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Tal tha

Megan Rutherford, John D O'Connor, Janet C Hill, David E Beverland, Alex B Lennon, Nicholas J Dunne
INTRODUCTION: Acetabular cup orientation during total hip arthroplasty (THA) remains a challenge. This is influenced by patient positioning during surgery and the method used to orientate the acetabular cup. The aim of this study was to assess current UK practice for patient positioning and cup orientation, particularly with respect to patient supports and techniques used to achieve target version and inclination. METHODS: A literature review and pilot study were initially conducted to develop the questionnaire, which was completed by British Hip Society members ( n = 183)...
May 1, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Charles Rivière, Stefan Lazic, Loïc Villet, Yann Wiart, Sarah Muirhead Allwood, Justin Cobb
Conventional techniques for hip and knee arthroplasty have led to good long-term clinical outcomes, but complications remain despite better surgical precision and improvements in implant design and quality.Technological improvements and a better understanding of joint kinematics have facilitated the progression to 'personalized' implant positioning (kinematic alignment) for total hip (THA) and knee (TKA) arthroplasty, the true value of which remains to be determined.By achieving a true knee resurfacing, the kinematic alignment (KA) technique for TKA aims at aligning the components with the physiological kinematic axes of the knee and restoring the constitutional tibio-femoral joint line frontal and axial orientation and soft-tissue laxity...
March 2018: EFORT Open Reviews
Mohammed Hatem Salal
OBJECTIVE: To assess the results of the use of transverse acetabular ligament (TAL) as an intraoperative indicator for acetabular cup anteversion alignment during total hip replacement. STUDY DESIGN: Case series. PLACE AND DURATION OF STUDY: The Nursing Home Hospital in Baghdad Medical City Complex, Baghdad, Iraq, from October 2014 to June 2015. METHODOLOGY: Patients were operated through a posterolateral approach for primary total hip arthroplasty (THA) in which transverse acetabular ligament (TAL) was identified and used as indicator for cup anteversion...
October 2017: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Huw L M Williams, Gavin E Bartlett, Mark R Norton, Rory G Middleton
INTRODUCTION: Incorrect acetabular component positioning during total hip arthroplasty (THA) may lead to dislocation, impingement, wear and revision. Surgeons commonly use the transverse acetabular ligament (TAL) as a landmark for acetabular component orientation. The posterior acetabular wall (PAW) is a structure easily viewed on plain radiography and its position can help guide acetabular component position. In this study, we examine the efficacy of preoperative radiographs in predicting cup position relative to the PAW...
January 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
José Sampaio-Neto, Alcides José Branco-Filho, Luis Sérgio Nassif, André Thá Nassif, Flávia David João De Masi, Graciany Gasperin
Background: The gastric bypass has nutritional and electrolyte disturbances rate of approximately 17%. The most common deficits are protein malnutrition, ferric and zinc, in addition to the vitamin. Although rare, some malnutrition stages reach such severity that ends up being necessary hospitalization and sometimes revisional or reversal surgical procedures. Aim: To present a proposal of surgical revision for treatment of severe malnutrition after bariatric surgery...
2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
Huaqiang Sun, Shufeng Li, Yeteng He, Teng Wang, Zhaolong Yu, Xinfeng Yan
BACKGROUND/OBJECTIVE: The transverse acetabular ligament (TAL) can be used to position the acetabular cup and may help to improve the accuracy of primary total hip arthroplasty (THA). However, because the TAL may be covered by osteophytes, the ability to find the TAL varies greatly in the reported literature. In the present study, we introduce 2 methods and make a comparison between them to identify the easier procedure for finding an osteophyte-covered TAL. METHODS: During primary THA operations conducted from January 2012 to June 2015, a total of 100 patients (100 hips) were confirmed to have an osteophyte-covered TAL following the exposure of the acetabulum and removal of all soft tissues covering the TAL...
September 29, 2016: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Michael Drexler, Paul R T Kuzyk, Kevin Koo, Allan E Gross, Yona Kosashvili, Nickola Reischl, Tal Frenkel Rutenberg, Oleg Safir
BACKGROUND: Antibiotic-loaded cement spacers in first-stage revision total hip arthroplasty (THA) for managing infection are associated with high dislocation and fracture rates. The aim of this study was to report the use of an antibiotic-loaded cemented supra-acetabular roof augmentation to reinforce hip stability after cement spacer insertion for first-stage total hip revision in the treatment of infected THA. METHODS: We retrospectively reviewed a consecutive series of 50 THAs involving 47 patients with an infected hip requiring staged revisions of THA...
November 2016: Journal of Arthroplasty
Tomokazu Fukui, Shigeo Fukunishi, Shoji Nishio, Yuki Fujihara, Okahisa Shohei, Shinichi Yoshiya
The transverse acetabulum ligament (TAL) has been used as an intraoperative anatomical landmark to position the acetabulum cup in total hip arthroplasty (THA). However, the validity of the use of TAL has not been clarified. The purpose of this study was to examine the orientation of the cup component aligned with the TAL in cadaveric study. The 31 hips in 25 whole-body embalmed cadavers were examined. The donors were 12 men and 13 women. Simulated THA procedure using image-free navigation system was performed and a trial cup with a diameter of approximately 2 mm less than the size of the acetabulum were inserted and snugly fitted on the TAL through the posterior wall of acetabulum...
February 22, 2013: Orthopedic Reviews
Hirohito Abe, Takashi Sakai, Toshimitsu Hamasaki, Masaki Takao, Takashi Nishii, Nobuo Nakamura, Nobuhiko Sugano
BACKGROUND AND PURPOSE: It is controversial whether the transverse acetabular ligament (TAL) is a reliable guide for determining the cup orientation during total hip arthroplasty (THA). We investigated the variations in TAL anatomy and the TAL-guided cup orientation. METHODS: 80 hips with osteoarthritis secondary to hip dysplasia (OA) and 80 hips with osteonecrosis of the femoral head (ON) were examined. We compared the anatomical anteversion of TAL and the TAL-guided cup orientation in relation to both disease and gender using 3D reconstruction of computed tomography (CT) images...
October 2012: Acta Orthopaedica
Ki Wai Kevin Ho, George S Whitwell, Steve K Young
INTRODUCTION: We report how changes to our total hip arthroplasty (THA) surgical practise lead to a decrease in early hip dislocation rates. METHODS: Group B consisted of 421 consecutive primary THA operations performed via a posterior approach. The operative technique included a meticulous repair of the posterior capsule, alignment of the acetabular cup with the transverse acetabular ligament (TAL) and a 36-mm-diameter femoral head. We compared the dislocation rates and cost implications of this technique to a historical control Group A consisting of 389 patients...
July 2012: Archives of Orthopaedic and Trauma Surgery
Noah J Epstein, Steven T Woolson, Nicholas J Giori
BACKGROUND: Several studies have reported that the transverse acetabular ligament (TAL) can be used to orient the acetabular component during total hip arthroplasty and that it can be identified in nearly all patients. QUESTIONS/PURPOSES: We attempted to determine how often the TAL could be identified during primary THA and its accuracy as a guide for acetabular component positioning. METHODS: In a prospective series of 63 patients (64 hips) undergoing primary THA, two surgeons attempted to identify the TAL and, if it was found, to use it for acetabular component orientation...
February 2011: Clinical Orthopaedics and related Research
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