Surgical Incision for Anterior Reconstruction
– See Anterior Approach to Shoulder – Skin Incision
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Surgical Exposure of Lisfranc’s Fracture
– Two Incision Exposure: – prior to open exposure, a markedly displaced frx should be reduced and held in place w/ K wires; – 6-7 cm linear incision beginning 2 cm proximal to Lisfranc joint & extending distally over first intermetatarsal space; – avoid damage to … Read more
Surgical Exposure for Rotator Cuff Repair
– Position: – beach chair position; – position should allows full shouler extension, exernal and internal rotation (note that the posterior cuff will be brought into the operative field by extending and internally rotating the shoulder – which is acomplished by pinning the patient’s arm between the OR table … Read more
Surgical Decompression of Cubital Tunnel
– Isolated Division of the Aponeurosis: – involves division of aponeurosis between the humeral and ulnar origins of the FCU; – theoretical disadvantages: – in addition to decreases in the cross sectional area of the cubital tunnel which occur w/ flexion, there is also a decrease in the … Read more
Surgical Approaches to the Tibia
– See: – Posterolateral Approach – Posterolateral Bone Grafting
Surgical Approaches to the Ankle
– See: – Anterolateral Approach – Kocher approach – Posterolateral Approach to the Ankle: (Gatellier and Chastang) – Medial Approach to the Ankle – Anterior Approach: – allows acces to medial malleolus & medial articular facet of body of talus – it is used for ankle fusion, anterior … Read more
Surgical Approaches for Both Bone Forearm Frx
– Technique: – position: supine; – ulnar fractures: arm pronated across the chest; – radial fractures: arm abducted and in neutral rotation; – fractures of both bones of forearm are carried out through separate incisions, w/ 2-2.75 inch skin brige left between two; – Approach to … Read more
Surgical Approach to the Ulna
– See: – Blount Fracture: Both Bone Forearm Fracture – Plating Techniques – Position: – arm is placed on an upholstered armboard w/ medium elbow flexion and full arm pronation; – Surgical Approach: – interneural approach: lies between ECU (PIN) & FCU (ulnar nerve); – … Read more
Surgical Approach for TKR
– Implant Selection: Osteonics – PreOp Planning: – Patient Positioning: – Anterior Longitudinal Midline Approach: – Synovectomy (if appropriate): – Medial and Lateral Capsular Exposure: – Patellar Eversion: – Articular Exposure: – IM Alignment Rod: – drill is used to enter femoral IM canal just … Read more
Surgical Approach for Sliding Hip Screw
– Incision: – although the closed reduction may require external rotation of the hip, the initial incision is facilitated w/ slight internal rotation of the leg; – make straight lateral incision two finger breadths below the vastus ridge to a point 5-7 cm distally; – typically the … Read more