Data Trace Editor – See: Multisegmented Hook Instrumentation – Discussion: – reduction of retropulsed bone from the canal requires that posterior longitudinal ligament be intact to provide tension; – when distracted, ligament pulls bone out of the canal anteriorly toward the body; – this technique is generally … Read more
– See: Posterior Approach for Pelvic Frx – Indications for Use: – isolated posterior wall & posterior column frxs; – allows access to posterior column and posterior wall only, but exposure is limited proximally by superior gluteal vessels and greater trochanter; – isolated transverse frx (as well … Read more
– See: – Anterior Approach to Humerus – Posterior Approach to the Elbow; – Plate Fixation of the Humerus; – Indications: – Distal Third Humeral Fractures: – Humeral Mid-Shaft Frx are also amenable to the posterior approach if the formal approach is modified (see below); … Read more
– Discussion: – S shaped skin incision is made, extending along the posterior border of biceps and its tendon on the upper lateral side of popliteal fossa, then transversely across the fossa and finally along lower medial side of fossa posterior to semitendinosus tendon; – skin flaps are retracted and the deep fascia is incised … Read more
– See Orders for the Spine Injured Patient – Neuro / C-spine – Morphine PCA (Fetanyl in the unstable pt); – Tylenol 650 PO q4hr prn – HOB – Cardiac Orders / Meds: – Hct: T & C and Sulcotrans … Read more
– See: Osteomyelitis of the Spine: – Discussion: – acute infections usually occur between 1-2 wks after surgery; – pt who has recently undergone excision of a herniated disc and who presents with localized back pain and spasm following a relatively pain-free interval should be suspected; – when infection has … Read more
– Discussion: – evaluation of the painful hip replacement and exam for THR loosening: – heterotopic ossification: – post op AP & lateral x-rays should include entire length of stem & cement mass; – femur and cement column are inspected carefully and compared w/ previous films for changes indicating component loosening, stem … Read more
– Discussion: – commonly results from: – frx of throracolumbar spine treated non-operatively, esp when posterior ligamentous complex has been disrupted; – fractures treated by laminectomy w/o fusion (or w/ failed fusion); – children who have had extensive laminectomies, … Read more
– See: – Associated Transverse and Posterior Wall Frx – Classification and Column Theory – Discussion: – most common type of acetabular frx (up to 50% of acetabular fractures will contain a posterior wall fragment); – posterior wall frxs involve the posterior articular surfaces, often w/ retroacetabular … Read more
– Discussion: – refers to the portion of the posterior wall and column at the mid acetabulum lying above the ischial spine; – screws placed in this one are at risk for joint penentration; – anatomic safe zone: – entry point … Read more