Dr. Mangal Parihar – Discussion: Proper limb positioning taught early on minimizes the chances of contractures developing later. The commonest cause of a flexion deformity is the tendency to keep a pillow lengthwise under a tibial frame. This causes flexion at the knee. This should be prevented by repeatedly correcting the tendency and keeping an … Read more
– See: Watson Jones Approach – Discussion: – frx of anterior column & some anterior column-posterior hemitransverse frx are approached using ilioinguinal approach; – ilioinguinal approach can give simultaneous access to both anterior & posterior portions of the pelvic ring; – medial portion of this approach … Read more
– Discussion: – an overuse phenomenon which is common in runners (more common w/ downhill running); (see running injuries) – pts usually have pain over lateral femoral epicondyle, which is caused by inflammation resulting from friction as iliotibial band slides over condylar prominence; – syndrome may be more common in … Read more
– See: Safe Zone of Pin Insertion – Discussion: – whether a ring or unilateral fixator is used, there is some evidence that a better regenerate is formed with the use of titanium half pins rather than transfixation wires; – ref: Limb lengthening by callus distraction (callotasis). – … Read more
– Discussion: – approach is similar to Smith Peterson; – provides exposure to the outer aspect of the iliac bone and gives exposure of the anterior and posterior columns; – extended iliofemoral approach provides best access to both column fractures (esp w/ greater sciatic notch involvement) & allows best … Read more
– Hypothyroidism in Infants and Children: – in the newborn period, hypothyroidism manifests itself as cretinism; – infant is described as sluggish, has a short stature, coarse hair, protruding tongue and protuberant abdomen; – retardation of growth late appearance of secondary ossification centers which may fragment and increased increased … Read more
– Discussion: – finding include hypertrophy of bone ends & sclerosis at 6 months post injury; – these non unions theoretically have sufficient vascularity to heal but stability is lacking or normal axial alignment has not been restored; – it is important to point out, however, that even with … Read more
– Discussion: – hyperpronation refers to the inward rotation of the foot during gait; – the term is vague and probably should be replaced by precise descriptions of the relative positions of the hindfoot and forefoot during gait; – w/ hyper-pronation, there is an inability of the foot to supination … Read more
– Discussion: – see: Oasis Surgical Technique by Jack Farr – uses a distraction histiogenesis strategy; – three separate phases: – latency phase that immediately follows the osteotomy for some duration during which time no mechanical perturbation is applied; – active or distraction phase during which the two bony segments are … Read more
– Discussion: – staple fixation & casting at surgery or shortly thereafter; – advantage: allows full wt bearing; – disadvantage: requires above knee cast; – Management of Fibula: – Surgical Approach: – Osteotomy Cuts: … Read more