Conditions Associated w/ Pes Planus
– Discussion: – flexible flatfoot: may be divided into congenital and acquired forms: – congenital flat foot: – idiopathic – valgus hindfoot deformity in CP … Read more
Tibia and Fibula
Complications of ACL Reconstructions
– Discussion: – superficial phlebitis – proximal tibial anesthesia – patellofemoral pain / pathology: – references: – Patellofemoral problems after intraarticular anterior cruciate ligament reconstruction. – Patellofemoral problems after anterior cruciate ligament reconstruction. – Pain after use of … Read more
Complications of Ankle Arthrodeses
div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>hr size=”3″/> strong>- Pseudarthrosis:/strong>br/> – a major complication;br/> – consider managing patient nonoperatively w/ orthosis;br/> – w/ operative treatment consider if old incisions can be used;br/> – acquired pes valgus, metatarsalgia, or other complication may occur;br/> – ref: a href=”http://www.ncbi.nlm.nih.gov/pubmed/24043351″>Establishing the relationship between clinical outcome … Read more
Complications of Calcaneal Frx
– Discussion: – at time of the injury, calcaneus is driven up toward center of body; – lateral wall is driven outward, as are the peroneal tendons; – this results in shortened functional length of gastrocnemius-soleus complex, flat foot, lateral impingement of peroneal structures, & locked … Read more
Complications of Femoral IM Nailing
– See: Comminuted Femoral Shaft Fractures – Complications: – compartment syndrome of thigh – femoral IM nail infection – avascular necrosis from IM nailing – femoral non union – Implant failures: – associated w/ either the insertion of a small diameter nail or use of an interlocking … Read more
Complications of High Tibial Osteotomy
– Discussion: – osteonecrosis of proximal fragment; – non union if proximal fragment is too thin; – delayed union or nonunion occurs in 1-3% of pts & is treated by bone grafting or by repeat osteotomy when correction is lost; – ref: Results … Read more
Complex Elbow Dislocations
– Discussion: – dislocations of the elbow associated with fracture are termed complex; – comprimise 49% of elbow dislocations; – most of these fractures are inherently unstable and require surgery; – prolonged elbow immobilization produces poor results. – surgery must achieve sufficient stability to allow … Read more
Comminuted Weber C Fractures
– Discussion: – comminuted frx of fibula tend to result from high energy injures resulting from direct lateral trauma or vertical loading; – associated injuries include: – impaction frx of lateral tibial plafond; – metaphysis of tibia (Pilon frx); … Read more
Compartment Syndrome
– Discussion: – pathophysiology: – compartment syndrome is elevation of interstitial pressure in closed fascial compartment that results in microvascular compromise; – as duration & magnitude of interstitial pressure increase, myoneural function is impaired & necrosis of soft tissues eventually develops; – intracompartmental pressure: … Read more
Compartment Syndrome Pressure Monitoring
– Discussion: – many surgeon use 30 mm Hg as the cut off for performing fasciotomy; – diastolic pressure: (Whiteside’ Theory): – development of a compartment syndrome depends not only on intra-compartment pressure but also depends on systemic blood pressure; – DBP – CP should be greater than 30 – references: – Diastolic … Read more