Orthonotes
by the.bonestories
Menu
Most common indication: displaced femoral neck fracture in elderly. Types: unipolar (Austin-Moore, Thompson) vs bipolar prostheses. Advantages: shorte...
Indications: end-stage hip OA, AVN, RA, ankylosing spondylitis, fracture neck femur (elderly). Contraindications: active infection, severe medical com...
Indications: end-stage OA, RA, post-traumatic arthritis with pain and disability. Contraindications: active infection, severe vascular disease, extens...
Indications: isolated unicompartmental OA with intact ligaments and correctable deformity. Contraindications: inflammatory arthritis, fixed deformity,...
Enhanced recovery protocols (ERAS) enable same-day/next-day discharge in selected patients. Selection: ASA I–II, motivated, good support, no major com...
Computer-assisted surgery (CAS) improves component alignment in TKA/THA. Techniques: imageless and CT-based navigation. Benefits: improved mechanical...
Robotics assists bone preparation and implant positioning (mostly semi-active systems). Potential: improved accuracy, reproducibility, individualized...
PSI uses preop MRI/CT to fabricate custom cutting jigs. Goal: improve accuracy, reduce OR time/inventory; evidence shows marginal accuracy gains witho...
THA: cementless acetabular components standard; femoral fixation cemented (elderly) vs cementless (younger). TKA: tibial components commonly cemented;...
UKA: isolated compartment OA, intact ACL/collaterals, correctible deformity; faster recovery, more natural kinematics. TKA: multicompartment disease,...