Data Trace Editor – See: Refereneces for Ankle Fractures: The Segmental Rectus Abdominis Free Flap for Ankle and Foot Reconstruction. The deltoid ligament. An evaluation of need for surgical repair. Salvage procedures for complications of total ankle arthroplasty. Diagnostic and operative arthroscopy of the ankle. An experimental approach. Acute rupture of the peroneal retinaculum. Guidelines for selective radiological … Read more
– Discussion: – select appropriately sized 6.5 mm or 7.0 mm canulated screw (threads must cross the frx site); – consider direction of maximal deformity and displacment; – guide wire insertion (for cannulated screw insertion); – K wire is inserted from deep w/ in sinus … Read more
– See: Equinovarus: – Discussion: – most common problem; – in those w/ diplegia, it is bilateral & almost always flexible in child under three years; – diff dx: toe walking – Exam: – it is essential that the ankle and hindfoot be held in varus while … Read more
– Treatment Considerations: – it is essential to reduce the dislocation in the ER, so as to avoid tenting of the skin over the anterior tibia; – w/ a trimalleolar frx-dislocation, consider a posterior approach using an antiglide plate and fixation of the posterior malleolar fragment (which can be accomplished through … Read more
– See: – Radiographic Studies – AO/Weber Classification & Surgical Treatment: – Type A – Type B (Antiglide Plate: ) – Type C – Antiglide Plate – Fracture Dislocations of the Ankle – Lateral Malleolar Fractures – Lauge Hansen Classification: – Pronation – Abduction Injuries – Pronation-External (Eversion) Rotation Injuries – Supination – Adduction Injuries – … Read more
– Discussion: – some recommend early motion after operative treatment of ankle fractures; – however, there is little differnece in range of motion between ankles that are treated with early motion and those that are immobilized; – similarly, wt-bearing affects does not appear to affect recovery; – Non Operative … Read more
(See: Soft Tissue Menu) Discussion high grade sarcomas of vascular origin; occur most often in middle aged persons; when the tumor arises in bone, it frequently extends up and down the bone w/ distinctive pattern of “soap bubble” lesions; sub-types: hemangioendothelioma – more common in bone than in soft tissue hemangiopericytoma – more common in soft … Read more
Discussion as slip progresses, area of contact between L5 & S1 decreases & body of L5 tilts forward on sacrum; this is referred to as sagittal rotation, angle of slipping, roll, L5/S1 kyphosis, or gibbus; slippage is not present in pts who have mild (grade-I or II) spondylolisthesis, but is more common in pts who … Read more
Discussion (see also: role of ankle and subtalar joint in gait) normally, during the transition from foot flat to heel off, the foot dorsiflexes as the body moves forward; gait consequences of equinus contracture: patient may adopt a toe to toe gait pattern or a toe to heel gait pattern (premature forefoot loading) reduced propulsion … Read more
(see also: Sub-Talar Fusion, Tibial-Talar-Calcaneal Fusion Discussion and Outcomes: optimal position for fusion see gait and role of ankle joint in gait ref: Ankle arthrodesis. Long-term follow-up with gait analysis. Exam: perform an Allen test for the foot vasculature; note function of posterior tibial pulse while the dorsalis pedis pulse is occluded and vice versa; … Read more