Ortho Oracle - orthopaedic operative atlas

Internet Driven Form Generator for Brief Op note, Orders, Prescriptions, and Patient Education Sheet.

Problem:  1) The busy surgeon is faced with a mounting amount of documentation challenges which interferes with already hardpressed time constraints. (Any surgeon that disputes the increasing amount of documentation is probably not aware of current CMS guidelines).  Most surgeons are probably not aware of what CMS requires and does not require (and has not felt … Read more

Tunnel of Guyon

– Discussion: – Guyon (French Urologist) described this space in 1861; – Guyon’s canal is approximately 4 cm long beginning at the proximal extent of transverse carpal ligament and ends at the aponeurotic arch of hypothenar muscles; – depression between pisiform & hook of hamate is converted into fibrosseous tunnel, the tunnel of Guyon, by pisohamate … Read more

TKR: Valgus Deformity

– See: – TKR Menu: – Collateral ligaments: – Medial Collateral Ligament – Lateral Collateral Ligament – Discussion: – more common in females; – in valgus knee, ligament balancing is more difficult to fix; – the anatomic deformity is usually larger in valgus than in varus, and it is on the femoral side; – femur … Read more

Tumors of Hand and Distal radius

– Adamantinoma – Basal Cell Carcinoma: – Calcinosis – Chondrosarcoma: – the most common bony malignancy in the hand; – CMC Boss: bony growth at bases of second and third metacarpals; – special radiographs can demonstrate the osteophytes, which may be resected if symptoms warrent; – associated with ganglia at least 30% of the time, … Read more

TKR – Posterior Cruciate Ligament Retaining Prosthesis

– See: – TKR Menu – Joint Line Position: – Posterior Stabilized Prosthesis: – Function of Posterior Cruciate Ligament: (see PCL) – as the knee flexes, eccentric postion of the PCL femoral orgin prodecues a tensile force in the ligament; – because of nonconforming low friction articlation, this tensile force is converted into a translatory … Read more

Type II Pilon Frx

– Discussion:     – comprises articular frx w/ articular incongruity but minimal comminution;     – frx extend into the joint distally from a spiral frx of distal tibia     – ankle mortise must be evaluated carefully to determine if fibular frx in question is part of joint injury or merely                 frx assoc … Read more

Total Knee Replacement – Patient Saftey Packet

How We Are Committed to Protecting Your Safety:          How We Protect You From Infection          How We Protect You From  Blood Clots: What you should know before your surgery?         your laboratory results                 your hematocrit should be between 30 and 45%                         – if your hematocrit drops below 25-26% during your surgery, we may recommend a … Read more