Hip replacement

surgery several months ago, in which they went in and smoothed out some cartilage, fixed his meniscus tear, and a few other things. The pain since surgery is worse than it was before surgery. He was told that he would need a knee replacement, or at least a partial replacement, He was told it would be at least two to five years before he would become a candidate, for the…

A review of the records reveals the member to be an adult female with a birth date of 08/12/1956. The member has a diagnosis of Restless Leg Syndrome. The member’s treating provider, Josette Johnson, MD recommended the member continue the use of Gralise ER 600mg tablets. The carrier has denied coverage of Gralise ER 600mg tablets as experimental and/or investigational and not medically necessary. There is a letter from the carrier to the member dated 03/21/2016, which states in part:…

research a total knee prosthesis. This prosthetic has an old and very diverse history that centers mostly around the 1970s, but today has become a multibillion dollar industry with millions of patients undergoing TKA every year. The first total knee replacement was performed by Theophilus Gluck in the 1890s. He used a hinged, ivory prosthetic made from plaster of Paris and colophony. This product obviously had several defects including high infection rates, subpar metallurgy, and inadequate…

Each research article I discovered has a variety of similarities and differences. The first similarity is that both are aimed at the geriatric population who are the main group of individuals who receive a knee replacement. I chose these two topics to see if either approach would be beneficial, since I’ve been faced with multiple TKA patients on this rotation. Also to possibly implement these techniques in my treatment arsenal. 00Each of these articles shares a similar…

Trochanteric Hip Bursitis Treatment Trochanteric bursitis is inflammation of the bursa at the outside point of the hip. A bursa is a fluid filled sack near a joint. This sack functions as gliding surface to reduce friction between body tissues. The plural of bursa is bursae. The major bursae are usually located near large joints such as elbows, shoulders, knees and hips. The hip has two major bursae; ischial bursa and trochanteric bursa. Trochanteric bursa is found on the side of the hip,…

nervous for this one than I was the relay. I knew I was in good standings in ranks before the race, but you never knew. As I was warming up Coach Harsin came up to me and said,”How are you feeling? You loose and relaxed?” I told her I was ready, but my hip was still tight. She just said it was probably nerves and I agreed, that was very likely today. As the first heat started, I was picturing myself running my best race yet. Then the second heat went. Then it was showtime. As I was walking to my…

acetabular shell, minus 3 mm cobalt-chrome femoral head. ANESTHESIA: General endotracheal. COMPLICATIONS: None. ESTIMATED BLOOD LOSS: 250-mL. INDICATIONS: [Name] is a 76-year-old female with a long history of right hip pain, unresponsive to conservative therapy. She was diagnosed with right hip degenerative arthritis and was admitted, after failing conservative treatment, for operative evaluation. OPERATIVE PROCEDURE IN DETAIL: After informed consent was obtained, the patient was brought…

A hip fracture occurs when the UQ (upper quadrant) of a femur bone endures a break. To cause a fracture, one must fall or have a direct blow to the side of the hip. Many medical conditions such as osteoporosis, or cancer can affect the bone so much so that the bone weakens from loss of tissue making bones fragile enough to break even from standing and twisting. However, a hip dislocation occurs when the femur bone is forced out of the ball and socket joint. To dislocate a hip a fall from extreme…

The range of Motion and strength in hips normal completes the whole arc of movements against gravity and resistance without s/s difficulty. ROM and Knee bend normally against gravity, resistance testing deferred due to edema, erythema and popliteal wound. Unable to complete the whole arc of ankle rotation due to pain with movement and edema. Pedal push-pull motion intact, push against full resistance to bottom of foot done without difficulty, equal strength bilaterally. Flexion of foot…

due to subluxation of his hips at this time, however LE tone was observed as high extensor tone. The tone is low in his trunk, neck and head making moving against gravity difficult. At points Aaron presents with extension synergy pattern when startled or excited. His posture is asymmetrical as he keeps his head turned to the left and flexed down.…