Ortho Oracle - orthopaedic operative atlas

Treatment of Club Foot

– Non Operative Treatment: – Operative Considerations: – surgical indications: – when deformity has not been treated successfully w/ proper manipulation & serial application of casts, supported by limited operative intervention; – operative timing: – surgical goals: – goal for surgical procedures is concentric reduction of the talonavicular and calcaneocuboid joints; – deformities of the … Read more

Traumatic Dislocations of the Knee

  – Discussion:     – mechanism of injury:            – distinguish between high velocity injuries verus low velocity injuries (as this reflects incidence of vascular and nerve injuries);            – w/ low-velocity knee dislocations occurance of vascular injury is about 5% and nerve injury is about … Read more

Deep Venous Thrombosis (DVT) – Treatment

Indications for treatment proximal DVT proximal propagation of a distal DVT some authors advocate that isolated asymptomatic distal DVT can be followed on serial Duplex Ultra-sound, and does not require treatment distal DVT will propagate proximally in less than 10-20% of cases, and has a low risk of PE serial ultrasound can be performed on … Read more

Trauma and Fractures Menu

(see also: – Trauma Workup; Open Frx; Frx Healing; AO Foundation; ON FRACTURES by Hippocrates.) Acetabular Fracture Ankle Fractures Barton’s Fracture: Dorsal Barton’s Fracture Volar Barton’s Fracture Bennet’s Fracture Both Bone Forearm Frx Boxer’s Frx Burst Fractures (of spine) Calcaneus, Frx Capitulum Fractures Chauffeur’s Fracture Chance Fracture Clavicle Fracture Colles Fracture Compression Frx (Spinal) Condylar … Read more

Trauma Management:

– Advanced Cardiac Life Support (ACLS)     – ACLS     – Iowa Family Practice Handbook     – AHCPR Guidelines     – eMedicine Online Text – Advanced Trauma Life Support (ATLS)       – Assessment of Perfusion/Shock: damage control orthopaedics               – blood pressure (systolic), heart rate, urine output (30 mL/hr) body temperature;               – labs: … Read more

Transfusion Therapy

      – Blood Product Menu:       – pRBC’s / Fresh Frozen Plasma / Platlets / Cryoprecipitate / Transfusion Therapy / Coag Pathway – Indications for Blood Transfusion: – Methods to Decrease Transfusion:     – erythropoietin             – The effects of recombinant human erythropoietin on perioperative transfusion requirements in patients having a major orthopaedic operation.             … Read more

Toxic Shock Syndrome

– Discussion:     – toxic shock is an acute febrile syndrome that was originally described in association with the use of highly absorbent tampons but is now recognized to occur as a postoperative complication of many different surgical procedures;     – toxins produced by staphylococcus aureus (or streptococcus) are probably responsible for this syndrome; … Read more

Total Knee Arthroplasty

– PreOp Planning – Local Analgesia Infiltration Techniques – THA/TKA and Datatrace TKR Teaching Video- Surgical Technique – Arthrodesis – Arthroscopy following TKR – Axis for TKR – Axis – Alignment – mechanical axis – anatomic axis – Bilateral Knee Replacement – Biomechanics of the Joint – Bone Grafting & Wedges – Collateral ligaments – … Read more

Total Patellectomy

– Discussion:     – total patellectomy should be reserved for alvage treatment of frxs that cannot be fixed or treated with partial patellectomy;     – indications:           – severely comminuted frx w/ separation of fragments;           – no major articular fragment remaining intact;     … Read more

Total Depression Fracture

– See:       – Medial Approach:       – Post Operative Care and Compications: – Discussion:     – oblique frx that begins near intercondylar eminence & extends to cortex of medial or lateral tibial flare;     – total depression is similar to Type IV Frx     – TDF of medial … Read more