))
Hip Stability - Dorr
Manage episode 306366312 series 3003013
Indhold leveret af Dr. Adam Rosen. Alt podcastindhold inklusive episoder, grafik og podcastbeskrivelser uploades og leveres direkte af Dr. Adam Rosen eller deres podcastplatformspartner. Hvis du mener, at nogen bruger dit ophavsretligt beskyttede værk uden din tilladelse, kan du følge processen beskrevet her https://da.player.fm/legal.
Current Concepts Review
Impingement with Total Hip Replacement
JBJB 2007
Aamer Malik, MD, Aditya Maheshwari, MD, and Lawrence Dorr, MD
For hip stability:
Evaluate the x-rays and template
Be wary of hypermobile patients and spine patients
Know your implants (head options, neck options, etc)
Check patients supine and again lateral (for posterior approach)
Meticulous approach
Proper reaming and cup placement and remove osteophytes
Proper broaching and remove osteophytes
Check Ranawat sign
1. 45 degrees for females
2. 20 - 30 degrees for males
How I test stability
1. leg length
2. capsular tension and palpate offset
3. extension and rectus tension
4. extension and external rotation
5. position of sleep
6. full flexion in neutral
7. 90 degrees, slight adduction and internal rotation
8. assess intraoperative x-rays
Then make changes based on stability.
Support the show
102 episoder
Del
