– Discussion: – common reasons for revision include sepsis, component malposition, impingement, polyethylene wear, pelvic osteolysis, recurrent dislocation, progressive protrusio, and component loosening; – most common indication for revision THR is loosening of the prosthesis with subsequent pain and varying degrees of bone loss; – these are major procedures, … Read more
– Indications: – definitive stabilization of frx may be achieved w/ external fixation in certain rotationally unstable but vertically stable injuries; – open book frx: – external fixation is most applicable to stable “open book” pelvic fractures in which there is intact posterior tension band (APC II & … Read more
Haglund’s Deformity Halo Collar Hallux Valgus Hallux Rigidus Hammer Toes Hand Menu Hand Infections Head Injury Heat Stroke Heel Pain Heel Strike … Read more
– See: IM Nailing of Tibia Fractures – Discussion: – IM naling of these fractures is technically difficult and often results in malalignment; – other options include: external fixation for open fractures; – Intramedullary nailing versus percutaneous locked plating of extra-articular proximal tibial fractures: comparison of 56 … Read more
– Discussion: – IM nailing of Intertrochanteric fractures – Synthes Trauma Menu / Proximal Femoral Products – nails designed for trochanteric entry and rigid fixation into the femoral head are optimally used; – indications: – interlocking nails have been used for subtroch frx when lesser trochanter remains attached to the proximal … Read more
– See: Watson Jones Approach – Discussion: – frx of anterior column & some anterior column-posterior hemitransverse frx are approached using ilioinguinal approach; – ilioinguinal approach can give simultaneous access to both anterior & posterior portions of the pelvic ring; – medial portion of this approach … Read more
– Discussion: – approach is similar to Smith Peterson; – provides exposure to the outer aspect of the iliac bone and gives exposure of the anterior and posterior columns; – extended iliofemoral approach provides best access to both column fractures (esp w/ greater sciatic notch involvement) & allows best … Read more
– See: Musculoskeletal Considerations in Pregancy – Discussion: – uncommon disease which is a diagnosis of exclusion; – most often seen in women during the third trimester of pregnancy and in middle-aged men; – typically there is no antecendent trauma; – up to 40% of patients may … Read more
– See: Sacro-Iliac Fracture Dislocations – Management: – consider direct frx fixation from iliac crest into sacrum; – under x-ray control, long, 6.5-mm cannulated lag screws transfix the frx from iliac wing to body of S-1; – because of risk to neural structures, K guide wire usually is inserted, and its … Read more
Origin: superior 2/3 of the iliac fossa, internal border iliac crest, anterior sacroiliac, lumbosacral and iliolumbar ligaments, ala sacrum; Insertion: Lesser trochanter of femur and for a short distance below along medial border of the shaft; Action: Flexes thigh at the hip, minimal activity on lateral rotation of the thigh; Reversed origin-insertion action: when the … Read more