– The Problem: – External fixation is perceived as an inferior treatment method for management of tibia fractures even though there is scant evidence to support this in prospective studies. – in the JTO 2000 special report by Seligson, et al, the authors conducted an international survey of treatment methods for tibia … Read more
– Discussion: – one of most common knee injuries in children; – most common in children between ages of 8-14 yrs; – usually result from avulsions of anterior intercondylar eminence from pull of ACL; – fragment of tibial spine may be non displaced, or … Read more
– Discussion: – condyles will frx apart w/ variable amount of displacement, & comminution; – Approach: – use posterior approach w/ olecranon osteotomy; – articular surface is restored using interfragmentary lag screw fixation; – coronoid and olecranon fossa must not be violated with fixation, nor should width … Read more
– Discussion: – in normal knees, constant relationship exists between length of patella (LP) and length of the patella tendon (LT); – length of tendon (LT) is measured on its post surface from the lower pole of patella to its insertion on top of tibial tubercle; … Read more
– Discussion: – innervated by branches of obturator, femoral, & sciatic nerves; – Anterior and Posterior Innervation Groups: – posterior group: – posterior articular nerve of tibial nerve which crosses posterior capsule at level of oblique popliteal ligament; … Read more
– See: Innerv. Musc. Lower Limb : – Discussion: – skin of leg is innervated by the saphenous nerve, terminal portion of Femoral Nerve , on medial side; by lateral sural nerve , branch of common peroneal nerve, on lateral side; and by Posterior Femoral Cutaneous Nerve , above, & medial … Read more
– See: throwing injuries and throwing injuries of the shoulder – Discussion: – phases of throwing: – windup – early cocking – late cocking – wrist begins to cock in preparation for the … Read more
– Technical Considerations: – consider debriding the wound with a separate set of surgical instruments / drapes – exposure: extend the traumatic incision longitudinally in order to fully expose zone of injury; – pressure irrigation – debridement of open tibia fractures – Arguments for Leaving Wound Open w/ Delayed Closure: … Read more
– Anterior Talar Impingement Syndrome – Avascular Necrosis and Salvage of Talus Fractures – Blood Supply to Talus – Congenital Vertical Talus – Talar Head Frx – Fractures of the Talar Neck: – Hawkins Classification: – Type … Read more
– Discussion: – see: femoral non unions / osteomyelitis – three types of infection: – infection of the soft tissues; – infection of the fracture site – infection of the entire marrow cavity:(rare but serious and may require … Read more