the proximal tibia
-Describe initial evaluation and management
-Identify common fracture patterns
-Apply treatment principles and strategies for Partial articular fractures and Complete articular fractures
-Discuss rehabilitation and complications
-Learn Management in selected tibial plateau case scenarios
Can read freely here
https://sethiortho.blogspot.com/
DISTAL FEMUR FRACTURES
OVERVIEW
• INTRODUCTION
• EPIDEMIOLOGY
• ANATOMY AND IT’S RELEVENCE
• CLASSIFICATION
• CLINICAL PRESENTATION
• IMAGING
• MANAGEMENT
– Operative
– Approaches
– Implants
– Tips and tricks
INTRODUTION
• Fractures of the supracondylar and
intercondylar region of the femur.
• Bimodal distribution,
– Younger patients – High energy
– Elderly patients – Low energy
• A challenging fracture type to treat.
EPIDEMIOLOGY
• Less than 1% of all fractures
• 3 – 6% of femoral fractures
• Incidence – 37 per 100,000 population in USA.
• Non union rate 10 – 20% after plate fixation.
• Coon MS, Best BJ. Distal Femur Fractures. National Library of Medicine.
August 2021.
• Court-Brown CM, Caesar B. Epidemiology of adult fractures: A review.
Injury. 2006 Aug;37(8):691-7.
ANATOMY
• Distal most 10- 15 cm of the femur. supracondylar
and condylar region.
• Medial condyle extends more distally and is more
convex than the lateral femoral condyle. This
accounts for the physiologic valgus of the femur.
• The lateral surface has a 10° inclination from the
vertical, while the medial surface has a 20–25° slope.
• Patello-femoral inclination approximately 10°
• In order to avoid joint penetration, screws should be
placed parallel to both the patellofemoral and
femorotibial joints planes.
Muscle attachments
• Shortening is due to the pull of the quadriceps
and hamstring muscles
• Varus and extension deformity is caused by
the pull of the adductors and gastrocnemius.
• Neuro-vascular bundle lie near the posterior aspect
of the distal femur.
• Vascular injuries occur in about 3% and nerve injuries
in about 1% of fractures of the distal femur.
CLASSIFICATION
• AO/OTA
CLINICAL PRESENTATION
• High energy trauma
• Older patients – low energy
• Swelling , Deformity
• Open fractures
• Neuro-vascular complications not uncommon
IMAGING
• Plain radiography
– AP
– Lateral
• CT
– Intra-articular fracture assessment
– Pre-op planning
– Identify osteochondral fragments
• Angiography
– ABI < 0.9
MANAGEMENT
• Non operative
– Non-displaced type A fractures
– Non- ambulatory / Inoperable
– Splint care / knee immobilizer / hinged knee brace
• Operative
– Any displacement / malalignment
– Intra-articular involvement
SURGICAL MANAGEMENT
• ORIF
• Retrograde IM nail
• External fixation
• Arthroplasty
Open Reduction & Internal Fixation
• Indications
– Intra-articular fractures
– Low Type A fractures
– Metaphyseal comminution
– Non-union
– Osteoporotic bones
Pre – operative Planning
‘Failing to plan is planning to fail’
• Implants
• Anatomical lateral locking plate
• Condylar variable angle locking
compression plate (VA-LCP)
• 95° angled blade plate
• 95° dynamic condylar screws
• lag screws / headless screws
• Other plates for adjunctive fixation
Pre – operative Planning
• Other devices and instruments
– Image intensifier
– Femoral distractor
– Reduction clamps
• Pointed clamps
• Collinear clamp
– Schanz pins
– K wi
The hip joint is a ball and socket joint consisting of the femoral head and acetabulum. This articulation provides multiple planes of movement and is highly congruent. Articular cartilage, consisting of type II collagen, covers the majority of the femoral head. The acetabulum peripherally consists of articular cartilage while the central floor is non-articular and filled with a fatty layer termed the pulvinar. The ligamentum teres arises from both the transverse acetabular ligament and the central non-articular layer of the acetabulum and attaches to the central femoral head. It may play a role in stabilizing the hip joint.
Bone Grafting is a standard reconstructive procedure. With better understanding of the reconstruction process in the body many alternate options are available today. This talk by Dr Vaibhav Bagaria details about the various alternatives.
Stress fracture: diagnosis, management and return to sportsVaibhav Bagaria
Stress fracture is a common orthopedic condition often seen in athletes and sportsperson. A customised approach is necessary to ensure a rapid return to activity and sports.
The art of medial release in varus knee during total knee replacementVaibhav Bagaria
Medial Release in Varus knee is key to balancing the knee right. When done optimally, it reduces reliance on excessive boney cuts and improves patients outcomes.
Acetabular Fracture Radiology: Xrays, CT scan & 3D printingVaibhav Bagaria
The talk details how to assess various types of acetabular fracture. Combination of X-rays, CT Scan and 3D reconstruction and 3D printing also known as 3DGraphy. Basic 8 patterns and importance of various radiological parameter are explained.
Valgus or abduction osteotomy for Non union FemurVaibhav Bagaria
Non union Femur can be challenging especially in younger patients in whom head should be preserved whenever possible. This presentation gives an insight on tips, tricks and traps of performing Valgus or abduction osteotomy.
Key to Buying an Orthopaedic surgical Robot - SICOT MuscatVaibhav Bagaria
Talk delivered at SICOT Muscat gives an insight on how to choose a surgical robot for arthroplasties. It compares various available robotic platform and suggests a process on how to go about procuring one.
Presentation given at Tribology meet, Chennai; Jan 2020. The talk covers important aspect of the retrieval of Femoral and Poly components. A curated list of important publications is enclosed.
Fractures after Knee replacement can be challenging. An algorithmic approach would help manage them better. The presentation defines correct approach towards the same.
Debate: ROBOTIC Knee Replacement - Dr BAGARIA speaking for TechnologyVaibhav Bagaria
Debate held between DR Vaibhav Bagaria & Dr Hemant Wakankar on 8th Sept 2019 at Sir HN Reliance Foundation Hopsital, Mumbai as a part of SICOT SORC 2019
THE JOY OF SCIENTIFIC WRITING - IJO -SICOT WORKSHOPVaibhav Bagaria
An Introduction to the world of scientific writing. The talk takes head on the fundamental questions: Why to write a scientific article, How to do it and When to do it??
Out Patient Knee Replacement Surgery in MumbaiVaibhav Bagaria
Prerequiste for outpatient Knee replacement - Building a strong protcolized approach to bring in this paradigm shift to Sir HN Reliance Foundation Hospital Mumbai by Dr Vaibhav Bagaria
Bilateral simulantaneous vs staged total Knee Replacement DebateVaibhav Bagaria
The presentation discusses an important paper about the risks and benefits of doing bilateral simultaneous and staged total knee replacements. The findings of the study are presented in a comprehensive manner
Preventing Infection during Surgery is important. Standard Guidelines help team work on the same page. An update on various preventive strategy is discussed.
Artificial Intelligence & Robotics in Medicine: what does future hold?Vaibhav Bagaria
Talk given in SORC 2017 Mumbai about how the Artificial intelligence and Robotics are likely to shape the future of medicine. How and why the AI and Robots can be a curse and boon at the same time!!!
Hip preservation techniques are rapidly evolving. The talk discusses various aspects including labral repair, role of orthobiologics, osteotomies and specific conditions like Sickle Cell disease.
Antimicrobial stewardship - A surgeon's PerspectiveVaibhav Bagaria
Antimicrobial stewardship program is successful when all stakeholders are encouraged to put their perspective and a program is developed that takes care of all apprehensions and thoughts.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stockrebeccabio
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Hot Selling Organic intermediates
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Surgical Site Infections, pathophysiology, and prevention.pptx
Difficult primary hip replacement - Step by Step Guide for THR
1. 1
Dr VAIBHAV BAGARIA
Joint Replacement Surgeon
Sir HN Reliance Foundation Hospital
Mumbai, India
Uncomplicating Complications:
Your First Difficult Hip
2. What Constitutes a difficult Primary?
⬥ Protrusio Hip
⬥ Dysplastic Hip
⬥ Failed Osteosynthesis/ Bipolar
⬥ Ankylosed Hip
⬥ Fracture Acetabulum
15. IMPLANT SELECTION
• Patients Condition
• Anticipated Longevity & Level of Activity
• Bone Quality & Dimensions
• Ready availability of Implants
• Experience of the Surgeon
16. General Tips -Implant Selection
• Have all inventory -‘Overprepare’
• Remember ‘Bail Out Buddies’ talk
• Hedge your bets: Involve different Co.
• Try Innovation but be conservative
• Check Instrumentation a day prior yourself!
18. Approach Consideration -Tips
⬥ Every Approach - own pros an Cons
⬥ Choose - one that you are trained in
⬥ Approach should help in majority!
⬥ In short Choose Posterior approach
⬥ However do not be ‘dogamatic’
24. Dysplasia - Acetabular side
⬥ Restore
Centre
of
Rotation
⬥ Un-‐cemented
Fixation
⬥ In
Subluxation
-‐
Slight
medialization
⬥ In
Low
hip
dislocation-‐
Socket
uncoverage
to
be
tackled
with
femoral
head
autograft
augmentation
⬥ High
Dislocation:
Small
un-‐cemented
without
graft
is
usually
obtained
or
High
Hip
centre
⬥ Medial
Wall
fracture
Technique
27. Technical Consideration for femur in DDH
⬥ Significant ante version up to 40 -
warrants derotation osteotomy at
subtroch level
⬥ Narrow canal
⬥ Previous Osteotomies?
⬥ Short Femoral Neck
⬥ LLD
⬥ Femoral Shortening: Carried out as
step cut or inverted Y subtroachanteric
osteotomy
28. Femoral Side - Implant Selection
⬥ Cementless Modular Stem
⬥ Long stem
⬥ Height & Offset options
⬥ Calcar options
⬥ Sleeve - ? HA Coated
⬥ Keep wires ready for osteotomy
29. Osteotomy
⬥ Identify the need
⬥ Just Shortening or angular correction or
rotational correction - usually
combination
⬥ Step Cut/ ( Valgus Subtrochanteric)
Schanz osteotomy
⬥ Fixation Wires and SROM stem
33. Protrusio Hip -Key facts
⬥ Head Medial to Ilioischial Line
⬥ Plan: restoration of offset both
acetabular & Femoral
⬥ Primary defect is medial acetabular
defect - managed by Head graft
34. Protrusio - technique
⬥ Surgical Exposure not to be taken for
granted
Options for Exposure:
⬥ Controlled Dislocation with Hook
⬥ Insitu Neck Osteotomy
⬥ Trochanteric Osteotomy followed by
neck osteotomy
42. Pre operative consideration
⬥ Templating is of paramount importance
⬥ MTx is fine
⬥ Anti TNF stop
⬥ Spinal Osteotomy before Hip???
43. Key Issues
⬥ Positioning
⬥ Exposure & Adequate Releases
⬥ Neck Cut
⬥ Joint Line identification & Correct
Acetabular positioning
⬥ Post op HO
44. Key Tips
⬥ Positioning: Be present yourself/ Opp
Hip and Spine
⬥ In case of external rotation fixed
deformity, identifying neck may be
difficult.
⬥ Can go anterior to neck and identify
the structure. May need to sacrifice
acetabular post wall & do osteotomy
46. Acetabular Component positioning
⬥ Remember Kyphotic Spine makes them
hyper extend & Pelvic Obliquity
⬥ Malpositioning -> Anterior dislocation
⬥ For each 10° of sagittal pelvic
malrotation above 20°, the cup position
should be modified so that it is 5° less
inclined and anteverted
47. Adequate Soft tissue Release - Ank Spond
⬥ Adductor Tenotomy
⬥ G Max release
⬥ Illiopsoas tenotomy
⬥ Anterior capsule release
⬥ Do not forget over friend ‘Sciatic Nerve’
48. Primary Hip for Acetabular fracture
⬥ Should be done for right Indication
⬥ Reduce and Fix well: Posterior column
Integrity is critical
⬥ Use TM cup - multi holed ( Revision
Shell)
⬥ For Large Bone Defect - Consider
Cages
50. 50
Post Operative Care
Do not Forget:
Check X Ray
Limb Positioning
DVT
Mobilization Schedules
HO Prevention
51. 51
Uncomplicate: OrganiseYour thoughts
Preoperative Planning :Well begun is half done
Inventory: Be liberal in ordering
Exposure: Comfort is a priority
Biomechanics: Hip Surgery is understanding mechanics
Remain Cool, Calculated & Finally…
TAKE HOME MESSAGE
