Functional Analysis of Patients Who Have Had a Modified Van Nes Rotationplasty. Van Nes rotational osteotomy for treatment of proximal femoral focal deficiency and congenital short femur. Modified Van Nes rotationplasty in the treatment of malignant neoplasms in the lower extremities of children. Modification of the skin incision for the Van Nes limb rotationplasty. The Van … Read more
– Discussion: – unicompartmental arthroplasty serves a specific nitch for knees that are too severe for arthroscopic management of medial DJD (see mosaicplasty) but are not severe enough for total knee replacement; – best indications: – UKR for patients with partial thickness cartilage loss in the affected compartment. – The implications of damage to the lateral … Read more
– night stick fracture: mechanism: direct trauma w/ forearm used to block blow – stable frx: – diplaced < 50% = Stable; – periosteum & interosseous membrane are intact & act as restraint to rotation; – unstable fracture: … Read more
– See – Cubitbal Tunnel Syndrome – Differential Dx: Ulnar Nerve Dysfunction: – Martin Gruber Anastomosis – Ulnar Nerve Blocks: – Ulnar Nerve in Condylar Fractures: – Anatomy: – brachial plexus: – C8 and T1 nerve roots give rise to the medial cord which in turn, forms the ulnar nerve; – ulnar nerve passes distally, … Read more
– Discussion: – ulnar nerve blocks are used for frxs of little finger ray & in along w/ median and radial sensory blocks for ring finger ray fractures; – Anatomy: – ulnar nerve has two sensory branches that provide sensory innervation to ulnar side of the hand; – palmar … Read more
(see also: Both Bone Forearm Fracture: / Ulnar Styloid Process) Anatomy radius & ulna lie parallel to each other when forearm is supinated; during pronation radius crosses ulna, rotating on axis that passes from capitulum through the distal end of ulna; ular side of wrist is supported by TFCC, which articulates w/ both lunate and triquetrium; … Read more
– Orthopaedic Infection Menu – bacterial menu – infectious tenosynovitis – diabetic foot infections – hand infections – THR infections – TKR Infections – septic arthritis – necrotizing soft tissue infections: – osteomyelitis (Cierney Classification) – spinal infection / osteomyelitis … Read more
– Discussion: Tibial Plateau Frx Menu – bicondylar frx w/ distal oblique shaft frx; – these frx have bicondylar frx along w/ dissociation of diaphysis from metaphysis; – if the medial plateau fragment is intact, this frx can be treated with placement of a lateral plate and and Ex … Read more
– Discussion: – severe articular comminution and articular impaction frx; – reduce fibula then perform plate & lag screw fixation; – restores length of fractured distal tibia: – reduce articular surface – carried out & maintained by temporarily stabilizing it with K wires; … Read more
– Discussion: – posterior cortex is disrupted w/ no cortical contact; – distal fragment is displaced posteriorly and proximally (by pull of triceps); – w/ medial displacement, the medial periosteal hinge is intact; – w/ lateral displacement, the lateral periosteal hinge is intact; – Physical Exam: … Read more