– See: extenal rotators: – Discussion: – divide trochanteric bursa & bluntly sweep it posteriorly to expose short external rotators & posterior edge of medius; – anatomy: – from superior to inferior external rotators include: … Read more
– Position: – beach chair position; – position should allows full shouler extension, exernal and internal rotation (note that the posterior cuff will be brought into the operative field by extending and internally rotating the shoulder – which is acomplished by pinning the patient’s arm between the OR table … Read more
– Two Incision Exposure: – prior to open exposure, a markedly displaced frx should be reduced and held in place w/ K wires; – 6-7 cm linear incision beginning 2 cm proximal to Lisfranc joint & extending distally over first intermetatarsal space; – avoid damage to … Read more
– Company Specific Products: – Innomed Products: – Biomet® Flexible Osteotome System – Screw Drivers: – manufacturer specific screw drivers are necessary to remove the acetabular screws; – High-Speed Drills: – disadvantage: these drills remove bone more easily than they do harder cement; – may be needed to remove distal … Read more
– Preoperative Considerations: – radiographs – open ankle fractures – fracture dislocations of the ankle – trimalleolar frx: – in these fractures, consider a posterior approach using an antiglide plate which allows for direct fixation of the posterior mallleolar frx (w/ screws inserted from posterior … Read more
– See: – Blount Fracture: Both Bone Forearm Fracture – Plating Techniques – Position: – arm is placed on an upholstered armboard w/ medium elbow flexion and full arm pronation; – Surgical Approach: – interneural approach: lies between ECU (PIN) & FCU (ulnar nerve); – … Read more
– See: – Anterolateral Approach – Kocher approach – Posterolateral Approach to the Ankle: (Gatellier and Chastang) – Medial Approach to the Ankle – Anterior Approach: – allows acces to medial malleolus & medial articular facet of body of talus – it is used for ankle fusion, anterior … Read more
– Isolated Division of the Aponeurosis: – involves division of aponeurosis between the humeral and ulnar origins of the FCU; – theoretical disadvantages: – in addition to decreases in the cross sectional area of the cubital tunnel which occur w/ flexion, there is also a decrease in the … Read more
– Implant Selection: Osteonics – PreOp Planning: – Patient Positioning: – Anterior Longitudinal Midline Approach: – Synovectomy (if appropriate): – Medial and Lateral Capsular Exposure: – Patellar Eversion: – Articular Exposure: – IM Alignment Rod: – drill is used to enter femoral IM canal just … Read more
– See: – Innervation of the Leg and Foot: – Sural Artery: – Medial sural cuteus nerve: – tibial nerve just below knee joint gives rise to medial sural cutaneous nerve, which runs downward across union of heads of gastronemius; – it is joined … Read more