– PreOp Planning – Local Analgesia Infiltration Techniques – THA/TKA and Datatrace TKR Teaching Video- Surgical Technique – Arthrodesis – Arthroscopy following TKR – Axis for TKR – Axis – Alignment – mechanical axis – anatomic axis – Bilateral Knee Replacement – Biomechanics of the Joint – Bone Grafting & Wedges – Collateral ligaments – … Read more
– Discussion: – anterior longitudinal incision allows full exposure of the proximal tibia; – this incision allows exposure of both medial & lateral aspects of joint w/o the necessity for large skin flaps; – this incsion has advantage that … Read more
– Techique: – preparation and exposure for the proximal tibial cut: – hyperflexion of the knee to allows the vessels to fall more posteriorly; – curved knee retractors are positioned anterior to mid-coronal plane, so that patella tendon and MCL will not be injured; – inadvertent transection of the lateral patellar tendon … Read more
Discussion when the innervated ligamentous layer of the outer annulus fibrosis is stretched because of segmental instability, pain results; acute sprain probably represents partial tearing of annular tissue; if annular tissue becomes weakened to the point of allowing nucleus to protrude beyond the normal confines of the annulus, it may actually be a prelude to … Read more
What Should You Know Before Your Surgery? How We Protect You From Infection How We Protect You From Blood Clots: Your laboratory results – your hematocrit should be between 30 and 45% – if your hematocrit drops below 25-26% during your surgery, we may recommend a blood transfusion. – nasal swab: Your nasal swab should be … Read more
– Discussion: – SH III frx involving avulsion of anterolateral tibial epiphysis; – occurs in older adolescents, after the middle and medial parts of epiphyseal plate has closed, but before the lateral part closes (usually 12 to 15 yrs of age); – because, this frx occurs in … Read more
– See: Anterior Compartment: – Anatomy: – origin: lateral condyle of tibia, proximal 2/3 of lateral surface of tibia, interosseous membrane, deep fascia and lateral intermuscular septum; – insertion: plantar surface on base of first metatarsal and medial plantar surface of 1st cuneiform; – action: dorsiflexes and inverts foot at the ankle; … Read more
– Anatomy: – origin: lateral part of posterior surface of tibia, medial 2/3 of fibula, interosseous membrane, intermuscular septa and deep fascia; – mid course: – it runs in the deep post compartment and passes posterior to the medial malleolus; … Read more
– Discussion: – 60% of plataue frxs involve lateral plateau. – this probably is result of valgus alignment of lower extremity and fact that most injuring forces are directed laterally to medially; – frxs of medial plateau make up 15% & bicondylar lesions 25% of plateau frx; – bicondylar frxs combine any of unicondylar … Read more
– See Technique of IM Nailing – Indications: – tibial shaft fractures within 4 cm distal to the tibial tuberosity to 4 cm proximal to the ankle may be treated with interlocking techniques; – Soft Tissue Injury: – open tibial frx (Gustillo classification): – reconstruction for leg defects: – Frx … Read more