Ortho Oracle - orthopaedic operative atlas

Orthopaedic Disaster Preparedness and Trauma Care Curriculum

SOMOS Core Curriculum and Critical Skills List The Society of Military Orthopaedic Surgeons (SOMOS) teaches the “Combat Extremity Surgical Course” (CESC) to military surgeons prior to deployment. The SOMOS Core Curriculum and Critical Skills List are derived from the CESC objectives and are presented as part of the Orthopaedic Disaster Preparedness and Trauma Care Tool Box initiative.       … Read more

Opening Wedge High Tibial Osteotomy

– Discussion:     – surgical descision making:              – Limb Alignment After Open-wedge High Tibial Osteotomy and Its Effect on the Clinical Outcome              – Opening wedge high tibial osteotomy for symptomatic hyperextension-varus thrust.              – The effect of a proximal tibial medial opening wedge osteotomy on posterolateral knee instability: a biomechanical study. – Osteotomy Options: … Read more

Negative Influences on Bone Healing:

– Negative influences on bone healing: – NSAIDS: – Effects of short-term treatment with corticosteroids and indomethacin on bone healing. A mechanical study of osteotomies in rats. – Antiinflammatory drug effects on bone repair and remodeling in rabbits. – Selective and Nonselective Cyclooxygenase-2 Inhibitors and Experimental Fracture-Healing. Reversibility of effects after short-term treatment. – Dose and Time-Dependent Effects … Read more

Open versus Arthroscopic Ankle Arthrodesis: A Comparative Study

Foot Ankle Int. 1999 Jun;20(6):368-374   O’Brien TS, Hart TS, Shereff MJ, Stone J, Johnson J   ABSTRACT   BACKGROUND: A retrospective review was undertaken for 36 patients who underwent ankle arthrodesis.   METHODS: Nineteen patients underwent an arthroscopic ankle arthrodesis, and 17 patients underwent an open arthrodesis. Only patients with limited angular deformities were … Read more

ORIF of Calcaneal Fractures

ORIF of Calcaneal Frx Using Lateral Approach: – 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) – reduction of critical angle of Gissane/ anterior process to … Read more

Muscle Cramps

             – diff dx:                    – exercise-associated muscle cramping                     – Parkinson’s disease                    – amyotrophic lateral sclerosis                     – peripheral neuropathy                    – lumbar radiculopathy (S1)                    – metabolic myopathies (myopathic disorders)                    – low serum Mg and calcium                    – vitamin D deficiency                    – vascular insufficiency                    – hypothyroidism                    – diabetes mellitus                     – lipid-lowering agents, … Read more

MSK: Orders for the CRF Patient

– See: Bone Disease associated with Renal Disease: – Discussion:     – serum Phos is kept between 4 to 5 mg/dl w/ phos binders w/ meals;     – diet should be supplemented with PO Calcium (1.0 to 1.5 gm/day);     – if PO calcium does not bring the serum calcium to a … Read more

MSK Changes associated with Steroids

– See: Steroid Menu – Discussion:     – daily doses of more than 5 to 7.5 mg of prednisone or its equivalent should be avoided because of side effects produced by glucocorticoids, esp            diminishing of bone mineral content;            – low dose (5 to 7.5 mg PO qd) may benefit certain pts … Read more

MRSA Infections:

– Discussion: (see MSSA)     – true methicillin resistance involves the production of enzymes which are able to maintain cell-wall integrity during growth and division even when beta lactams have inactivated penicillin-binding proteins (ie resistant to penicillins and cephalosporins);       – MSRA of are now present in both large and small non-teaching hospitals and in community … Read more