– Discussion: – length & alignment are restored by use of femoral distractor in saggital plane, w/o need for fracture table; – this permits hip and knee to be flexed on the table during nailing; – the distractor may be particularly suited to poly trauma patients; – disadvantage … Read more
– Discussion: – unicompartmental arthroplasty serves a specific nitch for knees that are too severe for arthroscopic management of medial DJD (see mosaicplasty) but are not severe enough for total knee replacement; – best indications: – UKR for patients with partial thickness cartilage loss in the affected compartment. – The implications of damage to the lateral … Read more
Discussion allows assessment of DVT from the external iliac vein down to the popliteal veins visualization distal to the popliteal veins is usually not possible may be able to detect patency of major vessels, but it is not effective for smaller vessels will not diagnose pelvic thrombi note that clots seen on ultrasound comprise a … Read more
– Discussion: Tibial Plateau Frx Menu – bicondylar frx w/ distal oblique shaft frx; – these frx have bicondylar frx along w/ dissociation of diaphysis from metaphysis; – if the medial plateau fragment is intact, this frx can be treated with placement of a lateral plate and and Ex … Read more
– Constant Friction Knee: – simply a hinge that is designed to dampen knee swing via a screw or rubber pad that applies friction to the knee bolt; – it is a general utility knee, and may be used on uneven terrain; – it is the most common knee … Read more
– Bucket Handle Meniscus Tear – Horizontal Tear – Longitudinal Tear – Posterior Horn Tears of Medial Meniscus – Radial Meniscus Tear – Flap Tear: – one of most commmon meniscal tears and is believed to propagate from either the radial or Bucket Handle Tears; – separating the base of this … Read more
– Orthopaedic Infection Menu – bacterial menu – infectious tenosynovitis – diabetic foot infections – hand infections – THR infections – TKR Infections – septic arthritis – necrotizing soft tissue infections: – osteomyelitis (Cierney Classification) – spinal infection / osteomyelitis … Read more
– See: – Tibial Plateau Frx Menu: Bicondylar Fractures and Type V Frx, Type IV Fractures, Total Depression Fracture – Discussion: – frx of medial tibial plateau (see total depression frx): – carries worst prognosis of all tibial plateau fractures; – 2 subsets of injury: … Read more
– See: Posterior Frx Dislocations of the Hip – Discussion: – prognostic features: – long term results are proportional to the degree of intial trauma – this explains percentage of good results progressively decreasing from type II to type V injuries. … Read more
– PreOp Planning – most important step in reconstruction of any intra articular frx, is to expose the fracture w/o devasclarizing the fragments; – treatment plan: – open reduction; – elevation of the depressed plateau; – bone … Read more