Data Trace Editor – 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
– Discussion: – initial postop plaster splint holds the wrist in 20 degree flexion, MP joints in at least 60 degree flexion, and digits should be held in extension inorder to avoid contractures; – motion is begun after a few days, once it is clear that the wounds are healing well; … Read more
by Dr. Mangal Parihar – Background: In conventional orthopedic surgery, the manipulation of bones or other tissue is done only during the actual operative procedure, usually there is no active manipulation of the tissues during the post-op period. In contrast, with Ilizarov surgery, the manipulation of the tissues really begins only a few days after … Read more
– Radiographic Evaluation: – hyper-extension lateral view: – allows assessment of percentage of impingement by intercondylar roof; – a line is drawn thru the center of the tibial tunnel and a line is drawn tangential to the slope of the intercondylar roof; … Read more
– Discussion: – initial postop plaster splint holds wrist in 20 deg flexion, MP joints in at least 60 deg flexion, and digits should be held in extension in order to avoid contractures; – early motion is started to decrease tendon adhesions & to improve digit motion; – patients … Read more
1) Reduction of Post Op Surgical Bleeding. Why is this important? Recent paper on hematoma formation after TKR concludes: “Patients who return to the operating room within thirty days after the index TKA for evacuation of a postoperative hematoma are at significantly increased risk for the development of deep infection and/or … Read more
– Positioning: – options include positioning with the patient supine – flat on the table or positioning the patient supine with the knee in a leg holder; – supine position: – requires a valgus post, a bump placed under hip, … Read more
– Assess ISS: – w/ multiple injuries (Pelvic Frx) consider supine position and use of universal femoral distractor; – Rotational Alignment – 45 deg Lateral on Flouro Table: – indications: – include ipsilateral femoral and acetabular frx or vertical unstable pelvic fracture; … Read more
– Supine – No Traction: – easiest method is supine position, w/ several rolled towel/blanket bumps placed side by side which elevates the fractured extremity above the other side (which is necessary inorder to get a lateral view on flouro), and which facilitate knee flexion (which is necessary for entry into the … Read more
– See: EMG Menu: – Discussion: – associated w/ muscle denervation or myopathy; – these are often found in assoc w/ fibrillation potentials, but tend to procede them in appearance after a nerve lesion