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Hip Examination (Move (Abduction: 45, Adduction: 30, Flexion: 130,…
Hip Examination
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Look
Examine Pt. Standing
Skin
Scars: esp. lateral and posterior
Bruising, erythema
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Feel
ASIS, iliac crests and pubic rami
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True Shortening
NOF
- Hip dislocation
- Growth disturbance of tibia/fibula
- Osteomyelitis, #s
- Surgery: e.g. THR
- SUFE
- Perthes’ disease
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Hip Arthroplasty
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Types
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THR
Replace femoral head, neck and acetabulum
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Hip Resurfacing
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Indications
May be used in young (<65), active people who are
expected to outlive the replacement.
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Techniques
Posterior Approach
Access joint and capsule posteriorly, reflecting of the
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Anterolateral Approach
Incision over greater trochanter, dividing fascia lata.
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