bern hip symposium 2020 · video examination live history symposium bern 2016 surgical techniques...
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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
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