– See: Limb Lengthening Fixators Post Op Care in the Ilizarov Method: (by Dr. Mangal Parihar) distraction histiogenesis – Discussion: – lengthening thru the proximal tibia, tends to drift into valgus and procurvatum, and therefore consider presetting distraction in 5 deg of varus; … Read more
– See: Retinacular Release for TKR: – Discussion: – see lateral anatomy of the knee and blood supply to the knee; – lateral release detaches patella from lateral soft tissue structures, including lateral retinaculum, fibers from tensa fascia lata muscle, & joint capsule; – a successful release should release the lateral … Read more
– Discussion: Type I Fractures: – this is the wedge fracture of a lateral plateau; – it occurs mostly in young people since the dense cancellous bone of lateral plateau resists depression; – “Minimally Displaced Fractures” (from the Holh Classification) – frx shows depression … Read more
– See: Patella Alta: – Discussion: – patellar height in relation to the joint line: (2 methods) – Insall and Salvati Method – Blackburne and Peel Method – fat density zone seen posterior to the quadriceps (water … Read more
– Discussion: Tibial Plateau Frx Menu – lateral plateau frxs include: – type I fractures – type II fractures – type III fractures – local compression frx which are similar to type iii frx – Surgical Stratedgy: – extensile surgical approach that exposes whole … Read more
– See: – Discoid Meniscus:: – Types of Meniscal Tears; – Discussion: – in shape medial meniscus resembles a C, whereas lateral meniscus is more sharply curved and resembles an O that is unclosed medially; – lateral meniscus is much more of closed circle in uniform width from anterior to posterior; – it has … Read more
– Discussion: Anterior Lesion: – lateral compression injury, contralateral type (Bucket Handle): – bucket handle type of injury is usually caused by direct blow to pelvis; – anterior fracture may be on the opposite side to the posterior lesion (contralateral type) or all four rami may fracture anteriorly; … Read more
– See: Distal Femoral Osteotomy – Discussion: – usually involves a medial closing wedge osteotomy of the distal femur (supracondylar region) fixed with a blade plate; – femoral osteotomy is sometimes reserved for valgus deformities of > 12 deg and > 10 deviation of the knee joint from horizontal; … Read more
– Discussion: – tripled layered arrangement on the lateral aspect of knee; – posterolateral part of capsule is divided into two laminae that encompass LCL, fabellofibullar, & arcuate ligaments; – Layer I – superficial Layer (Layer I): 2 parts; – iliotibial tract (and its expansion anteriorly) … Read more
– Discussion: – usually arises from lateral side of deep femoral artery; – in 15% of pts, it arises from femoral artery above profunda; – LFCA passes laterally in front of Psoas & between branches of Femoral Nerve; – passes deep to Sartorius & rectus femoris, and … Read more