What is a posterolateral approach?
Table of Contents
What is a posterolateral approach?
The postero-posterolateral approach uses reliable and reproducible bony femoral and acetabular landmarks. This gets around the discrepancies associated with different morphotypes or the need for precise trochanter palpation. Posterior implant dislocation remains a complication with the posterior approach to the hip.
How to reduce posterior malleolus?
Approaches to reduction and fixation of posterior malleolar fractures include indirect reduction with percutaneous fixation or direct reduction via open posterolateral, posteromedial or lateral transmalleolar visualization. Indirect reduction is most commonly utilized with the patient in a supine position.
What are posterolateral total hip precautions?
Hip Replacement (Posterior) Precautions: Don’t bend your hip too far. slide 2 of 3, Hip Replacement (Posterior) Precautions: Don’t bend your hip too far, Don’t lean forward while you sit down or stand up, and don’t bend past 90 degrees (like the angle in a letter “L”).
When should a posterior malleolus fracture be fixed?
The treatment of ankle fractures with the involvement of posterior malleolus remains a subject of debate. Most authors recommend fixation when the fracture comprises >25% of the articular surface.
What is attached to posterior malleolus?
The posterior malleolus contributes to the congruity of the ankle joint. Ligamentous attachments include the posterior inferior tibiofibular ligament. This ligament provides 42% of the syndesmotic stability (2).
Where is the incision for a posterior hip replacement?
The posterior approach is traditionally the most common approach used to perform total hip replacement. In posterior hip replacement, the surgeon makes the hip incision at the back of the hip close to the buttocks. The incision is placed so the abductor muscles, the major walking muscles, are not cut.
What are posterior THR precautions?
slide 2 of 3, Hip Replacement (Posterior) Precautions: Don’t bend your hip too far, Don’t lean forward while you sit down or stand up, and don’t bend past 90 degrees (like the angle in a letter “L”). This means you can’t try to pick up something off the floor or bend down to tie your shoes.
How long does it take for a posterior malleolus fracture to heal?
Posterior malleolus fracture
| Healing: | This normally takes approximately 6 weeks to heal. |
|---|---|
| Pain and Swelling: | The swelling is often worse at the end of the day and elevating it will help. Pain and swelling can be ongoing for 3-6 months. Take pain killers as prescribed. |
What are the do’s and don’ts after hemiarthroplasty?
Don’t cross your legs at the knees for at least 6 to 8 weeks. Don’t bring your knee up higher than your hip. Don’t lean forward while sitting or as you sit down. Don’t try to pick up something on the floor while you are sitting.
Why would someone get a Hemiarthroplasty?
A hemiarthroplasty is generally used to treat a fractured hip. It may also be used to treat a hip damaged by arthritis.
