Ortho Oracle - orthopaedic operative atlas

Open Tibia Frx: Exchange Nailing

– See:      – External fixators for tibia frx      – IM nails for tibial frx – Indications for Fixator Exchange (for IM nail): (factors for successful exchange:)      – absence of pin tract infections;      – short duration of external fixator;           – it is unclear whether the … Read more

Open Fractures of Femur

– Discussion of Open Femur Frx: (see open frx menu)     – see: gun shot wounds     – rates of wound infection should be < 4 % w/ meticulous debridement of wound;     – rates of union and the functional results have been comparable with those obtained after nailing of closed fractures;     – compartment … Read more

Open Joint Injuries

– See:        Gun Shot Wounds        Plumbism        Open Fractures        Septic Joint – Classifaction of Open Joint Injuries: (from Collins and Temple (1992))     – type 2:           – single capsular perforation or laceration w/o extensive soft tissue injury           – A: w/ minimal step … Read more

Open Palm Technique (from McCash, 1964)

– Discussion:     – favored for advanced disease, especially in diabetics, and is indicated for patients w/ multiple involvement;     – use transverse incisions in the palm at the distal palmar crease, as well as  transverse incisions at the base of fingers, and at PIP crease;     – limited fasciectomy is performed; … Read more

Open Ankle Fractures

– See: Discussion of Open Frx Open ankle fractures. The indications for immediate open reduction and internal fixation. Immediate internal fixation of open ankle fractures. Report of thirty-eight cases treated with a standard protocol. Treatment of open ankle fractures. Immediate internal fixation versus closed immobilization and delayed fixation. Immediate internal fixation of open ankle fractures.    

Open Fractures

 – Discussion:      – fracture types: open tibia fractures, open fractures of femur      – treat all open fractures as an emergency;     – perform thorough initial eval to dx other life-threatening injuries: (see trauma management);     – open joint injuries     – gun shot wounds      – controversies: non operative treatment:           – Nonoperative … Read more