Ortho Oracle - orthopaedic operative atlas

Longissimus Thoracis

origin: the common broad thich tendon with Iliocostalis Lumborum, fibers from the transverse and mamillary processes of the lumbar         vertebrae and lumbrosacral aponeurosis; insertion: the tips of transverse process of all thoracic vertebrae and the lower 9 or 10 ribs between the tubercles and angles; action: acting unilaterally, extension of vertebral column … Read more

Melatonin

Discussion: The benefit of a supplement with the antioxidant melatonin on redox status and muscle damage in resistance-trained athletes.

Moxifloxacin

Penetration of moxifloxacin into bone in patients undergoing total knee arthroplasty.

Lumbar Total Disc Replacement

Richard D. Guyer, MD Texas Back Institute Rationale  – It is natural for the spine to move  – Lumbar fusion is the standard of care for many degenerative spinal conditions including symptomatic disc degeneration  – Lumbar total disc replacement (LTDR)  is designed to remove the degenerated tissue and replace it with a device allowing mobility of … Read more

Hallux Valgus: Mau Osteotomy

Discussion:     – oblique diaphyseal osteotomy that is directed proximal-plantar to distal-dorsal;     – long dorsal shelf of bone supports the distal fragment, making dorsal displacement of the osteotomy unlikely;     – type of intrinsically stable metatarsal osteotomy (weightbearing on the foot compresses the osteotomy)            – other types of intrinsically stable osteotomies include the proximal … Read more

Medial Malleolar Osteotomy for the Correction of Varus Deformity during Total Ankle Arthroplasty: Results in 15 Ankles

Foot Ankle Int. 2008 Feb;29(2):171-177   Cornelis Doets H, van der Plaat LW, Klein JP ABSTRACT  BACKGROUND: Preoperative deformity in the frontal plane in the arthritic ankle is a risk factor for failure after total ankle arthroplasty. Medial malleolar lengthening osteotomy was developed to correct varus malalignment.  METHODS: From 1998 to 2005 total ankle arthroplasty … Read more

DVT Treatment – low molecular weight heparins (LMWH)

Dalteparin (Fragmin) prevents formation of clots by accelerating activity of antithrombin III availability 2,500 IU or 5,000 IU/ 0.2 mL single-dose prefilled syringe 7,500 IU / 0.3 mL single-dose prefilled syringe 10,000 IU / 0.4 mL single-dose prefilled syringe 10,000 IU / 1 mL single-dose graduated syringe 12,500 IU / 0.5 mL single-dose prefilled syringe … Read more

Lobster Hand

– See:      – Congenital Deformities of the Hands: – Discussion:     – rare anomaly     – absence of digit, w/ cleft hand (“lobster claw” hand);     – phalanges of middle finger, & sometimes corresponding metacarpal, are absent, & cleft in the plane of the missing digit & metacarpal              separates … Read more