Artroscopia Pediatrica

Artroscopia Pediatrica

domingo, 31 de agosto de 2014

‪#‎REHABILITACION‬ POP ‪#‎ARTROPLASTIA‬ DE ‪#‎CADERA‬


#Artroplastia total de Rodilla por #Artrosis


#Artroplastia : es el remplazo o sustitución de una articulación natural dañada por una artificial o protesica


Artroplastía de cadera


Lesiones de rodilla


A randomised controlled trial of the clinical effectiveness and cost-effectiveness of different knee prostheses: the Knee Arthroplasty Trial (KAT)

http://www.journalslibrary.nihr.ac.uk/hta/volume-18/issue-19

Abstract

Background

In the late 1990s, new developments in knee replacement were identified as a priority for research within the NHS. The newer forms of arthroplasty were more expensive and information was needed on their safety and cost-effectiveness.
Objectives

The Knee Arthroplasty Trial examined the clinical effectiveness and cost-effectiveness of four aspects of knee replacement surgery: patellar resurfacing, mobile bearings, all-polyethylene tibial components and unicompartmental replacement....


Un ensayo controlado aleatorio de la efectividad clínica y el coste-efectividad de las diferentes prótesis de rodilla: el Trial Artroplastia de rodilla (KAT)

Antecedentes 

A finales de 1990, los nuevos avances en el reemplazo de rodilla se identificaron como una prioridad para la investigación en el SNS. Las nuevas formas de artroplastia eran más caros y se requería información sobre su seguridad y rentabilidad.

Objetivos 

La rodilla Artroplastia prueba examinó la efectividad clínica y el coste-efectividad de los cuatro aspectos de la cirugía de reemplazo de rodilla: el rejuvenecimiento de la rótula, rodamientos de móviles, componentes tibiales totalmente de polietileno y reemplazo unicompartimental ....


Con indicación correcta, pueden utilizarse #prótesis parciales de #rodilla #artroplastia


sábado, 30 de agosto de 2014

Discusión entre pares / Tendon transfer in foot deformity





 Power of transferred tendon should be Grade 5 but never less than 4 because after transfer power may decrease upto 1 grade and it should in same direction of pull of weak muscles. We can utilize complete or half of tendon in transfer. Half tendon transfer are being utilized commonly in cerebral palsy & ctev affected foot. In ctev & cerebral palsy we utilized half tendon of tibialis Anterior to lateral side of foot to balance over action of forefoot inversion and half tendon of tibialis posterior in hind foot inversion of cerebral palsy foot . In foot drop, we transferred tibialis anterior to mid portion of foot and in calcaneous foot we transfer peronie & inverter muscle posterior toward insertion of tendoachilis. After tendon transfer, foot will be protected with plaster for 1 month and then with brace. Vigorous therapy can be started after 6 week and child will to walk after 2 month with brace. Person has to wear brace minimum 3-4 months.





Publicado el 27/8/2014
visit to trishlaortho.com for more detail. read complete blogs of tendon transfer at http://cerebralpalsytreatmentindia.wo...
Some time foot deformity is because of muscle imbalnce, in which one or more tendon on one side of joint is weak and tendon on other side is strong so to balance muscle power and normal functioning of foot we have to transfer one of the tendon from remaining one. Most common causes of foot deformity in which we require tendon transfer are cerebral palsy, polio, meningo-myelocoel, CTEV & post traumatic nerve injury. results are good if we get spared tendon with good power in the axis of muscle weakness.

Discusión entre pares / 9years male had a fall treated else 1 year back now cubitus varus and restricted flexion



9years male had a fall treated else 1 year back now cubitus varus and restricted flexion

miércoles, 27 de agosto de 2014

Bladder Tear During Revision Total Hip Arthroplasty

http://www.amjorthopedics.com/the-publication/issue-single-view/bladder-tear-during-revision-total-hip-arthroplasty/92a36411b747792ffaafc6ebb19e359c.html


lunes, 25 de agosto de 2014

Discusión entre pares / 18 months old with bilateral bow legs ( Rickets ) , MANAGEMENT ?




18 months old with bilateral bow legs ( Rickets ) , MANAGEMENT ?