Mike Millis, M.D., Boston Children's Hospital
Mike Millis, M.D., Boston Children's Hospital Mike Millis, M.D., Boston Children's Hospital
Hip Joint-Preserving Techniques Extra-articular Intra-articular • Classic Osteotomy Prox. Femoral (ITO) Pelvic (PAO, etc.) • Arthroscopy • Anterior Arthrotomy • Surgical Dislocation
Points on Surgical Dislocation Approach • Is an approach rather than a specific procedure * Allows extensive dynamic intraarticular assesment * Full dislocation not mandatory * Associated ITO possible * Vascularity to femoral head is reliable and easily protected * Results depend on primary problem
- Page 80 and 81: Impingement of Acetabular Rim Contr
- Page 84 and 85: Protusio Ortho Uni Berne
- Page 86 and 87: Campincer Impingement • Commonest
- Page 88 and 89: Clinical Evaluation for Femoro- Ace
- Page 90 and 91: Contour of the Head-Neck Junction a
- Page 92 and 93: Imaging for F-A Impingement • Pla
- Page 94 and 95: Analysis for F-A Impingement • Pl
- Page 96 and 97: Treatment of pincer impingement (pr
- Page 98 and 99: Treatment of combined femoral and a
- Page 100 and 101: Prerequisite for “Safe” Surgica
- Page 102 and 103: Surgical Dislocation Technique •
- Page 104 and 105: Lateral Position
- Page 106 and 107: Greater Trochanter Piriformis Tendo
- Page 108 and 109: Femoral Head Acetabulum
- Page 110: Improved Access
- Page 114 and 115: Early Harvard Experience with Surgi
- Page 119 and 120: Pre-op, postop offset creation by n
- Page 122: • Acknowledgement to Professor R.
- Page 126 and 127: Cartilage Delamination due to Impin
- Page 128 and 129: Outcome depends on pre-existing dam
- Page 133 and 134: Hip Arthroscopy • What it IS: A s
- Page 135: Slipped Capital Femoral Epiphysis
- Page 141 and 142: Etiologies of Hip OA in North Ameri
- Page 143 and 144: DDH: Primary Anatomic Characteristi
- Page 145 and 146: Clinical Evaluation of the Patient
- Page 147: Plain Radiography: The Gold Standar
- Page 150 and 151: Acetabular depth and version • An
- Page 152 and 153: Indications for Joint-Preserving Th
- Page 154 and 155: Site(s) of Correction • Willy Sut
- Page 156 and 157: Acetabular Redirectional Osteotomy
- Page 158 and 159: Bernese Periacetabular • Single i
- Page 160: Arthrotomy • Useful if labral sx,
- Page 164 and 165: Positioning of the osteotomized fra
- Page 166 and 167: 14 yo F 1 yr hx limp
- Page 169 and 170: Now 49 yo; 11.5 y after PAO; no sym
- Page 171 and 172: CH PAO Numbers • >1100 hips (1991
- Page 173 and 174: 5-15 yr Boston PAO Followup: Mathen
- Page 175 and 176: “Salvage” Joint-Preserving Proc
- Page 178 and 179: Diarthrodial Joint Function Activit
Points on Surgical Dislocation Approach<br />
• Is an approach rather than a<br />
specific procedure<br />
* Allows extensive dynamic<br />
intraarticular assesment<br />
* Full dislocation not<br />
mandatory<br />
* Associated ITO possible<br />
* Vascularity to femoral head<br />
is reliable and easily<br />
protected<br />
* Results depend on primary<br />
problem
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