Ortho Preferred Malpractice Insurance

Fat Embolism Syndrome

– Discussion:     – FES results when embolic marrow fat macroglobules damage small vessel perfusion leading to endothelial damage in pulmonary            capillary beds leading to respiratory failure and ARDS like picture;            – ref: Early-Onset Fat Embolism Syndrome. A Case Report     – risk factors for FES:            – … Read more

External Fixators for Distal Tibial Frx

      – See: IM Nailing for Distal Tibia Fracture – Discussion:     – outcomes:             – in a retrospecitive study, external fixation was considered a risk factor for non union (29% non union rate);             – Distal tibia fractures: management and complications of 101 cases     – reduction:             – … Read more

External Fixators

      – General Fixator Considerations:    – fracture healing:            – references:                   – Comparison of osteotomy healing under external fixation devices with different stiffness characteristics.                   – External skeletal fixation of canine tibial osteotomies. Compression compared with no compression.                   – Comparison of the effects of compression plates and external fixators on … Read more

Extensor Mechanism Injuries of the Knee

– See:        – Rupture of the Quadriceps        – Patellar Tendon Injury        – Tibial Tubercle Frx – Discussion:     – extensor mechanism includes quadriceps, quadriceps tendon, medial & lateral retinaculum, patellofemoral and patellotibial ligaments, Patellar Tendon (ligament), and tibial tubercle;     – superficial location of extensor mechanism make it suseptable to injury;     … Read more

Extensor Digitorum Longus

    – Origin:      – lateral condyle of the tibia, head and proximal 3/4 of the anterior surface on the body of the fibula, proximal portion of interosseus            membrane, deep fascia and intermuscular septa; – Insertion:      – divides into 4 tendons after passing under the extensor retinaculum;      – … Read more