Ortho Oracle - orthopaedic operative atlas

Renal Spondyloarthropathy

– See: Renal Osteodystrophy – Discussion:     – seen in hemodialysis patients with chronic renal failure and typically invovles three adjacent vertebrae with intervening discs;     – changes include subluxation, degeneration, and narrowing of disc ht;     – although the process may resemble infection, it probably represents crystal or amyloid deposition;     – … Read more

References for Prognostic Features of Osteosarcoma

Limb-salvage treatment versus amputation for osteosarcoma of the distal end of the femur. The effect of local extent of the tumor on prognosis in osteosarcoma. Prognosis for patients who have osteosarcoma with skip metastasis. Stage IIB osteogenic sarcoma. IIB osteosarcoma. Current management, local control, and survival statistics–São Paulo, Brazil. Survival and management considerations in postirradiation … Read more

Reduction of Femoral Shaft Frx

 – See:        – Proximal Frx        – Distal Frx        – Rotational Alignment   – Deforming Forces:      – muscular forces deform the femur after fracture;      – abductor muscles:           – abducts proximal femur following subtrochanteric & high proximal shaft fractures;      – psoas:           – proximal 1/3 frx of shaft are also … Read more

Rectus Femoris

– See Quads – Origin:       – Straight Head: Anterior Inferior Iliac Spine       – Reflected Head: Groove on upper brim of acetabulum; – Insertion: Upper border of patella by the ligamentum patella into tibia tuberosity; – Reversed origin-insertion action: Flexes the pelvis on the femur and gives anterior stabilization to the pelvis; … Read more

Reconstruction Plates, 3.5 mm

– Discussion:     – these plates are used with 3.5 mm cortex screws;     – their main application is for use with pelvic and acetabular frx;     – they may be also used in fractures of the distal humerus (dorsolateral apect), the clavicle, and the calcaneus;     – reconstruction plates have notches … Read more

Reconstruction Plates, 4.5 mm

– Discussion:     – specially designed to be bent and twisted in two dimensions;     – hence they are useful for the pelvis;     – already low strength of the plate is further diminshed by three dimensinal bending;     – bending angles greater than 15 deg at any one site must be … Read more

Reconstructive Surgery / Flaps / Grafts

– See:       – Arteriography, Microanastomosis, Pharmocological Agents in Vascular Surgery       – Vaccum Assisted Wound Closure Device – Discussion:     – w/ severe extremity wounds, early radical debridement combined with early soft tissue coverage (regional or free flap) will             decrease wound infection, flap loss, & delayed bone healing;     – early coverage … Read more

Radiology of the Hip

  – AP view:     – patient is supine with the foot internally rotated 15 deg to obtain best views of the femoral neck;     – central beam is directed toward the femoral head;     – X-ray tube should be positioned 100 cm from focal plane of film cassette to yield an … Read more

Radiology of the Musculoskeletal System

 – Cervical Spine  – Pelvic Radiology  – MRI Discussion  – Ossification of Soft Tissue and Periosteum  – Pediatric Radiology  – Radioisotope Scanning Magnetic Resonance Imaging of the Musculoskeletal System–Symposium: Physical Principles of Magnetic Resonance Imaging. Longitudinal growth and growth-plate activity in the lower extremity. Imaging of the hip joint. Computed tomography versus magnetic resonance imaging.