During the weeks of February 7 through February 17, I observed a total hip arthroplasty on a 56-year-old Caucasian female patient who suffered from a femoral neck fracture and damage to the acetabulum. The fracture was a result from a car accident where the patient's knees collided with the dashboard, forcing the femur into the hip and breaking the femur.
For this report I will concentrate on total hip replacement, its components, main surgical technique, and complications. Sir John Charnley first developed total joint arthroplasty in the 1960s (Skinner 395). In a total hip replacement "the articular surfaces of the acetabulum and femoral head are replaced" (Lemone 1241). A prosthesis is then used to replace the entire head of the femur and a portion of the femoral neck. A prosthesis of ultrahigh-molecular-weight polyethylene (UHMWPE) is then inserted into the remodeled acetabulum (Lemone 1242 & Skinner 395). The original procedure developed by Charnley consisted of a stainless steel prosthesis for the femur and a 22-mm femoral head. Now we have different femoral head sizes (22, 25, 25.4, 28, 32, and 35mm) and different femoral lengths ranging from 110-160mm (Skinner 395). The bone attachment technique has also evolved during the years into two generic designs, the cement fixation and the porous ingrowth prostheses (Skinner 395).
Cement and uncemented are the two basic types of total hip replacement. Both types have the same bearing surfaces, either ceramic or cobalt chromium alloy that articulates with a UHMWPE bearing surface (Skinner 399). Ceramic and cobalt chromium alloy each have their own set of pros and cons. Ceramic heads will theoretically produce less debris and result in a longer life of the hip replacement, but c...
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...held screwdriver. Total hip arthroplasty has introduced me to orthopedics, a field of medicine that manages to incorporate tools I am accustomed to dealing with.
Works Cited
"Arthroplasty and Total Joint Replacement." The Lippincott Manual of Nursing Practice. Ed. Sandra M. Nettina. 7th ed. Philadelphia: Lippincott, 2001. 993-995.
Lemone, Priscilla, RN, DSN, and Karen Burke, RN, MS. "Joint Arthroplasty." Medical-Surgical Nursing. 3rd ed. Upper Saddle River: Pearson Education, 2004. 1241-1243.
Lusardi, Michelle M., PhD, P.T., and Caroline C. Nielsen, PhD. "Use of Orthoses in Total Hip Arthroplasty." Orthotics and Prosthetics in Rehabilitation. Boston: Butterworth-Heinemann, 2000. 227-230.
"Total Joint Arthroplasty." Current Diagnosis & Treatment in Orthopedics. Ed. Harry B. Skinner, MD, PhD. 3rd ed. New York: Lange Medical Books, 2003. 395-396, 398-403.
From a biomechanical perspective, the primary function of the hip joint is to provide adequate motion for the performance of ambulatory tasks and control load transference from the pelvis to the femur.
The are generally four kinds of substitute constituent utilized in THA that are metal-on-metal, metal-on-plastic, and ceramic on ceramic, ceramic on plastic. Types prosthesis utilized is reliant on the needs of patient and the procedure of the surgeon. All hip replacements allocate one thing in common: they contain a ball-and-socket joint. Which materials are utilized in the ball and in the socket, that jointly is shouted the “bearing” like a bearing in a car has the possible to alter the long-term durability of the combined replacement.
Increasing number of arthroscopies being performed worldwide (1,000,000 per year), the total number of complications is significant. The percentage of complications after arthroscopy oscillates about 2%. The most common complications are: intraarticular damage, neurological injury, vascular injury etc. [1]
During the surgery for a total knee replacement, the patient is put under general anesthesia. Then an incision is made in the front of the knee. Through this incision access is gained into the joint capsule. The damaged portion of the joint is then
After joining the profession of nursing, I soon came to realize that people with hip fracture are usually in the dire need of the caring nurses for their activities of daily living. For that reason, I spent significant time helping and aiding the patients that have hip fractures during my service. I remember one of my patients named John, whose upper femur was broken as the result of a fall in the bathroom. His doctor opted the Open Reduction Internal Fixation (ORIF) to repair the fracture with the help of plates, nails, screws, and pins. I provided an egg-crate mattress for this patient, keeping in view his particular condition and high pain levels.
Osteonecrosis has become a subject of interest amongst orthopaedic surgeons predominantly during the last four to five decades.
Planning for this new venture requires the nurse executive to analyze the marketing opportunities and resources needed to be successful. Market analysis determines that the hospital and community would benefit in investing in an elective hip and knee joint replacement unit. Community assessment has indicated this demand to sustain this investment in the proposed implementation of the JRU. According to Brinkman et al., (2014) “an increase in the number of hip and knee joint replacement procedures is growing nationally with hip replacements increase of 7.5% over 2011 and knee replacements reflecting 7.3% over 2011”. The aging population and increased incidence of obesity are primary causes for the increase in joint replacements. This trend indicates a lucrative opportunity in instituting the proposed unit. Furthermore, the only competitive hospital is within a 45-mile radius from JRU being centrally located it will meet the needs of this community and beyond.
What is meant by a “complete, comminuted, intertrochanteric fracture of the right hip”? A complete, means that the bone is broken completely through a communication means that the bone has been broken into many pieces and a intertrochanteric means that it involves the greater and lesser trochanter of the femur bone.
Arthritis is a common thing in older individuals to acquire, especially in the hip and knee. These discoveries may lead to safer and more cost effective ways to replace bone after it has been compromised by things such as arthritis. Logically, it would be advantageous to create a structure with structure and properties similar to that of human bone to replace human bone. Recreating human bone is the next step in the timeline of artificial bone’s role in artificial bone replacement.
"Chapter 37." Operative Techniques in Orthopaedic Surgery. Ed. Sam Wiesel. 4th ed. Vol. 2. Lippincott Williams & Wilkins, 2011. eBook.
The modern total hip replacement was invented in 1962 by Sir John Charnley. Sir Charnley was an orthopedic surgeon who worked for a small hospital in England. The total hip replacement is considered by many to be the most important operation developed in the 20th century, solely based on the fact that it helps to relieve human suffering. Total hip replacement was first performed in the United States around 1969. Since then there have been more then a hundred of thousands of replacements performed in the United States. One of the first surgeons to perform this surgery was Charles O. Bechtol. In 1969, while he was a professor at UCLA, Bechtol started a total hip replacement program. The artificial hip joint is considered a prosthesis. There are two major types of artificial hip joints, cemented prosthesis and uncemented prosthesis. The type of prosthesis that will be used on the individual patient is decided by the surgeon depending on the patient's age, lifestyle and the experience that the surgeon has with a particular one.
The name – knee replacement, is self-explanatory itself. It is a surgery, in which the diseased, or worn, bone or cartilage in the knee joint is replaced. An artificial joint is made from plastic, or metal and is fitted in the place of the damaged cartilage. This allows the patient to move the joint, and hence the legs just like the one with natural joint. There are two types of knee replacement surgeries:
Mobility grants opportunity and lifelong experiences through the gift of exploration and independence. Without autonomy of movement in one’s life, there are struggles accompanied by frustration do to the lack of freedom and ability. It is an orthopedic surgeon’s job to bring function to one’s life even if they have never been granted movement without restraint before. Orthopedic surgeons receive patients whose freedom of movement have been compromised and then return it back to them. Orthopedic surgeons give immeasurable opportunities and life experiences back to their patients because of their perseverance and commitment to their patients and careers.
The purpose the study is the presentation of successful use of Signafuse Bone Graft Putty in vivo. Fusion Products are commonly used in the field of Orthopaedics. They serve an important role as far as relieving pain and treating morbidities.
Rubak, T., Svendsen, S., Søballe, K., & Frost, P. (2013). Risk and rate advancement periods of total hip replacement due to primary osteoarthritis in relation to cumulative physical workload. Scandinavian Journal Of Work, Environment & Health, 39(5), 486-494. doi:10.5271/sjweh.3365