By S. Terry Canale MD, James H. Beaty MD, Frederick M Azar MD
Ideal for orthopaedic surgeons who want a functional source masking the pinnacle tactics within the box, Campbell’s center Orthopaedic Procedures makes use of a succinct layout that focuses exclusively at the surgical recommendations severe in aiding in attaining optimum sufferer results. that includes step-by-step procedures used on the Campbell sanatorium, this new source bargains sensible, concise recommendations for each sufferer scenario.
- Trusted techniques stick to the layout defined in Campbell’s Operative Orthopaedics, 12th version, accompanied by means of exact illustrations, intraoperative photos, and extra on-line video clips.
- Easily locate information within the second of want with a pragmatic, moveable, simply available quantity that includes the main appropriate techniques used on the Campbell Clinic.
- Covers strategies from all physique areas offered in a concise atlas-style format that incorporates a professional seek advice book with snapshot enhancements.
- Procedural steps lead with art and are by means of bulleted information in order that concepts might be speedy reviewed.
- Expert seek advice publication model incorporated with purchase. This more suitable booklet event allows you to look the entire textual content, figures, references, and video clips from the ebook on a number of devices.
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Extra info for Campbell's Core Orthopaedic Procedures, 1e
Medial Distal Sartorius Proximal Tensor fascia latae Lateral Figure 3-2 Sharply split the fascia longitudinally in line with the muscle fibers, and carry dissection medially to develop the interval between the sartorius and TFL muscles. Because this dissection is within the tensor sheath, the sartorius muscle may not be visible (Figure 3-2). ■ 13 14 PART II HIP ARTHROPLASTY Carry dissection deeper in this interval between the gluteus medius and rectus femoris and place soft-tissue retractors to retract the rectus femoris medially and the gluteus medius laterally.
Remove the trochanteric bursa. ■ Retract the gluteus medius muscle and tendon anteriorly. A hooked instrument, such as a Hibbs retractor, is useful. Under the gluteus medius is the piriformis, which is exposed. Tag the piriformis tendon with suture, and then release it from the femur. Under and anterior to the piriformis tendon are the muscle fibers of the gluteus minimus. With an elevator, raise the gluteus medius off the capsule of the hip completely. The entire capsule of the hip should be exposed superiorly.
POSTOPERATIVE CARE Patients are often discharged the same day as their surgery, but may have an overnight stay. Administration of intravenous narcotics is uncommon, but transition to oral pain medication is often possible about 2 to 3 hours after surgery. Mobilization with physical therapy is begun 3 to 4 hours after surgery if the patient is medically stable and has no nausea or hypotension problems. When the patient can walk approximately 150 feet and ascend and descend a flight of stairs, first with and then without an assistive device, he or she is cleared for discharge.