– Position: – place patient in a beach chair position w/ torso flexed 45 deg and the knees flexed to 30 deg; – move patient to the edge of the table (operative side), and use a McConnel positioner to prevent the patient from failing off the table; – patient must lie … Read more
The Basic Types of Spine Frx & their Mechanisms Type Mechanism Compression Flexion anterior anterior flexion lateral lateral flexion Burst … Read more
(see also: Hand Menu; Physical Exam; Radiographs) – Arthroscopy – Arthrography – Aspiration – Arthrodesis – Capitate – Carpal Instability – Carpal Tunnel Syndrome – CarpoMetaCarpal Fracture – CMC Arthritis – CMC Instability in the Thumb – CMC Instability in the Metacarpals – Darrach’s Procedure – DeQuervain’s Disease – Distal Radial Fractures – Dorsal Intercalated … Read more
– Discussion: – used for rigid or mobile lumbar or thoracolumbar Scoliosis with lordosis Posterior transpedicular Zielke instrumentation of the lumbar spine. Anterior Zielke instrumentation for spinal deformity in adults.
– See: – PreOp Planning: – TKR Menu – Lateral View: – note if AP size of lateral femoral condyle > medial condyle; – w/ large discrepancy of small degree of Internal Rotation may be necessary to prevent undercutting anterior cortex; – careful preoperative planning, using templates & … Read more
– Hand: Physical Exam Flex Ext R/Dev. U/Dev. Pro Sup Radial-Ulnar Art. 75 70 25 45 60 60 5/5 5/5 2+ … Read more
– Discussion: – wrist disarticulation: include the removal of the radius and ulna to styloid processes; – shape of stump remains bulbous, thus permitting prosthetic attachment, leaving the elbow free and preserving full pronation & supination; – wrist disarticulation retains distal radio-ulnar joint preserves more forearm rotation, & retaining distal radial flare dramatically … Read more
– See: Wound Management Menu / Dressings.org – Optimization of Wound Dressing: – purpose of a dressing is to protect the wound from diseccation and prevent postoperative contamination; – normal dry skin contains up 10 to 1000 bacteria per gram of tissue while skin in exposed and moist areas contains up … Read more
– Trauma Management: – damage control resusitation – ref: Damage-Control Orthopedics Versus Early Total Care in the Treatment of Borderline High-Energy Pelvic Fractures – fluid management – hypotension is associated with an increased risk of mortality, ARDS, and multiple organ failure; – IV access is secured with at least … Read more
– Discussion: – consequences of anterior instability include Bankart lesion, Hill Sachs lesion, erosion of the anterior glenoid, loose body formation, and stretching of the joint capsule; – features: – degree of trauma involved – distinguish between traumatic dislocations and recurrent … Read more