– Discusssion: – remove 1-2mm of bone using the intramedullary guide. – be aware of the preoperative flexion stability and ROM in choosing posterior slope; – for example, if the knee was unstable in flexion preoperatively, 0 degrees posterior slope may help reduce some of the flexion gap; … Read more
– Discussion: – quick femoral bone cuts by eye: – usually the femoral bone under the prosthesis will be soft, and will impact when the femoral trial is applied; – therefore, there is no need for time consuming bone cuts, when “eyed cuts” are just as good; – the main issue … Read more
Revision Total Knee Arthroplasty – Assistance provided by Michael Berend MD – PreOperative Considerations and Implant Selection: – work up of the painful TKR: – Surgical Approach: (Surgical Approach for Primary TKR); – Component Removal: – prior to component removal, take the knee thru a range of motion and evaluate … Read more
– See: Unstable Intertrochanteric Fractures – Discussion: – in reverse oblique fractures, the major frx line extends from proximal-medial to distal-lateral through intertroch-subtrochanteric region; – marked tendency toward medial dispacement of shaft 2nd hip adductors; – tendency for medial shaft migration may result in … Read more
– Discussion: – may be indicated for: – combined fractures of the femoral neck and shaft and for distal femoral fractures; – multi-trauma patient (procedure can be performed in supine position on regular flouro table); – obese patients … Read more
– Discussion: – this sign is positive in pts with acute or chronic posterolateral instability of the knee; – knee begins in flexion while an external rotation and valgus stress are applied; – supine – valgus stress … Read more
– See: medial meniscus – Discussion: – indications: – any peripheral nondegenerative longitudinal tears < 3 cm; – if tear is w/in 3 mm of the periphery, it is considered vascular; – … Read more
– See: – Kocher Approach: – Elbow Flexion Contracture: – Discussion: – goal of procedure is elevation of common extensor tendon and transection of the anterior joint capsule; – indicated for significant flexion contractures (more than 30 deg) which arise from soft tissue (capsular contracture); … Read more
– References: Fractures and Dislocations of the Talus Talectomy for equinovarus deformity in myelodysplasia. Talar impingement by the anteroinferior tibiofibular ligament. A cause of chronic pain in the ankle after inversion sprain. Subtalar fusion for isolated subtalar disorders. Preliminary report. Subtalar dislocation of the foot. Tarsal tunnel syndrome: an electrodiagnostic and surgical correlation. … Read more
The effect of a thigh tourniquet on the incidence of deep venous thrombosis after operations on the fore part of the foot. The use of a tourniquet when plating tibial fractures Limb exsanguination. II. The leg: effect of angle of elevation. The relationship between tourniquet pressure and underlying soft-tissue pressure in the thigh. Blood loss … Read more