Ortho Preferred Malpractice Insurance

Split Fractures

– Discussion: Tibial Plateau Frx Menu     – in most split frxs, large articular frag has separated in coronal plane from posterior portion of medial tibial plateau;     – fragment rarely separates from lateral plateau or from anterior aspect of either plateau;     – 22% of these frxs will also have assoc intercondylar eminence … Read more

Split Compression Frx (Type II Frx)

– Discussion: Split Compression /  Type II Fractures:     – split fragment from articular surface along w/ depressed area similar to that of local compression frx;     – lateral wedge frx is combined w/ varying deg of depression of adjacent remaining wt bearing portion of lateral tibial plateau;     – depression is usually located anteriorly or centrally; … Read more

Soft Tissue Coverage for the Leg

 – See:          – Arteriography           – Foot Reconstuctive Surgery           – Microanastomosis           – Pharmocological Agents in Vascular Surgery  – Initial Wound Care of Open Tibia Fractures – Soft Tissue Coverage Following Tibial Frx: (Tibia Frx)     – STSG;           – split thickness skin grafts require a … Read more

Soleus

– See:      – Blood Supply of the Soleus:      – Soleus Muscle Flap:      – Superficial Posterior Compartment: – origin:         – posterior surface of the head and upper 1/3 of the shaft of the fibula;         – middle 1/3 of the medial border of … Read more

Soleus Muscle Flap

– Discussion:  – soleus is a bipiniform (double feather) shaped muscle;  – its width encompasses the posterior two thirds of the calf;  – it originates from the upper one third of the dorsum & medial surface of the fibula and mid-posterior tibia;  – it inserts into the achilles tendon over a 5 cm area just … Read more

Sinus Tarsi

– Discussion:     – sinus tarsi is the depression found on the lateral side of the tarsus and is distal to and on the same level as the lateral malleolus;     – on incision of the structures overlying the sinus tarsi – namely, lateral portion of the inferior extensor retinaculum, interosseous talocalcaneal             ligament and reflection … Read more

Sizing and Seating of the Tibial Tray

– Sizing of the Tibial Component:     – generally, the tibial component is either larger or at least the same size as the femoral component;            – femoral overhang is a significant source of postoperative TKR pain;            – ref:  Overhang of the Femoral Component in Total Knee Arthroplasty: Risk Factors and Clinical Consequences     – … Read more

Sindig-Larsen-Johanssen disease

– Discussion:     – cause of discomfort in anterior aspect of the knee;     – caused by persistent traction at the cartilaginous junction of patella & patellar ligament, usually at inferior patellar pole;     – usually seen in an active preteen boy who complains of activity-related pain;     – differential diagnosis: … Read more