Ortho Oracle - orthopaedic operative atlas

Young Burgess System

– Discussion:     – w/ Young-Burgess system, stability or lack of stability can be judged fracture pattern, direction of the force of injury, and by knowledge of pelvic ligamentous anatomy;     – in Lateral Compression frx, force of injury is from side & is assoc w/ horizontally oriented pubic frx;     – Lateral Compression Classification: … Read more

X-ray Findings in SLD

          – See:       – PA View       – AP View        – Radiology of Hand & Wrist        – Radiology of Scaphoid Fracture – Discussion:    – clenched fist AP – ulnar deviation view (see: AP view:)         – proper technique: for visualizing … Read more

Wrist Disarticulation

– Discussion:     – wrist disarticulation: include the removal of the radius and ulna to styloid processes;     – shape of stump remains bulbous, thus permitting prosthetic attachment, leaving the elbow free and preserving full pronation & supination;     – wrist disarticulation retains distal radio-ulnar joint preserves more forearm rotation, & retaining distal radial flare dramatically … Read more

Wrist Arthrodesis

– Indications: – painful or unstable wrist joint w/ advanced destruction due to OA, RA, post traumatic arthritis, SLAC wrist, spastic flexion contracture, degenerative scaphoid non-union, unsuccessful wrist arthroplasty, and Keinbock’s dz; – this procedure is more beneficial for young, active pts or middle aged pts, but not for elderly pts; – PreOp Considerations: – in … Read more

Wrist Arthrography

– Discussion:     – arthrography may be used in diagnosis of carpal instability because it is technically easy & is only minimally invasive;     – normally there should be no communication between the radiocarpal, mid-carpal, and distal radial-ulnar joints;     – it is noteworthy that in normal wrists there may be communications … Read more

Wrist Arthroscopy

– Positioning and Preparation: – joint is distended w/ finger traps (to index and long fingers) w/ about 10 lbs, using a pulley system; – counter traction is applied to the arm w/ use of a second 10 lb pulley – this allows the elbow to be flexed 90 deg; – gravity assistant inflow; – initially … Read more

Wound Vac

– Discussion:       – KCI Vacuum Assisted Closure Device: (Company Web Site) and V.A.C.® Therapy Indications and Safety Information      – Soft Tissue Coverage (Austere Environment) – Flaps and Vacuum-Assisted Closure (VAC)       – technique:             – debride all devitalized tissue and contaminated material;             – sterile reticulated … Read more

Wound Management

– Menu:      – Antibiotic Beads       – Antibiotic Prophylaxis       – Carrier State      – Contaminated Wound Care       – Debridement of Muscle: (debridement of open tibia fractures);       – Decubitus Ulceration      – Drains and Closure of Wounds      – Fracture Blisters      – Gun Shot Wounds       – Pressure Irrigation   … Read more

Work Up for Scaphoid Frx

– History and Exam:     – fracture of the scaphoid is suspected w/ fall on an outstretched hand;     – snuff box tenderness (see clinical differential diagnosis:)            – scaphoid impaction syndrome     – tenderness to palpation over scaphoid tuberosity and/or proximal pole just distal to Lister’s tubercle; … Read more