Ortho Oracle - orthopaedic operative atlas

ORIF of Calcaneal Frx Using Lateral Approach

– Preoperative Planning:                   – Surgical Stratedgy:      – pt in true lateral position      – J or L approach w/ subperiosteal dissection off lateral wall, including calcaneo-fibular ligament (sural nerve in flap);      – extension from tuberosity to calcaneo-cuboid (watch peroneals)      – … Read more

ORIF of Bicondylar Frx

  – Technique:     – stratedgy involves, performing articular surface reduction, and then to secure proximal portion to tibial metaphysis            w/ use of lateral butress plate along w/ possible use of medially applied external fixation;           – application of lateral plate takes advantage of the better soft tissue envelop on the lateral side of … Read more

Operative Treatment of Ankle Fractures

– Discussion: – main indication for operative Rx is failure of closed Rx: – when closed reduction requires forced, abnormal positioning of foot (forced plantar flexion and inversion); – when displaced or unstable fractures of either or both malleoli  result in displacement of talus or widening of mortise greater than 1 to 2 mm; – Indications for Treatment: … Read more

Operative management for Fracture of Lateral Malleolus

– See: – Maisonneuve Fracture – Surgical Approaches for Lateral Malleolar Fracture: – Anterolateral Approach – Posterolateral Approach – Weber A Lateral Malleolar Frx – Weber B Lateral Malleolar Frx – Weber C: Lateral Malleolus – Discussion: – malposition of lateral malleolus w/ tilting or shortening, will lead to distorted talotibial wt bearing and lead … Read more