– See: IM Nailing of Tibia Fractures – Discussion: – IM naling of these fractures is technically difficult and often results in malalignment; – other options include: external fixation for open fractures; – Intramedullary nailing versus percutaneous locked plating of extra-articular proximal tibial fractures: comparison of 56 … Read more
– Radiographs: – Positioning: – supine, HOB elevated to 30-40 deg; – head is held with a dedicated ring holding device (McConnel); – one rolled towel is placed underneath the operative shoulder and one rolled towel is placed around the contralateral … Read more
– Skin Incision and Initial Exposure: – as noted by Keating, et al (1997), 77% of patients who had a mid-patellar tendon splitting incision had significant knee pain; – in the report by Toivanen JA, et al (2002), the authors evaluated anterior knee pain in patients … Read more
– See: Humeral Frx – Main Menu: / humeral shaft fractures – Discussion: – may be indicated for multi-trauma patients w/ humeral shaft frx, and patients w/ pathologic frx; – note that following humeral shaft frx, IM nailing provides torsional and bending stiffness of only 20-30% of normal; … Read more
– See: Humeral Frx – Main Menu – Condylar Fractures – Non Union of Humeral Fractures – Pediatric Humeral Shaft Fracture – Synthes Humeral Shaft Products – Discussion: – mechanism: – bending force produces transverse frx of the shaft; – torsion force will result in a spiral fracture; – combination of bending and torsion produce … Read more
– See: – Proximal Humeral Physeal Injuries – Condylar Fractures – Discussion: – while radial nerve paralysis occurs in adults, its rare in children; – most represent neuorpraxias, & are expected to return w/ in 3-4 months; – acceptable reduction: – overriding of 1 to 1.5 cm is accepted, as overgrowth is common in pediatric … Read more
– Discussion: – general features: – pediatric bone circulation – age of patient: – osteomyelitis in the newborn – in infants below the ages of 1 year, some metaphyseal vessels may transverse … Read more
– See: Bipolar Arthroplasty: – Discussion: – indications: indicated for patients w/ a femoral neck frx who meet the following criteria: – poor general health thay would prevent a second operation; – pathologic hip fractures: – parkinson’s disease, hemiplegia, or other neurological disease; – physiologic age > 70 yrs; – severe osteoporosis w/ loss of primary … Read more
– See: – Forces Displacing the Fracture – Cast Brace – Caldwell (1933) – for displace frx of the humeral shaft with shortening, and also for oblique and spiral fractures; – Indications: – used for comminuted humeral frx – disatl humeral shaft frx; – cast must be light wt. and must extend from at least … Read more