– See: – Posterior Approach: – Lateral Approach – Position: – lateral w/ the arm abducted 90 deg; – force of gravity maintains the correct position; – sterile tourniquet is applied; – for simple fractures: supine with the arm laid across the chest; – … Read more
– Discussion: – when viewed in cross section, shape of distal femur resembles trapezoid w/ medial side inclinded about 25 deg & lateral side about 10 deg; – both the seating chisel and the subsequent blade plate should be 1 cm to 2 cm short of medial cortex … Read more
– Discussion: – has become standard technique for stabilizing types II & type III frx; – either two lateral pins, or one lateral and one medial pin may be used and both should penetrate the cortex; – medial and lateral pin insertion provides better stabilization; … Read more
– See: – Distal Femoral Shaft Fractures – Distal Femoral Phyeal Frx – Supracondylar Fractures following TKR – Discussion: – work up for femur fracture – mechanism: axial load to a flexed knee; – Bimodal distribution: – low energy fractures involving older females (often have severe osteoporosis); – high energy fractures involving younger males; – associated … Read more
– Pertinent Surgical Anatomy – Operative Treatment: Choice of Hardware: – 95 deg. condylar blade plate: – dynamic screw and side plate: – condylar buttress plate: – IM nails for supracondylar fractures: – zickel nail: – may be used for extra-articular … Read more
– See: – Ulnar Nerve: – Anatomy & Sites of Compression of Cubital Tunnel: – Surgical Considerations: – transposition can entail subQ or submuscular transposition with excision of medial intermuscular septum, and release of arcade of Struthers; – in the presence of H.O. the nerve should be … Read more
– Theory: – flexor-pronator muscles arising from medial epicondyle are transposed to more proximal point on the humerus so that their moment for elbow flexion is incresed enough to permit active control; – muscles originating from the medial epicondyle (Pronator Teres, FCR, PL, & FCU) must have normal or … Read more
The entire site can be found directly or indirectly by using the alphabetical listing of topics below. You can also use the clickable image skeleton to the right, the topical Tabs along the top and the Search Site by Word box. Click the letter below to display all entries starting with that letter. A B C … Read more
– Full Thickness Skin Grafts: – skin can be taken from the hypothenar area or from the instep of the foot, but forthese grafts to provide truly critical sensibility, they must be full thickness grafts; – full thickness grafts will transfer Meissner’s corpuscles (required for … Read more