– Post Op Care: – consider keeping the knee in 45-60 deg flexion; – for the first 5 postop days, the pts leg is maintained in a CPM machine, and the ROM is increased to a range of 15 to 70 deg; – POD #3: active assisted ROM exercises … Read more
– Discussion: – Lateral plateau: Incision: – Medial Plateau: Incision: – Tibial Osteotomy: – osteotominizing tibial tubercle to incr exposure can lead to difficulty in certain frx, because tubercle may be only component of a Bicondylar Fracture left intact; – Elevation of Fracture Frag: … Read more
– See Technique of IM Nailing – Indications: – tibial shaft fractures within 4 cm distal to the tibial tuberosity to 4 cm proximal to the ankle may be treated with interlocking techniques; – Soft Tissue Injury: – open tibial frx (Gustillo classification): – reconstruction for leg defects: – Frx … Read more
– See: Innerv. Musc. Lower Limb: – Anatomy: – tibial nerve is derived from L4, L5, S1, S2, S3; – the anterior component, supplies muscles of posterior thigh (except short head of biceps whch is supplied by peroneal nerve); – in popliteal space it gives off branches that supply … Read more
– Discussion: (w/ assistance and narration by Dr Kyle Dickson MD) – term pilon (hammer) fracture was introduced to describe these compression injuries by Destot in 1911; – ref: High-energy tibial pilon fractures: an instructional review. – frx components: – combination of ankle frx & distal tibial metaphyseal frx, usually w/ intra articular comminution; – frx … Read more
– See: Preparation for Proximal Tibial Cut: – Discussion: – intrameduallary & extrameduallary systems are available for aligning the proximal tibial cut; – IM system is less accurate, particularly when tibia has varus bow and may lead to excessive cement column; – ref: Extramedullary … Read more
Current Concepts Review. Treatment of Unstable Fractures of the Shaft of the Tibia. Current Concepts Review. Timing of Operative Treatment of Fractures in Patients Who Have Multiple Injuries. Pelvic and Lower Extremity Trauma–Symposium: Intramedullary Devices for Tibial Fracture Stabilization. The use of a tourniquet when plating tibial fractures. Conservative management or closed nailing for tibial shaft fractures. … Read more
– General Discussion of IM Nails – PreOp Planning – positioning – note rotational alignment of the opposite non injured side. – cautions: – proximal tibial fractures (high complication rate w/ IM nailing) – distal tibia fracture – IM nailing of open tibial fractures – segmental tibia fractures: / treatment methods for tibial … Read more
– See: – Enhancement of Fixator Stability – Ilizarov Menu – Ring characteristics – Safe Zone of Pin Insertion – Foot Inclusion – Synthes Hybrid Fixator – Wire Insertion Technique – Discussion: – in the report by Paley D and Maar DC (2000), … Read more
– Anatomy of CMC joint – Sesamoid Bones of the Thumb – Radiographs – AP view taken w/ hand in maximum pronation (Robert View); – Types of Injuries and Treatment: – Mallet Fracture of Thumb – Gamekeeper’s Thumb – Frx Dislocations of the Thumb MP Joint – … Read more