Elder Care - Orthopedic: Hip Surgery

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BOARD 1
1. Orientation view: skin incision
2. Surgical view: gluteus maximus exposed
3. Gluteus maximus dissected to expose greater trochanter
4. Further muscular dissection exposing hip joint capsule
5. Osteotomy of greater trochanter and removal of capsule
6. Placement of plate

BOARD 2
1. Surgical view
2. Lateral view: pelvis with break and plate in place
3. Depth gauge measuring through bone (life size 100 mm)
4. Placement of screw
5. Placement of screw along the path of narrow bone to repair fracture.

BOARD 3
1. Tip of screw exiting corext of bone into connective tissue
2. Turning of screw entangling connective tissue and affecting surrounding area
3. Further turning of screw causing kinking of vessels

BOARD 4
1. Orientation view: skin incision
2. Surgical view: posterior soft tissue dissection
3. Femur retracted anteriorly to allow access to acetabulum

BOARD 5
1. Orientation view: skin incision
2-6. Surgical views: opening the hip joint with lateral incision

BOARD 6
1. Guide pin inserted
2. Lag screw length determined
3. Reaming of femur
4. Femur reamed

BOARD 7
1. Lag screw inserted
2. Lag screw tapped
3. Plate advanced onto lag screw shaft
4. Compression applied

BOARD 8
1. Orientation view
2. Femoral neck osteotomized
3. Reaming of acetabulum
4. Acetabular components placed
5. Reaming of femur
6. Femoral head components placed
7. Hip replaced

BOARD 9
1. Orientation view
2. Femoral neck osteotomized
3. Femoral head components placed
4. Hip replaced

BOARD 10
1. Orientation view: skin incision
2. Open surgical view
3. Closed surgical view

BOARD 11
1. Orientation view: skin incision
2. Surgical view: gluteus maximus exposed
3. Gluteus maximus dissected to expose greater trochanter
4. Further muscular dissection exposing hip joint capsule
5. Posterior capsulotomy: exposure of head of femur

BOARD 12
1. Osteotomy of femoral neck and head exposing acetabulum
2. Cross section: osteotomy of femoral neck and head exposing acetabulum
3. Placement of acetabular cup

BOARD 13
1. Osteotomy of femoral neck and head exposing acetabulum with cobra retractors
2. Cross section: osteotomy of femoral neck and head exposing acetabulum with cobra retractors
3. Reaming of acetabulum with cobra retractors
4. Placement of acetabular cup

BOARD 14
1. Orientation view: lateral pelvis and body
2. Complex T fracture of acetabulum with butterfly fragment
3. Normal lateral pelvis for reference
4. Reconstruction plates in place