– See: General Orders – Effects on Musculoskeletal System: – see importance of glucose control in the surgical patient – diabetic foot pathology: – vascular pathology: – diabetic charcot foot and ankle: – neuropathic ulceration: – diabetic osteomyelitis – experimental evidence that suggests that gram positive bacteria thrive in hyperglycemic state and that gram negative … Read more
Pagets Disease Panner’s Disease Parathyroid hormone Parsonage-Turner Syndrome Paronychia: Parosteal Osteosarcoma Patella / Patello-Femoral Function … Read more
– Discussion: – K wires should never cross at the fracture site, since this will cause rigid distraction; – K wires should cross either proximal or distal to the fracture and gain firm anchorage in the proximal and distal metaphysis; – Holding Power of the Wires: – increased penetrating ability and … Read more
– Indications for ORIF: – failure of closed reduction and pecutaneous pin fixation; – fractures presenting w/ more than than 2 mm of displacement and greater than 15 deg of talometatarsal angulation); – young competitive atheletes may require anatomic reduction; – … Read more
– Discussion: -The surgical treatment of isolated mason type 2 fractures of the radial head in adults: comparison between radial head resection and open reduction and internal fixation. – posterolateral approach: (Kocher Approach) – approach the fascial plane between the ECU and anconeus muscle … Read more
Alternatives to Total Knee Replacement: Autologous Hamstring Resurfacing Arthroplasty
– See: dorsal barton’s frx and dorsal approach to the wrist: – Surgical Approach: – patient is supine w/ wrist slightly flexed & placed on arm board; – perform a provisional reduction before the incision is made; – Z or S shaped incision from base of second metacarpal over wrist … Read more
– Discussion: – restoration of heel width / height requires reduction of tuberosity fragment to sustentacular fragment; – generally the tuberosity fragment needs to be brought out of varus and a medially displaced position; – key toreduction of sustentaculum talus fragment, which is almost … Read more
– Preoperative Planning: – Surgical Stratedgy: – pt in true lateral position – J or L approach w/ subperiosteal dissection off lateral wall, including calcaneo-fibular ligament (sural nerve in flap); – extension from tuberosity to calcaneo-cuboid (watch peroneals) – … Read more
– Fracture Fixation: – plate fixation: – 3.5 mm reconstruction plate, Synthes 3.5 mm calcaneal plates, or a flattened 3.5 mm 1/3 tubular plate; – as noted by Carr, et al, in an cadaveric model, the … Read more