Ortho Oracle - orthopaedic operative atlas

Heel Off Phase of Gait

– Discussion:     – at heel off the resultant force passes in front of the knee and acts to extend the joint (hyper-extension moment);     – as resultant forces passes in front of metatarsal heads, knee joint flexes & mechanical forces act in direction of flexion once again;     – knee has extended … Read more

Hemangioma of Soft Tissue

– See:      – Calcinosis:      – Hemangioma of bone – Discussion:     – a benign, vascular tumor that occurs in children, usually in limbs or trunk;     – hemangioma may be congenital, appearing as solitary tumor that infiltrates local tissue & adjacent neurovascular structures;     – most common form … Read more

Hematocrit

– See: – pRBCs – Transfusion Therapy Male 40-54%; Female 37-47%;  Decreased: – Megaloblastic Anemia, – Fe Deficient Anemia, – HbS Anemia, Acute or Chronic Blood Loss – Hemolysis, – Dilutional, ETOH, Meds;   Increased: Polycythemia Vera, Secondary Polycythemia: Reduced Fluid Intake or Excess Fluid Loss, Congenital and Aquired Heart dz, Lung dz, High Altitudes, Heavy … Read more

Hawkins Type I Talar Fractures

– Discussion:     – type I fractures represent non displaced fractures;     – fracture line entering the subtalar joint between the middle and posterior facets;     – only those frxs in which there is no displacement of frx line and no incongruity of subtalar joint are designated as type I frx; – … Read more

Gun Shot Wounds

  – Discussion:        – firearms tutorial        – missile characteristics:         – NRA website        – Weapons Effects and Parachute Injuries        – Shooting Soldiers: Civil War Medical Images, Memory, and Identity in America   – General Management:      – most important issue is to get the correct diagnosis (no viceral injury, no compartment syndrome, no … Read more

Gravity Method of Stimson

– See:  – Bigelow’s Maneuver: for Posterior Hip Dislocation  – Closed Reduction  – Discussion: – described primarily for acute posterior dislocations, but anterior dislocations can occassionally be reduced by this method;  – believed to be least traumatic;  – pt is in prone position w/ lower limbs hanging from end of table;  – assistant immobilizes the … Read more

Motivation for Soft tissue resurfacing / Enhanced microfracture technique

Background:           By way of background, I performed eight autologous hamstring resurfacing arthroplasties during the later  half of 2007 at Franklin Regional Medical Center.  This procedure involves harvesting the gracilis and  semitendinosus tendons and oppossing them to the medial femoral condyle using knotless absorbable bone  anchors.  The drill holes for the bone anchors serve as a source for hematopoetic … Read more