Ortho Oracle - orthopaedic operative atlas

TKR: Valgus Deformity

– See: – TKR Menu: – Collateral ligaments: – Medial Collateral Ligament – Lateral Collateral Ligament – Discussion: – more common in females; – in valgus knee, ligament balancing is more difficult to fix; – the anatomic deformity is usually larger in valgus than in varus, and it is on the femoral side; – femur … Read more

X-rays for Femoral Neck Fractures

– See:        – Calcar Femorale:        – Garden I & II:        – Garden III & IV:        – Garden’s Alignment Index:        – Pathologic Hip Fractures:        – Radiology of the Hip:        – Sigh Index – Radiographs:   … Read more

Wrist Arthrodesis

[ooo id=”21119″] – Indications: – painful or unstable wrist joint w/ advanced destruction due to OA, RA, post traumatic arthritis, SLAC wrist, spastic flexion contracture, degenerative scaphoid non-union, unsuccessful wrist arthroplasty, and Keinbock’s dz; – this procedure is more beneficial for young, active pts or middle aged pts, but not for elderly pts; – PreOp Considerations: … Read more

Wrist Arthroscopy

[ooo id=”17410″] – Positioning and Preparation: – joint is distended w/ finger traps (to index and long fingers) w/ about 10 lbs, using a pulley system; – counter traction is applied to the arm w/ use of a second 10 lb pulley – this allows the elbow to be flexed 90 deg; – gravity assistant inflow; … Read more

Work Up of the Painful Total Knee Arthroplasty

– See: TKR Menu: (Function and Activity after TKR) – Natural History of Painful TKR:     – references:               – Pain and Depression Influence Outcome 5 Years after Knee Replacement Surgery.               – Impact of Psychological Distress on Pain and Function Following Knee Arthroplasty – Potential Causes of TKR failure:     – early failures:     … Read more

Workup for Femoral Shaft Fracture

[ooo id=”94347″] – Trauma Workup – assessment of perfusion: damage control orthopaedics – timing of surgery in orthopaedic patients with brain injury – surgical timing and prevention of pulmonary complications in patients with femur frx – PreOp Planning for IM Nailing: (IM Nailing Technique) – Fracture Classification – Open Femur Frx – Comminuted Frx – Proximal … Read more

Work Up for Pelvic Fracture

– Trauma Management:     – damage control resusitation             – ref:  Damage-Control Orthopedics Versus Early Total Care in the Treatment of Borderline High-Energy Pelvic Fractures     – fluid management             – hypotension is associated with an increased risk of mortality, ARDS, and multiple organ failure;             – IV access is secured with at least … Read more