Ortho Oracle - orthopaedic operative atlas

Isolated Talocalcaneal Interposition Fusion: A Prospective Follow-up Study

Foot Ankle Int. 1997 Oct;18(10):616-621   Fellmann J, Zollinger H   ABSTRACT   BACKGROUND: This is a prospective clinical and radiological study of the treatment of talocalcaneal deformity or degeneration by a modified technique of isolated talocalcaneal fusion.   METHODS: Thirty-six patients were evaluated with clinical examination, plain dorsoplantar and oblique radiographs, and computed tomography … Read more

Ingrown Toe Nail

– Discussion:     – occurs from inappropriate and excessive soft tissue inflammation to irritation of lateral nail fold;     – inciting causes include tight fitting shoes, or a sharp spike of nail against lateral nail fold;     – w/ an excessive inflammatory response, granulation tissue will grow up and over the nail; … Read more

Inhibition of Tumor Necrosis Factor

– Discussion:     – these agents bind TNF and block inflammation by inhibiting the subsequent effects of this cytokine;     – infliximab:           – a chimeric monoclonal antibody against TNF-(alpha)           – variable region of a murine antibody grafted to the constant region of a … Read more

Wound Closure Initial Wound Care of Tibial Fractures

– Technical Considerations:          – consider debriding the wound with a separate set of surgical instruments / drapes          – exposure: extend the traumatic incision longitudinally in order to fully expose zone of injury;          – pressure irrigation         – debridement of open tibia fractures         – Arguments for Leaving Wound Open w/ Delayed Closure:           … Read more

Inlet and Outlet Views

– Inlet View of the Pelvis: (cauded projection)          – caudad projection, also called inlet view, best demonstrates ring configuration of pelvis, & narrowing or widening of diameter of ring is immediately apparent.       – evaluates for posterior displacement of pelvic ring or opening of pubic symphysis;       – technique:            – … Read more

Inferior Gluteal Nerve

– See: innervation muscles lower limb – Discussion:     – arises from posterior branches of L5, S1, and S2;     – passes from the pelvis below the piriformis muscles in the greater sciatic foramen;     – it enters the deep surface of the gluteus maximus muscle, to which it is the sole … Read more