– Surgical Indications: – MCP contracture greater than 30 deg; – PIP joint: any significant contracture (more than 20); – precautions: – take care to note any sluggish filling of the digital vessels (Allen’s test); – women may have … Read more
– See: Anesthetic Options – Skin Incision: – begins on mid-lateral aspect of the ulnar side of the thumb, is curved over the MP joint, and extends proximally just ulnar to EPL tendon; – take care to identify branches of the superfical radial nerve at the proximal aspect of the incision; – Adductor … Read more
– Discussion: – bluntly split gluteus maximus proximally in direction of its fibers & coagulate any vessels w/in substance of muscle; – note that muscle does not have to be split in line w/ incision, but can be split in line w/ its fibers in a direction superior to skin incision; … Read more
– Main Menu: – PreOp Planning – radiographs and templating – Surgical Exposure: – Patient Positioning, Preping, Draping – Anterior Longitudinal Midline Approach – Deep Articular Exposure – Patellar Eversion: – Patella: – patellar resurfacing – prior to patellar resurfacing, determine the propensity for the native patella … Read more
– Company Specific Products: – Innomed Products: – Biomet® Flexible Osteotome System – Screw Drivers: – manufacturer specific screw drivers are necessary to remove the acetabular screws; – High-Speed Drills: – disadvantage: these drills remove bone more easily than they do harder cement; – may be needed to remove distal … Read more
– Implant Selection: Osteonics – PreOp Planning: – Patient Positioning: – Anterior Longitudinal Midline Approach: – Synovectomy (if appropriate): – Medial and Lateral Capsular Exposure: – Patellar Eversion: – Articular Exposure: – IM Alignment Rod: – drill is used to enter femoral IM canal just … Read more
– See: – Blount Fracture: Both Bone Forearm Fracture – Plating Techniques – Position: – arm is placed on an upholstered armboard w/ medium elbow flexion and full arm pronation; – Surgical Approach: – interneural approach: lies between ECU (PIN) & FCU (ulnar nerve); – … Read more
– Discussion: – anatomic variations: of tendons in 1st extensor compartment; – APL & EPB tendons may occupy separate canals, or lie together in one osseofibrous canal; – commonly there is one EPB and multiple APL; – there is separation of first extensor compartment more often in pts w/ DeQuervain’s tenosynovitis than in those w/o … Read more
– See: anterolateral approach to the ankle – Anatomy: – peroneus brevis is anterior to peroneus longus at level of ankle joint and is closer to lateral malleolus; (brevis is muscular almost down to the ankle); – flexor hallucis longus is most lateral of deep flexor muscles … Read more
– Incision: – although the closed reduction may require external rotation of the hip, the initial incision is facilitated w/ slight internal rotation of the leg; – make straight lateral incision two finger breadths below the vastus ridge to a point 5-7 cm distally; – typically the … Read more