Data Trace Editor Dr. Mangal Parihar – Discussion: Pinsites should be cleaned with sterile saline (boiled & cooled water would do as well) and cotton swabs on a daily basis. Use of antiseptic lotions to cover the pinsites is favored by many surgeons, but is not necessary. In fact the only area where any gauze dressings are required … Read more
Dr. Mangal Parihar – Discussion: The rhythm and more so the rate of distraction are not fixed numbers. 1 mm per day in four equal fractions is only the recommended average. There are frequently cases that require a slower rate, or occasionally a faster rate. This can only be adjusted if one is looking closely … Read more
– See: Watson Jones Approach – Discussion: – frx of anterior column & some anterior column-posterior hemitransverse frx are approached using ilioinguinal approach; – ilioinguinal approach can give simultaneous access to both anterior & posterior portions of the pelvic ring; – medial portion of this approach … Read more
– Discussion: – ilioinguinal nerve originates from first lumbar root (L1 ); – emerges from lateral aspect of Psoas muscle, and passes around posterior abdominal wall over quadratus lumborum and Iliacus; – it then travels under external oblique, enters inguinal canal & descends to supply sensory fibers to skin of … Read more
– Discussion: – an overuse phenomenon which is common in runners (more common w/ downhill running); (see running injuries) – pts usually have pain over lateral femoral epicondyle, which is caused by inflammation resulting from friction as iliotibial band slides over condylar prominence; – syndrome may be more common in … Read more
– See: Safe Zone of Pin Insertion – Discussion: – whether a ring or unilateral fixator is used, there is some evidence that a better regenerate is formed with the use of titanium half pins rather than transfixation wires; – ref: Limb lengthening by callus distraction (callotasis). – … Read more
Dr. Mangal Parihar – Discussion: Practically every patient needs to be taught weight bearing ambulation after the fixator is put on. It is not enough to tell them to bear full weight. There is a natural wariness to bear full weight on a limb that has just been operated, which is compounded by the pain … Read more
Dr. Mangal Parihar – Discussion: Distraction gap increasing as desired & progressive Correction of deformity. The first few days of distraction does not result in distraction of the corticotomy site, especially in patients with congenital conditions. This is because the first 2 to 3 mm is spent in overcoming tight musculature and fascial structures. Beyond … Read more
origin: superior borders of the angles of lower 6 ribs medial to the tendons of insertion of the Iliocostalis Lumborum; insertion: into the angles of the upper 6 or 7 ribs and into the transverse process of the 7th cervical vertebrae; action: acting bilaterally, extension and hyperextension of the spine; acting unilaterally, laterally flexes the spine; … Read more
– Discussion: – approach is similar to Smith Peterson; – provides exposure to the outer aspect of the iliac bone and gives exposure of the anterior and posterior columns; – extended iliofemoral approach provides best access to both column fractures (esp w/ greater sciatic notch involvement) & allows best … Read more