ARTHROSCOPY SURGERY
OVERVIEW
Shortly put it is a keyhole surgery where the bones are examined for treatment and diagnosis. A surgical procedure where the internal structure of the joint is examined for diagnosis and or treatment using Arthosocope. Used basically for joints on knees, ankles, shoulders, elbows, wrists and hips.
Where is Arthoscopy Surgery used ?
DOI: 8/30/2010. Patient is a 66-year-old female cleaner who sustained a work-related injury while taking out a recycling bin when she fell down. She underwent a right knee arthroscopy, partial medial meniscectomy, suprapatellar synovectomy, manipulation under anesthesia and post-operative injection per operative report dated 05/31/12 and a left shoulder arthroscopy on 07/16/13. The patient underwent a left knee arthroscopy with synovectomy and meniscectomy per operative report dated 07/31/14.
Total hip replacements due to osteoarthritis are common among the middle aged and elderly population ( Sant'anna, p.1,567). A study conducted in Brazil, a group of researchers looked at several factors that impacted returning to activities of daily life to determine which rehabilitation protocol was more effective after total hip replacements (Sant'anna, p. 1,567). This study focused on the care received post operatively for fifteen days after total hip replacements related to osteoarthritis had been performed. In this study, participants were evaluated to measure the outcomes of using two different rehabilitation protocols for activities of daily living, mobility, and pain measurement (Sant'anna, p.1,567).
car crashes. Dislocation of the hip joint can be further classified to whether they are anteriorly dislocated or posteriorly dislocated (Gammons., 2014). Posterior hip dislocation is a far more common injury, with only 5-18% of cases being anterior (Sorrentino., 2017). Posterior dislocation occurs when a strong force pushes the femoral head into the socket, in turn rupturing the acetabulum. This rupture causes the lower limb to shorten and laterally rotate. This is due to the femoral head being able to move on to the ilium’s posterior surface (Moore et al., 2014) Anterior hip dislocation occurs in the conflicting direction of Posterior hip dislocations, hence why this injury is far less common. This type of dislocation like the other occurs during high trauma accidents where a large amount of force causes the head of femur to tear the capsule but this time coming to the anterior surface of the body. When anterior hip dislocation occurs, the injury can be subclassified into superior and inferior injuries. When the hip is superiorly dislocated the hip is extended and externally rotated causing the femoral head to move out the socket, this can cause injury to the femoral vein and artery as well as the nerve (Wheeless.,2012). When the hip simultaneously flexes, externally rotates and abducts the joint inferiorly dislocates. This is more likely to cause fractures in the femoral head and the shaft of the femur (Wheeless., 2012). Due to the circumstances in which the lower limb must be in to dislocate, it explains why the injury is
I chose to write about knee pain and the misalignment of the knee joint, because it is something that I suffer from on a daily basis. In the last 11 years I have had three knee surgeries I have had part of my medial meniscus taken out and then followed it seven years later with the complete removal of the lateral meniscus. Due to my very valgus alignment, which is when you knee joint points towards the midline they then decided to do a distal femoral osteotomy. With this surgery they cut my right femur in half at the distal head and created a gap with donor bone. They then put a plate with seven screws in it to hold the femur in place. When the surgery is complete in my case I was unable to bear weight for two months due to the fact that the donor bone may be crushed or the Plate and screws could break during the first part of the healing process.
In 2010 the orthopaedic device company Depuy, a subsidiary of Johnson & Johnson, made a move to recall its Metal on Metal (MoM) ASR and ASR XL hip replacement systems from the international market. The recall of these product was due to an excessively high failure rate (Cohen 2011). The inability to simulate in situ conditions lead to the inability to design and implement and affect mean of hip arthroplasty devices. With over 93,000 devices installed the litigation resulting from the failure of this product is on going. The ASR and ASR XL hip replacement system returned a five year revision rate of 12%, in comparison to its main competitor the Birmingham hip which returned a revision rate of 4.3%. As a result the ASR and ASR XL device was subject to intense scrutiny, as a result exposing the medical device industry to the possible advantages and certain disadvantages of a Metal on Metal hip replacement system.
On Tuesday February 2, 2016, The Wall Street Journal published an article by Lucette Lagnado titled, “Same-Day Hip Replacement.” Lagnado discusses how a new orthopedic surgical table allows surgeons to move patient’s legs for an anterior hip replacement. Rather than doing a traditional incision on the backside of a patient for a hip surgery, this table allows surgeons to do incision in the front. This method is not only a faster process for the surgeons, but it is also benefiting patients tremendously.
1. SSgt Agulto, had failed Physical Training test in November 22, 2013 with a composite score of 39.5. He learned the importance and the consequences from not meeting the standards in accordance AFI 36-2905. He re-test and pass with an excellent score of 98.75 in February 18, 2014. He had been exempt in Aerobic test since his last failed as a result of a hip injury. Also he will be having a surgery schedule in March 1, 2017. With the following; Arthroscopy, femoroplasty, acetabuloplasty, labrum, repair vs. a resection.
DOI: 2/10/1987. Patient is a 70-year-old male truck driver who sustained injury when he lost footing and twisted his back. Per OMNI, he is status post fusion at L4-S1 in 1989, with hardware removal in 1996.
The IHDI classification uses the H-point as the important reference landmark to determine the location of the hip, which ias defined as midpoint of the superior margin of the proximal femoral metaphysis replacing the ossific nucleus. As with the Tonnis system, H-line is also drawn through the top of the triradiate cartilages bilaterally. The standard P-line is then drawn perpendicular at the superolateral margin of the acetabulum. Unlike previous Tonnis classification, an additional diagonal line (D-line) is then drawn 45 degrees from the junction of H-line and P-line. The relation of the H-point with these three lines determines the IHDI grade. In an IHDI grade 1 hip, the H-point is at or medial to the P-line. In grade 2, the H-point is lateral