Ortho Oracle - orthopaedic operative atlas

Hand and Metacarpal Fractures

– See: – Metacarpal Neck Frx: (See 5th MCP Frx) – Unstable Metacarpal Shaft Frx – Extra-articular Base Frx – X-Rays: – isolated metacarpal views are not possible; – 30 deg pronated lateral: for index and long metacarpals; – 30 supinated lateral: for ring and little metacarpals; – Non Operative Treatment:   – wrist is … Read more

Hallux Valgus and Bunion Surgery

– See: – adolescent bunion – bunionette – Discussion: – pathophysiology – blood supply of MCP joint – windlass mechanism – diff dx: – gout – hallux rigidus (cheilectomy); – references: – Anatomic variations in the first ray: Part I. Anatomic aspects related to bunion surgery. – Muscle in hallux valgus. – Kinematics of the … Read more

Gun Shot Wounds

  – Discussion:        – firearms tutorial        – missile characteristics:         – NRA website        – Weapons Effects and Parachute Injuries        – Shooting Soldiers: Civil War Medical Images, Memory, and Identity in America   – General Management:      – most important issue is to get the correct diagnosis (no viceral injury, no compartment syndrome, no … Read more

H. influenza

– Discussion:     – historically has been the most common cause of infection in children between 3 months and 3 years of age;     – currently infections due to this organism have decreased due to widespread use of a vaccine;            – in the study by Peltola H, et … Read more

Grice Arthrodesis

– Discussion:     – extra-articular arthrodesis which is useful in blocking subtalar motion in those patients who have no gross skeletal deformities but have             instability of the hindfoot;     – this arthrodesis is particularlly applicable in children, since there is little interference with future growth of the foot;     – spastic pes … Read more

Greater Trochanteric Osteotomy

– See: Total Hip Replacement Menu:  – Discussion:     – indications for osteotomy:     – considerations for wire re-attachment:            – wires can theoretically undergo gavanic corrosion if they are close to or touch the metal implant;            – this is usually of little significance even if the wires … Read more

Gold

– useful in patients with RA, especially those in early progressive arthritis;  – Toxic Side Effects:  – nephrotoxicity, proteinuria, dermatitis, stomatitis, thrombocytopenia, aplastic anemia, and erythematous maculopapular rash  Comparison of auranofin, methotrexate, and the combination of both in the treatment of rheumatoid arthritis. A controlled clinical trial.

Motivation for Soft tissue resurfacing / Enhanced microfracture technique

Background:           By way of background, I performed eight autologous hamstring resurfacing arthroplasties during the later  half of 2007 at Franklin Regional Medical Center.  This procedure involves harvesting the gracilis and  semitendinosus tendons and oppossing them to the medial femoral condyle using knotless absorbable bone  anchors.  The drill holes for the bone anchors serve as a source for hematopoetic … Read more