Data Trace Editor Dr. Mangal Parihar – Discussion: Much is spoken about physiotherapy and it’s importance in the Ilizarov method. Unfortunately, this is infrequently translated into practice. One just has to look at many cases with iatrogenic problems to realize that lack of physiotherapy lies at the root of the majority of these. The patient has to participate … Read more
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: anterior surface of a broad and thick tendon which originates from the sacrum, spinous proceses of the lumbar vertebrae and from the inner lip of the iliac crest; insertion: inferior borders of the angles of the lower 6 or 7 ribs; action: acting bilaterally, extension and hyperextension of the spine; acting unilaterally, laterally flexes the … Read more