– See: dorsal barton’s frx and dorsal approach to the wrist: – Surgical Approach: – patient is supine w/ wrist slightly flexed & placed on arm board; – perform a provisional reduction before the incision is made; – Z or S shaped incision from base of second metacarpal over wrist … Read more
Alternatives to Total Knee Replacement: Autologous Hamstring Resurfacing Arthroplasty
– Mosaicplasty: – refers to the technique of harvesting small circular (4-8 mm) autogenous grafts from the knee from non wt bearing regions of the knee, and transplanting the grafts in a mosaic pattern until the osteochondral defect is filled; – typically the grafts are harvested from the periphery of the supero-lateral trochlea, but often, the … Read more
– Discussion: – by definition, invovles RTC tears of more than 5 cm and involves more than than one tendon; – further, massive tears cannot be repaired w/o excessive tension after lysis cuff adhesions and release of the coracohumeral ligament; (see cuff mobilization) – Management: … Read more
– See: – meniscal injury – anterior cruciate ligament: – evaluation of ACL injuries: – bone patellar bone reconstruction: – hamstring reconstruction: – allograft reconstruction: – Discussion: … Read more
– See: – Burns of the Hand – Chemical Burns – Electrical Burns – Frost Bite – Initial Management: – trauma management: – patients require a generalized trauma assessment w/ all clothing removed; – determine nature of the burn (flame, chemical, electrical); … Read more
– Discussion: – indicators for poor outcome: – encroachment of tumor on the popliteal neurovascular bundle; – pathologic fracture with contamination of multiple tissue compartments; – local recurrence from previous surgery The Treatment of Lower Extremity Sarcomas With … Read more
– See: – Lateral Compartment of the Knee: – Frx of Proximal Fibula: – Varus Stress Testing: – Discussion: – lateral collateral ligament is primary restraint to varus angulation; – LCL also acts to resist Internal Rotation forces; – cutting of LCL in … Read more
– See: Arthrodesis Menu: / PreOp Planning – Discussion: – arthrodesis remains a treatment option for patients who have recurrent infection, or who are poor candidates for reimplantation; – problems inherent in the performance of knee arthrodesis following a total knee arthroplasty complicated by infection are bone loss, shortening, gait disturbance, & … Read more
– See: Skin Prep: – Discussion: – 3M™ DuraPrep™ – iodophors need not be removed, since they are less likely to result in skin irration; – iodophors are solutions in which iodine is chemically bound to polyvinylpyrrolidone or a comparable molecule; – they are water soluble, less irritating to skin … Read more