Ortho Oracle - orthopaedic operative atlas

Expert Opinions for Autologous Hamstring Resurfacing Arthroplasty

1) Prof. Ivan Martin, I was intrigued by your concept and indeed I understand the potential impact it could have. I would be thrilled to hear about the results of further clinical tests, possibly within a prospective, randomized trial, controlled vs the microfracture without resurfacing. Please let me know if you wish to further discuss … Read more

TKR – Posterior Cruciate Ligament Retaining Prosthesis

– See: – TKR Menu – Joint Line Position: – Posterior Stabilized Prosthesis: – Function of Posterior Cruciate Ligament: (see PCL) – as the knee flexes, eccentric postion of the PCL femoral orgin prodecues a tensile force in the ligament; – because of nonconforming low friction articlation, this tensile force is converted into a translatory … Read more

TKR: Valgus Deformity

– See: – TKR Menu: – Collateral ligaments: – Medial Collateral Ligament – Lateral Collateral Ligament – Discussion: – more common in females; – in valgus knee, ligament balancing is more difficult to fix; – the anatomic deformity is usually larger in valgus than in varus, and it is on the femoral side; – femur … Read more

Tumors of Hand and Distal radius

– Adamantinoma – Basal Cell Carcinoma: – Calcinosis – Chondrosarcoma: – the most common bony malignancy in the hand; – CMC Boss: bony growth at bases of second and third metacarpals; – special radiographs can demonstrate the osteophytes, which may be resected if symptoms warrent; – associated with ganglia at least 30% of the time, … Read more

Tunnel of Guyon

– Discussion: – Guyon (French Urologist) described this space in 1861; – Guyon’s canal is approximately 4 cm long beginning at the proximal extent of transverse carpal ligament and ends at the aponeurotic arch of hypothenar muscles; – depression between pisiform & hook of hamate is converted into fibrosseous tunnel, the tunnel of Guyon, by pisohamate … Read more

Type II Pilon Frx

– Discussion:     – comprises articular frx w/ articular incongruity but minimal comminution;     – frx extend into the joint distally from a spiral frx of distal tibia     – ankle mortise must be evaluated carefully to determine if fibular frx in question is part of joint injury or merely                 frx assoc … Read more

TKR: Day 3

     blood draw: A blood drawing technician will draw your blood at 6 AM (will test for your red blood cell level          – hematocrit – and possibly chemitry level).  Ask your nurse about your hematocrit (should be above 30 and if          the hematocrit is below 26 we may recommend a transfusion)          On day … Read more