– Discussion: – these fractures by definition are associated w/ vascular trauma, and have a high prevalence of infection: – its important to assess viability of the limb, both w/ common sense, as well as w/ objective criteria such as the MESS; – main controversy is whether tp procede on with vascular repair, frx … Read more
– See: – Total Hip Replacement Menu: – Anastomosis of Lower Limb Arteries – Nerve Injuries in THR: – Acetabular Screw Placement: – Discussion: – arterial injuries have been reported in 0.1% to 0.2% of all total hip replacements; … Read more
– Discussion: – in middle of the arm, ulnar nerve pierces medial intermuscular septum and descends in front of the medial head of the triceps; – in 70-80% of individuals, nerve passes under arcade of Struthers; – the arcade is a thin aponeurotic band extending from medial head of … Read more
– See: – Orthofix – Over Distraction of Wrist Joint – Positioning: – supine, hand table, flouro; – prep for contralateral iliac crest (ipsilateral w/ less personel); – Frame Configuration: – Lateral Frame: – 45 deg Oblique Frame: … Read more
– See: – Plating Techniques – Technique: – incision begins in front of radial styloid process, extending proximally in straight line along anteromedial border of the brachioradialis; – brachioradialis is reflected laterally to expose superficial radial nerve in proximal portion; – avoid injury this nerve as … Read more
– See: Medial Approach – Discussion: – allows access to medial malleolar frx; – skin flap, formed with its base posteromedially, usually heals well because of its blood supply from the posterior tibial artery; – saphenous nerve lying adjacent and immediately lateral to saphenous vein must be avoided; – for medial malleolar avulsion fracture: – … Read more
– See: Smith Peterson Approach – Discussion: – major problems with the Watson Jones technique are dealing w/ gluteus medius & minimus, which lie over anteior capsule and must be damaged or cut to obtain adequate exposure; – original Charnely technique used anterolateral approach w/ pt supine, osteotomy of greater troch, … Read more
– Discussion: – allows acces to ankle joint, talus, & other tarsal bones and joints; – it does not allow access to the navicular and 2nd and 1st cuniforms; – avoids all of the important vessels and nerves; – dissection procedes between the peroneus tertius (deep peroneal nerve) and the peroneus brevis (superficial peroneal … Read more
– See: Hetertopic Ossification of the Elbow: – Discussion: – most indicated for flexion contractures of the elbow (w/o extension contracture); – disadvantages: – some patients may gain extension but will loose flexion (especially if they are casted in extension); … Read more
– See: – Arthroscopic Reconstruction – Historic Operations – Revision Bankart Procedure – Bankart Repair: – reattachment of the capsule and glenoid labrum to the glenoid lip; – subscapularis is carefully divided to expose the capsule, and is reapproximated without any overlap … Read more