{"title":"Arthroplasty for Proximal Femur Fracture","authors":"M. Curtin, E. Pomeroy, J. Broderick","doi":"10.5772/INTECHOPEN.77053","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.77053","url":null,"abstract":"With an increasing global incidence of hip fractures, designing appropriate treatment strategies for hip fractures is fundamentally important to healthcare professionals, policymakers, and payers of healthcare services. We will evaluate the role of total hip replacement (THR) in the setting of trauma for the acute treatment of hip fractures. In this chapter, we will compare hemiarthroplasty and total hip replacement in the acute setting while also examining the role of arthroplasty in the setting of failed internal fixa tion, as well as in pathologic fractures. We will describe the pearls and pitfalls of surgical technique in these scenarios, highlighted with case examples.","PeriodicalId":192123,"journal":{"name":"Total Hip Replacement - An Overview","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116212987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Anterior Primary Total Hip Arthroplasty","authors":"Ulrich Bechler, B. Springer, F. Boettner","doi":"10.5772/INTECHOPEN.76070","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.76070","url":null,"abstract":"Total hip arthroplasty (THA) is the preferred treatment for end-stage osteoarthritis of the hip. The posterior, posterolateral, direct lateral, anterolateral, or the anterior approaches are the currently established surgical approaches for THA. Over the last decade, the anterior approach has gained increasing popularity. Its muscle-sparing nature and flu -oroscopy-guided component positioning are the most important benefits. It has been suggested that postoperative recovery is facilitated by an anterior approach. Patients do not need to follow hip precautions, and can return to driving after 1 week. The anterior approach uses a muscle interval between the tensor fasciae latae and the rectus femoris to open the capsule without detachment of muscles. Especially, the external rotators and posterior capsule remain intact and reduce the risk of posterior dislocation. Accuracy of acetabular component positioning has an impact on postoperative dislocation rates, polyethylene wear, and impingement. When the operation is done in a supine position, fluoroscopy is available to check the acetabular component inclination and anteversion during THA as well as leg length and offset. The current chapter reports on the surgical approach, surgical technique, and results of anterior THA.","PeriodicalId":192123,"journal":{"name":"Total Hip Replacement - An Overview","volume":"88 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128933887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Vagner, I. Špringrová, P. Přikryl, ŠárkaTomková, R. Moheb
{"title":"Physical Therapy Based on Closed Kinematic Chain Patterns for Patients after Total Hip Replacement","authors":"J. Vagner, I. Špringrová, P. Přikryl, ŠárkaTomková, R. Moheb","doi":"10.5772/INTECHOPEN.76756","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.76756","url":null,"abstract":"In this chapter I will focus on the importance of properly managed movement therapy for patients after total hip replacement. It is necessary to find correct movement patterns which can help patient to become more independent in ADL and locomotion. It seems to be much more effective to choose therapy based on closed kinematic chains (CKC). In CKC we have bigger amount of motor units and it is easier to maintain postural reactiv - ity. The main aim is to use similarity in movement patterns. In therapy we choose pat terns that are similar to ADL activities. Acral Coactivation Therapy (ACT) is a movement therapy that works with these principles. The effects of the therapy are seen in differ ent areas: improvement of patient’s ADL skills, better postural reactivity and stability (lumbo-pelvic stability), decrease subjective level of pain. In the subacute and chronic phase of therapy, we can follow up previous aims and focus on restoring full function and condition.","PeriodicalId":192123,"journal":{"name":"Total Hip Replacement - An Overview","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130525458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Preoperative Planning of Total Hip Arthroplasty","authors":"A. Shaikh","doi":"10.5772/INTECHOPEN.76368","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.76368","url":null,"abstract":"Preoperative planning is a crucial step towards a successful hip replacement. It is approached in five easy steps that includes a comprehensive history and examination, ordering weight bearing standardized radiographs, assessment of patients for fitness in the pre-assessment clinic, choosing the best implants as per individual case basis along with choosing method of implantation and templating the radiographs before starting the procedure to replicate the patient joint anatomy for the best patient outcome and to restore hip joint biomechanics. This further allows anticipating difficulties and pitfalls prior to surgery and thereby reduc- ing the risk of complications associated with the hip replacement surgery.","PeriodicalId":192123,"journal":{"name":"Total Hip Replacement - An Overview","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131998228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Vascular Injury in Total Hip Replacement: Management and Prevention","authors":"N. Singh, S. Rai, A. Rastogi","doi":"10.5772/INTECHOPEN.77256","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.77256","url":null,"abstract":"This chapter analyzed the vascular complications in total hip replacement. Vascular injuries are the uncommon but well recognized and serious issue. During total hip replacement, lac-eration of major blood vessels has been reported which even cause morbidity and mortal- ity. The injury to vascular structures occurs due to the placement of screws to fix acetabular components, structural grafts, and protrusio cages or rings. Massive hemorrhage resulting in immediate exsanguination may be caused due to the damage of any of these vessels by processes such as drilling, reaming, retraction, or dissection. The majority of these vascular injuries might be better prevented or even more proficiently treated by comprehensive pre operative assessment, better instrumentation, and careful postoperative monitoring.","PeriodicalId":192123,"journal":{"name":"Total Hip Replacement - An Overview","volume":"232 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121301350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hip Fracture: Anatomy, Causes, and Consequences","authors":"M. N. Sarvi","doi":"10.5772/INTECHOPEN.75946","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.75946","url":null,"abstract":"Fall-induced hip fracture is a major worldwide health problem among the elderly population. Nowadays, hip replacement surgery represents a big part of the orthopedic surgeons’ workload and has associated remarkable clinical and social cost implications. Hip fractures have several complications including medical and surgical treatment. A significant number of biomechanical models have been introduced to study hip fracture risk. The purpose of proposing the biomechanical models for predicting the hip fracture risk is to introduce prevention and protection activities that may reduce the number of hip fractures. For accurate prediction of hip fracture risk, the fracture procedure and the parameters that affect the risk of hip fracture should be well studied. The objective of this study is to investigate in-depth the hip fracture anatomy, causes, and consequences.","PeriodicalId":192123,"journal":{"name":"Total Hip Replacement - An Overview","volume":"161 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116400776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perioperative Management of Hip Fracture Patients Undergoing Total Hip Replacement","authors":"Bharati Rajdev, S. Sivasubramaniam","doi":"10.5772/INTECHOPEN.76329","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.76329","url":null,"abstract":"Patients with hip fractures have high morbidity and mortality, which has not changed significantly since last two decades. There are various national guidelines in UK, which give guidance to help improve outcomes in these patients such as National Institute for Health and Clinical Excellence ’ s guidelines (NICE), Guidelines from Anaesthetists of Great Britain and Ireland (AAGBI) and Scottish intercollegiate guideline network (SIGN). NICE guidelines recommend total hip replacement (THR) rather than hemiarthroplasty in patients with a displaced intracapsular hip fracture in selected patients. AAGBI has produced guidelines for Management","PeriodicalId":192123,"journal":{"name":"Total Hip Replacement - An Overview","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125602765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Complications of Total Hip Replacement","authors":"Chang Park, Irfan Merchant","doi":"10.5772/INTECHOPEN.76574","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.76574","url":null,"abstract":"Total hip replacement is a highly effective surgical procedure for patients suffering from end stage osteoarthritis and its success in improving symptoms of osteoarthritis has meant that its use has increased across many healthcare systems. Although in experi - enced hands the procedure provides very effective outcomes one must be aware of the potential complications of the procedure. These can be divided into general and proce - dure specific. General complications include infections, postoperative pulmonary issues and thromboembolic complications. Procedural specific complications include a surgi - cal site infection, haemorrhage, nerve injury, dislocation, leg length discrepancy, periprosthetic fractures and heterotrophic ossification. This chapter explores and describes the complications a surgeon may face when performing a total hip replacement and how one may avoid and address these.","PeriodicalId":192123,"journal":{"name":"Total Hip Replacement - An Overview","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131242054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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