Ortho Oracle - orthopaedic operative atlas

Tumors of Hand and Distal radius

[ooo id=”101957″] – Adamantinoma – Basal Cell Carcinoma: – Calcinosis – Chondrosarcoma: – the most common bony malignancy in the hand; – CMC Boss: bony growth at bases of second and third metacarpals; – special radiographs can demonstrate the osteophytes, which may be resected if symptoms warrent; – associated with ganglia at least 30% of … Read more

TKR: Evaluation and Management of Bone Defects

[ooo id=”160755″] – See: – Revision TKR: – TKR Menu – Discussion: – asymmetrical bone loss often occurs in the proximal tibia; – CT scan have shown that once one get more than 1 cm below joint line quality and quantity of the supporting cancellous bone diminishes precipitously; – equally important, attachments of iliotibial band, … Read more

Wound Dressings

– See: Wound Management Menu / Dressings.org – Optimization of Wound Dressing:     – purpose of a dressing is to protect the wound from diseccation and prevent postoperative contamination;     – normal dry skin contains up 10 to 1000 bacteria per gram of tissue while skin in exposed and moist areas contains up … Read more

Tumors of the Pelvis

                                               Local Tenderness  – Osteosarcoma (common)—————————– Yes  – Ewing’s sarcoma: (common) ———————— Yes  – chondrosarcoma ———————————– Yes  – Osteochondroma       (Osteocartilaginous Exostosis)  – Fibrous Dysplasia ——————————– Yes  – Eosinophilic granuloma ————————— Yes  – Aneurysmal bone cyst  – Prostatic Ca:       – most of prostatic ca mets are blastic & do not require … Read more

Tumors of the Proximal Femur

– Diff Dx:     – Osteosarcoma     – Osteochondroma     – Fibrous Dysplasia     – Ewing’s sarcoma:     – Osteoid Osteoma     – Eosinophilic granuloma     – Aneurysmal bone cyst     – Simple bone cyst     – Chondrosarcoma:     – Fibrous Histiocytoma     – … Read more

Tumors of the Proximal Humerus / Scapula

– Osteosarcoma (common) – Enchondroma (relatively common) – Ewing’s sarcoma: diaphyseal region; – Periosteal chondroma (just proximal to insertion of deltoid) – Osteochondroma – Chondroblastoma – Chondromyxoid fibroma – Aneurysmal bone cyst – Simple bone cyst – Giant Cell Tumor of Bone; – Chondrosarcoma: (affects the shoulder girdle) – Fibrous Histiocytoma – Fibrosarcoma of bone; … Read more

Tumors of the Proximal Tibia

[ooo id=”44530″] – Osteochondroma – Osteosarcoma – Giant Cell Tumor of Bone – Ewing’s sarcoma: (diaphyseal region); – Chondroblastoma – Chondromyxoid fibroma – Fibrous Dysplasia – Eosinophilic granuloma – Aneurysmal bone cyst – Simple bone cyst – Giant cell sarcoma – Fibrous Histiocytoma – Fibrosarcoma of bone; – Adamantinoma – Osteoma: middle 1/3 (rare) – … Read more

Traumatic Dislocations of the Knee

  – Discussion:     – mechanism of injury:            – distinguish between high velocity injuries verus low velocity injuries (as this reflects incidence of vascular and nerve injuries);            – w/ low-velocity knee dislocations occurance of vascular injury is about 5% and nerve injury is about … Read more

Revision Total Hip Arthroplasty

(See also: Total Hip Replacement Menu) Discussion evaluation of the painful THR indications for revision evaluation for loosening outcomes: references: Why revision total hip arthroplasty fails. Revision Hip Arthroplasty: Infection is the Most Common Cause of Failure Examination examination for loosening: previoius incisions; contracture of the flexors and adductors (adds to complexity of the case); … Read more