Ortho Oracle - orthopaedic operative atlas

Forces Displacing Humeral Fractures

– Above the Level of the Pectoralis:     – frx above level of pectoralis allows proximal frag to abduct & rotate internally, owing to action of rotator cuff;          – pectoralis has greatest influence on shaft segment & tends to displace it medially and anteriorly; – Above the Deltoid:     … Read more

Foot Selection for AKA Prosthesis

– See: Prosthetic Feet: – Discussion:     – it is important that the foot gets flat on the floor as quickly as possible after heel strike;     – if plantar flexion bumper provides too much resistance at heel strike, the knee may buckle;          – SACH foot with a firm heel cushion … Read more

Foot Lumbricals

      – See: Plantar Muscles of the Foot:   Origin: between the tendons of the flexor digitorum longus, except the1st, which arises from the middle side of the first tendon of           the flexor digitorum longus;   Insertion: on the medial side of the proximal phalanx, into the expansions … Read more

Foot Inclusion for External Fixators

– Indications:     – temporary fixation of foot to eliminate ankle & soft tissue motion at frx site may be needed w/ open frx treated w/ external fixators;     – patient w/ concurrent head injury or severe soft tissue wounds involving muscles that control ankle or foot motion;     – foot inclusion … Read more

Foot and Ankle in CP

– Discussion:     – pattern of cerebral palsy influences type of foot & ankle deformities;     – ankle equinus:     – equinovarus:     – pes valgus:     – equinovalgus deformity:          – is more common in children w/ diplegia and spastic quadriplegia;          – … Read more

Foot and Ankle Amputation

– Diabetic Foot – Treatment Considerations – Syme’s Amputation       – Ankle-level amputation. – Chopart Amputations:        – The Modified Chopart’s Amputation.        – Resurrection of the amputations of Lisfranc and Chopart for diabetic gangrene.        – Congenital Chopart amputation. A functional assessment. – Pirogoff:       – Pirogoff Amputation for Foot Trauma: An Unusual Amputation Level A … Read more

Fondaparinux / Arixtra

– See Lovenox – Discussion:     – synthetically manufactured pentasaccharide anticoagulant;     – inhibitor of antithrombin (see coagulation cascade);     – in contrast to heparins (which inactivate factor Xa and thrombin), fondaparinux only inhibits antithrombin;     – dosage: 2.5 mg SQ q24 Effect of low molecular weight heparin (dalteparin) and fondaparinux … Read more