Ortho Oracle - orthopaedic operative atlas

Orthopaedic Aspects of Leprosy

– Discussion:     – causative organism of leprosy is M. leprae;           – acid-fast, obligate, intracellular gram-positive bacillus that reproduces maximally at 27°C to 30°C;     – frequent subacute polyarthritis involving the small joints of the hands and feet;     – organism infects the skin and cutaneous nerves, … Read more

Operative Decompression of the PIN

– Technique:     – there are two approaches that allow decompression of PIN: anterior and posterior (see Henry and Thompson);     – Henry’s mobile wad (brachioradialis, ECRL , and ECRB) serves as the focal area for orientation;     – anterior approach is more advantages since is allows decompression of all points of … Read more

Open Reduction: Supracondylar Frxs

– See:        – Percutaneous Pin Fixation        – Type III Supracondylar Frx – Indications:     – vascular injuries     – inadequate reduction;           – brachialis may become interposed at frx site or by proximal humeral frx fragment button-holed thru brachialis (see physical exam);         … Read more

One-Third Tubular Plates

– See:       – One Third Tubular Plate Applied as a Neutralisation Plate:       – One Third Tubular Plate Applied as a Tension Band Plate: – Discussion:     – these Plates have the form of 1/3 of the circumferance of a cylinder;     – they have low rigidity since … Read more

One Part Proximal Humeral Fracture

  – See: Classification of Proximal Humeral Fractures:  – Discussion:  – by definition has less than 1 cm of displacement and less than 45 deg of fracture angulation;  – ideally patients should be immobilized in a sling for no more than one week, and then should be started on supervised assisted passive shoulder ROM exercises … Read more