pain in her left calf after walking ..
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The most common cause of a hip joint disorder is increasing destruction of the joint cartilage, which can develop into arthrosis of the hip or coxarthrosis. A distinction is made between primary arthroses with largely unknown causes and secondary arthroses after certain basic disorders (congenital malformations, rheumatism, circulatory disorders, accidents or similar). The joint increasingly loses its fit, bony deposits are formed along the edges, and abrasion particles cause repeated pain. The loss of cartilage results in an increasing stiffening of the joint. At the same time, pains occurs, at first associated with initial movement after periods of inactivity and with stress, later also at night and at rest, resulting in an increasing limitation of the walking range and ultimately a reduction in quality of life.
“When I play golf now I no longer have to ice my knee after the round
Revascularization of a chronic total occlusion of the SFA is a relatively straightforward procedure.1 Before the operation, we discuss with the patients the possibility of performing an intervention at the time of the diagnostic procedure if there is an amenable lesion. We perform most of the procedures from a contralateral, retrograde approach but, in select cases, we use an antegrade access. The contralateral approach is easier ergonomically, and we have not found a problem with pushability. Also, unlike the antegrade approach, it does not compromise flow at the end of the procedure if the femoral artery is compressed. Full heparinization is used for all interventions, and we do not upsize the sheath until the lesion is crossed. The tip of the sheath is placed in the distal EIA. If it is advanced too far, it can obturate the vessel and cause an acute occlusion of the common femoral artery or the SFA before or after stent placement. This occurred in three of our previous cases in which the distal tip of the sheath was placed in the proximal SFA.