Data Trace Editor – Indications: – displaced long oblique fractures, spiral frxs, or articlar fractures (> 25%) of metacarpals or phalanges; – screw fixation used w/o a plate, requires that the frx length will be at least twice diameter of the metacarpal; (lag screw theory) – a minimum of 2 screws are … Read more
– Indications for ORIF: – failure of closed reduction and pecutaneous pin fixation; – fractures presenting w/ more than than 2 mm of displacement and greater than 15 deg of talometatarsal angulation); – young competitive atheletes may require anatomic reduction; – … Read more
– Discussion: -The surgical treatment of isolated mason type 2 fractures of the radial head in adults: comparison between radial head resection and open reduction and internal fixation. – posterolateral approach: (Kocher Approach) – approach the fascial plane between the ECU and anconeus muscle … Read more
Alternatives to Total Knee Replacement: Autologous Hamstring Resurfacing Arthroplasty
– Discussion: – restoration of heel width / height requires reduction of tuberosity fragment to sustentacular fragment; – generally the tuberosity fragment needs to be brought out of varus and a medially displaced position; – key toreduction of sustentaculum talus fragment, which is almost … Read more
– Preoperative Planning: – Surgical Stratedgy: – pt in true lateral position – J or L approach w/ subperiosteal dissection off lateral wall, including calcaneo-fibular ligament (sural nerve in flap); – extension from tuberosity to calcaneo-cuboid (watch peroneals) – … Read more
– Fracture Fixation: – plate fixation: – 3.5 mm reconstruction plate, Synthes 3.5 mm calcaneal plates, or a flattened 3.5 mm 1/3 tubular plate; – as noted by Carr, et al, in an cadaveric model, the … Read more
– Technique: – 5 cm incision is made over the fracture site, in a direction perpendicular to the platysma fibers; – incise thru the platysma muscle with care to avoid the underlying supra-clavicular nerve; – mobilize the supraclavicular nerve if it is found; – … Read more
– Discussion: (distal radius fracture menu and colles fracture) – volar surface of distal part of radius is slightly flattened, except for its distal margin, which slopes volarly to form a prominent ridge from which volar radiocarpal ligaments originate. – short radiolunate ligament originates off of volar margin of lunate facet and attaches to volar surface of lunate and helps maintaining stability … Read more