Tibia and Fibula
Grade II Open Tibial Fractures
div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>- See: a href=”/bones/tibia-fibula/gustilo-classification-of-open-tibial-frxs/”>Gustilo Classification/a>:br/> br/> strong>- Treatment Options:/strong>br/> – a href=”/bones/tibia-fibula/external-fixators-for-tibial-frx/”>external fixation/a>:br/> – a href=”/bones/tibia-fibula/tibial-fractures-technique-of-im-nailing/”>intra-medullary nail/a>;br/> – IM devices control length and rotation as effectively as a href=”/bones/tibia-fibula/external-fixators-for-tibial-frx/”>Ex Fix/a> (w/o complications of soft tissue inpalement & pin tract infection)br/> … Read more
Grade III A
– See: Gustilo Classification – Discussion: – wound less than 10 cm w/ crushed tissue and contamination; – soft tissue coverage of bone is usually possible; – w/ IM nailing, average time to union is 30-35 weeks; – is frx in which there is limited stripping of the periosteum and soft tissues from bone, and bone … Read more
Goldner Four Quadrant Approach
– Discussion: – plantar, medial, posterior, and lateral, modifying the extent of release according to the severity of the deformity; – plantar quadrant includes the plantar fascia, the short toe flexors, and the long and short plantar ligaments. – medial quadrant involves talonavicular and subtalar release, lengthening of the posterior tibial tendon … Read more
Motivation for Soft tissue resurfacing / Enhanced microfracture technique
Background: By way of background, I performed eight autologous hamstring resurfacing arthroplasties during the later half of 2007 at Franklin Regional Medical Center. This procedure involves harvesting the gracilis and semitendinosus tendons and oppossing them to the medial femoral condyle using knotless absorbable bone anchors. The drill holes for the bone anchors serve as a source for hematopoetic … Read more
Gluteus Maximus
– Anatomy: – origin: posterior gluteal line of the ilium, tendon of sacrospinalis, – dorsal surface of sacrum, coccyx and sacrotuberous ligament; – insertion: gluteal tuberosity of femur and iliotibial tract of fascia lata – it inserts partly into the … Read more
Gluteus Medius
– Anatomy: – origin: – outer surface of ilium from iliac crest and posterior gluteal line above to the anterior gluteal line below, gluteal aponeurosis; – note that posterior border of the gluteus medius is almost in line w/ femoral shaft; the anterior border fans anteriorly; … Read more
Gluteus Minimus
– origin: – outer surface of ilium between anterior and inferior gluteal lines and margin of greater sciatic notch; – insertion: anterior border of greater trochanter; – action: – abducts femur at the hip and rotates it medially; – lateral pelvic stabilizer; … Read more
Giant-cell tumor of bone
– Discussion: – a common benign but locally aggressive lesion of unknown etiology; – occurs chiefly in men between 20-50 yrs (after epiphyseal closure); – tumor is expansile lytic lesion that involves the epiphysis & metaphysis; – tumor may enlarge to occupy most of epiphysis & adjacent metaphysis; … Read more
Genetic Disorders and congenital malformations
Achondroplasia Multiple Epiphyseal Dysplasia Multiple Cartilaginous Exostoses Osteogenesis Imperfecta Marfan’s Mucopolysaccharidoses Hypophosphatemic Vitamin D-resistant rickets Medical Progress: Epiphyseal Disorders. Pathogenic mechanisms in osteochondrodysplasias. Asymmetrical arrest of the proximal tibial physis and genu recurvatum deformity. Adolescent tibia vara: alternatives for operative treatment.