This is a video showing the TTA Plan in action. The planning section is in real time and shows how quickly you can template a patient for TTA. If you cannot view it here you can follow this link
Just a quick note to let everyone know that our CPD Open Day scheduled for tomorrow 26th January has been postponed due to current weather conditions. Whilst roads may well be passable tomorrow, the main event car park is barely safe from the previous snowfall, with the predicted snow fall for this evening, we felt it safer to cancel tomorrow’s event. Apologies to the delegates. We will reschedule for early February and all delegates booked on this course will be informed of the new date.
The hospital is of course fully manned and working this weekend.
This is a quick note on a piece of information that Aldo Vezzoni gave at the THR course in Munich last year. The tendency is to template for stem size and cup size based on a standard, extended hip Ventrodorsal projection as is horn above. The problem with this is that the Kyon cementless THR femoral prosthesis is inserted at an angle that aims to mimic the natural ante version of the hip (20 -25 degrees). This projection will not give a good assessment of the femoral width then in the plane that will be used for implantation.
In fact when we take our post op views we always do the “yoga” view to assess the penetration of the medial cortex by the stem screws and how closely the stem is apposed to the medial cortex:
This is the best view to use in pre operative assessment of the appropriate stem size also. In countries other than the UK this can be done by manually rotating the femur whilst the radiograph is being taken. In the UK we cannot remain within the radiography room and so we use a combination of sand bags and foam supports to rotate the femur as can be seen below.
This gives us a better projection of the femur and reduces the risk of undersized femoral prostheses.
The standard VD projection indicated that this patient would need a small stem, whilst this projection indicates clearly that a medium stem will easily fit. This will guide the surgical opening and reaming of the femur.
It is also an excellent projection for assessing the cranial and caudal lips of the acetabulum which defines cup size.
Just to let you all know that the iPhone App “Torrington Orthopaedics” has now been updated and the update is now available on the App store. It permits background activity so that it will update posts better. You can also pull down on the home page to load new posts.
I ma currently working on my next post which is how to diagnose Cranial Cruciate Ligament Rupture. I am drawing on the data from 650 of our cases and using video and animation to help make the subject more interesting, enjoyable and relevant. If I get a move on I may get this up by the end of the day.
If you have been using the App and enjoy it, why not take the time to rate it on the App store.
Title: Elbow Dysplasia CPD for Vets: Tutor is Andy Torrington
Location: Torrington Orthopaedics, IES House, Mission Street, Brighouse, West Yorkshire, HD6 1NQ
Description: This seminar will cover the theories of the aetiopathogenesis of this disabling condition and move on to explore diagnosis and management options.
Refreshments will be provided.
Start Time: 19:30
Date: 28th September 2011
End Time: 22:00
Book by following this link: http://www.torringtonorthopaedics.com/blog/cpd/
So today Steve Jobs stepped down as CEO of Apple. Everything that you see on this site has been created on an Apple device, this post written in the WordPress App on an iPhone. All of the imagery is made using Maxon Cinema 4D on a MacBook Pro. How will today’s news change this? Hopefully not at all. iOS is now a mature platform that we can all contribute to or interact with. This is surely the strength of any new medium. Just as the person who decided that canvas rather than stone or papyrus was a medium for art gave rise to the art of Da Vinci and Monet, Steve Jobs has democratized the computing world so that anyone from their bedroom can write and own an App on any iOS device with a little effort. This is a true contribution to the cultural richness of our generation and generations to come.
So life will go on. This post is unashamedly a fanboy post, because despite the increasing life expectancy of humans, life will always be too short for a Windows device.
I would imagine I will add to this post over the coming weeks but for now I’m done! Not necessarily an Orthopaedic post but one that relates to the content production for this blog.
My plan to migrate the old site at torvet.co.uk to this site is unfolding. I want to preserve some of the features of the old site whilst utilising the blog based features of the new site. Striking the balance between static and dynamic content is the key I think.
This is the start of a new era for Torrington Orthopaedics. No more just pre worked pages, uploaded from time to time. Now we have a new dynamic site that will be easily and regularly updated. You will want to bookmark this site.
As the page number builds, the content will become more relevant to users of this site. I plan to build the site properly over the coming month.