The Hip - book

Ollier Approach

– Discussion:     – is excellent for triple arthrodesis and for resection of a calcaneonavicular bar;     – incision may be extended to expose the subtalar, calcaneocuboid, and talonavicular joints;     – wound usually heals well because the proximal flap is dissected full thickness and the skin edges are protected during retraction; … Read more

One Incision Technique for Femoral Tunnel

div class=”mh-row clearfix”> h1>a href=”/image7/accll10.jpg”>img alt=”” align=”middle” src=”/image7/accll10a.jpg”/>/a> a href=”/image7/accll11.jpg”>img alt=”” align=”middle” src=”/image7/accll11a.jpg”/>/a>hr size=”3″/>/h1> div class=”bodycopy”>- See: a href=”/muscles-tendons/notchplasty/”>Notchplasty/a>: br/> br/> hr size=”3″/> strong>- Technique:/strong> br/>     – strong>a href=”/bones/tibia-fibula/tibial-tunnel-for-acl-reconstruction/”>preparation – tibial tunnel/a>:/strong> br/>            – tibial tunnel is created prior to femoral tunnel; br/>           … Read more

OCS Application and Correction

– See: Notes for Wrightlock Spinal Fixation System: First, place the OCSTM Hook Holders on the caudal and cephalad hooks on the concave side. Next, tighten the nut on top of the hook holders using the OCSTM Hex Wrench (Figure 8). In preparation for using the OCSTM instrumentation, lubricate the Distraction with instrument milk. Position … Read more

Odontoid View

  – Discussion:     – to evaluate C1 (Jefferson), Dens, superior facets of C2;     – for evaluating dens fractures, body of C2, & rotary C1-C2 dislocations;     – mach lines – teeth, C1 arch;     – open mouth view, along w/ lateral view, will reveal fractures of the dens ; … Read more

Olecranon Osteotomy

– Discussion:     – used in conjunction w/ a posterior approach: for fixation of condylar fractures, as well as exposure of distal humeral non unions;     – olecranon osteotomy can be either non-articularl or trans-articular;            – usually the non-articular olecranon osteotomy is used for non-articular condylar fractures;     … Read more

Obturator Nerve

– Anatomy:     – formed from anterior branches of L2, L3, L4 (see innervation of muscles of the lower limb)     – largest nerve formed from anterior divisons of  lumbar plexus ;     – roots unite within the posterior part of psoas, & then descends thru psoas & runs downward over sacral … Read more

Obturator Artery

– Discussion:     – artery arises from the internal iliac artery in the pelvis;            – in the pelvis, it sends a branch to the obturator internus muscle;     – as vessels emerge from obturator canal, they divide into anterior and posterior branches that, instead of continuing down thigh, circle            … Read more