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Galeazzi’s Fracture (Adults)
Discussion frx of radial shaft (between middle and distal 1/3’s) & dislocation of distal radioulnar joint; usually the dislocation is dorsal, but in some cases can be palmar; frx is almost always located just above proximal border of pronator quadratus; usually there is anterior angulation w/ transverse or short oblique config; ref: A Historical Report … Read more
Galeazzi’s Fracture in Children
– Treatment in Children: – frx is usually displaced dorsally and shortened in bayonette position; – due to the significant force needed for reduction, consider GEA; – closed reduction w/ longitudinal traction, & correction of radial angulation; – … Read more
FVFG: Hip Preparation
– Positioning and Prepping: The patient is placed on a beanbag support in the lateral position. The entire axilla to foot area is prepped with betadine solution. A waterproof stockinette is used on the lower extremity with a sterile tourniquet in place at the thigh. Betadine impregnated vidrapes are used to isolate the hip and … Read more
FVFG: Insertion of Guide Pin
– Technique: When the lateral femur is exposed, a 3 mm guide pin is placed into the center of the necrotic area. Care must be taken, particularly on the lateral view, that there is enough room in the neck on both sides of the guide pin to pass a 21 mm reamer if needed. The … Read more
FVFG: Surgical Technique
– Discussion: – Fibular Harvest: – Hip Preparation: Various methods have been advocated for the treatment of acascular necrosis of the hip in the young patient. From the literature an operative treatment for the symptomatic hip is the conservative method of management. Reports on core decompression, osteotomies, electrical stimulation, and bone grafting have been difficult … Read more
FVFG: Vessel Exposure and Anastomosis
– Vessel Exposure: Exposure of the donor vessels is optimized with the use of a large self retaining retractor superior in the wound as well as the Charnley retractor. The microscope is brought in to perform the anastamosis. The vein is coupled first. This prevents any bleeding which could obscure the field if the … Read more
Fusion of the Spine
– See: – ALIF with Revision Decompression and Reinstrumentation – Anterior-Posterior Lumbar Interbody Fusion – Posterior Lumbar Single-Level Decompression and Fusion with Instrumentation – Anterior Arthrodesis of the Subaxial Cervical Spine: – AAOS – Bulletin: A minute of malpractice – Cage Fixation: (interbody fusion) … Read more
Fusion to Sacrum
– Discussion: – in adults, a two-stage anterior and posterior procedure is performed; – w/ this technique, rate of pseudarthrosis is < 5 %; – CD instrumentation: – another advantage of this instrumentation is improved fixation to sacrum, w/ pedicular screws used instead … Read more
FVFG: Clinical Hours and Operative Scheduling
div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”> b>- Clinic Hours:/b> Duke South Hospital Orthopaedic Surgery Private Diagnostic Clinic First floor, yellow zone Appointments: (919)684-4007 or 684-3328 8:30 a.m. – 5:00 p.m. M-F Dr. Urbaniak is in the clinic on Tuesday Dr. Nunley is in the clinic on Wednesday & Thursday b>- The Telephone/b> The telephone is … Read more