– See: Plating Techniques Custom titanium plating for failed nonunion or delayed internal fixation of femoral fractures. A plate osteosynthesis for femoral shaft fractures in adults. Double-plating of comminuted, unstable fractures of the distal part of the femur. Plate fixation of femoral shaft fractures in multiply injured children. Plating of femoral shaft fractures: open reduction … Read more
– Surgical Considerations: – preoperative anticoagulants: – consider use of cell saver; – if patients have a medical condition that requires preoperative anticoagulants, then consider using press fit femoral and acetabular components; – a prerequisite for cementing femoral stems, is the ability to … Read more
– Discussion: – by definition, is a decrease of more than 2-5 mm in the verticle distance of the femoral stem; – minor subsidence is to be expected in the first year or two following surgery; – more than 5 mm of subsidence … Read more
– See: – Anterior Cruciate Ligament – Anterolateral Rotatory Instability – Clunk Test – Lachman – Losee Test – Reverse Pivot Shift Test – Discussion: – pivot shift assesses degree of incapacitating dysfunction in knee … Read more
– Anatomy: – origin: anterior surface of sacrum between and lateral to anterior sacral foramen, capsule of sacroiliac articulation, margin of the greater sciatic foramen, and sacrotuberous ligament; – insertion: superior border of greater trochanter of femur; – action: external rotation of hip & … Read more
– See: Function and Activity after TKR – Post Operative ROM: – most important factor predicting ultimate ROM is range of motion before surgery; – ref: Range of Motion Correlates with Patient Perception of TKA Outcome. – patients with significant stiffness before surgery will have the most difficulty gaining range of motion; … Read more
– See: Impediments to Reduction – Early DDH: – Barlow’s Test – Ortolani’s test – Hip Clicks: – common occurance on physical exam; – there is no published significance of hip clicks; – Late DDH: – tightness … Read more
– See: – Physical Exam of the Knee: – Mechanism: ACL Tear: – Anteromedial Rotatory Stability: – Anterior Cruciate Ligament – Anterior Drawer Test – Anterolateral Rotatory Instability – Clunk Test – Lachman – Losee Test – … Read more
– Discussion: – largest branch of the posterior tibial artery is peroneal artery arising high in leg and coursing downward in posterior compartment lateral to and deeper than the posterior tibial artery; – lies in the deep posterior compartment, just medial to fibula, just posterior to tibialis posterior, and just anterior … Read more
– See: Classic osteosarcoma – Discussion: – uncommon variant of classic osteosarcoma; – primarily affects young adults; – presents as an enlarging, painless mass growing on surface of the bone; – most frequently seen in anterior proximal tibia & the posterior surface of the distal femur; – … Read more