– See: tibia fracture menu (open tibia fractures); – Discussion: – worst prognostic feature for healing of tibial frxs is infection; – osteomyelitis of tibia & infected non unions are among the most severe complications after tibial frx, & may lead to amputation; – probability of infection is related … Read more
(see also: – Trauma Workup; Open Frx; Frx Healing; AO Foundation; ON FRACTURES by Hippocrates.) Acetabular Fracture Ankle Fractures Barton’s Fracture: Dorsal Barton’s Fracture Volar Barton’s Fracture Bennet’s Fracture Both Bone Forearm Frx Boxer’s Frx Burst Fractures (of spine) Calcaneus, Frx Capitulum Fractures Chauffeur’s Fracture Chance Fracture Clavicle Fracture Colles Fracture Compression Frx (Spinal) Condylar … Read more
– See: – Safe Zone of Pin Insertion Wires Insertion Techniques – Wire Characteristics: – in general 1.5 to 1.8 mm wires need no incision or drill sheath, but larger, 2.0 wires may be inserted w/ sheath through incision; – larger diameter wires will increase … Read more
– Discussion: – up to 80 % of patients w/ traumatic DJD may expect a good to excellent result at 5 years; – up to 30 % of patients will sustain a major complication over 5 years, which often will require and additional operation; – indications: – end stage rheumatoid arthritis; – severe intractable pain … Read more
– 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
– Torticollis Due to Bony Anomalies: – Klippel feil syndrome – atlantoociipital synostosis – basilar impression – odontoid anamalies – aplasia – hypoplasia – Os Odontoideum – occipital vertebrae – asymmetry of occipital condyles (hypoplasia) – absent C1 facet (unilateral) – fibrodysplasia ossificans – atlantoaxial rotary displacement – atlantorotatory fixation
– See: – Medial Approach: – Post Operative Care and Compications: – Discussion: – oblique frx that begins near intercondylar eminence & extends to cortex of medial or lateral tibial flare; – total depression is similar to Type IV Frx – TDF of medial … Read more
– TKR Surgical Technique: – extramedullary guides – proximal tibial resection: – posterior slope of the tibial component: – depth of tibial cut: – Effect of the tibial cut on subsidence following total knee arthroplasty. – joint … Read more
– Trial Components: – component fit: – evaluate femoral and tibial trial components and determine areas that will need additional cement; – flexion & extension gaps – range of motion: use the largest polyethylene spacer that allows full extension; … 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