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S/P Hip Arthroplasty Posterior Approach

$74.97
Definition:
The posterior (Moore or Southern) approach accesses the joint and capsule through the back, taking piriformis muscle and the short external rotators off the femur. This approach gives excellent access to the acetabulum and femur and preserves the hip abductors and thus minimises the risk of abductor dysfunction post operatively. It has the advantage of becoming a more extensile approach if needed. Critics cite a higher dislocation rate, although repair of the capsule, piriformis and the short external rotators along with use of modern large diameter head balls reduces this risk.
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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 flexion >70 degrees, hip abduction > neutral, hip internal rotation
  • Hip stabilization exercises
  • Lower extremity stretching
  • Core stabilization exercises
  • Lower extremity strengthening
  • Gait program
  • Body mechanics education
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