Modified posterior approach and its effect on stability and functional outcome in total hip arthroplasty. A retrospective comparative evaluation was done to assess the functional outcome and rate of dislocation in 233 hips (Group A) operated before 2007 by convention posterior approach and 567 hips (Group B) were operated by modified posterior approach.(2007–2011) In this modified posterior approach technique, 2–3 stay sutures (non-absorbale Nylon) are applied in the piriformis tendon, short external rotator and proximal part of Quadratous muscle. Then a conjoint- myocapsular sleeve is raised by starting cutting (with cautery) linearly over the capsule with adherent fibers of gluteus minimus to piriformis tendon, short rotators and part of quadratus to expose and dislocate the head. After inserting the definite prosthesis, upper part of sleeve (capsule, piriformis tendon) is sutured with same nonabsorbable Nylon at the lower part of tip of greater trochanter by passing through the bone with needle or by drilling the bone; lower part of the sleeve is tied with lateral trochanteric bone. Additional stability to repair was given by closing the tendinous part of the gluteus maximus by horizontal cross mattress sutures up its attachment to the proximal femoral shaft.Background:
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Is routine use of suction drain after joint replacement is justified. Prospective evaluation was done to compare the effects of postoperative suction drain in 56 patients with no postoperative drain in 56 patients, undergoing total knee arthroplasty at our institute. Patients having severe systemic diseases, disturbed liver function, obesity, unstable diabetes and coagulation disorders were excluded from the study. Comparative evaluation was done for the blood loss, no of units of blood transfusion, wound hematoma, wound healing, duration of hospital stay, pain and range of motions.Background:
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