– Discussion: – see open frx menu, tibia fracture menu and infections of the tibia – Initial Treatment and Timing of Surgery: – preoperative antibiotics; – therapeutic doses of ancef and tobramycin for 3 days are appropriate; – w/ contamination consider … Read more
– See: Gun Shot Wounds Plumbism Open Fractures Septic Joint – Classifaction of Open Joint Injuries: (from Collins and Temple (1992)) – type 2: – single capsular perforation or laceration w/o extensive soft tissue injury – A: w/ minimal step … Read more
– Discussion: – fracture types: open tibia fractures, open fractures of femur – treat all open fractures as an emergency; – perform thorough initial eval to dx other life-threatening injuries: (see trauma management); – open joint injuries – gun shot wounds – controversies: non operative treatment: – Nonoperative … Read more
– Prerequisites: – plate is applied as a tension band in certain short oblique or transverse fractures, eg. the fibula, the metatarsus, the distalu lna and the olecranon; – plate must be placed on the tension side of bone; – plate is contoured to the shape of the bone using … Read more
– See: – One Third Tubular Plate Applied as a Neutralisation Plate: – One Third Tubular Plate Applied as a Tension Band Plate: – Discussion: – these Plates have the form of 1/3 of the circumferance of a cylinder; – they have low rigidity since … Read more
– Discussion: – is excellent for triple arthrodesis and for resection of a calcaneonavicular bar; – incision may be extended to expose the subtalar, calcaneocuboid, and talonavicular joints; – wound usually heals well because the proximal flap is dissected full thickness and the skin edges are protected during retraction; … Read more
div class=”mh-row clearfix”> h1>a href=”/image7/accll10.jpg”>img alt=”” align=”middle” src=”/image7/accll10a.jpg”/>/a> a href=”/image7/accll11.jpg”>img alt=”” align=”middle” src=”/image7/accll11a.jpg”/>/a>hr size=”3″/>/h1> div class=”bodycopy”>- See: a href=”/muscles-tendons/notchplasty/”>Notchplasty/a>: br/> br/> hr size=”3″/> strong>- Technique:/strong> br/> – strong>a href=”/bones/tibia-fibula/tibial-tunnel-for-acl-reconstruction/”>preparation – tibial tunnel/a>:/strong> br/> – tibial tunnel is created prior to femoral tunnel; br/> … Read more
– Discussion: – one third tubular plate is applied as a neutralization plate in spiral frx or frxs w/ butterfly fragment, eg. in fibula & distal ulna; – it is applied after primary interfragmentary fixation with lag screws; – function of the plate is to neutralise any shearing or bending … Read more
– Discussion: – highest percentage of missed injuries occur in this region; – Exam: – Torticollis: – Radiographs: – Atlanto-occipital Disassociation – C1-C2 interspinous space should not be greater than 10 mm; – occipital condyles should articulate w/ lateral … Read more
div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>strong>- Discussion: /strong>(see a href=”/muscles-tendons/posterior-oblique-ligament/”>posterior oblique ligament/a>)br/> – passes from insertion of the a href=”/muscles-tendons/semimembranous/”>semimembranous/a> on posteromedial aspect of tibia obliquely & laterally upward to insertion of br/> semimembranosus on the posteromedial aspect of the tibia obliquely & laterally upward toward insertion of the lateral gastroc head;br/> – it acts as … Read more