Ortho Oracle - orthopaedic operative atlas

Revision of Ankle Arthrodesis

Foot Ankle Int. 2003 Apr;24(4):321-325   Cheng YM, Chen SK, Chen JC, Wu WL, Huang PJ, Chiang HC, Lin CY   ABSTRACT   BACKGROUND: From 1989 to 1996, we treated 18 cases (10 males, eight females; average age 48.2 years) of failed ankle arthrodesis by revision of ankle arthrodesis and followed their progress for at … Read more

Revision Ankle Fusion Using Internal Compression Arthrodesis with Screw Fixation

Foot Ankle Int. 1997 May;18(5):300-309. Erratum in: Foot Ankle Int 1997 Jun;18(6):379   Anderson JG, Coetzee JC, Hansen ST   ABSTRACT   BACKGROUND: We reviewed 20 revision ankle fusions performed using internal compression arthrodesis with screw fixation.   METHODS: Clinical, functional, and radiographic results were measured at an average follow-up of 30 months (range, 12-50 … Read more

RTC Repair: Convergence Repair

– See RTC Repair – References: Modified Margin Convergence Technique Using Suture Anchors for Footprint Reconstruction of Rotator Cuff Tears A novel technique of rotator cuff repair using spinal needle and suture loop Anatomic reduction and next-generation fixation constructs for arthroscopic repair of crescent, L-shaped, and U-shaped rotator cuff tears. Arthroscopic Side-to-Side Rotator Cuff Repair … Read more

Results of Talocruralarthrodesis and Pantalar Arthrodesis of the Ankle Joint in Post-Traumatic Conditions

From: Proceedings of the Nordisk Ortopedisk Förenings 32d Assembly in Helsingfors June 1964: The Meeting of the Scandinavian Orthopaedic Association Was Held in Helsingfors under the Presidency of A. Langenskiöld   Acta Orthop Scand. 1965; 36(3):339-340   Kivilaakso R, Langenskiöld A, Salenius P ABSTRACT               The series presented here covers the cases in which … Read more

Release of Elbow Flexion Contracture Thru Kocher Approach

– See:       – Kocher Approach:       – Elbow Flexion Contracture: – Discussion:     – goal of procedure is elevation of common extensor tendon and transection of the anterior joint capsule;     – indicated for significant flexion contractures (more than 30 deg) which arise from soft tissue (capsular contracture);   … Read more

Renal Osteodystrophy

– See:          – Calcitriol          – Hyperparathyroidism          – Renal Failure: (Orders for the CRF Patient)          – Renal Spondyloarthropathy          – Vit D – Effects on Adult Bone:     – abnormalities of renal function can produce profound bone disease;     … Read more

Renal / Dialysis

– Dialysis:     – for hypercatabolic patient early and aggressive dialysis which is instituted before the Cr is > 8-10 and before BUN > 100 improves patient outcome;     – hemodialysis effciently removes aminoglycosides (50% after 4hrs) and penicillins and cephalosporins;          – hence drug doses should be given at the end of … Read more

Removal of Cementless Stems

– Pre Op Planning:      – exam for THR loosening:      – radiology of press fit stems            – note degree of porous coating around the stem;            – note any migration or subsidence of component which may indicate presence of fibrous membrane and poor … Read more

Removal of Cemented Femoral Stems

– PreOp Planning: – Proximal Exposure:     – if there is extreme difficulty in dislocating the hip, attempt to perform a wide capsulotomy or perform a trochanteric osteotomy;     – it is essential to avoid a proximal femoral frx while extracting the stem;     – before attempting prosthesis removal, remove granulation tissue … Read more