Ortho Oracle - orthopaedic operative atlas

Transverse Fractures

– See:       – Avulsion Fracture       – Comminuted Fractures       – Fracture Dislocations       – Oblique Fractures       – Surgical Approach: – Discussion:     – transverse frx enters semilunar notch, & amount of separation of is influenced by the pull of triceps muscle … Read more

Transcondylar fractures

– Discussion:       – type of supracondylar fractures that occurs within joint capsule;       – most commonly occurs w/ osteoporotic bone; – Treatment:       – nondisplaced frxs are treated w/ splinting or percutaneous pinning;       – displaced frx will require ORIF;       – consider molding … Read more

Total Depression Fracture

– See:       – Medial Approach:       – Post Operative Care and Compications: – Discussion:     – oblique frx that begins near intercondylar eminence & extends to cortex of medial or lateral tibial flare;     – total depression is similar to Type IV Frx     – TDF of medial … Read more

TKR Femoral Cuts: Anterior, Posterior, Chamfer Cuts

– Theoretical Considerations:     – distance from posterior reesction plane to anterior resection plane must equal the internal dimension of femoral component being used;            – this cut must be made at a distance from the anterior cut equal to inner anterior-posterior dimension of femoral component used;       … Read more

Olecranon Fracture

See: Surgical Approach Tension Band Theory Discussion transverse frx involving less than 50% of proximal sigmoid notch are suited to stable internal fixation by tension band; Weber modification provides improved frx rigidity; may also use T.B.W. along with a 6.5 mm cancellous screw, 7.0 mm screws, or 7.3 mm screw; surgical consent: patient should understand, … Read more

Throwing Injuries

– See:       – Throwing Elbow:                – MCL of elbow:               – Diff Dx Pediatric Throwing Elbow       – Throwing Shoulder: Throwing Guidelines:     – 8-10 year olds: 37 to 67 pitches in approximately 1.5 to 2.5 games per week.     – 11-12 year olds: 50 to 86 pitches in approximately 1.5 to 2.5 games … Read more