– Discussion: Split Compression / Type II Fractures: – split fragment from articular surface along w/ depressed area similar to that of local compression frx; – lateral wedge frx is combined w/ varying deg of depression of adjacent remaining wt bearing portion of lateral tibial plateau; – depression is usually located anteriorly or centrally; … Read more
(see also: Osteomyelitis in Sickle Cell Patient) Discussion affects 1% of blacks – is more severe but less common than sickle cell trait (8% prevalence); two main genotypes include Hb S and Hb C forms of disease; crises usually begin at age 2-3 years and may lead to bone infarctions; Sequelae of Sickle Cell growth … Read more
Assistance provided by Nanni Allington MD. – Discussion: – a membrane lined cavity containing a clear yellow fluid. – occurrs most often in children 4-10 years of age; – lesions remain asymptomatic unless complicated by fracture. – they enlarge during skeletal growth and become inactive, or latent, … Read more
– Discussion: – see allograft menu and ocd menu; – indicated for larger chondral or osteochondral defects (larger than 2 cm); – donor characteristics: – donors should be less than 30 years of age, with the graft harvesting the intact knee within 24 hrs … Read more
– Assistance provided by Michael Berend MD. … Read more
Revision Total Knee Arthroplasty – Assistance provided by Michael Berend MD – PreOperative Considerations and Implant Selection: – work up of the painful TKR: – Surgical Approach: (Surgical Approach for Primary TKR); – Component Removal: – prior to component removal, take the knee thru a range of motion and evaluate patellar tracking and … Read more
– See: – Removal of Cemented Femoral Stems: – Removal of Press Fit Stems: – Discussion: – stem considerations: – calcar replacment: bone loss at the lower limit of the lesser trochanter may requires a 30-mm calcar replacement; – length: stems that are longer than 175 mm long … Read more
Slipped capital femoral epiphysis. The case for internal fixation in situ. Slipped capital femoral epiphysis. A quantitative analysis of motion, gait, and femoral remodeling after in situ fixation. Femoral neck fracture secondary to in situ pinning of slipped capital femoral epiphysis: a previously unreported complication. Hazards of internal fixation in the treatment of slipped capital femoral epiphysis. Iliac crest … Read more
Electrophysiologic mapping of the segmental anatomy of the muscles of the lower extremity. Repair of peripheral nerves with the argon laser. A functional and histological evaluation in the cynomolgus monkey (Macaca fascicularis). Epiperineurium-fascial stitches along the stumps of a transected nerve. An additional method for closing the gap in the nerve trunk. The total-contact cast … Read more