– See: Juvenile Rheumatoid Arthritis – Discussion: – characterized by high fever, rash, lymphadenopathy, and polyarthritis; – usually appears at 5-10 years of age; – least common type of JRA: < 20 % of patients. – Clinical Presentation: – acute onset, often accompanied by a sore throat … Read more
– See: (Synthes Product Menu) – Reaming and Nailing Maneuver – Intramedullary Nailing – Miss A Nail Technique – Spiral Blade – Incision and Entry into Meduallary Canal – Proximal Inter-Locking – Distal Interlocking
Discussion a monarticular synovial proliferative disease which is characterized by the metaplastic conversion of cartilagenous tissue to ossified loose bodies; cartilagenous or osteocartilaginous metaplasia takes place w/in the synovial membrane of joints, bursae, or tendon sheaths; seen most often in middle-aged men; pts report pain and limitation of motion; location over one-half of cases occur … Read more
– Function: – references: – The effects of implant design on range of motion after total knee arthroplasty. Total condylar versus posterior stabilized total condylar designs. – Total condylar knee replacement. A study of factors influencing range of motion as late as two years after … Read more
Discussion is preferred by many for use in older children and adolescents; skeletal traction is applied w/ Steinman pin inserted thru distal femur; see: insertion technique knee should be flexed 30 deg to relax the hamstrings; deformity: w/ mid shaft frx, there is tendency is toward posterior angulation; to restore the normal anterior bowing of … Read more
– Discussion: – primary internal fixation is treatment of choice for unstable scaphoid frxs; – frx treated by primary internal fixation, avg time for return to work is 3.7 wks w/ union rate, 97 %; – this compares very favorably with conservative treatment; – indications for surgery: – main indication is an unstable scaphoid frx … Read more
– Discussion: – insert blunt Homan retractors superiorly & inferiorly to obtain exposure of entire superior, posterior, & inferior portions of capsule; – divide exposed portion of capsule along its attachment to femur; – make a longitudinal or T shaped extension of capsular incision along axis of femoral neck, directing incision … Read more
– Discussion: – bluntly split gluteus maximus proximally in direction of its fibers & coagulate any vessels w/in substance of muscle; – note that muscle does not have to be split in line w/ incision, but can be split in line w/ its fibers in a direction superior to skin incision; … Read more
– Main Menu: – PreOp Planning – radiographs and templating – Surgical Exposure: – Patient Positioning, Preping, Draping – Anterior Longitudinal Midline Approach – Deep Articular Exposure – Patellar Eversion: – Patella: – patellar resurfacing – prior to patellar resurfacing, determine the propensity for the native patella to subluxate; – if subluxation is present (tibial component … Read more
– See: extenal rotators: – Discussion: – divide trochanteric bursa & bluntly sweep it posteriorly to expose short external rotators & posterior edge of medius; – anatomy: – from superior to inferior external rotators include: … Read more