– See: Sacral Sparing: – Definition: – complete cord injury implies unequivocal absence of motor or sensory function distal to injury in absence of spinal shock; – w/ complete injuries, an improvement of one nerve root level can be expected in 80% of patients, and approximately 20% will recover 2 … Read more
– See: – Pathogenesis of DDH – Table I – Discussion: – soft-tissue impediments to adequate reduction include: – constriction of the joint capsule of hip: most important type of obstruction in older children; – contraction of the psoas tendon over … Read more
– Discussion: – see pediatric femur frx – commonest site of fracture of the femoral shaft is in its middle third, where normal anterolateral bowing of diaphysis is at its maximum; – torsional force produced by indirect violence results in a long spiral or oblique frx, whereas a transverse frx … Read more
– See: IM Nailing of Tibia Fractures – Discussion: – IM naling of these fractures is technically difficult and often results in malalignment; – other options include: external fixation for open fractures; – Intramedullary nailing versus percutaneous locked plating of extra-articular proximal tibial fractures: comparison of 56 … Read more
– Technique: – at a point 3-5 cm above post. tip of greater troch., an incision is made which extends obliquely (proximally & posteriorly) for 10 cm; – for obese pts begin incision well above greater troch. (7-10 cm) & again extend proximally and posteriorly; … Read more
– Radiographs: – Positioning: – supine, HOB elevated to 30-40 deg; – head is held with a dedicated ring holding device (McConnel); – one rolled towel is placed underneath the operative shoulder and one rolled towel is placed around the contralateral … Read more
– Skin Incision and Initial Exposure: – as noted by Keating, et al (1997), 77% of patients who had a mid-patellar tendon splitting incision had significant knee pain; – in the report by Toivanen JA, et al (2002), the authors evaluated anterior knee pain in patients … Read more
Co-authored by Dr. Mangal Parihar – Fixator Characteristics: – ring characteristics: – wire insertion technique: – half pin insertion techniques: – Specific Uses: – circular wire fixators for tibial frx: (foot inclusion); – circular wire fixators for knee fusion: – limb … Read more
– Discussion: – IM nailing of Intertrochanteric fractures – Synthes Trauma Menu / Proximal Femoral Products – nails designed for trochanteric entry and rigid fixation into the femoral head are optimally used; – indications: – interlocking nails have been used for subtroch frx when lesser trochanter remains attached to the proximal … Read more
– See: Humeral Frx – Main Menu: / humeral shaft fractures – Discussion: – may be indicated for multi-trauma patients w/ humeral shaft frx, and patients w/ pathologic frx; – note that following humeral shaft frx, IM nailing provides torsional and bending stiffness of only 20-30% of normal; … Read more