Ortho Oracle - orthopaedic operative atlas

Second Toe Transfer

– See:       – Digit Reimplantation / Reconstruction       – Thumb Soft Tissue Defects / Amputations – Indications: selective thumb reconstruction – Technique:     – second metatarsal may be removed along with 2nd toe with little functional impairment;    – toe is taken from contralateral foot to facilitate anastomosis;    – dorsal … Read more

Screw Fixation of Acetabular Components

– See: Acetabular Component Menu Discussion it is controversial as to whether screws are necessary in THR, and there are relative advantages and disadvantages; cups should be designed with only 2-3 holes so as to maximize the porous coating surface and to minimize conduit for osteolysis; acetabular cup insertion: advantages of screw insertion: theoretically, screw … Read more

Screws

– See:  Lag Screws  – Discussion:     – screw most commonly used is the machine screw, threaded from the headto  tip and with a blunt end;           – to insert these into bone, a preliminary drill hole must be made;           – following this, threads may … Read more

Scheuermann’s Kyphosis

Scheuermann’s Kyphosis (SK): Incidence: 1-10% prevalence in adolescent population. Rare in patients under 10 years. Associated conditions: Spondylolysis – occurs in 6% of population with SK and scoliosis. Scoliosis occurs in 25% of population with SK. Demographics: Usually detected at puberty in skeletally immature adolescents. Males are twice as likely to develop SK than females; … Read more

Sciatic Nerve

     – Anatomy: – arises from lumbrosacral plexus: L4, L5, S1, S2, S3; – nerve emerges from pelvis below piriformis & enters thigh between ischial tuberosity & greater trochanter; – in 10% of patients, the sciatic nerve is separated in greater sciatic foramen by all or part of the piriformis; – sciatic nerve is … Read more

Scapholunate Ligament Repair:

    – Discussion:    – injury must occur to both interosseous and capsular ligaments for rotational instability of the scaphoid to occur;    – dorsal approach to the wrist:    – reduce scaphoid into the extended position;           – surgeons gloved finger presses the distsal pole of scaphoid into an extended position;           – K wire is inserted … Read more