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S/P Hip Arthroplasty Lateral Approach

$74.97
Definition:
The lateral approach is also commonly used for hip replacement. The approach requires elevation of the hip abductors to access the joint. The abductors may be lifted up by osteotomy of the greater trochanter and reapplying it afterwards using wires, or may be divided at their tendinous portion, or through the functional tendon and repaired using sutures. Although this approach has a lower dislocation risk than the posterior approach, critics note that occasionally the abductor muscles do not heal back on, leading to pain and weakness which is often very difficult to treat.
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Symptoms
  • Pain in the hip and or groin
  • Loss of ROM in the hip
  • Pain with standing, walking
  • Stiffness in the hip with sitting
  • Tenderness in the hip
Causes
  • Arthritis
  • Femur fracture
  • Rheumatoid arthritis
  • Avascular necrosis
  • Traumatic arthritis
  • Protrusio acetabuli
  • Benign and malignant bone tumors
Treatment
  • Avoid hip adduction > neutral, hip internal rotation > neutral, hip flexion >90
  • Hip stabilization exercises
  • Lower extremity stretching
  • Core stabilization exercises
  • Lower extremity strengthening
  • Gait program
  • Body mechanics education
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