bern hip symposium 2020 · video examination live history symposium bern 2016 surgical techniques...
TRANSCRIPT
Followup of Patient from Live Surgery Bern Hip Symposium 2018
Department of Orthopedic Surgery, Inselspital, University of Bern
Bern Hip Symposium 2020
Diagnosis
> Steroid induced focal avascular necrosis of the anteromedial femoral head— ARCO Stage 2
> Anterior intraarticular impingement associated with cam-deformity and valgus deformity
Alpha angle 77°
67° 63°
Modified Kerboul angle 130°
Aim of the Surgical Treatment
> Revascularize the necrotic zone
> Perform cartilage treatment
> Address the anterior impingement
> Rotate the necrotic area outside ofthe main weight bearing area
> Surgical hip dislocation
> ’Trap-door’ procedure
> Varus intertrochanteric osteotomy
Varisation 15°
F F