Ortho Oracle - orthopaedic operative atlas

Role of Arthroscopy in HTO

– See: Arthroscopy of the Arthritic Knee – Discussion:     – thickness of articular cartilage cannot be assessed by visualization alone, but denuded and eburnated areas of bone can be seen;     – these areas are usually spotty, and assessing their importance is difficult High tibial osteotomy in the treatment of osteoarthritis of … Read more

Role of Fibula in Tibial Plateau fractures

– Discussion:     – Tibial Plateau Frx Menu     – condition of fibula, whether frxed or intact, determines angulatory behavior of these frx under wt bearing and functional conditions;     – isolated frx of lateral plateau w/ intact fibula do not tend to collapse further because of the support of the fibula;     – … Read more

Role of Dextran in Hip Frx

Prevention of thrombosis after hip fracture surgery. Comparison of dextran 70 with and without dihydroergotamine. Prevention of fatal pulmonary embolism in patients with fractures of the neck of the femur.

Role of CT in Cervical Fractures

– Discussion:     – plain films may not reveal posterior arch frx, frx and subluxations of articular facets, frx of C1 and            C2 (among most commonly missed fractures on plain films), and interspinal bony  fragments;     – plain films may not pick up the coronally oriented vertebral body … Read more

Deep Venous Thrombosis (DVT) – Risk Reduction

Procedure-specific risk reduction THA TKA trauma, pelvic fractures, and extremity fractures hip fracture Specific agents for risk reduction apixaban (oral factor Xa inhibitor) Apixaban for Extended Treatment of Venous Thromboembolism aspirin  (see role of ASA for DVT prophylaxsis) danaparoid low molecular wt glycosaminoglycan with potent anti factor Xa activity fondaparinux low molecular weight heparins may … Read more