EC-ACS is a treatment that uses a patient's own blood to produce autologous conditioned serum. The blood is incubated for 24 hours to allow the platelets to degranulate and release anti-inflammatory cytokines such as IL-1Ra. This process blocks the activity of pro-inflammatory cytokines like IL-1β and TNF-α that cause pain and inflammation. Tests show EC-ACS contains over 300,000 pg/mL of IL-1Ra after 24 hours of incubation, significantly more than blood incubated for only 1 hour or left in a vacutainer tube.
1.The best way for the anterior approach to the hip on a standard operating table using a leg holder with a combined spinal anaesthetic and general anaesthetic, as written by John O’Donnell, Melbourne, Australia, in 2018.
2.The chapter on total hip replacement as a day case, which is an evolution in total hip replacement, has been written by authors from Frankfurt, Germany, mentioning their schedule in detail in 2018.
3.The principles of anterior approach for total hip arthroplasty have been discussed in detail by authors from Italy in 2018. Their technique involves choice of patients; superficial and deep dissection, exhibiting each step through excellent figures; and dedicated surgical instruments along with the use of intra-operative imaging.
4. Chapter from formerly Hip Preservation Fellow, Research Fellow at Warwick Medical School, UK now based in Sri Lanka discussing how the Direct Anterior approach to the Hip in 2018 can be done on the plain table with supporting explaining figures which is useful in countries in Asia like India without the use of special operating tables and dedicated surgical instruments for the same.
5.An additional chapter on DAA ,written by Dr Kirubakaran Pattabiraman, assistant professor, Department of Orthopedics, JIPMER, Puducherry, India, has been added in the book because his contribution is the most unique as it provides extensive details on DAA.
6.The main aim of this book is for the upcoming postgraduates in orthopedics anywhere in the world to be well versed in the direst anterior approach (DAA) to the hip joint.
K.MohanIyer[15/8/2023]
This document provides an overview of Piriformis Syndrome, outlining its epidemiology, predisposing factors, aetiology, diagnostic tests, pathophysiology, differential diagnosis, imaging studies, electro-diagnostic studies, intrapelvic causes, specific muscle and nerve variations, clinical diagnosis, treatment options including physiotherapy, and potential complications. The document contains 18 sections that will be compiled and published in a book on Piriformis Syndrome, with an introduction by a consultant orthopaedic surgeon.
Modified Posterior Approach to the Hip Joint.pdfnew.pdfKrishnamohan Iyer
Modified Posterior Approach to the Hip Joint[2nd edition]
Table of contents
This is more complex as the entire manuscript is based on my original research that I had done in 1981,which I have been following since then till today with my references.
Chapter no.1: Introduction Posterior Approach(PA) by
Ahmed Zaghloul, Assistant Lecturer,
Orthopaedic department, Faculty of
Medicine, Mansoura University, Egypt.
Chapter no.2: Additional version of PA by Kemal Şibar and
Alper Öztürk,Ankara,Turkey.
Chapter no.3: Direct Anterior Approach to the Hip by Prof.
John O'Donnell,Melbourne,Australia.
Chapter no.4:Principles of Direct Anterior Approach to the
Hip by Alessandro Geraci,Orthopaedic
Department, CaFoncello Hospital,Treviso, Italy
Chapter no.5:Anterior Minimally Invasive Surgery (AMIS) by
Hiran Amarasekera,Consultant Orthopaedic
Surgeon, Neville Fernando Teaching Hospital,
Malabe, Sri Lanka
Chapter no.6: DAA by Kirubakaran Pattabiraman,
Department of Orthopedics,JIPMER,
Puducherry,INDIA and Prof Thomas
Mullner,Austria.
Chapter no.7:DAA[Direct Anterior Approach to the Hip Joint]
by Calllum McBryde et al [Consultant Young
Adult Hip Surgeon, Department of Trauma &
Orthopaedics, Royal Orthopaedic Hospital NHS
Trust, Birmingham, UK]
Chapter no.8:Direct Anterior Approach for Total Hip
Arthroplasty by Rajesh Malhotra and Deepak
Gautam
"Modified Posterior Approach to the Hip Joint 2nd ed." is tentatively planned to be published by 24.09.2023.
K.Mohan Iyer[1/8/2023]
Revised final table of contents:
1.Introduction.
2.Epidemiology of Piriformis Syndrome.
3.Predisposing Factors.
4.Aetiology of Piriformis Syndrome.
5.Specific tests for the PS
6.Pathophysiology
7.Differential Diagnosis
8.Imaging
9.Electro-diagnostic studies
10.Intrapelvic Causes of Sciatica in Piriformis Syndrome
11.Pyomyositis of the Piriformis Muscle
12.Bipartitite Piriformis giving rise to
sciatic nerve entrapment
13.Hydrodissection of Piriformis Syndrome
14.Composite Anatomical Variations between the Sciatic
Nerve and the Piriformis Muscle
15.Epidemiology.Clinical Diagnosis of Piriformis Syndrome
16. Peroneal Neuropathy in Piriformis Syndrome
17. Physiotherapy for Piriformis syndrome
18.Treatment of Piriformis Syndrome
19.Complications with Prognosis.
20. References
21.References for further reading[9 chapters]
K.Mohan Iyer[6/7/2023]
Modified Posterior Approach to the Hip Joint,2nd Edition,
The Surgery for the Hip Joint has evolved considerably in different parts of the world.This evolution dates back to as early as 1883 and is still occuring in many parts of the world.Dr,K.Mohan Iyer started with his research in 1981 and is seen in many textbooks of repute.It has reached a new dimension to include
1. Posterior Approach to Hip Joint.
2. Southern Posterior Approach of the Hip
3. Direct Anterior Approach to the Hip Joint
4. Principles of the Anterior Approach for Total Hip
Arthroplasty
5. Anterior Minimally Invasive Surgery
6. The Direct Anterior Approach
7. Direct Anterior Approach to the Hip Joint
8. Direct Anterior Approach for Total Hip Arthroplasty.
The best part of his research is its feasibility in third world countries when it can be done in an indegenious way as shown in detail in chapter 8 of this book.
This book is being published by Springer Nature[Switzerland] and should be released in 2023.
K.Mohan Iyer[10/6/2023]
1. The author describes a modified posterior approach to the hip joint that involves a posterior trochanteric osteotomy. This approach aims to minimize dislocation rates seen with traditional posterior approaches by preserving the short external rotators and imparting greater stability.
2. An initial study of 44 patients who underwent hemiarthroplasty using this approach found no dislocations. Subsequent studies by other surgeons of total hip arthroplasties using this approach also reported low dislocation rates.
3. Potential advantages of this modified approach include less bleeding, avoidance of sciatic nerve injury, and an intact abductor mechanism while maintaining the exposure benefits of a posterior approach. Disadvantages can include issues with trochanteric
EC-ACS is a treatment that uses a patient's own blood to produce autologous conditioned serum. The blood is incubated for 24 hours to allow the platelets to degranulate and release anti-inflammatory cytokines such as IL-1Ra. This process blocks the activity of pro-inflammatory cytokines like IL-1β and TNF-α that cause pain and inflammation. Tests show EC-ACS contains over 300,000 pg/mL of IL-1Ra after 24 hours of incubation, significantly more than blood incubated for only 1 hour or left in a vacutainer tube.
1.The best way for the anterior approach to the hip on a standard operating table using a leg holder with a combined spinal anaesthetic and general anaesthetic, as written by John O’Donnell, Melbourne, Australia, in 2018.
2.The chapter on total hip replacement as a day case, which is an evolution in total hip replacement, has been written by authors from Frankfurt, Germany, mentioning their schedule in detail in 2018.
3.The principles of anterior approach for total hip arthroplasty have been discussed in detail by authors from Italy in 2018. Their technique involves choice of patients; superficial and deep dissection, exhibiting each step through excellent figures; and dedicated surgical instruments along with the use of intra-operative imaging.
4. Chapter from formerly Hip Preservation Fellow, Research Fellow at Warwick Medical School, UK now based in Sri Lanka discussing how the Direct Anterior approach to the Hip in 2018 can be done on the plain table with supporting explaining figures which is useful in countries in Asia like India without the use of special operating tables and dedicated surgical instruments for the same.
5.An additional chapter on DAA ,written by Dr Kirubakaran Pattabiraman, assistant professor, Department of Orthopedics, JIPMER, Puducherry, India, has been added in the book because his contribution is the most unique as it provides extensive details on DAA.
6.The main aim of this book is for the upcoming postgraduates in orthopedics anywhere in the world to be well versed in the direst anterior approach (DAA) to the hip joint.
K.MohanIyer[15/8/2023]
This document provides an overview of Piriformis Syndrome, outlining its epidemiology, predisposing factors, aetiology, diagnostic tests, pathophysiology, differential diagnosis, imaging studies, electro-diagnostic studies, intrapelvic causes, specific muscle and nerve variations, clinical diagnosis, treatment options including physiotherapy, and potential complications. The document contains 18 sections that will be compiled and published in a book on Piriformis Syndrome, with an introduction by a consultant orthopaedic surgeon.
Modified Posterior Approach to the Hip Joint.pdfnew.pdfKrishnamohan Iyer
Modified Posterior Approach to the Hip Joint[2nd edition]
Table of contents
This is more complex as the entire manuscript is based on my original research that I had done in 1981,which I have been following since then till today with my references.
Chapter no.1: Introduction Posterior Approach(PA) by
Ahmed Zaghloul, Assistant Lecturer,
Orthopaedic department, Faculty of
Medicine, Mansoura University, Egypt.
Chapter no.2: Additional version of PA by Kemal Şibar and
Alper Öztürk,Ankara,Turkey.
Chapter no.3: Direct Anterior Approach to the Hip by Prof.
John O'Donnell,Melbourne,Australia.
Chapter no.4:Principles of Direct Anterior Approach to the
Hip by Alessandro Geraci,Orthopaedic
Department, CaFoncello Hospital,Treviso, Italy
Chapter no.5:Anterior Minimally Invasive Surgery (AMIS) by
Hiran Amarasekera,Consultant Orthopaedic
Surgeon, Neville Fernando Teaching Hospital,
Malabe, Sri Lanka
Chapter no.6: DAA by Kirubakaran Pattabiraman,
Department of Orthopedics,JIPMER,
Puducherry,INDIA and Prof Thomas
Mullner,Austria.
Chapter no.7:DAA[Direct Anterior Approach to the Hip Joint]
by Calllum McBryde et al [Consultant Young
Adult Hip Surgeon, Department of Trauma &
Orthopaedics, Royal Orthopaedic Hospital NHS
Trust, Birmingham, UK]
Chapter no.8:Direct Anterior Approach for Total Hip
Arthroplasty by Rajesh Malhotra and Deepak
Gautam
"Modified Posterior Approach to the Hip Joint 2nd ed." is tentatively planned to be published by 24.09.2023.
K.Mohan Iyer[1/8/2023]
Revised final table of contents:
1.Introduction.
2.Epidemiology of Piriformis Syndrome.
3.Predisposing Factors.
4.Aetiology of Piriformis Syndrome.
5.Specific tests for the PS
6.Pathophysiology
7.Differential Diagnosis
8.Imaging
9.Electro-diagnostic studies
10.Intrapelvic Causes of Sciatica in Piriformis Syndrome
11.Pyomyositis of the Piriformis Muscle
12.Bipartitite Piriformis giving rise to
sciatic nerve entrapment
13.Hydrodissection of Piriformis Syndrome
14.Composite Anatomical Variations between the Sciatic
Nerve and the Piriformis Muscle
15.Epidemiology.Clinical Diagnosis of Piriformis Syndrome
16. Peroneal Neuropathy in Piriformis Syndrome
17. Physiotherapy for Piriformis syndrome
18.Treatment of Piriformis Syndrome
19.Complications with Prognosis.
20. References
21.References for further reading[9 chapters]
K.Mohan Iyer[6/7/2023]
Modified Posterior Approach to the Hip Joint,2nd Edition,
The Surgery for the Hip Joint has evolved considerably in different parts of the world.This evolution dates back to as early as 1883 and is still occuring in many parts of the world.Dr,K.Mohan Iyer started with his research in 1981 and is seen in many textbooks of repute.It has reached a new dimension to include
1. Posterior Approach to Hip Joint.
2. Southern Posterior Approach of the Hip
3. Direct Anterior Approach to the Hip Joint
4. Principles of the Anterior Approach for Total Hip
Arthroplasty
5. Anterior Minimally Invasive Surgery
6. The Direct Anterior Approach
7. Direct Anterior Approach to the Hip Joint
8. Direct Anterior Approach for Total Hip Arthroplasty.
The best part of his research is its feasibility in third world countries when it can be done in an indegenious way as shown in detail in chapter 8 of this book.
This book is being published by Springer Nature[Switzerland] and should be released in 2023.
K.Mohan Iyer[10/6/2023]
1. The author describes a modified posterior approach to the hip joint that involves a posterior trochanteric osteotomy. This approach aims to minimize dislocation rates seen with traditional posterior approaches by preserving the short external rotators and imparting greater stability.
2. An initial study of 44 patients who underwent hemiarthroplasty using this approach found no dislocations. Subsequent studies by other surgeons of total hip arthroplasties using this approach also reported low dislocation rates.
3. Potential advantages of this modified approach include less bleeding, avoidance of sciatic nerve injury, and an intact abductor mechanism while maintaining the exposure benefits of a posterior approach. Disadvantages can include issues with trochanteric
My ebook titled Posterior Approaches to the Hip Joint should be available by ...Krishnamohan Iyer
Citations in textbooks of repute
Original Research work done: A New Posterior Approach to the Hip Joint – K. Mohan Iyer, Injury, 13, 76-80, 1981.
1 Campbell’s Textbook of Operative Orthopaedics,12th Edition,by S.Terry Canale and James H.Beaty,Page No.331.
2. The Year Book of Orthopaedics 1982-Mark B.Coventry, Pages:371-373.
3.The Hip: ISBN 10:0812113020/ISBN 13:9780812113020
My original work has been quoted on page no.90.
4. Surgery of the Hip, Elsevier, Mosby/Saunders, Volume 2, by Daniel J.Berry and Jay R.Lieberman, Page No.269.
5. The Adult Hip by John J Callaghan MD, Aaron G Rosenberg MD, Harry E Rubash. Volume 1, Callaghan, Rosenberg and Rubash, ISBN:078175092X, Pages:700-701,718.
6. Surgery of the Hip Edited by Raymond G. Tronzo; Ref.no.187:(Page no.333):Fractures of the Hip in Adults: My original research on the Hip Joint has been quoted.
7. Minially Invasive Total Joint Arthroplasty by William J Hozak,Martin Kirsmer,Michael Hogler,Peter M Bonutti,Franz Rachbauer,Jonathan L Scaffer,William J Donnelly(Editors).
My original work(1981) is also referred to in this book Total
Hip Arthroplasty Arch Orthop Trauma Surg 102:225-229 at reference no.24[pages 115 -229]
The document outlines the chapter topics for an upcoming book titled "Posterior Approaches to the Hip Joint" by K.Mohan Iyer. The chapters will cover anatomy, biomechanics, gait mechanics, patient positioning, various modified posterior surgical approaches, minimally invasive techniques, assisted approaches using robotics, complications, comparing the posterior approach to other approaches, and physiotherapy management following posterior hip surgeries.
This is my book review that came out on 24th Sunday 2017 in the EJOST(European Journal of Orthopaedic Surgery and Traumatology),which I have sent as an attachment.
K.Mohan Iyer(25/9/2017)
This is my next book after which I will be publishing my book “Hip Joint in Adults: Advances and Developments” following my book THE HIP JOINT.by PanStanford,Singapore.(17/7/2017)
This single sentence document provides a link to the website Orthogate (https://www.orthogate.org/) that was received by the author on May 3, 2017. The link is being shared without any additional context or description of the site.
Detailed programme of the Global Ortho Congress at Philadelphia,USA where my presentation is on 8/11/2016 at 3.15 to 3.35 pm as seen in this attachment.
Modified Posterior Approach to the Hip Joint, International Journal of Orthop...Krishnamohan Iyer
This document describes a modified posterior approach to the hip joint developed by the author in 1981. The modification involves osteotomizing the posterior overhanging part of the greater trochanter to improve exposure and decrease dislocations. Cadaver tests found the modified approach provided greater stability than conventional posterior approaches. The author then used the approach clinically with no dislocations reported. Several other surgeons found similar success rates with the modified approach. The approach preserves soft tissue attachments and muscle insertions for improved stability and less risk of nerve damage compared to other posterior approaches.
This document describes Dr. K Mohan Iyer's original research on a posterior approach to the hip joint conducted on cadavers in 1981. It provides details of Dr. Iyer's presentations on this approach at orthopaedic conferences in 1982 and 1984. The posterior approach developed by Dr. Iyer is outlined and research is presented demonstrating it provides greater stability during hip surgery compared to other conventional approaches.
1. Excision of the trapezium bone is a surgical treatment for carpometacarpal arthritis of the thumb that provides good pain relief.
2. While hand function is maintained, there is some loss of power in opposition grip and pinch grip due to resulting carpal instability.
3. Arthrographic imaging shows a distinct scaphometacarpal joint space that is initially small and irregular after surgery but becomes larger and more regular over time, indicating healing of the joint.
This document describes a modified posterior approach technique for the hip joint. The key steps of the technique include making a skin incision from just below the posterior superior iliac spine curving toward the greater trochanter. The greater trochanter is then osteotomized to include the insertions of surrounding muscles. This posterior triangular flap is turned down to expose the hip joint capsule. The advantages of this modified approach include decreased risk of dislocation compared to conventional approaches by preserving bone and soft tissue attachments and providing stable exposure of the hip joint and acetabulum.
This document describes a modified posterior approach technique for the hip joint. The key steps of the technique include making a skin incision from just below the posterior superior iliac spine curving toward the greater trochanter. The greater trochanter is then osteotomized to include the insertions of surrounding muscles. This posterior triangular flap is turned down to expose the hip joint capsule. The advantages of this modified approach include decreased risk of dislocation compared to conventional approaches by preserving bone and soft tissue attachments and providing stable exposure of the hip joint and surrounding structures.
Professor KM Mohan Krishna Iyer describes a modified posterior approach to the hip joint in his new book. This technique aims to address issues with the critical posterior approach like higher dislocation rates while maintaining excellent visualization of the acetabulum and femoral shaft. The modified approach was credited to Iyer's teacher Mr. FHBeddow and was published in 1990. Dr. Nishant Pandey recommends young orthopedic surgeons read Iyer's book to learn about this innovation and encourages reading the work of brilliant minds like Iyer.
The author discusses writing medical theses, specifically about the hip joint. They wrote three theses in their orthopedic career focusing on the hip joint. A thesis should be analyzed from different angles including anatomy, pathology, surgery, and medicine. It is typically written in an introduction, literature review, materials and methods, results, discussion, summary, and references. The author is happy to guide students on writing an original thesis or paper and notes key aspects to include like infection and dislocation results. They had previously described an approach to the hip joint in 1981 that has been used successfully by others with no increased dislocation rates.
This book is the second one on the Hip Joint,which is written in great details taking all angles of the Hip Joint into consideration.It had been written by Authors from around the world who have sub specialiased in the chapter that they have written.It took me one year to write this book.
K.Mohan Iyer,Bangalore,India
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
My ebook titled Posterior Approaches to the Hip Joint should be available by ...Krishnamohan Iyer
Citations in textbooks of repute
Original Research work done: A New Posterior Approach to the Hip Joint – K. Mohan Iyer, Injury, 13, 76-80, 1981.
1 Campbell’s Textbook of Operative Orthopaedics,12th Edition,by S.Terry Canale and James H.Beaty,Page No.331.
2. The Year Book of Orthopaedics 1982-Mark B.Coventry, Pages:371-373.
3.The Hip: ISBN 10:0812113020/ISBN 13:9780812113020
My original work has been quoted on page no.90.
4. Surgery of the Hip, Elsevier, Mosby/Saunders, Volume 2, by Daniel J.Berry and Jay R.Lieberman, Page No.269.
5. The Adult Hip by John J Callaghan MD, Aaron G Rosenberg MD, Harry E Rubash. Volume 1, Callaghan, Rosenberg and Rubash, ISBN:078175092X, Pages:700-701,718.
6. Surgery of the Hip Edited by Raymond G. Tronzo; Ref.no.187:(Page no.333):Fractures of the Hip in Adults: My original research on the Hip Joint has been quoted.
7. Minially Invasive Total Joint Arthroplasty by William J Hozak,Martin Kirsmer,Michael Hogler,Peter M Bonutti,Franz Rachbauer,Jonathan L Scaffer,William J Donnelly(Editors).
My original work(1981) is also referred to in this book Total
Hip Arthroplasty Arch Orthop Trauma Surg 102:225-229 at reference no.24[pages 115 -229]
The document outlines the chapter topics for an upcoming book titled "Posterior Approaches to the Hip Joint" by K.Mohan Iyer. The chapters will cover anatomy, biomechanics, gait mechanics, patient positioning, various modified posterior surgical approaches, minimally invasive techniques, assisted approaches using robotics, complications, comparing the posterior approach to other approaches, and physiotherapy management following posterior hip surgeries.
This is my book review that came out on 24th Sunday 2017 in the EJOST(European Journal of Orthopaedic Surgery and Traumatology),which I have sent as an attachment.
K.Mohan Iyer(25/9/2017)
This is my next book after which I will be publishing my book “Hip Joint in Adults: Advances and Developments” following my book THE HIP JOINT.by PanStanford,Singapore.(17/7/2017)
This single sentence document provides a link to the website Orthogate (https://www.orthogate.org/) that was received by the author on May 3, 2017. The link is being shared without any additional context or description of the site.
Detailed programme of the Global Ortho Congress at Philadelphia,USA where my presentation is on 8/11/2016 at 3.15 to 3.35 pm as seen in this attachment.
Modified Posterior Approach to the Hip Joint, International Journal of Orthop...Krishnamohan Iyer
This document describes a modified posterior approach to the hip joint developed by the author in 1981. The modification involves osteotomizing the posterior overhanging part of the greater trochanter to improve exposure and decrease dislocations. Cadaver tests found the modified approach provided greater stability than conventional posterior approaches. The author then used the approach clinically with no dislocations reported. Several other surgeons found similar success rates with the modified approach. The approach preserves soft tissue attachments and muscle insertions for improved stability and less risk of nerve damage compared to other posterior approaches.
This document describes Dr. K Mohan Iyer's original research on a posterior approach to the hip joint conducted on cadavers in 1981. It provides details of Dr. Iyer's presentations on this approach at orthopaedic conferences in 1982 and 1984. The posterior approach developed by Dr. Iyer is outlined and research is presented demonstrating it provides greater stability during hip surgery compared to other conventional approaches.
1. Excision of the trapezium bone is a surgical treatment for carpometacarpal arthritis of the thumb that provides good pain relief.
2. While hand function is maintained, there is some loss of power in opposition grip and pinch grip due to resulting carpal instability.
3. Arthrographic imaging shows a distinct scaphometacarpal joint space that is initially small and irregular after surgery but becomes larger and more regular over time, indicating healing of the joint.
This document describes a modified posterior approach technique for the hip joint. The key steps of the technique include making a skin incision from just below the posterior superior iliac spine curving toward the greater trochanter. The greater trochanter is then osteotomized to include the insertions of surrounding muscles. This posterior triangular flap is turned down to expose the hip joint capsule. The advantages of this modified approach include decreased risk of dislocation compared to conventional approaches by preserving bone and soft tissue attachments and providing stable exposure of the hip joint and acetabulum.
This document describes a modified posterior approach technique for the hip joint. The key steps of the technique include making a skin incision from just below the posterior superior iliac spine curving toward the greater trochanter. The greater trochanter is then osteotomized to include the insertions of surrounding muscles. This posterior triangular flap is turned down to expose the hip joint capsule. The advantages of this modified approach include decreased risk of dislocation compared to conventional approaches by preserving bone and soft tissue attachments and providing stable exposure of the hip joint and surrounding structures.
Professor KM Mohan Krishna Iyer describes a modified posterior approach to the hip joint in his new book. This technique aims to address issues with the critical posterior approach like higher dislocation rates while maintaining excellent visualization of the acetabulum and femoral shaft. The modified approach was credited to Iyer's teacher Mr. FHBeddow and was published in 1990. Dr. Nishant Pandey recommends young orthopedic surgeons read Iyer's book to learn about this innovation and encourages reading the work of brilliant minds like Iyer.
The author discusses writing medical theses, specifically about the hip joint. They wrote three theses in their orthopedic career focusing on the hip joint. A thesis should be analyzed from different angles including anatomy, pathology, surgery, and medicine. It is typically written in an introduction, literature review, materials and methods, results, discussion, summary, and references. The author is happy to guide students on writing an original thesis or paper and notes key aspects to include like infection and dislocation results. They had previously described an approach to the hip joint in 1981 that has been used successfully by others with no increased dislocation rates.
This book is the second one on the Hip Joint,which is written in great details taking all angles of the Hip Joint into consideration.It had been written by Authors from around the world who have sub specialiased in the chapter that they have written.It took me one year to write this book.
K.Mohan Iyer,Bangalore,India
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
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Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).