Ortho Oracle - orthopaedic operative atlas

Antibiotic Prophylaxis

– See:       – Antibiotic Menu       – Osteomyelitis – Perioperative Prophylactic Antibiotics:     – the main question we need to ask is what are we trying to accomplish?     – obviously we want a strategy that prevents the infection of MRSA, MSSA, staph epi, and anaerobic infections;     – giving ancef alone, … Read more

Anteroinferior Glenohumeral Ligament

– See:     – stabilizers of the shoulder      – shoulder capsule – Discussion:     – originates as a portion of fibrous glenoid labrum anteroinferiorly;     – there are two subdivisions of this ligament: an anterior and posterior bands along with the intervening axillary pouch;     – antero-inferior portion of normal … Read more

Anterior Instability of the Shoulder

– Discussion:   – ON THE ARTICULATIONS. by Hippocrates. – pathoanatomy: – bankart lesion – hill sachs lesion – stabilizers of the shoulder: – dynamic / muscular stabilizers – static stabilizers – anteroinferior glenohumeral ligament – references: – Pathoanatomy of first-time, traumatic, anterior glenohumeral subluxation events. – mechanism of anterior dislocations: – combination of abduction, … Read more

Anterior Drawer Test

– Discussion: – Anterior Talofibular ligament is the primary restraint in anterior drawer test; – testing of ankle in 10 deg of plantar flexion results in greatest amount of translation, although one cadaveric study showed that maximum anterior excursion occurs in dorsiflexion; – injury of the calcaneofibular lig does not increase amount of the anterior drawer; … Read more

Anterior Approach to the Radial Shaft: (Henry)

– See:        – Anterolateral Approach to Forearm        – Forearm Flexors        – Plating Techniques        – Radial Shaft Fractures: Discussion – Discussion:      – anterior approach of Henry utilizes interval between brachioradialis (radial nerve) & pronator teres (or FCR distally, which are innervated by the median nerve);      – … Read more

Anterior Arthrodesis of Cervical Spine

– See: Anterior Approach to Cervical Spine: – Discussion:     – Smith Robinson disectomy & block fusion is preferred over Cloward dowel for involvement of one or two interspaces;     – for multi-level spondylosis & myelopathy, w/ more extensive anterior decompression involving excision of osteophytes & multiple              vertebrectomies, a strut graft fusion … Read more

Antegrade IM Nailing Technique for Femoral Shaft Fracture

– Discussion: – retrograde IM nailing – Workup for Femoral Shaft Frx – PreOp Planning: – rule out femoral neck fracture: – Is Reconstruction Nailing of All Femoral Shaft Fractures Cost Effective? A Decision Analysis. – Diagnosis of femoral neck fracture associated with femoral shaft fracture: blinded comparison of computed tomography and plain radiography. – IM nailing of … Read more