Ortho Oracle - orthopaedic operative atlas

Articular Cartilage: Injury and Potential for Repair

– See:        – Chondral and Osteochondral Injuries of the Knee        –  Enchondral Ossification         – osteochondral allografting for OCD injuries of the knee Healing of Articular Cartilage in Intra-Articular Fractures in Rabbits.  Viability and apoptosis of human chondrocytes in osteochondral fragments following joint trauma The viability of articular cartilage … Read more

Articular Reconstruction of Calcaneal Frx

– Technique:     – disimpaction of posterior facet:           – if the posterior facet is impacted down into the cancellous bone, it should be elevated en mass w/ use of an osteotome;                  – it is important to elevated the posterior facet along … Read more

Arthroscopic Anterior Shoulder Reconstruction

– Discussion: – shoulder arthroscopy / acute dislocations / recurrent anterior instability / multidirectional instability / posterior instability – drive through sign: – refers to the ability to pass the arthroscope easily between the humeral head and the glenoid at level of anterior band of inferior glenohumeral ligament; – considered diagnostic of shoulder laxity or instability; – ref: Clinical significance of the arthroscopic … Read more

Role of Knee Arthroscopy following Arthroplasty

– See: Total Knee Arthroplasty – references:       – Infection after arthroscopic treatment of symptomatic total knee arthroplasty.       – Arthroscopy following total knee arthroplasty.       – [Arthroscopic release for knee joint stiffness after total knee arthroplasty]       – [Technical aspects of arthroscopic arthrolysis after total knee … Read more

Joint Arthroscopy:

ankle arthroscopy elbow arthroscopy hip arthroscopy arthroscopy of the knee joint shoulder arthroscopy – arthroscopic rotator cuff repair wrist arthroscopy                   Additional Informaton The Effect of Irrigation Solution at Different Temperatures on Articular Cartilage Metabolism Supraphysiologic Temperature Enhances Cytotoxic Effects of Bupivacaine on Bovine Articular Chondrocytes in … Read more

Arthroscopy of the Osteoarthritic Knee

– See:       – Knee Joint Menu:                – Chondral and Osteochondral Injuries of the Knee and Meniscal Tears  – Discussion:     – arthroscopic lavage alone may be of some benefit;     – debridement has little value for long-standing or severe osteoarthritis of knee              – where as, in the recent … Read more

Arthroscopic Distal Clavicle Excision

– Discussion: – general discussion: clinical and radiographic findings     – in contrast to open excision, arthroscopic excision allows preservation of the superior AC capsular ligaments; – stability of the AC joint comes from capsular ligaments (anterior, posterior, superior, and inferior) – capsular ligaments provide anteroposterior (horizontal) stability of the distal clavicle; – superior AC ligament is … Read more

Arthroscopic Lateral Retinacular Release

– Discussion:     – lateral release detaches patella from lateral soft tissue structures, including lateral retinaculum, fibers from tensa fascia lata muscle, &            joint capsule;     – a tourniquet should not be used during this procedure since it has been shown to increase the occurance of postoperative hemarthrosis;     – prior to performing … Read more