Logo of The Journal of Bone & Joint Surgery (Br)
Quick search:        
          Advanced Search
Guest Access | Sign In
Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 4, 442-445.
doi: 10.1302/0301-620X.90B4.20050  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Further opinion
Right arrow FrenchSpanishGermanItalianRomanianPolishRussianCzechGreek
Right arrow Japanese
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow My Folders
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via Web of Science (5)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Amarasekera, H. W.
Right arrow Articles by Griffin, D. R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Amarasekera, H. W.
Right arrow Articles by Griffin, D. R.

The blood flow to the femoral head/neck junction during resurfacing arthroplasty

A COMPARISON OF TWO APPROACHES USING LASER DOPPLER FLOWMETRY

H. W. Amarasekera, MS, FRCS (Ed), Clinical Research Fellow1; M. L. Costa, PhD, FRCS (Tr & Orth), Clinical Senior Lecturer1; P. Foguet, LMC, FRCS (Orth), Consultant Orthopaedic Surgeon2; S. J. Krikler, BSc, PhD, FRCS(Orth), Consultant Orthopaedic Surgeon2; U. Prakash, FRCS(Orth), Consultant Orthopaedic Surgeon2; and D. R. Griffin, MA, MPhil (Epid), FRCS (TrandOrth), Professor of Trauma and Orthopaedic Surgery1

1 Clinical Sciences Institute University of Warwick Medical School, Clinical Sciences Building, University Hospital, Clifford Bridge Road, Coventry CV2 2DX, UK.
2 University Hospitals of Coventry and Warwickshire, Clifford Bridge Road, Coventry CV2 2DX, UK.

Correspondence should be sent to Professor D. Griffin; e-mail: damian.griffin{at}warwick.ac.uk

We used Laser Doppler flowmetry to measure the effect on the blood flow to the femoral head/neck junction of two surgical approaches during resurfacing arthroplasty. We studied 24 hips undergoing resurfacing arthroplasty for osteoarthritis. Of these, 12 had a posterior approach and 12 a trochanteric flip approach. A Laser probe was placed under radiological control in the superolateral part of the femoral head/neck junction. The Doppler flux was measured at stages of the operation and compared with the initial flux. In both groups the main fall in blood flow occurred during the initial exposure and capsulotomy of the hip joint.

There was a greater reduction in blood flow with the posterior (40%) than with the trochanteric flip approach (11%).






(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General