Web13 mag 2013 · Approach. Incision. landmark. palpate midline of patella in line to tibial tubercle. make midline longitudinal incision. begin 5 cm above superior pole of the patella. extending to the level of the tibial tubercle. curved or straight incision can be used. and can be done with knee flexed. WebTKA Revision. TKA Revision is most commonly performed to address aseptic loosening, fracture, instability, or infection associated with a prior TKA. Diagnosis and etiology of TKA failure can be determined by a combination of physical examination, labs, and radiographs. Treatment depends on etiology of failure, prior surgery and patient activity ...
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WebStep 1. assess the mechanical axis. draw a line of the hip-to-ankle view that shows the overall mechanical axis. neutral mechanical axis should bisect the center of knee. Step 2. estimate magnitude of coronal deformity. measure the tibiofemoral angle. Step 3. determine the femoral resection angle. Webincreasing offset improves hip stability. techniques to increase offset. increasing length of femoral neck. decreasing neck-shaft angle. medializing the femoral neck while increasing femoral neck length. trochanteric advancement. alteration of the acetabular liner (see "component design" above) Soft Tissue Function. ulcer on torus palatinus
Femur – Extended Trochanteric Osteotomy - AO Foundation
WebHeavy (e.g. #2) non-absorbable sutures can be used to tag the capsule to aid in retraction and subsequent repair. 7. Extended Trochanteric Osteotomy (ETO) In order to preserve vascularity of the femur, soft tissue stripping should be limited. Outline the osteotomy using multiple drill holes with a narrow, high-speed pencil burr or a drill bit. WebOrthobullets January 26· Femoral periprosthetic fractures after TKA may occur following low-energy trauma in osteopenic bone. Nondisplaced fractures with a stable prosthesis may be treated nonoperatively in a cast or brace. WebTKA Stiffness is a common complication following TKA that results in poor postoperative functional outcomes. Diagnosis is made clinically in a patient with a TKA who has flexion < 90 degrees or a flexion contracture of 10-15 degrees. Treatment is manipulation under anesthesia for flexion < 90 degrees within first 12 weeks of surgery. ulcer side effects symptoms