– Discussion: – plating techniques and synthese products – primarily indication for plates and screws is a displaced intra-articular frx of tibia, involving either knee or ankle; – main disadvantage is skin necrosis and resultant infection; – malunions and mal-non-unions are other indications; – Operative Techniques for Proximal Tibial Fractures: … Read more
– Discussion: – arthrodesis with plate fixation usually employs two plates; – two staggered dynamic compression plates-one placed medially and one placed laterally–are contoured to the knee; – twelve-hole plate is recommended; – above-the-knee cast is used, with weight-bearing as tolerated, until radiographs show that the arthrodesis site has united Knee arthrodesis with … 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: – one of several causes of heel pain; – the pain is located somewhat more distally than in other causes of heel pain syndrome – symptoms include gradual onset of pain at the origin of the plantar aponeurosis and 1 cm distal to this area … 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
– 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
Discussion pigmented villonodular synovitis is a slow growing, benign, and locally invasive tumor of the synovium; location: most often involves the knee (also in hip, ankle, elbow, etc.); always consider PVNS in a younger patient with unexplained hip pain; acute episodic attacks of pain and swelling may occur; patients may have mechanical symptoms (locking and … 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
– Discussion: – wt bearing line of the body normally falls medial to the axis of sub talar joint, & therefore, when the patient stands on one foot, the foot pronates; – when pt rotates leg externally, heel inverts & wt bearing line moves laterally; – total … Read more