– Company Specific Products: – Innomed Products: – Biomet® Flexible Osteotome System – Screw Drivers: – manufacturer specific screw drivers are necessary to remove the acetabular screws; – High-Speed Drills: – disadvantage: these drills remove bone more easily than they do harder cement; – may be needed to remove distal … Read more
– 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
– 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
– Discussion: – anatomic variations: of tendons in 1st extensor compartment; – APL & EPB tendons may occupy separate canals, or lie together in one osseofibrous canal; – commonly there is one EPB and multiple APL; – there is separation of first extensor compartment more often in pts w/ DeQuervain’s tenosynovitis than in those w/o … Read more
– See: anterolateral approach to the ankle – Anatomy: – peroneus brevis is anterior to peroneus longus at level of ankle joint and is closer to lateral malleolus; (brevis is muscular almost down to the ankle); – flexor hallucis longus is most lateral of deep flexor muscles … Read more
– 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
– See: – Discussion: – consider 90 deg of flexion in splint for 4 days, then begin CPM; – need to start early motion; – look for late varus collapse of knee; – attempt to ambulate at 2-4 days, & consider FWB at 3-6 months; … Read more
– used to image the pisiform and pisotriquetral joint – technique: – hand rests on its ulnar border and tilts 30 to 35 deg dorsally; – thumb is slightly abducted; – central beam is directed to the … Read more
– See: Deep Palmar Arch – Discussion: – superficial arch is much larger & important than the deep arch – classical complete arch present in only 34% (from radial & ulnar) – variations: – entirely from the ulnar artery in … Read more