Data Trace Editor (see: Synthes Femoral Products) Workup for Femoral Shaft Frx (trauma workup) assessment of perfusion: damage control orthopaedics timing of surgery in orthopaedic patients with brain injury surgical timing and prevention of ARDS in patients with femur frx IM Nailing Technique Anatomy of Femur Arterial supply Canal Entry Point Comminuted Femoral Shaft Fractures Distal Femoral Physeal … Read more
– See: – x-rays for femoral neck fractures – technique of closed reduction – Acceptable Reduction: – poor reduction of femoral neck frx interferes w/ blood supply to femoral head & decreases apposition of bone between bone fragments; – reduction should leave neck-shaft angle between … Read more
– See: Accetable Reduction Parameters – Discussion: – always attempt closed reduction before open reduction; – evaluation of the lateral x-ray after reduction to evaluate posterior comminution of the femoral neck is critical; – posterior comminution leads to the loss of a butressing effect posteriorly, w/ subsequent loss of reduction … Read more
– See: Avascular Necrosis following Femoral Neck Fracture – Discussion: – usually non unions are apparent w/in one year of femoral neck frx; – incidence ranges from 10 to 30%; – only 1/3 of pts w/ AVN will require additional surgery where as – 3/4 patients with … Read more
– Anatomy: – arises from posterior divisions of Ventral Rami of L2, L3, L4 – see innerv. musc. lower limb; – passes inferolaterally thru psoas, & then runs between this muscle & iliacus; – it passes over Iliacus muscle to enter thigh underneath the inguinal ligament; … Read more
– see: TKR menu – Discussion: – notching may occur with the anterior femoral cut; – classification: 4 grades using the Tayside classification: – grade I: violation of the outer table of the anterior femoral cortex; – grade II: violation of the outer and the inner table of the anterior femoral cortex; – grade … Read more
– See: – Anastomoses of Lower Limb Arteries – Femoral Arteriogram: – Lower Limb: anatomy of arteries and bones with 3D pictures and angiographic radiological images – Anatomy: – common iliac bifurcates at the L5-S1 disc; – internal iliac: – courses anterior and adjacent to … Read more
– See: – Total Hip Replacement Menu: – Acetabular Bone Grafting: – Allografts – Discussion: – indicated for pts w/ severe osteolysis or for femoral shaft fractures; – in younger pts, structural allografting may eventually allow some … Read more
– See: Total Hip Replacement Menu – Discussion: – design considerations – femoral stem collar – cemented femoral stems (radiology of cemented femoral stems) – press fit femoral stems – femoral component offset – modular neck: – … Read more
– Anatomy: – anatomy of femur – neck shaft angle: – references: – The femoral neck-shaft angle on plain radiographs: a systematic review. – The neck shaft angle: CT reference values of 800 adult hips – Press … Read more