Ortho Oracle - orthopaedic operative atlas

Suture

– See: arthroscopic knot tying techniques – Square Knot:       – Knot Security: How Many Throws Does It Really Take?  – Orthocord:       – Biologic Response to Orthopedic Sutures: A Histologic Study in a Rabbit Model   – Wound Closure Types Orthopaedic Surgery:               – subcuticular closure:                      – reported 8-10% wound complication (/infection) risk … Read more

Sustentaculuum Tali Fractures

– Discussion:  – fractures of the sustentaculum tali result from landing on the heel combined with severe inversion of the foot; – inversion of foot produces acute pain just below the medial malleolus;  – pain may be accentuated by passive hyperextension of the great toe;  – this fracture may be mistaken for an ankle fracture;  … Read more

Sustentaculum Talus Fracture

– Discussion:      – fractures of the sustentaculum tali result from landing on the heel combined with severe inversion of the foot;      – inversion of foot produces acute pain just below the medial malleolus;      – pain may be accentuated by passive hyperextension of the great toe;      – this fracture may be mistaken … Read more

Suspension Traction for Femur Frx

Discussion is preferred by many for use in older children and adolescents; skeletal traction is applied w/ Steinman pin inserted thru distal femur; see: insertion technique knee should be flexed 30 deg to relax the hamstrings; deformity: w/ mid shaft frx, there is tendency is toward posterior angulation; to restore the normal anterior bowing of … Read more

Surgical Treatment of Scaphoid Fracture

– Discussion: – primary internal fixation is treatment of choice for unstable scaphoid frxs; – frx treated by primary internal fixation, avg time for return to work is 3.7 wks w/ union rate, 97 %; – this compares very favorably with conservative treatment; – indications for surgery: – main indication is an unstable scaphoid frx … Read more

Surgical Treatment of Proximal Humeral Fracture

  – See: Anterior Approach to Shoulder and Synthes Proximal Humerus Products – Operative Treatment Options:      – Lateral Plating (Locking Plating):      – Percutaneous Pinning      – Screw Tension Band Technique:           – reduction:                   – in some cases cancellous bone from the … Read more