Ortho Oracle - orthopaedic operative atlas

Polio: Claw Toes

– See:       – Claw Toes       – Poliomyelitis – Discussion:     – 2 causes          – long toe extensors:                – substitute for severely weakened ankle dorsiflexors;                – clawing is even more marked w/ Achilles tendon contracture;     … Read more

Polarus Plus IM Nail

  Polarus Plus Implant Features Two divergent 5.0 mm proximal locking screws for cancellous fixation. Two oblique 3.5 mm bicortical screws. 7.75 mm shaft diameter is cannulated for a 2.0 mm guide wire. Titanium Alloy. Lateral 3.5 mm static interlocking hole. AP 3.5 mm dynamic/static interlocking slot. Sizes: 200 mm, 220 mm, 240 mm, 260 … Read more

Polarus IM Nail

  Polarus Implant Features A patented array of 5.0 mm proximal holes to allow for secure fixation of the most common multi-part proximal humeral fractures. Each screw is designed with deep cancellous threads for added holding power. Strategic screw locations help avoid the axillary nerve and other key structures. Distal interlocking is achieved with up … Read more

Pneumothorax

– Pneumothorax:     – even a small pneumothorax will generally require a chest tube if any type of surgery is required since the size of the pneumothorax may             increase due to the positive pressure ventilation; – Tension Pneumothorax:     – condition in which air is under pressure … Read more

Plicamycin (Mithramycin)

– Discussion:     – inhibitor of RNA synthesis in osteoclasts;     – an effective treatment for hypercalcemia;     – given intravenously in a dose of 25 microg per kilogram over a period of four to six hours;     – dose can be repeated several times at intervals of 24 to 48 … Read more

Platlet Concentrate: (Random Donor)

– See:        – Bld Prod Menu        – Transfusion Therapy – See: Bleeding secondary to Platlet abnormalities: – Discussion:     – volume: approximately 50 mL (60 x 10^9 platlets -? 1-5 x 10^11);     – one unit of platlet concentrate can raise the platlet count by 10,000;   … Read more

Plating of Tibial Fractures

– Discussion:      – plating techniques and synthese products     – primarily indication for plates and screws is a displaced intra-articular frx of tibia, involving either knee or ankle;     – main disadvantage is skin necrosis and resultant infection;     – malunions and mal-non-unions are other indications;  – Operative Techniques for Proximal Tibial Fractures: … Read more

Plate Fixation of Pilon Fractures:

– Discussion:      – see plating of tibia fractures and synthese products     – six cortices should be held proximal to most proximal fracture line, and lag screws should be used when frx lines cross;     – when using medial plate, additional anteroposterior lag screw fixation may be needed to secure posterior lip frx;     … Read more