Chapter 43 - Nonarthroplasty Surgical Treatment of the Hip Flashcards

1
Q

acetabular labrum is most important for maintaining what?

A

joint lubrication

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2
Q

what portion of the acetabulum is deficient in hip dysplasia

A

anterolateral acetabulum

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3
Q

treatment of choice in severe hip dysplasia?

A

PAO

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4
Q

most common PAO and the cuts it involved

A

Bernese PAO
ischial, pubic, iliac, and posterior column osteotomies
allows correction of lateral coverage, anterior coverage, version, and medialization
*risk of overcorrection anteriorly causing secondary FAI

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5
Q

surgical treatment of severe hip dysplasia with MAJOR incongruity

A

chiari osteotomy - salvage osteotomy. relies on the femoral head articulating with fibrocartilage

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6
Q

surgical treatment of coxa valga

A

varus intertrochanteric osteotomy

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7
Q

surgical treatment of scfe chronic deformity

A

flexion/internal rotation intertrochanteric osteotomy

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8
Q

surgical treatment of femoral neck non-union

A

valgus intertrochanteric osteotomy - pauwel osteotomy, copression of the non-union site by horizontal positioning

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9
Q

surgical treatment of resultant legg calve perthes deformities

A

surgical hip dislocation, femoral neck lengthening, trochanteric advancement
valgus proximal femoral osteotomy

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10
Q

indictions for hip arthrodesis

A

patients YOUNGER than 30, that are very active/heavy laborers

must have normal adjacent joints (lumbar, contralateral hip, ipsilateral knee)

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11
Q

position of fusion for hip arthrodesis

A

25-30 degrees of hip flexion
0-5 adduction
5-10 external

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