Causes: repetitive sporting maneuvers, femoroacetabular impingement (FAI), or dysplasia 10-year outcomes following arthroscopic labral debridement and labral repair showed no significant difference in the rate of conversion to total hip arthroplasty (THA) or postoperative outcome scores between groups Superior outcomes in patients treated with arthroscopic labral reconstruction compared to those treated with labral resection Selective debridement may be chosen in…
Contamination with dirt and debris and devitalization of the soft tissues increase the risk of infection and other complications Cultures – not recommended either before or after debridement Most infections at the sites of open fractures are caused by nosocomial bacteria Gustilo Anderson classification for open fractures Antibiotics should be administered to a patient with an open fracture as soon…
Main options for management in such cases: Impaction bone grafting (IBG) Metal augments Cup/ cage constructs The survivorship of the grafted acetabulum and acetabular component was 94% (95% CI: 99-78) at 7 years Hydroxyapatite (HA) granules can also be used instead of IBG Metal augments are made of tantalum, a bio-inert and corrosion-resistant metal that can be shaped into a…
Injuries to the medial collateral ligament (MCL)—most common ligamentous injury of the knee Mechanism – valgus knee loading, external rotation, or both Valgus stress test at both 0° and 30° of knee flexion – increased medial joint opening and diminished endpoint MRI can assess the integrity, severity and location Non operative management for grade I and II Complete MCL injury…
Untreated meniscal tears are at increased risk for developing osteoarthritis Medial tears more common Classified based on location, position, and pattern. Mechanical symptoms (locking and clicking), especially with squatting Clinical examination: joint line tenderness, Apley compression, Thessaly test, McMurray’s test MRI – most sensitive diagnostic test Operative includes : Partial meniscectomy, Meniscal repair, Meniscal transplantation, Total meniscectomy Success rates for meniscal repair…
Causes : Ligamentous insufficiency, Trauma, Neuropathic arthropathy Treat non operatively with full leg rigid inserts for patients without deformity Midtarsal Arthrodesis: Reliable stable construct to achieve and maintain correction of the deformity External fixation was 8 times more likely to develop radiographic nonunion Results of surgery are good in non neuropathic High complications in neuropathic conditions
