– See – Arterial Menu – Cruciate Anastomosis – Discussion: – anastomoses between: – superior & inferior gluteal arteries and medial & lateral circumflex; – deep circumflex artery & ascending lateral circumflex femoral – … Read more
Discussion anatomic axis of femur is approx 6 deg of valgus from mechanical axis or 9 deg of valgus from vertical axis w/ variations according to body habitus; anatomic axis of tibia is in approx 2-3 deg of varus from mechanical axis; lines that intersect the tibia and the femur intersect at knee; this angle averages 6 deg
– Amputations in the Diabetic Patient – Above the Knee Amputation: – AKA prosthetics – Basic Science: – Below Knee Amputation: – amputation following fractures of the tibia – pediatric BKA: – BKA prosthetics – prosthetic feet – Foot and Ankle Amputation – Syme’s Amputation – Transmetatarsal Amputation – Chopart Amputations – Pediatric Amputations – … Read more
– See: – diabetic foot menu – amputation menu – osteomyelitis in the diabetic patient – Discussion: – amputation should be considered for any diabetic patient w/ advanced changes (Charcot joints, multiple ulcers, vascular pathology) who has who has undergone a surgical debridement which could not logically leave the patient w/ a functional foot; – vascular considerations: … Read more
– Discussion: – general discussion of allograft tissue: – as pointed out by Harner et al. (1996), subjective knee scores were slightly better for knees having ACL – bone patellar bone allograft (as compared to BPB autograft patients) – objective ratings included normal (or nearly normal) … Read more
– see bone graft menu – Discussion of Allografts: – see autograft menu and bone healing: – allografts are most indicated when bone grafting is required along with need for mechanical structural support; – morselized bone graft: – structural bone grafts: – fresh allografts – generally … Read more
Gravity Method of Stimson Bigelow’s Maneuver: for Posterior Hip Dislocation Closed Reduction Discussion patient is placed in the supine position; knee is flexed to relax the hamstrings; assistant stabilizes the pelvis and applies a lateral traction force to the inside of the thigh; longitudinal traction is applied in line w/ axis of femur, and the hip is … Read more
– See: Infection Menu and Wound Management: and Local Antibiotic Delivery for Septic Joints – Discussion: – basic science: – useful in treating biofilm; – references: – In vitro characteristics of tobramycin-PMMA beads: compressive strength and leaching. – Antibiotic bone cement in THA. An in vivo comparison of the elution properties of … Read more
Clinical Presentation pts recounts h/o aching in hip, thigh, or knee (from chronic slip) along w/ h/o sudden severe pain (from concomitant acute slip); Treatment pin placement: reduction may be obtain by gentle skeletal traction in flexion & internal rotation; – forceful manipulation must be avoided.
– Discussion: – see Arthrex, Mitek, Linvatec, Smith-Nephew – in choosing a fixation technqiue consider the need for the following: – circumferential (360 deg) healing of graft against tunnel wall (interference screws do not permit this); – bioabsorbable material … Read more