– Discussion: – most effective way to reduce pin bone stress and motion – dynamization compensates for fragment end resorption; – failure to adjust the fixator for maximum maintenance of fragment contact can leave the fracture surfaces fixed apart; – Technique: – adjust fixator … Read more
– See: DVT Discussion: – Discussion: – 30-50 % occurance of DVT in trauma pts w/ lower extremity fractures; – preexisting conditions such as heart disease, obesity, carcinoma, diabetes, and hypertension could theoretically push the numbers even higher; – mortality for pulmonary embolism may approach 10%; – ref: … Read more
– See: Reconstructive Foot Surgery – Discussion: – is used for coverage of distal tibia and ankle; – during dissection paratendon is left over the extensor tendon, allowing donor site to do welll, with skin graft; – to avoid devascularizing foot, the posterior tibial artery must be intact
– many techniques described with one or two tibial and one or two femoral tunnels – much biomechanical data confirms that both bundles are necessary to restore – ACL function – main findings are that PL bundle contributes to rotational stability closer to full extension – Distribution of in situ forces in the anterior … Read more
– See: – Plating Techniques – Radial Shaft Fractures: Discussion – Discussion: – dorsolateral approach is best suited to frxs of proximal & middle thirds of radius as well as to address injury to proximal RU joint; – advantages: – … Read more
– Discussion: – contractures and progressive weakness of lower extremities render walking increasingly difficult for patients who have DMD; – average patient is unable to walk effectively by the time that he is ten years old, in the absence of treatment; – age at which walking ceases, however, is … Read more
– Discussion: – progressive paralytic equinovarus is an important reason for gait deterioration in pts w/ DMD; – equinus contracture compensates for incr quadriceps weakness & allows knees to lock by enabling wt line to pass in front of knee joint; – feet become progressively fixed in equinus & … Read more
– See: – Q angle – Malalignment of Patella – Discussion: – distal realignment procedures are chiefly indicated in pts w/ patellar subluxation, absence of hyper-laxity, and increased Q angle; – as pointed out by Fulkerson, et al (1990), less than 2% of patients w/ patellofemoral pain … Read more
– See: – IM nailing of tibia fractures – menu – tibial plafond fractures – Distal Tibia Fracture: – see: external fixation for distal tibia fracture, outcomes of external fixation vs IM nailing, and plate fixation; – w/ frx extension into the joint, consider placement of percutaneous … Read more
div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>hr size=”3″/> strong>- Technique:/strong>br/> – while obtaining a perfect circle under flouroscopy it is important not to rotate the foot because this will cause a malalignment of the foot progression angle;br/> – instead, rotate either the entire leg as a unit or … Read more