By S. Terry Canale MD, James H. Beaty MD, Frederick M Azar MD
Ideal for orthopaedic surgeons who desire a functional source overlaying the pinnacle systems within the box, Campbell’s center Orthopaedic Procedures makes use of a succinct structure that focuses completely at the surgical innovations severe in assisting in achieving optimum sufferer results. that includes step-by-step procedures used on the Campbell hospital, this new source deals sensible, concise suggestions for each sufferer scenario.
- Trusted techniques persist with the structure defined in Campbell’s Operative Orthopaedics, 12th version, accompanied by way of special illustrations, intraoperative images, and extra on-line video clips.
- Easily locate information within the second of desire with a realistic, moveable, simply available quantity that includes the main suitable approaches used on the Campbell Clinic.
- Covers tactics from all physique areas offered in a concise atlas-style format that comes with knowledgeable seek advice publication with snapshot enhancements.
- Procedural steps lead with art and are by means of bulleted information in order that thoughts will be speedy reviewed.
- Expert seek advice publication model incorporated with purchase. This better booklet adventure allows you to look the entire textual content, figures, references, and movies from the booklet on numerous devices.
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Additional resources for Campbell's Core Orthopaedic Procedures, 1e
Figure 5-2 Make two radial incisions in the posterior capsule to create a posterior capsular flap. This is helpful for retraction and later repair (Figure 5-2). ■ Dislocate the femoral head and perform a complete anterior capsulotomy with sharp scissors. The inferior portion of the capsule is seen by extending and internally rotating the femur. The psoas tendon is exposed at the lesser trochanter, and the capsule is isolated just in front of the psoas tendon. ■ Figure 5-3 While maintaining the scissors just posterior to the psoas tendon, incise the capsule from inferior to superior.
Press fit the cup into position and remove any excess osteophytes. Snap the polyethylene liner into position and use a head impactor to ensure that it is fully seated. ■ Once the cup is firmly positioned, turn attention to the proximal femur. Elevation of the femur is necessary for broaching and is the most difficult step in the anterior approach. ■ Move the operative hip into adduction and external rotation (abduct the nonoperative hip). ■ Figure 3-8 Palpate the greater trochanter and use electrocautery to incise the capsule overlying it.
A pillow is used under the thigh to protect the rectus repair, and active flexion is avoided for 6 weeks. Abductor strengthening is begun immediately and is continued with a home exercise program. Crutches are discontinued at 6 weeks, and activities are resumed gradually as tolerated. Impact activities, such as running, are not encouraged for at least 6 months. Aspirin, 325 mg, is taken as a thromboembolic prophylaxis, and indomethacin, 75 mg sustained release, is used for heterotopic ossification prophylaxis; therapy with both is continued for 6 weeks.