Current Concepts Review. Treatment of Unstable Fractures of the Shaft of the Tibia. Current Concepts Review. Timing of Operative Treatment of Fractures in Patients Who Have Multiple Injuries. Pelvic and Lower Extremity Trauma–Symposium: Intramedullary Devices for Tibial Fracture Stabilization. The use of a tourniquet when plating tibial fractures. Conservative management or closed nailing for tibial shaft fractures. … Read more
– General Discussion of IM Nails – PreOp Planning – positioning – note rotational alignment of the opposite non injured side. – cautions: – proximal tibial fractures (high complication rate w/ IM nailing) – distal tibia fracture – IM nailing of open tibial fractures – segmental tibia fractures: / treatment methods for tibial … Read more
– Considerations: – consider applying an arthroscopy post to the table inorder to assist w/ reduction; – w/ the post in place, 3 point pressure can be applied; – fracture should be reduced as much as possible prior to application of external fixator; – … Read more
– See: – Enhancement of Fixator Stability – Ilizarov Menu – Ring characteristics – Safe Zone of Pin Insertion – Foot Inclusion – Synthes Hybrid Fixator – Wire Insertion Technique – Discussion: – in the report by Paley D and Maar DC (2000), … Read more
– Discussion: – mangled extremity severity score: – main controversy is whether tibial defect reconstruction and soft tissue reconstruction are indicated; – indications: – high velocity open tibia frx, w/ concomitant nerve, artery, &/or massive soft tissue disruption; – types IIIB … Read more
– place leg on padded Mayo stand in 10 deg of abduction to relieve tension on the thing and the tensor fascia lata; – deep soft tissue repair: – repair of posterior capsule and reattachment of the external rotators (which may help to decrease posterior dislocation); … Read more
– Landmarks: – posterior superior iliac spine: forms the superior landmark; – incision starts at the posterior 1/3 of the greater trochanter and extends proximally for 10 cm toward a point 2 fingerbreadths below the PSIS; – this will bring the incision directly over the sciatic notch and will also … Read more
– See: THR dislocation: – Checklist: – need complete muscular relaxation; – irrigate any debris from acetabulum; – Difficult Reduction: – capsule might have to be further released, esp if head and neck segment was short preoperatively; – if reduction is not possible & leg is lengthened, … Read more
(see: Total Hip Replacement Menu) – PreOp: – Theory and Background: – Checklist for THR and Radiographs: – Initial Exposure: – positioning, prepping and antibiotics: – posterolateral skin incision: – incise thru iliotibial band: – split gluteus maximus: – The course of the superior gluteal nerve in the lateral approach to the hip; – identify the … Read more
– Discussion: – easiest method to measure leg lengths is the measure the distance from the ASIS and a marked point on the knee; – measurement is made using the cautery cord; – the thigh must be in the exact same position each time the length is measured; – steinman pin method: – separate posterior … Read more