End-Stage Hemophilic Arthropathy: The Journey to Joint Replacement
|
|
|
- Blake Lambert
- 5 years ago
- Views:
Transcription
1 Slide no 1 End-Stage Hemophilic Arthropathy: The Journey to Joint Replacement Husam Darwish, MD, FRCSC Asst. Professor and Consultant Department of Orthopaedic Surgery King Abdulaziz University Jeddah, Saudi Arabia
2 Presentation title Slide no 2 Outline Classification of hemophilic arthropathy Treatment options Pre and perioperative management Outcomes of joint replacement in hemophilia patients
3 Hemophilic Arthropathy Slide no 3 Common Clinical Scenario A 24 y o man presents to clinic c/o left groin pain for 2 years known case of haemophilia A He has had multiple episodes of hemarthrosis since childhood treated with factor VIII replacement Currently he is unemployed due to the pain and uses Tramadol on a regular basis (150 mg TID) To date all conservative measures have failed to relieve his pain
4 Hemophilic Arthropathy Slide no 4 On examinations: Limited left hip ROM with a 20 0 flexion contracture The contralateral hip, both knees and both elbows are also affected Neurovascular examination is normal
5 Hemophilic Arthropathy Date Slide no 5 X-ray of the pelvis
6 Hemophilic Arthropathy Slide no 6 Radiographic Classification Several Classifications Kellgren And Lawrence Pettersson, Hilgartner
7 Hemophilic Arthropathy Slide no 7 Kellgren And Lawrence 0- Normal 1- Doubtful joint space narrowing and possible osteophytes 2- Definite osteophytes and possible narrowing of joint space 3- Moderate multiple osteophytes, definite narrowing of joint space, some sclerosis, and possible deformity 4- Larger osteophytes and definite narrow joint, sclerosis, and deformity
8 Hemophilic Arthropathy Slide no 8 Grade 4 Left Hip OA
9 Hemophilic Arthropathy Slide no 9 Modified Hilgartner Most commonly used clinically Structured to assist in surgical decisions Each grade represents significant alteration in disease progression influencing management Grade I: Effusion Soft tissue thickening Juxta-articular osteopenia Luck et al: JAAOS;12:235
10 Hemophilic Arthropathy Slide no 10 Modified Hilgartner Grade II: Widened epiphysis Surface irregularities Small erosions Normal joint space Luck et al: JAAOS;12:235
11 Hemophilic Arthropathy Slide no 11 Modified Hilgartner Grade III: Narrowing of joint space Bony cysts may be present Extensive surface erosions Luck et al: JAAOS;12:235
12 Hemophilic Arthropathy Slide no 12 Modified Hilgartner Grade IV: Complete loss of joint space Marked surface irregularity Significant angulation Sclerosis & subluxation Luck et al: JAAOS;12:235
13 Hemophilic Arthropathy Slide no 13 Diagnosis End-stage left hip osteoarthritis Secondary to recurrent hemarthrosis
14 Hemophilic Arthropathy Slide no 14 Treatment Options Arthroplasty: Hemi-arthroplasty (Bipolar) Hip Resurfacing Total Hip Arthroplasty (THA)
15 Hemophilic Arthropathy Slide no 15 How should we manage this patient?
16 Hemophilic Arthropathy Slide no 16 Multidisciplinary Approach Starts with the Hematologist: Prevention of recurrent hemarthrosis Prompt diagnosis and treatment Development of a data base/registry Laboratory support: Plasma derived or Recombinant clotting factors Assessing for inhibitors Man power on the day of surgery to assess plasma factor levels Availability of PRBCs
17 Hemophilic Arthropathy Slide no 17 Multidisciplinary Approach Nurses Physical therapy: Pre-operatively to improve ROM and pain through modalities Atilla et al; Haemophilia 2012 pre-op knee flexion contracture of 27.5 is an important threshold. Patients should be operated before that stage. Post-operatively
18 Hemophilic Arthropathy Slide no 18 Multidisciplinary Approach Pain management: Pre-operative consultation to assist in post-op Rx Anesthesia: Cooperation and clear communication is key Spinal/GA Englbrecht et al; Anaesthesist Evidence-based recommendations for neuraxial anaesthesia in patients with hemophilia, vwd or ITP cannot be offered Supplementation of the missing factor to normal levels and monitoring during procedure is essential if neuraxial block is performed
19 Hemophilic Arthropathy Slide no 19 Multidisciplinary Approach Orthopedic Surgeon: The Maestro coordinating between disciplines Technical consideration to address Altered anatomy (pre-op CT) Cysts and bony defects LLD Requiring individualized surgical approaches Special instruments/implants
20 Hemophilic Arthropathy Slide no 20 Peri-operative Considerations Timing of surgery Maintenance of coagulation factor level DVT prophylaxis Infection risk Outcomes of arthroplasty
21 Hemophilic Arthropathy Slide no 21 Peri-operative Considerations Timing of Surgery: Early in the week, early in the day Maintenance of coagulation factor level: Factor VIII level 120% at surgery Factor VIII level 60-80% for 72 hours Then 50% from 72 hours to 2 weeks WFH Factor VIII level at 100% from pre-op to 1 week Factor VIII level 50-75% from 1-2 weeks Wong et al
22 Presentation title Slide no 22 Peri-operative Considerations DVT prophylaxis: AAOS guidelines do not specifically address pt with haemophilia ACCP recommends mech prophylaxis with chemoprophylaxis added when safe
23 Hemophilic Arthropathy Slide no 23 Periprosthetic Infection Perioperative clotting factor replacement and infection in total knee arthroplasty Systematic review of 19 retrospective case series 556 TKA in 455 patients Overall infection rate 7.9% Maintenance of high levels of clotting factors for 2 weeks 2.15% infection rate Case series using the clotting factor replacement regime currently recommended in the World Federation of Hemophilia guidelines 9.22% infection rate (P= ) Conclusion: supports the maintenance of higher levels of clotting factor for a prolonged period of time Wong et al; Haemophilia 2011
24 Hemophilic Arthropathy Slide no 24 Outcomes Norian et al; JBJS 2002 Retrospective review of 53 TKA in 38 patients 90% survival at 5 years with infection responsible for 7 of 11 failures HIV status didn t significantly affect the risk of infection Zingg et al; Knee Surg Sports Traumatol Arthrosc consecutive TKA in 30 hemophilia patients 34 knees were available at 9.6 yr f/u 94% good or excellent results 6% infection rate 90% survival at 10 years
25 Hemophilic Arthropathy Slide no 25 Outcomes Wang et al; Haemophilia 2012 Retrospective review of 65 consecutive joints in 45 patients 40 TKA and 18 THA with 10.7 yr f/u Knee Society clinical score, 83% good to excellent results Harris Hip Score, 31% were good to excellent Patient satisfaction with pain relief is higher than satisfaction with functional improvement 88% of pt would have surgery again Cementing? Kelley et al; JBJS % stems, 23% cups revised w/in 8 years No loosening in press-fit
26 Hemophilic Arthropathy Slide no 26 Summary Start with prevention Multidisciplinary ownership of the patient Clear communication between specialties Haemophilia Center Set patients expectations (pain not function) Adequate arthroplasty survivorship with high risk for infection extensive research regarding prophylactic protocols in hemophilic patients is needed before evidence-based recommendations can be made
Haemophilia. Management of Haemophiliac Arthropathy Orthopaedic Point of View. Epidemiology of Haemophilic joint disease
Haemophilia Management of Haemophiliac Arthropathy Orthopaedic Point of View Dr. Alexander Chan Department of Orthopaedics & Traumatology Prince of Wales Hospital Deficiency of clotting factor VIII, and
H.P. Teng, Y.J. Chou, L.C. Lin, and C.Y. Wong Under general or spinal anesthesia, the knee was flexed gently. In the cases of limited ROM, gentle and
THE BENEFIT OF ARTHROSCOPY FOR SYMPTOMATIC TOTAL KNEE ARTHROPLASTY Hsiu-Peng Teng, Yi-Jiun Chou, Li-Chun Lin, and Chi-Yin Wong Department of Orthopedic Surgery, Kaohsiung Veterans General Hospital, Kaohsiung,
Non-Arthroplasty Hip Surgery. Javad Parvizi MD FRCS Professor of Orthopaedic Surgery
Non-Arthroplasty Hip Surgery Javad Parvizi MD FRCS Professor of Orthopaedic Surgery Subcapital reduction osteotomy Relative lengthening of femoral neck (Perthes) AVN surgery Femoral osteotomy Trap door
For Commercial products, please refer to the following policy: Preauthorization via Web-Based Tool for Procedures
Medical Coverage Policy Total Joint Arthroplasty Hip and Knee EFFECTIVE DATE: 08/01/2017 POLICY LAST UPDATED: 06/06/2017 OVERVIEW Joint replacement surgery, also known as arthroplasty, has proved to be
Original Date: December 2015 Page 1 of 8 FOR CMS (MEDICARE) MEMBERS ONLY
National Imaging Associates, Inc. Clinical guidelines TOTAL JOINT ARTHROPLASTY -Total Hip Arthroplasty -Total Knee Arthroplasty -Replacement/Revision Hip or Knee Arthroplasty CPT4 Codes: Please refer to
A study of functional outcome after Primary Total Knee Arthroplasty in elderly patients
Original Research Article A study of functional outcome after Primary Total Knee Arthroplasty in elderly patients Ragesh Chandran 1*, Sanath K Shetty 2, Ashwin Shetty 3, Bijith Balan 1, Lawrence J Mathias
Unicondylar Knee Vs Total Knee Replacement: Is Less Better In the Middle Aged Athlete
Unicondylar Knee Vs Total Knee Replacement: Is Less Better In the Middle Aged Athlete Chair: Maurilio Marcacci, MD Alois Franz "Basic principles and considerations of the Unis" Joao M. Barretto "Sport
Improving Patient Outcomes in the Management of Hemophilia. Disclosures
Improving Patient Outcomes in the Management of Hemophilia Mark T. Reding, MD Associate Professor of Medicine Division of Hematology, Oncology, and Transplantation Director, Center for Bleeding and Clotting
Common and New Orthopaedic/Physical Therapy Recommendations. Mauricio Silva MD
Common and New Orthopaedic/Physical Therapy Recommendations Mauricio Silva MD Hemophilia Journal WFH Website Recommendations regarding the clinical management of people with hemophilia Practice statements
Prophylaxis & Arthropathy
Prophylaxis & Arthropathy On-Demand and Prophylaxis Treatment Coagulation factor replacement may be given when a bleed occurs (on-demand therapy) or before bleeding occurs, to prevent bleeds (prophylactic
ISSUES FROM AN ORTHOPEDIC PERSPECTIVE
ISSUES FROM AN ORTHOPEDIC PERSPECTIVE John Brown, MD The Core Institute Objectives: Understand the common orthopedic problems of the geriatric population. Describe the standard treatment algorithms for
Range of motion after total knee arthroplasty in hemophilic arthropathy
Kubeš et al. BMC Musculoskeletal Disorders (2018) 19:162 https://doi.org/10.1186/s12891-018-2080-0 RESEARCH ARTICLE Open Access Range of motion after total knee arthroplasty in hemophilic arthropathy Radovan
Osteoarthritis. Dr Anthony Feher. With special thanks to Dr. Tim Williams and Dr. Bhatia for allowing me to use some of their slides
Osteoarthritis Dr Anthony Feher With special thanks to Dr. Tim Williams and Dr. Bhatia for allowing me to use some of their slides No Financial Disclosures Number one chronic disability in the United States
Haemophilia and Orthopaedic Surgery. Brett Halliday Orthopaedic Surgeon Holy Spirit Northside and Royal Brisbane Hospitals
Haemophilia and Orthopaedic Surgery Brett Halliday Orthopaedic Surgeon Holy Spirit Northside and Royal Brisbane Hospitals Disclaimer Director of Education OTC South Pacific No funds or company support
The Treatment of Flexion Contracture of the Knee Joint in Hemophilic Patients Using Gradual Manipulation and Serial Casting
THE FLEXION IRAQI POSTGRADUATE CONTRACTURE MEDICAL IN HEMOPHILIC JOURNAL PATIENTS VOL. 13,NO.3, 2014 The Treatment of Flexion Contracture of the Knee Joint in Hemophilic Patients Using Gradual Manipulation
Treatment of Acute Traumatic Knee Dislocations
Treatment of Acute Traumatic Knee Dislocations Angelo J. Colosimo, MD Head Orthopaedic Surgeon University of Cincinnati Athletics Director of Sports Medicine University of Cincinnati Medical Center Associate
Treatment of Acute Traumatic Knee Dislocations
Treatment of Acute Traumatic Knee Dislocations Angelo J. Colosimo, MD Head Orthopaedic Surgeon University of Cincinnati Athletics Director of Sports Medicine University of Cincinnati Medical Center Associate
Clinical Results of Genesis-I Total Knee Arthroplasty
Acta Medica et Biologica Vol. 49, No.2, 47-52, 2001 Clinical Results of Genesis-I Total Knee Arthroplasty for Patients with Knee Osteoarthritis: A Five-year Longitudinal Study H aojiang Kuanyu LIU1, Go
Total Hip and Knee Arthroplasty When to Proceed to Surgery Scott T. Ball, MD
Total Hip and Knee Arthroplasty When to Proceed to Surgery Scott T. Ball, MD Chief, Adult Joint Reconstruction Associate Professor, Department of Orthopaeic Surgery University of California, San Diego
Minimally Invasive Hip and Knee Replacement in the Active Patient
Minimally Invasive Hip and Knee Replacement in the Active Patient Updates and Emerging Technologies in Diagnosis, Treatment, and Outcomes Ravi K. Bashyal, MD NorthShore University HealthSystem Department
Evaluation and Treatment of Knee Arthritis Classification of Knee Arthritis Osteoarthritis Osteoarthritis Osteoarthritis of Knee
1 2 Evaluation and Treatment of Knee Arthritis John Zebrack, MD Reno Orthopaedic Clinic Classification of Knee Arthritis Non-inflammatory Osteoarthritis Primary Secondary Post-traumatic, dysplasia, neuropathic,
Rotator Cuff Repair Outcomes. Patrick Birmingham, MD
Rotator Cuff Repair Outcomes Patrick Birmingham, MD Outline Arthroscopic Vs. Mini-open Subjective Outcomes Objective Outcomes Timing Arthroscopic Vs. Mini-open Sauerbrey Arthroscopy 2005 Twenty-six patients
MUSCULOSKELETAL COMPLICATIONS OF HEMOPHILIA: THE JOINT
TREATMENT OF HEMOPHILIA March 1997 No. 6 MUSCULOSKELETAL COMPLICATIONS OF HEMOPHILIA: THE JOINT Marvin S. Gilbert Mount Sinai Medical Hospital New York, U.S. Published by the World Federation of Hemophilia
Fundamentals of Hip and Knee Arthroplasty for Orthopaedic Residents. Presented by AAOS, AAHKS, The Knee Society and The Hip Society PROGRAM SCHEDULE
Fundamentals of Hip and Knee Arthroplasty for Orthopaedic Residents Presented by AAOS, AAHKS, The Knee Society and The Hip Society PROGRAM SCHEDULE SURGICAL SKILLS! May 18 20, 2018 Long Beach, CA Erik
Functional and radiological outcome of total knee replacement in varus deformity of the knee
ISSN: 2319-7706 Volume 4 Number 4 (2015) pp. 934-938 http://www.ijcmas.com Original Research Article Functional and radiological outcome of total knee replacement in varus deformity of the knee Sandesh
Incidence of DVT Post- Hip or Knee Replacement. A Comparison of Incidence at Boundary Trails Health Centre to a Credible Baseline Incidence
Incidence of DVT Post- Hip or Knee Replacement A Comparison of Incidence at Boundary Trails Health Centre to a Credible Baseline Incidence Background DVTs Pulmonary Embolisms Death Symptomatic DVTs (leg
Condylar constrained system in primary total knee replacement: our experience and literature review
Original Article Page 1 of 5 Condylar constrained system in primary total knee replacement: our experience and literature review Luigi Sabatini 1, Salvatore Risitano 1, Lorenzo Rissolio 1, Andrea Bonani
Medical Policy Original Effective Date: Revised Date: 07/26/17 Page 1 of 9
Page 1 of 9 Disclaimer Description Coverage Determination/ Clinical Indications Refer to the member s specific benefit plan and Schedule of Benefits to determine coverage. This may not be a benefit on
Hip Pain in Adults: Evaluation 67th Annual McGill Refresher Course for Family Physicians Dec6/2016
Hip Pain in Adults: Evaluation 67th Annual McGill Refresher Course for Family Physicians Dec6/2016 David J Zukor MD FRCSC Chief Department of Orthopedic Surgery SMBD-Jewish General Hospital Associate Professor
Hip Complications Knee Complications
Hip Complications Knee Complications Early Late Definition Less than 3 months Stephen R Smith Orthopaedic Surgeon Northeast Nebraska Orthopaedics P C Norfolk Nebraska Postoperative Course of the Total
Anterior knee pain following total knee replacement caused by isolated Paget's disease of patella
ISPUB.COM The Internet Journal of Orthopedic Surgery Volume 9 Number 2 Anterior knee pain following total knee replacement caused by isolated Paget's disease of patella R Gupta, S Canty, W Ryan Citation
DISCLOSURE FNFX ORIF OR ARTHROPLASTY? 11/21/2016 FEMORAL NECK FRACTURES: ORIF OR ARTHROPLASTY? ROYALTIES DEPUY, BIOMET
FEMORAL NECK FRACTURES: ORIF OR ARTHROPLASTY? GEORGE HAIDUKEWYCH, MD ORLANDO, FLORIDA DISCLOSURE ROYALTIES DEPUY, BIOMET CONSULTING DEPUY, SYNTHES, BIOMET, RESPONSIVE ORTHOPEDICS STOCK OWNERSHIP ORTHOPEDIATRICS
Evaluation and Management of Knee Pain. Michael Cassat, MD University of Arkansas for Medical Sciences
Evaluation and Management of Knee Pain Michael Cassat, MD University of Arkansas for Medical Sciences Disclosure I have no actual or potential conflict of interest in relation to this program/presentation.
R/F. Can T-smart Tomosynthesis Improve Diagnostic Accuracy on THA Component Stability? 1. Abstract
R/F Can T-smart Tomosynthesis Improve Diagnostic Accuracy on THA Component Stability? Professor and Chair Dept. of Adult Reconstructive Surgery Beijing Jishuitan Hospital, the 4th Clinical College of PKU
Shoulder Joint Replacement
Shoulder Joint Replacement Although shoulder joint replacement is less common than knee or hip replacement, it is just as successful in relieving joint pain. Shoulder replacement surgery was first performed
Reverse Total Shoulder Arthroplasty: A New Frontier (of Complications)
Reverse Total Shoulder Arthroplasty: A New Frontier (of Complications) Emilie Cheung, MD Associate Professor Chief Shoulder Elbow Svc Stanford University Department of Orthopedic Surgery Procedure volumes
Surface Replacement for the Active Patient with GH DJD. Disclosures. Popularized by Copeland 3/1/2018
Surface Replacement for the Active Patient with GH DJD E. Rhett Hobgood, M.D. MS Sports Medicine Jackson, MS Disclosures Consultant for Exactech No royalties from any company Fellowship support from Mitek,
Management of arthritis of the shoulder. Omar Haddo Consultant Orthopaedic Surgeon
Management of arthritis of the shoulder Omar Haddo Consultant Orthopaedic Surgeon Diagnosis Pain - with activity initially. As disease progresses night pain is common and sleep difficult Stiffness trouble
Management of the Younger Arthritic Shoulder
Conflict of Interest Slide Management of the Younger Arthritic Shoulder Gerald R. Williams, Jr, MD John M. Fenlin, Jr, MD Professor of Shoulder and Elbow Surgery Royalties Depuy: shoulder arthroplasty
Musculo-Skeletal Complications of Hemophilia
Review Elmer Press Musculo-Skeletal Complications of Hemophilia E. Carlos Rodriguez-Merchan Abstract Prophylactic treatment from ages 2 to 18 years could avoid the development of hemophilic arthropathy
Femoral neck fracture during physical therapy following surface replacement arthroplasty: a preventable complication?
CASE REPORT Open Access Femoral neck fracture during physical therapy following surface replacement arthroplasty: a preventable complication? A case report Timothy R Judkins, Michael R Dayton * Abstract
SPECT/CT Imaging. Knee & Hip Prosthesis
SPECT/CT Imaging Knee & Hip Prosthesis Helmut Rasch, Michael T. Hirschmann Institute of Radiology and Nuclear Medicine, Dept. Orthopaedic Surgery and Traumatology, -Bruderholz, Switzerland helmut.rasch@unibas.ch
We are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists. International authors and editors
We are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists 3,900 116,000 120M Open access books available International authors and editors Downloads Our
WHAT YOU IS BACK WITHIN ARM S REACH
YOUR TOTAL SHOULDER REPLACEMENT SURGERY STEPS TO RETURNING TO A LIFESTYLE YOU DESERVE WHAT YOU IS BACK WITHIN ARM S REACH Nathan Richardson, MD Orthopedics, Shoulder & Elbow Surgeon Board Certified in
Outcome of Treatment of Osteoarthritis with Arthroscopic Debridement and Autologous Conditioned Plasma
Doi: http://dx.doi.org/10.5704/moj.1703.008 Outcome of Treatment of Osteoarthritis with Arthroscopic Debridement and Autologous Conditioned Plasma King CKK, FRCS, Yung A, FRCS Department of Orthopaedics,
Functional Outcome of Uni-Knee Arthroplasty in Asians with six-year Follow-up
Functional Outcome of Uni-Knee Arthroplasty in Asians with six-year Follow-up Ching-Jen Wang, M.D. Department of Orthopedic Surgery Kaohsiung Chang Gung Memorial Hospital Chang Gung University College
Results of arthroscopic surgery, with or without high Tibial osteotomy, in osteoarthritis of knee
2018; 2(3): 100-105 ISSN (P): 2521-3466 ISSN (E): 2521-3474 Clinical Orthopaedics www.orthoresearchjournal.com 2018; 2(3): 100-105 Received: 17-05-2018 Accepted: 18-06-2018 Dr. Tarkik Amin Assistant Professor,
Total Joint Replacement. Hip and Knee Pain Lawrence P. Johnson, MD Merrimack Valley Orthopedic Associates Lowell General Hospital
Hip and Knee Pain Lawrence P. Johnson, MD Merrimack Valley Orthopedic Associates Lowell General Hospital This talk will touch upon the following topics: Understanding the Causes of Hip and Knee pain Treatment
Leg Length Discrepancy in a Patient with Ipsilateral Total Knee and Total Hip Arthroplasty
texas orthopaedic journal CASE REPORT Leg Length Discrepancy in a Patient with Ipsilateral Total Knee and Total Hip Arthroplasty Gaurav S. Sharma, BA; Ronald W. Lindsey, MD Department of Orthopaedic Surgery
young adult patients with advanced haemophilic arthropathy
EXPERIMENTAL AND THERAPEUTIC MEDICINE 16: 3883-3888, 2018 Clinical outcomes of arthroscopic synovectomy for adolescent or young adult patients with advanced haemophilic arthropathy TING ZHANG, SIHUA HUANG,
Anatomic Arthroplasty in Young Active Patients TSA
Anatomic Arthroplasty in Young Active Patients TSA THOMAS (QUIN) THROCKMORTON, MD PROFESSOR SHOULDER AND ELBOW SURGERY UNIVERSITY OF TENNESSEE CAMPBELL CLINIC DEPARTMENT OF ORTHOPAEDICSURGERY I (and/or
Soft Tissue Imaging in. Total Hip Arthroplasty
FDA Orthopaedic Rehabilitation Devices Panel Medical Devices Advisory Committee Meeting Thursday June 28th 2012 Soft Tissue Imaging in Metal-on on-metal Total Hip Arthroplasty Young-Min Kwon MD, PhD, FRCS,
Day of Surgery Discharge after Unicompartmental Knee Arthroplasty (UKA): An Effective Perioperative Pathway. Jay Patel, MD Hoag Orthopedic Institute
Day of Surgery Discharge after Unicompartmental Knee Arthroplasty (UKA): An Effective Perioperative Pathway Jay Patel, MD Hoag Orthopedic Institute UKA Rapid Recovery Protocol Purpose of Study Describe
Role of Imaging in Management of Hemophilic Patients
Pediatric Imaging Ng et al. Imaging of Hemophilic Patients W. H. Ng 1 W. C. W. Chu 1 M. K. Shing 2 W. W. M. Lam 1 K. W. Chik 2 C. K. Li 2 C. K. Li 3 S. C. Ling 3 Ng WH, Chu WCW, Shing MK, et al. Received
the new accurate analysis and classification system of knee joint osteoarthritis
the new accurate analysis and classification system of knee joint osteoarthritis i3a Soft- and Hardware Components created and assembled in Austria Due to the rapidly increasing fraction of aging people
Elbow Fractures ORIF VS Arthroplasty
Elbow Fractures ORIF VS Arthroplasty Oke Anakwenze, M.D. Olympus Orthopedics No disclosures Disclosures Distal humerus fractures 0.5-0.7% of all fractures 30% of all elbow fractures Bimodal etiology Young
Disclosures. Venous Thromboembolism Prophylaxis: What every orthopaedic surgeon needs to know. Published Guidelines
Venous Thromboembolism Prophylaxis: What every orthopaedic surgeon needs to know Paul F. Lachiewicz, MD Chapel Hill Orthopedic Surgery & Sports Medicine Consulting Professor Duke Orthopaedic Surgery Disclosures
Hip and Knee Osteoarthritis in Patients with Non-Insulin Dependent Diabetes Mellitus
Hip and Knee Osteoarthritis in Patients with Non-Insulin Dependent Diabetes Mellitus Laurie L. Jansky, MS, Zbigniew Gugala, MD, PhD. The University of Texas Medical Branch, Galveston, TX, USA. Disclosures:
Hip and Knee Replacements
Hip and Knee Replacements What the PCP Needs to Know Derek Ward, M.D. Assistant Professor of Orthopaedic Surgery Division of Adult Reconstruction University of California, San Francisco 12/2/2017 Disclosures
Cigna Medical Coverage Policies Musculoskeletal Knee Arthroplasty Total and Partial
Cigna Medical Coverage Policies Musculoskeletal Knee Arthroplasty Total and Partial Effective January 25, 2017 Instructions for use The following coverage policy applies to health benefit plans administered
Autosomal Dominant Type I Osteopetrosis Is Related with Iatrogenic Fractures in Arthroplasty
Case Report Clinics in Orthopedic Surgery 2014;6:484-488 http://dx.doi.org/10.4055/cios.2014.6.4.484 Autosomal Dominant Type I Osteopetrosis Is Related with Iatrogenic Fractures in Arthroplasty Ruud P.
Total Hip Replacement in Diaphyseal Aclasis: A Case Report
ISPUB.COM The Internet Journal of Orthopedic Surgery Volume 6 Number 1 Total Hip Replacement in Diaphyseal Aclasis: A Case Report V Singh, S Carter Citation V Singh, S Carter.. The Internet Journal of
STAIRS. What s Hip: Top 5 Hip Problems in Primary Care. I have no relevant disclosures. Top 5 (or 6) Pathologies. Big 3- Questions to Ask
I have no relevant disclosures. What s Hip: Top 5 Hip Problems in Primary Care Alan Zhang MD Assistant Professor Sports Medicine and Hip Arthroscopy UCSF Department of Orthopaedic Surgery December, 2015
DISEASES AND DISORDERS
DISEASES AND DISORDERS 9. 53 10. Rheumatoid arthritis 59 11. Spondyloarthropathies 69 12. Connective tissue diseases 77 13. Osteoporosis and metabolic bone disease 95 14. Crystal arthropathies 103 15.
CLINICAL PAPER / ORTHOPEDIC
HIP LEG LENGTH AND OFFSET Kelley T.C. and Swank M.L. (2009) Using CAS leads to more accurate positioning within the safe zone (inclination between 30 and 50, anteversion between 5 and 25 ) CAS improves
Management of Glenoid and Humeral Bone Loss in Shoulder Instability
Short Stem and Long Stem Professor, Department of Orthopedics Head, Section of Shoulder and Elbow Surgery Team Physician, Chicago White Sox and Bulls Chief Medical Editor, Orthopaedics Today Short Stem
Total Joints and Arthritis. Marc A. Roux, M.D. Chief of Surgery, Baylor Medical Center at Waxahachie August 25, 2012
Total Joints and Arthritis Marc A. Roux, M.D. Chief of Surgery, Baylor Medical Center at Waxahachie August 25, 2012 Joint Replacement Will focus on Knee and Hip OA amd joint replacement Over 500,000
This presentation, entitled Current Practices and Treatment Recommendations for the Management of Hemophilia, will provide information from the
Welcome to the continuing education activity entitled Challenges and Opportunities for Managing Hemophilia. We are pleased to provide you with what we hope will be an informative and meaningful program.
REVERSE SHOULDER REPLACEMENT
REVERSE SHOULDER REPLACEMENT The Reverse Shoulder Replacement is designed specifically for the use in shoulders with a deficient rotator cuff and arthritis, as well as other difficult shoulder reconstructive
why bicompartmental? A REVOLUTIONARY ALTERNATIVE TO TOTAL KNEE REPLACEMENTS
why bicompartmental? A REVOLUTIONARY ALTERNATIVE TO TOTAL KNEE REPLACEMENTS TKR is not always the answer Today, many patients with medial or lateral disease and patellofemoral involvement receive a Total
Not relevant to this presentation.
Nolan R. May, MD Kearney, NE Heartland Surgery Center, Kearney NE Not relevant to this presentation. 1 What are the indications for total shoulder arthroplasty? What are the differences between total shoulder
Presented by : Frank Filice (PT) London Health Sciences Centre
Total Hip Arthroplasty Presented by : Frank Filice (PT) London Health Sciences Centre June 20, 2008 Purpose Provide information that explains the rationale for the post-op precautions. Provide some general
Cigna Medical Coverage Policies Musculoskeletal Knee Arthroplasty Total and Partial
Cigna Medical Coverage Policies Musculoskeletal Knee Arthroplasty Total and Partial Effective February 1, 2016 Instructions for use The following coverage policy applies to health benefit plans administered
Shoulder DJD in Athletic patient. What is Athletic? McCarty University of Colorado Fall Sports Medicine Symposium. Oct. 3, 2008
Indications for Shoulder Arthroplasty in Athletic Patients Eric C. McCarty, M.D. Associate Professor, Dept. of Orthopaedics Chief, Sports Medicine and Shoulder Surgery Head Team Physician, University of
Common Shoulder Problems and Treatment Options. Benjamin W. Szerlip D.O. Austin Shoulder Institute
Common Shoulder Problems and Treatment Options Benjamin W. Szerlip D.O. Austin Shoulder Institute Speaker Disclosure Dr. Szerlip has disclosed that he has no actual or potential conflict of interest in
VARIABILITY OF THE POSTERIOR CONDYLAR ANGLE
VARIABILITY OF THE POSTERIOR CONDYLAR ANGLE Łukasz Cieliński, Damian Kusz, Michał Wójcik Department of Orthopedics Medical University of Silesia in Katowice Introduction Correct positioning of implants
Objectives GRAND TOTAL OF 4! SAME DAY SURGERY TJA NICHOLAS SOTEREANOS MD DISCLOSURES - ZIMMER CONSULTANT 04/12/2016 REMEMBER PATIENTS NEED PROVIDERS
SAME DAY SURGERY TJA NICHOLAS SOTEREANOS MD DISCLOSURES - ZIMMER CONSULTANT EXEC. VICE CHAIRMAN ORTHOPAEDICS ALLEGHENY GENERAL HOSPITAL Objectives DISJOINTED RAMBLINGS OF AN OLD MAD MAN INTERSPERSED WITH
Femoral Acetabular Impingement 10/22/2016
Femoral Acetabular Impingement 10/22/2016 Disclosures No Disclosures to report Questions Does FAI lead to early development of osteoarthritis? Is surgical correction an effective treatment for FAI? Who
Chronic Shoulder Disorders
Chronic Shoulder Disorders Dr. Mustafa Elsingergy Consultant orthopedic surgeon Dallah Hospita Prof. Mamoun Kremli Almaarefa Medical College Contents INTRINSIC Shoulder Pain Due to causes in the shoulder
Anesthetic Techniques for Rapid Recovery in Total Knee Arthroplasty
Anesthetic Techniques for Rapid Recovery in Total Knee Arthroplasty Scott T. Ball, MD Chief, Adult Joint Reconstruction Department of Orthopaedic Surgery University of California, San Diego Disclosures
THE KNEE SOCIETY VIRTUAL FELLOWSHIP
THE KNEE SOCIETY VIRTUAL FELLOWSHIP CHAPTER 2: RADIOGRAPHIC EVALUATION OF THE KNEE Radiographic Evaluation of the Knee Presented by: R. Michael Meneghini, MD COPYRIGHT 2016 THE KNEE SOCIETY Disclosures
Pediatric Severe Hemophilia: Initial Presentation, Characteristics, And Complications
ISPUB.COM The Internet Journal of Hematology Volume 1 Number 2 Pediatric Severe Hemophilia: Initial Presentation, Characteristics, And Complications A Jamil, M Bayoumy, D Iram, B Adler Citation A Jamil,
Effect of Preoperative Physiotherapy Patient Education on Early Functional Mobility of Post-Operative Total Knee Arthroplasty Subjects
Available online at www.scholarsresearchlibrary.com Scholars Research Library Der Pharmacia Lettre, 2018, 10[2]:1-14 [http://scholarsresearchlibrary.com/archive.html] ISSN 0975-5071 USA CODEN: DPLEB4 Effect
CLINICAL AND OPERATIVE APPROACH FOR TOTAL KNEE REPLACEMENT DR.VINMAIE ORTHOPAEDICS PG 2 ND YEAR
CLINICAL AND OPERATIVE APPROACH FOR TOTAL KNEE REPLACEMENT DR.VINMAIE ORTHOPAEDICS PG 2 ND YEAR Evolution of TKR In 1860, Verneuil proposed interposition arthroplasty, involving the insertion of soft tissue
Biomechanical concepts of total shoulder replacement. «Shoulder Course» Day 1. Richard W. Nyffeler Orthopädie Sonnenhof Bern. 11. Sept.
Biomechanical concepts of total shoulder replacement Richard W. Nyffeler Orthopädie Sonnenhof Bern First total shoulder prosthesis Jules Emile Péan, 1830-1898 Monobloc prostheses Charles Neer, 1917-2011
Orthopaedic And Trauma Surgery Of The Hip In Obese Patients. Sébastien LUSTIG MD, PhD, Prof Albert Trillat Center Lyon - France
Orthopaedic And Trauma Surgery Of The Hip In Obese Patients Sébastien LUSTIG MD, PhD, Prof Albert Trillat Center Lyon - France Obesity and Hip Surgery Osteoarthritis and Obesity Risk factors (if surgery)
Augmented Glenoid Component for Bone Deficiency in Shoulder Arthroplasty
Clin Orthop Relat Res (2008) 466:579 583 DOI 10.1007/s11999-007-0104-4 SYMPOSIUM: NEW APPROACHES TO SHOULDER SURGERY Augmented Glenoid Component for Bone Deficiency in Shoulder Arthroplasty Robert S. Rice
Insert dissociation after fixed bearing PS constrained Genesis II total knee arthroplasty. A case series of nine patients
Acta Orthop. Belg., 2015, 81, 747-751 ORIGINAL STUDY Insert dissociation after fixed bearing PS constrained Genesis II total knee arthroplasty. A case series of nine patients Timothy Voskuijl, Thijs A.
Debridement arthroplasty for osteoarthritis of the elbow (Outerbridge-Kashiwagi procedure)
Acta Orthop. Belg., 2004, 70, 306-310 ORIGINAL STUDIES Debridement arthroplasty for osteoarthritis of the elbow (Outerbridge-Kashiwagi procedure) Bart VINGERHOEDS, Ilse DEGREEF, Luc DE SMET From the University
Coagulopatie e Artropatie
Coagulopatie e Artropatie Brescia, 24 Novembre 2017 Luigi Piero Solimeno Director of Ortho-Trauma Unit haemostasis-surgery The challenges posed by undertaking EOS in PWH complicated by N. surgeries Our
Shoulder & Elbow Service, University of Washington Department of Orthopaedics and Sports Medicine
Reverse Total Shoulder or Delta Shoulder for Shoulder Arthritis Combined with Massive Rotator Cuff Tear and for Failed Conventional Total Shoulder Replacement Follow: shoulderarthritis.blogspot.com For
Cartilage Care in the Mature Female Athlete
Cartilage Care in the Mature Female Athlete K. Linnea Welton, MD Hip Preservation Fellow Department of Orthopedic Surgery University of Colorado Women in Sports Medicine Conference February 24, 2018 Disclosures
Developments in Shoulder Arthroplasty
Developments in Shoulder Arthroplasty Andrew L. Wallace PhD MFSEM FRCS FRACS Consultant Shoulder Surgeon Glenohumeral Joint Arthritis Relatively uncommon Not as common as hip/knee/hand UK National Joint
Multiple joint reconstructions in one patient: computer-assisted simultaneous procedures
Case Report Page 1 of 5 Multiple joint reconstructions in one patient: computer-assisted simultaneous procedures Mahmoud Hafez, Hosamuddin Hamza, Raid Aumran Essa The Orthopaedic Department, October 6
Comparison of high-flex and conventional implants for bilateral total knee arthroplasty
ISPUB.COM The Internet Journal of Orthopedic Surgery Volume 14 Number 1 Comparison of high-flex and conventional implants for bilateral total knee arthroplasty C Martin-Hernandez, M Guillen-Soriano, A
Hip Biomechanics and Osteotomies
Hip Biomechanics and Osteotomies Organization Introduction Hip Biomechanics Principles of Osteotomy Femoral Osteotomies Pelvic Osteotomies Summary Inroduction Osteoarthritis is very prevalent Primary OA
Hemophilia: diagnostics and treatment
Hemophilia: diagnostics and treatment Eveline Mauser-Bunschoten Van Creveldkliniek department of benign hematology thrombosis and hemostasis What is hemophilia? Hemophilia A: deficiency of factor VIII
Robotic-Arm Assisted Surgery
Mako TM Robotic-Arm Assisted Surgery for Total Hip Replacement A Patient s Guide Causes of Your Hip Pain Your joints are involved in almost every activity you do. Movements such as walking, bending and
9/27/2016. When All Else Fails: Harrington Hip Reconstruction. Wheelchair bound Peri-acetabular lesion on MRI Anterior and posterior column defects
When All Else Fails: Harrington Hip Reconstruction Matthew J. Seidel, MD 24 September 2016 JA 84 M referred for L acetabulum lesion Hx of renal cell carcinoma Pain began one month ago Unable to bear weight
Fundamentals of Hip and Knee Arthroplasty for Orthopaedic Residents. Presented by AAOS, AAHKS, The Knee Society and The Hip Society PROGRAM SCHEDULE
Fundamentals of Hip and Knee Arthroplasty for Orthopaedic Residents Presented by AAOS, AAHKS, The Knee Society and The Hip Society PROGRAM SCHEDULE SURGICAL SKILLS! April 27 29, 2018 Rosemont, IL Brett