OrthopaedicPrinciples.com

Integrating Principles and Evidence

Integrating Principles and Evidence

-Hip Preservation

3D Printing in Hip Preservation Surgery

Courtesy: Dr. V Salil Upasani, Dr Ashok Shyam, Ortho TV   3D Printing in Complex Hip Preservation Overview Three-dimensional printing is emerging as a useful adjunct in orthopaedic surgery, particularly for complex hip deformities and hip preservation procedures. Its greatest value is as a complementary technology that supports, rather than replaces, clinical judgment, surgical expertise, […]

FemoroAcetabular Impingement: Advancing the Arthroscope

Courtesy: Prof Ivan Wong, MD, FRCSC, Dalhousie University, Halifax, Canada   Advances in Hip Arthroscopy for Femoroacetabular Impingement Overview Hip arthroscopy has evolved considerably with improvements in: Patient positioning. Ultrasound-guided access. Portal placement. Labral preservation and repair. Three-dimensional preoperative planning. Capsular management. Computer-assisted and augmented-reality technologies. These advances aim to improve access to the hip, […]

20 Years Experience of Treating FAI

Courtesy: Prof Giancarlo Polesello, MD, PhD,Sao Paolo, Brazil President, Brazilian Hip Society   Hip Arthroscopy: Practical Lessons in Femoroacetabular Impingement Overview Hip arthroscopy has evolved substantially and is now an established treatment option for appropriately selected patients with symptomatic intra-articular hip disorders. The procedure is technically demanding because the hip is a deep joint with: […]

Gluteus Medius Tendon Tears

Courtesy: Raul Lins, Recife, Brazil   Greater Trochanteric Pain Syndrome and Gluteal Tendon Tears Overview Greater trochanteric pain syndrome is a common cause of lateral hip pain. It represents a group of disorders affecting the peritrochanteric region rather than a single disease. Important causes include: Gluteus medius tendinopathy or tear. Gluteus minimus tendinopathy or tear. […]

Ischiofemoral Impingement

Courtesy: Leandro Alves de Oliviera, Brazil   Ischiofemoral Impingement: A Practical Approach to Diagnosis and Management Overview Ischiofemoral impingement is an uncommon cause of posterior hip and deep gluteal pain. It occurs when the space between the ischial tuberosity and the lesser trochanter of the femur becomes narrowed. The quadratus femoris muscle lies within this […]

Surgical Dislocation of Hip

Courtesy: Dr Thiago Busato MD, Hip Surgeon, Curitiba, Brazil   Surgical Hip Dislocation: Principles, Technique and Current Indications Introduction Surgical hip dislocation is a specialized hip-preservation approach that provides extensive exposure of the femoral head and acetabulum while aiming to preserve the blood supply to the femoral head. The technique was developed and popularized by […]

Management of Hip Dysplasia

Courtesy: Dr Ajay Malvya, PhD, FRCS Tr and Orth, Northumbria Healthcare   Hip Dysplasia in Young Adults: Assessment and Periacetabular Osteotomy Introduction Developmental dysplasia of the hip may persist into adulthood as a spectrum ranging from mild acetabular undercoverage to substantial instability and subluxation. In young adults, the important clinical question is not simply whether […]

Femoro-Acetabular Impingement

Courtesy: Prof Venu Kavarthapu, King’s College, London, UK   Femoroacetabular Impingement: Diagnosis, Imaging and Hip Arthroscopy Introduction Femoroacetabular impingement is an important cause of hip and groin pain in young and physically active adults. It results from abnormal contact between the proximal femur and acetabulum during hip movement. Repeated mechanical conflict may damage the acetabular […]

Current Concepts in Periacetabular Osteotomy

Courtesy: Gavin de Kiewiet, Sutherland, UK and Rambam Health Care Campus, Israel   Periacetabular Osteotomy: Principles, Patient Selection and Hip Preservation Introduction Successful hip-preservation surgery begins with a detailed understanding of three-dimensional hip anatomy, biomechanics, blood supply and cartilage biology. Periacetabular osteotomy is primarily a joint-preserving procedure for symptomatic acetabular dysplasia. Rather than creating additional […]