– Discussion: – pronation of forefoot is combination of external rotation at ankle, abduction of hindfoot, & eversion of forefoot; – in pronation, the medial structures tighten and are injured first; – Sequence of Injury: – avulsion frx of medial malleolus or rupture of deltoid ligament; … Read more
– Discussion: – first major branch of the brachial artery is the profunda brachii; – arises from the brachial artery high in the arm, about level w/ lower edge of the latissimus dorsi tendon (18-25 cm above the medial epicondyle); – leaves brachial artery to pass posteriorly company w/ … Read more
– See: Tibial Non Unions / treatment methods for tibial defects – Discussion: determinants in prognosis: – infection: (see: tibial infections) – worst prognostic feature of tibial fractures is infection; – infection is most frequent after high velocity, open injuries w/ skin necrosis; … Read more
– See: – topical antimicrobials – skin prep agents – High Pressure Irrigation: – irrigation can remove enough wound bacteria to cross the threshold to non-infected states, but only if the irrigant is delivered with sufficiently high pressure to mechanically disrupt bacterial adherance to the wound surface; – to be clinically … Read more
– Discussion: – telescoping tibial alignment device has proximal platform that conforms to the curved shape of the anterior cortex of the tibia; – this allows the cutting platform to fit snugly up against the tibial cortex and improve the accuracy of the resection; – cylinder of stylus assembly is inserted into its receptable on … Read more
– See: TKR Menu – Checklist: – surgical risk assessment – preop cardiology, dental, GI, and urological consults – risk factors for infection: are taken into consideration; – tranexamic acid – anesthesia consult and posting … Read more
– Frx – Menu (See: Post Op Orders) – Axial Skeleton – C-spine – Spine – Pelvis – Upper Extremity – Shoulder – Humerus – Elbow – Wrist – Hand – Lower Extremity – Hip – Femur – Knee – Tibia – Ankle – Foot – Systems – Neuro – Cranio-Maxillo-Facial – Spine – Cardiac … Read more
– Debridement: – all foreign material must be removed from the knee; – retained frags of cement can act as nidus for residual infection; – infected granulation tissue & scar tissue should be excised to provide healthy vascularized soft tissue surrounding the knee. – number of debridements needed before wound closure depends … Read more
– IM Nailing Technique – Open Femur Frx – Radiographs: – look for evidence of a pathologic lesion on x-ray, noting that it would be disasterous if a nail were driven through an occult osteosarcoma or chondroscaroma; – AP pelvis: (rule out concomitant injuries) – Hip Dislocation … Read more
– Discussion: – is apparent when with stress testing lateral tibial plateau rotates posteriorly in relation to the femur with lateral opening of joint; – atraumatic type: – presents as chronic laxity, often with a varus knee deformity; – this ligamentous laxity often … Read more