– See: Posterior Approach to the Humerus; – Positioning: – patient is in lateral position w/ arm brought across the chest; – plan on adusting flexion of elbow inorder to increase or decrease tension; – sterile tourniquet is required; – Technique: – straight longitudinal incision beginning 7-10 … Read more
– See: Posterior Approach to the Humerus; – Discussion: – the distal triceps can be split down the middle with the dissection carried straight down to bone over the olecranon; – care is taken to mobilize full thickness fascial and periosteal flaps both medially and laterally; – the dissection … Read more
(see also: – Trauma Workup; Open Frx; Frx Healing; AO Foundation; ON FRACTURES by Hippocrates.) Acetabular Fracture Ankle Fractures Barton’s Fracture: Dorsal Barton’s Fracture Volar Barton’s Fracture Bennet’s Fracture Both Bone Forearm Frx Boxer’s Frx Burst Fractures (of spine) Calcaneus, Frx Capitulum Fractures Chauffeur’s Fracture Chance Fracture Clavicle Fracture Colles Fracture Compression Frx (Spinal) Condylar … Read more
– Discussion: – simple transverse frxs w/out comminution may have delayed healing which requires close observation to avoid distraction & angulation; – this is especially true if a gap exists at frx site which cannot be closed by non operative means; – Closed Reduction: – note these … Read more
– See: – Avulsion Fracture – Comminuted Fractures – Fracture Dislocations – Oblique Fractures – Surgical Approach: – Discussion: – transverse frx enters semilunar notch, & amount of separation of is influenced by the pull of triceps muscle … Read more
– See: – Safe Zone of Pin Insertion Wires Insertion Techniques – Wire Characteristics: – in general 1.5 to 1.8 mm wires need no incision or drill sheath, but larger, 2.0 wires may be inserted w/ sheath through incision; – larger diameter wires will increase … Read more
– Exposure of the Subscapularis: – the upper portion of the subscapularis tendon is exposed by partial release of the CA ligament off the coracoid, by placement of a Homan retractor directly above the coracoid, and by abduction and external rotation of the arm; – the upper portion of the … Read more
– Discussion: – up to 80 % of patients w/ traumatic DJD may expect a good to excellent result at 5 years; – up to 30 % of patients will sustain a major complication over 5 years, which often will require and additional operation; – indications: … Read more
– Discussion: – see rotational alignment in TKR: – rotational mal-alignment may lead to patellar malalignment and varus-valgus instability; – valgus knee may have a lateral condyle which is deficient posteriorly; – therefore, use of the posterior condyles as a reference, may lead to relative internal rotation of the … Read more
– See: – Lateral Retinacular Release: – Patella in TKR; – Discussion: – this is one of the most common causes of failed knee replacement; – position of each TKR components will determine success of patellar component: – no patellar prosthesis will track correctly if the … Read more