| CHAPTER |
CONTENT |
Total
Hip Operation |
Removal of the diseased hip
joint / Anatomy of the healthy hip joint / Arthritic hip joint / total hip replacement
operation / Fixation of the total hip prosthesis / cemented total hip / cementless total
hip / surgical incision, length / rehabilitation - cemented and cementless TH / approaches
to the hip joint / anterior approach /lateral approach / posterior approach |
|
Mini-incision total
hip operation |
Mini-incision operation / computer- assisted
total hip surgery |
What
is a total hip prosthesis |
|
Function
of a total hip prosthesis |
Range of movement / Muscle tension & leg
length / Modular system of total hip prostheses |
Cemented and
cementless total hips
|
Benefits and disadvantages / cementless cup /
porous coating / press-fit fixation / cementless shaft / the hybrid THR / robotic
surgery / custom-made total hip prosthesis / prostheses for revision operations |
Bearing surfaces of
total hip joints |
friction / wear / polyethylene on metal /
metal-on-metal - ceramic surfaces |
Devices for other hip
replacement operations |
surface replacement prosthesis /
hemi-arthroplasty prosthesis |
|
Morse
tapper |
mechanics
of
Morse
taper |
Hip joint diseases |
arthritis / osteoarthritis / rheumatoid
arthritis / lupus / femoral head necrosis (avascular) / hip dysplasia / hip dislocation
congenital / slipped epiphysis / previous hip infection / fused hip / ankylosing
spondylitis |
Diagnostic methods for
hip joint diseases |
X-ray picture /
CT- computer tomography / magnetic
resonance (MRI) / bone scans / laboratory tests / SED - erythrocyte sedimentation / CRP -
C reactive protein / WBC- white blood cells count |
Candidate for total
hip replacement |
hip pain-main factor for surgery /
waiting with surgery / fused hip joint / who cannot have total hip surgery |
Candidate for
bilateral total hip
|
staged bilateral THR / simultaneous bilateral
THR / candidates for bilateral THR / weight bearing after bilateral THR |
Young age and THR |
young age - reluctance to perform surgery /
young age - hip diseases / young age - definition / young age - operation results of THR /
young age - cementless THR |
Wishes
and
concerns |
|
Expectations and
satisfaction |
preoperative pain /
outcome of operation / pain relief expectations / return of good mood
expectations / return to daily activities expectations / return to work
expectations / return to sports expectations / total hip and pregnancy /
bad outcome of operation and dissatisfaction / heart and lung condition
and dissatisfaction |
|
Pattient
concerns before a THR |
preoperative anxiety / pain
during and after surgery- concern for / urine & bowel problems- concern for /
length of recovery - concern for / AIDS - fear for / postoperative infection - fear
for / blood cloths - fear for / risk of heart failure& death - fear for / nerve
damage - fear for / second operation - fear for / faulty prosthesis - fear for / unequal leg
length - fear for / dislocation of the new hip - fear for |
|
Preparing for surgery |
mental preparation -
understanding / sources of more knowledge / three stages in your preparation / making
lists / medical preparation - pre-admission testing |
|
Donating blood |
autologous (own ) blood /
allogenic (alien) blood / infection risks - AIDS / transfusion- avoiding |
|
Details
on
blood
transfusion |
|
|
Preparing your home |
|
|
What total hip model |
total hip - the best
/ surgeon - the best / questions to ask your surgeon |
|
Conventional total
hips
|
advantages of conventional
total hips / disadvantages of conventional total hips/ results of conventional total
hips |
|
Ceramic total hips |
ceramic total hips -
candidate for/ advantages of ceramic total hips / complications of ceramic total hips /
alumina ceramic / zirconia ceramic / results of ceramic total hips |
|
Metal on metal total
hips |
metal-on-metal total hips
-candidate for / advantages of metal-on-metal TH / levels of metal ions in serum / risks
of metal-on-metal TH / results of metal-on-metal TH / material for |
|
Surface hip
replacement |
surface hip replacement -the
principle of operation / surface hip replacement - the concerns / surface hip replacement
- the candidate for / |
|
Details about surface
hip replacement results |
post
year
2000
reports/ manufacturers /
results |
|
Alternative hip
operations |
arthroscopy / osteotomy /
surface replacement / fusion (arthrodesis) / core decompression / vascularized graft /
hemiarthroplasty / Girdlestone (resection) arthroplasty |
|
Operation and recovery |
anesthesia / spinal block /
epidural block / postoperative pain / pain control / length of stay / operation room
-leaving with / abduction pillow / continuous passive motion |
|
Rehabilitation
after
surgery |
|
|
General complications
after surgery |
heart infarct / pulmonary
emboli / bowel obstruction / retention of urine / confusion |
|
Deep vein thrombosis |
deep vein thrombosis
(DVT)- what is it / deep vein thrombosis -signs of / deep vein thrombosis -
diagnosis of / prevention of deep vein thrombosis / treatment of deep vein thrombosis |
|
Life with a total hip
|
rehabilitation-early / pain -
development after THR / precautions / weight bearing |
|
Women and total hip |
sex after THR / pregnancy and
THR / osteoporosis / diphosphonates / gender difference - results |
|
Sports after THR |
skiing / golf / tennis / other
sports |
|
Total hip and cancer |
|
|
Pain in the total hip |
pain- where? / pain - how
long? / pain - causes / pain -examination of causes |
|
Loosening of total hip |
pain - sign of loosening /
loosening - X-ray picture / treatment of loosening - revision operation / results of
revision operation |
|
Details on loosening
of total hips |
osteolysis / causes of
loosening / treatment of loosening |
|
Total hip infection |
infection -early /
infection- late / infection - hematogenous (blood-borne) / signs of infection /
occurrence rates of infection / disturbances of wound healing / diagnostic methods -
infection / prophylaxis of infection / operation rooms - clean / operation suits -
astronaut-like / antibiotic -prophylactic / infection rate - individual hospitals / |
|
Bacteria
information |
spreading bacteria
/Staphylococcus / Gram - positive / Gram-negative / antibiotic resistance |
|
Bacteria
identification
-new
methods |
|
Antibiotic treatment |
choice of antibiotic /
duration of antibiotic treatment / antibiotic suppression treatment |
|
Treatment of total hip
infection |
exchange operation for
infection / staged exchange operation /antibiotic treatment / results of treatment -hip
infection / cement - antibiotic loaded / failed treatment - hip fusion / failed treatment
- Girdlestone resection |
|
Too long leg |
real leg length discrepancy /
apparent leg length discrepancy / causes of leg length discrepancy |
|
Other complications of
THR
|
dislocation TH prosthesis /
dislocation liner / fracture around TH / ossifications / nerve lesion / breakage of
TH prosthesis / artery lesion / impingement muscles / pain - unclear |