Ortho Oracle - orthopaedic operative atlas

Operating Room Hygiene

– hand washing:        – On Washing Hands        – Images in clinical medicine. The hands give it away. – antibiotics: – prophylactic antibiotics : local antibiotic delivery – skin prep agents        – Rush Betadine Lavage Protocol:                – preparation of solution:                – scrub nurse draws up 17.5cc of 10% povidone-iodine with … Read more

Anterior Plating Technique for Distal Radius Frxs

– see distal radius fracture menu (volar Barton’s frx)               – orif of distal radius fractures – Surgical Approach:      – standard volar approach:           – most indicated for simple extra articular fractures and when there is absence of ulnar comminution / displacement:           – incision starts at thenar crease of palm, curves toward middle of forearm, w/ … Read more

ORIF of Bicondylar Frx

  – Technique:     – stratedgy involves, performing articular surface reduction, and then to secure proximal portion to tibial metaphysis            w/ use of lateral butress plate along w/ possible use of medially applied external fixation;           – application of lateral plate takes advantage of the better soft tissue envelop on the lateral side of … Read more

Operative Treatment of Ankle Fractures

– Discussion: – main indication for operative Rx is failure of closed Rx: – when closed reduction requires forced, abnormal positioning of foot (forced plantar flexion and inversion); – when displaced or unstable fractures of either or both malleoli  result in displacement of talus or widening of mortise greater than 1 to 2 mm; – Indications for Treatment: … Read more

Opponens Digiti Minimi

  this is a test .  the word finger should   origin: hamulus of the hamate bone and flexor retinaculum; insertion: entire length of ulnar border of 5th metacarpal; action: flexes and slightly rotates the 5th metacarpal; helps to cup the palm of the hand; synergists:   flexor digiti minimi brevis, abductor digiti minimi; nerve … Read more

Operative management for Fracture of Lateral Malleolus

– See: – Maisonneuve Fracture – Surgical Approaches for Lateral Malleolar Fracture: – Anterolateral Approach – Posterolateral Approach – Weber A Lateral Malleolar Frx – Weber B Lateral Malleolar Frx – Weber C: Lateral Malleolus – Discussion: – malposition of lateral malleolus w/ tilting or shortening, will lead to distorted talotibial wt bearing and lead … Read more