– Implant Selection: Osteonics – PreOp Planning: – Patient Positioning: – Anterior Longitudinal Midline Approach: – Synovectomy (if appropriate): – Medial and Lateral Capsular Exposure: – Patellar Eversion: – Articular Exposure: – IM Alignment Rod: – drill is used to enter femoral IM canal just … Read more
– See: – Blount Fracture: Both Bone Forearm Fracture – Plating Techniques – Position: – arm is placed on an upholstered armboard w/ medium elbow flexion and full arm pronation; – Surgical Approach: – interneural approach: lies between ECU (PIN) & FCU (ulnar nerve); – … Read more
– Technique: – position: supine; – ulnar fractures: arm pronated across the chest; – radial fractures: arm abducted and in neutral rotation; – fractures of both bones of forearm are carried out through separate incisions, w/ 2-2.75 inch skin brige left between two; – Approach to … Read more
– See: – Anterolateral Approach – Kocher approach – Posterolateral Approach to the Ankle: (Gatellier and Chastang) – Medial Approach to the Ankle – Anterior Approach: – allows acces to medial malleolus & medial articular facet of body of talus – it is used for ankle fusion, anterior … Read more
– Isolated Division of the Aponeurosis: – involves division of aponeurosis between the humeral and ulnar origins of the FCU; – theoretical disadvantages: – in addition to decreases in the cross sectional area of the cubital tunnel which occur w/ flexion, there is also a decrease in the … Read more
– See: – Posterior Approach: – Lateral Approach – Position: – lateral w/ the arm abducted 90 deg; – force of gravity maintains the correct position; – sterile tourniquet is applied; – for simple fractures: supine with the arm laid across the chest; – … Read more
– See: – Innervation of the Leg and Foot: – Sural Artery: – Medial sural cuteus nerve: – tibial nerve just below knee joint gives rise to medial sural cutaneous nerve, which runs downward across union of heads of gastronemius; – it is joined … Read more
– Discussion: – anatomic variations: of tendons in 1st extensor compartment; – APL & EPB tendons may occupy separate canals, or lie together in one osseofibrous canal; – commonly there is one EPB and multiple APL; – there is separation of first extensor compartment more often in pts w/ DeQuervain’s tenosynovitis than in those w/o … Read more
– See: anterolateral approach to the ankle – Anatomy: – peroneus brevis is anterior to peroneus longus at level of ankle joint and is closer to lateral malleolus; (brevis is muscular almost down to the ankle); – flexor hallucis longus is most lateral of deep flexor muscles … Read more
– Discussion: – has become standard technique for stabilizing types II & type III frx; – either two lateral pins, or one lateral and one medial pin may be used and both should penetrate the cortex; – medial and lateral pin insertion provides better stabilization; … Read more