– Discussion: – see: Oasis Surgical Technique by Jack Farr – uses a distraction histiogenesis strategy; – three separate phases: – latency phase that immediately follows the osteotomy for some duration during which time no mechanical perturbation is applied; – active or distraction phase during which the two bony segments are … Read more
– Discussion: – staple fixation & casting at surgery or shortly thereafter; – advantage: allows full wt bearing; – disadvantage: requires above knee cast; – Management of Fibula: – Surgical Approach: – Osteotomy Cuts: … Read more
– See: Pediatric Femoral Frx Menu – Discussion: – timing: – Immediate single-leg spica cast for pediatric femoral diaphysis fractures. – contraindications: – unacceptable shortening or angulation; – open fractures; – thoracic or intra-abdominal trauma; … Read more
– See: rheumatoid arthritis – Discussion: – rheumatoid cervical spine: – ensure that anesthesia is prepared for possible need for bronchoscopic intubation; – total hip arthroplasty in rheumatoid arthritis: (see total hip replacement); – protrusio acetabuli is common and is often … Read more
Hip Arthroscopy (see also hip joint and hip capsule) Indications evaluation of hip pain – candidates are patients with nonspecific radiographic findings and reproducible, functionally-limiting exam findings; false negative rate of plain x-ray, bone scan, CT, arthrogram, and routine MRI has been quoted as high as 80% in some patient populations. gadolinium enhanced MRI demonstrated a … Read more
– Discussion: – hip fusions acn occur spontaneously following childhood sepsis or after ORIF of acetabular fractures (secondary to heterotopic bone). – they also occur spontaneously due to ankylosing spondylitis; – surgical fusions are performed for young adults with advanced arthritis; – indications: … Read more
– Discussion: – w/ the knee flexed 70 deg, the patella apex is palpated, and a longitudinal stab incision is made just lateral to the border of the patellar tendon using a No. 11 or 15 knife blade; – placing the incision close to the lateral border of the patellar ligament facilitates inspection of the … Read more
– See: TKR following HTO: – Discussion: – indications for HTO: – associated conditions: – posterolateral corner deficiency – osteoarthritis of the knee: – motivation for procedure: – narrowed medial cartilaginous space may regenerate (and associated degenerative features may reverse) if weight bearing stresses are partially shifted from the medial to the lateral side of the … Read more
– Discussion: – a vasculitis of unknown etilogy; – mean age of onset is 6 years; – small vessel vasculitis involving: – skin: – rash is typically from the waist down; – rash begins w/ urticaria but quickly turns … Read more