– See: – One Third Tubular Plate Applied as a Neutralisation Plate: – One Third Tubular Plate Applied as a Tension Band Plate: – Discussion: – these Plates have the form of 1/3 of the circumferance of a cylinder; – they have low rigidity since … Read more
– Discussion: – one third tubular plate is applied as a neutralization plate in spiral frx or frxs w/ butterfly fragment, eg. in fibula & distal ulna; – it is applied after primary interfragmentary fixation with lag screws; – function of the plate is to neutralise any shearing or bending … Read more
– Discussion: – is excellent for triple arthrodesis and for resection of a calcaneonavicular bar; – incision may be extended to expose the subtalar, calcaneocuboid, and talonavicular joints; – wound usually heals well because the proximal flap is dissected full thickness and the skin edges are protected during retraction; … Read more
div class=”mh-row clearfix”> h1>a href=”/image7/accll10.jpg”>img alt=”” align=”middle” src=”/image7/accll10a.jpg”/>/a> a href=”/image7/accll11.jpg”>img alt=”” align=”middle” src=”/image7/accll11a.jpg”/>/a>hr size=”3″/>/h1> div class=”bodycopy”>- See: a href=”/muscles-tendons/notchplasty/”>Notchplasty/a>: br/> br/> hr size=”3″/> strong>- Technique:/strong> br/> – strong>a href=”/bones/tibia-fibula/tibial-tunnel-for-acl-reconstruction/”>preparation – tibial tunnel/a>:/strong> br/> – tibial tunnel is created prior to femoral tunnel; br/> … Read more
– Discussion: – highest percentage of missed injuries occur in this region; – Exam: – Torticollis: – Radiographs: – Atlanto-occipital Disassociation – C1-C2 interspinous space should not be greater than 10 mm; – occipital condyles should articulate w/ lateral … Read more
div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>strong>- Discussion: /strong>(see a href=”/muscles-tendons/posterior-oblique-ligament/”>posterior oblique ligament/a>)br/> – passes from insertion of the a href=”/muscles-tendons/semimembranous/”>semimembranous/a> on posteromedial aspect of tibia obliquely & laterally upward to insertion of br/> semimembranosus on the posteromedial aspect of the tibia obliquely & laterally upward toward insertion of the lateral gastroc head;br/> – it acts as … Read more
– See: – Epiphyseal Artery – Metaphyseal Artery – Periosteal Artery – Discussion: – nutrient artery enters into the diaphysis of long bones through an oblique canal; – direction of canal is determined by relative amount of growth that has occurred at … Read more
– Discussion: – occurrence of syndesmosis injury with Weber B / SER fractures – references: – Intraoperative diagnosis of syndesmosis injuries in external rotation ankle fractures. – Syndesmotic instability in Weber B ankle fractures: a clinical evaluation. … Read more
– Discussion: – abnormally narrow intercondylar notches have been shown to correlate directly with an increased incidence of ACL tears; – w/ excessive internal rotation of the femur, the ACL may be ruptured as it impinges on the edge of the intercondylar notch; – notchplasty is used to widen the anterior portion and recess of the … Read more
– Discussion: – Non Union – General Discussion: – definition of fracture union: defined as bridging callus (ideally both cortices) on 2 orthogonal views with the disappearance of fracture lines – care must be taken not to mistake a pseudoarthrosis for a simple hypertrophic nonunion; – treatment of the pseudoarthrosis requires complete resection of the synovial tissue, and … Read more