– Discription: – broad cloverleaf shaped plate which is designed to butress comminuted supracondylar fractures; – this plate may be especially indicated for comminuted distal fractures w/ a coronal shear frx; – plate is designed to contour to the lateral aspect of the distal femoral … Read more
– Discussion: – this fracture most commonly splits off a single condyle, resulting in disruption of the joint and angular deformity of the finger; – common atheletic injury; – best diagnosed with an oblique x-ray; – can be mistreated as sprain which results in finger angulation and … Read more
– Charnley Method: – compression arthrodesis as accomplished by Charnley shows little consideration of biomechanical principles; – he used one talar pin & one tibial pin w/ compression between them; – pin is placed anterior in the talus so posterior pull of the Achilles tendon will keep the arthrodesis compressed; – this provides stability in only … Read more
– Discussion: – flexible flatfoot: may be divided into congenital and acquired forms: – congenital flat foot: – idiopathic – valgus hindfoot deformity in CP … Read more
– See: Comminuted Femoral Shaft Fractures – Complications: – compartment syndrome of thigh – femoral IM nail infection – avascular necrosis from IM nailing – femoral non union – Implant failures: – associated w/ either the insertion of a small diameter nail or use of an interlocking … Read more
– Discussion: – osteonecrosis of proximal fragment; – non union if proximal fragment is too thin; – delayed union or nonunion occurs in 1-3% of pts & is treated by bone grafting or by repeat osteotomy when correction is lost; – ref: Results … Read more
– Discussion: – superficial phlebitis – proximal tibial anesthesia – patellofemoral pain / pathology: – references: – Patellofemoral problems after intraarticular anterior cruciate ligament reconstruction. – Patellofemoral problems after anterior cruciate ligament reconstruction. – Pain after use of … Read more
div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>hr size=”3″/> strong>- Pseudarthrosis:/strong>br/> – a major complication;br/> – consider managing patient nonoperatively w/ orthosis;br/> – w/ operative treatment consider if old incisions can be used;br/> – acquired pes valgus, metatarsalgia, or other complication may occur;br/> – ref: a href=”http://www.ncbi.nlm.nih.gov/pubmed/24043351″>Establishing the relationship between clinical outcome … Read more
– Discussion: – at time of the injury, calcaneus is driven up toward center of body; – lateral wall is driven outward, as are the peroneal tendons; – this results in shortened functional length of gastrocnemius-soleus complex, flat foot, lateral impingement of peroneal structures, & locked … Read more
– Discussion: – dislocations of the elbow associated with fracture are termed complex; – comprimise 49% of elbow dislocations; – most of these fractures are inherently unstable and require surgery; – prolonged elbow immobilization produces poor results. – surgery must achieve sufficient stability to allow … Read more