Ortho Oracle - orthopaedic operative atlas

Fluconazole / Diflucan

– Discussion:     – for treatment of Candida infections;     – bioavailability of orally administered fluconazole is over 90% compared with intravenous administration     – dose 200 to 400 mg per day – Cautions:     – Dosing Regimens for Patients w/ Renal Insufficiency:               (Dose for 70 kg Adult (gm/dosing interval in hours) CrCl:>80: 0.1-0.2/24; … Read more

Floating Shoulder Injuries

                                                                       by James J. Davidson MD – Discussion:     – refers to scapular frx and clavicle frx (or AC joint … Read more

Flexor Tendon Repair Techniques: Core Suture Techniques

 – See: discussion flexor tendon repair: theory and modes of failure – Discussion:      – Kessler Repair:             – Kessler grasping stitch or similar core suture methods of flexor tendon repair are popular types of flexor tendon repair;              – references:                     – Complications After Flexor Tendon Repair: a Systematic Review and Meta-Analysis  … Read more

Flexor Tendon Repair

  – Anatomy: – on volar aspect of finger, FDP passes through FDS to insert on distal phalanx; – both long flexor tendons are tightly enclosed in common tendon sheath which corresponds to zone II; – anatomical proximity explains the development of adhesions between FDS & FDP tendons & digital fibrous sheaths following injury; – excursion … Read more

Flexor Pulley Repair / Reconstruction

Flexor Pulley Repair / Reconstruction   – See: – Prosthetic Grafts – Flexor Tendon Sheath Anatomy – Staged Tendon Reconstruction – Discussion: – the A2 and A4 pulleys are essential to prevent flexor tendon bow stringing; – inadequate pulley reconstruction will lead to bowstringing of the flexor tendon; – include use of a portion of FDS, free tendon graft, … Read more

Flexor Pollicis Brevis

    – Origin:     – superficial head: distal border of the flexor retinaculum;     – greater multangular bone tuberosity of the trapezium bone deep head;     – trapezoid and capitate bones; – Insertion: base of the proximal phalanx of the thumb; – Action:     – flexes proximal phalanx of the … Read more