Ortho Preferred Malpractice Insurance

Intertrochanteric Frx: Sliding Screw Placement in Femoral Head and Neck

– See:         – Screw-Plate Angle / Screw Length          – Unstable Intertrochanteric Fractures  – Anatomical Considerations:  (see considerations for cannulated screw placement)     – osseous anatomy of proximal femur dictates where internal fixation device should be placed for maximum purchase in femoral head;      – maximum bone density is found in the area … Read more

Intra-Articular Frx of the Distal Radius

     – See:  Distral Radius Frx Menu               – Dorsal Barton’s Frx               – Volar Barton’s Frx              – Unstable Distal Radial Frx – Discussion:     – mechanism:           – distal radius articular frx principally result from the die punch mechanism of injury that leads to consistent patterns of articular disruption and often w/ radiographic signs … Read more

Hip Fracture – Operative Planning

– PreOp Management:     – medical conditions, anesthesia, and timing of surgery     – etiology of fracture:            – arrhythmia, osteoporosis, pathologic hip fractures, seizure, stroke                    – ref: Osteoporosis and proximal femoral fractures in the female elderly of Jerusalem.            – fall producing a direct … Read more

FVFG: Hip Incision

– Technique: The approach to the femur is carried down, through a slightly anteriorly curved 20 cm incision, to split the interval between the fascia lata and the gluteus medius. A large Charnley retractor is used throughout the case for the fascial retraction. The deep plane of dissection is between the rectus femoris and the … Read more

Characteristics of Metals and Implants

– Discussion:        – Biomechanics Menu        – Metal Fatigue        – Ultimate Tensile Strength        – Yield Strength:         – Types of Metals:                   – Cobalt Based Alloys                   – Titanium                   – Vitallium                   – Stainless steel         – Combinations of Metals:            – dissimilar metal alloys are used in combination … Read more