– Discussion: – medial and lateral muscle bellies each carry long flaps of skin and fascia from the posterior calf and are most often used as myocutaneous flaps; these flaps are most useful for upper tibial defect reconstruction; – Contra-indications: – knee dislocation or … Read more
– See: external rotators of the hip: Origin: the outer surface of the spine of the ischium Insertion: the posterior medial surface of the greater trochanter on the femur; Action: external rotation of the femur at the hip; Nerve Supply: sacral plexus, L5, S1, S2; (see innervation) Synergists: piriformis, obturator externus, obturator internus, quadratus femoris, … Read more
– See: DDH – Discussion: – indicated for residual dysplasias in adolescents and young adults; – allows both anterior and lateral rotation as well as medialization of the hip; – can expect good improvement in the center edge angle (avg correction of 31 deg); – does not … Read more
– See: – Achilles Tendon: – Gastrocnemius Flap: (see reconstructive surgery for the leg): – Anatomy: (see superficial posterior compartment); – origin: – lateral head: lateral condyle and posterior surface of femur; – medial head: medial condyle … Read more
Discussion frx of radial shaft (between middle and distal 1/3’s) & dislocation of distal radioulnar joint; usually the dislocation is dorsal, but in some cases can be palmar; frx is almost always located just above proximal border of pronator quadratus; usually there is anterior angulation w/ transverse or short oblique config; ref: A Historical Report … Read more
– See: – ALIF with Revision Decompression and Reinstrumentation – Anterior-Posterior Lumbar Interbody Fusion – Posterior Lumbar Single-Level Decompression and Fusion with Instrumentation – Anterior Arthrodesis of the Subaxial Cervical Spine: – AAOS – Bulletin: A minute of malpractice – Cage Fixation: (interbody fusion) … Read more
– Technique: The fibula is approached through a lateral incision simultaneous to the hip approach. The surgeon stands on the posterior side. The incision is planned on a line directly over the fibula. The fibular bone cuts will be 15 cm apart with the distal cut at 10 cm proximal from the distal fibular tip. … Read more
– See: – Burn Management: – Chemical Burns: – Electrical Burns: – Frost Bite: – Discussion: – full thickness injury which extends thru the entire dermis, and therefore spontaneous re-epithelialization will not occur; – clinical features: wound is insensate, … Read more
– See: – Adult Lateral Condylar Fractures – Pediatric Elbow – Discussion: – common frx in children (20% of pediatric elbow frx); – occurs most often between 6-10 yrs of age; – mechanism: fall on the outstretched arm w/ forearm in abduction & elbow in extension; … Read more
– Technique: – centered in groove at upper margin of eyebrows, between supraciliary ridge and the frontal prominences; – saggitally, fromt pins should be placed just superiorly to outer half of eyebrows, to avoid the supraorbital nerve and vessels; – placed too inferiorly, the pins might … Read more