– See: Humeral Frx – Main Menu: / humeral shaft fractures – Discussion: – may be indicated for multi-trauma patients w/ humeral shaft frx, and patients w/ pathologic frx; – note that following humeral shaft frx, IM nailing provides torsional and bending stiffness of only 20-30% of normal; … Read more
– See: – Open Tibia Fractures – Infections of the Tibia – ” There have been major improvements in the surgical treatment of open tibial fractures during the past two decades. These improvements include aggressive treatment of soft tissue injury by means of immediate debridement and early coverage as well as … Read more
Dr. Mangal Parihar – Discussion: A month too late is better than a day too early. This is a useful thing to remember at a time when even the most cooperative patient is usually becoming impatient for the frame to be removed. The ability of the regenerate for unprotected weight bearing must be ensured prior … Read more
Dr. Mangal Parihar – Discussion: Proper limb positioning taught early on minimizes the chances of contractures developing later. The commonest cause of a flexion deformity is the tendency to keep a pillow lengthwise under a tibial frame. This causes flexion at the knee. This should be prevented by repeatedly correcting the tendency and keeping an … Read more
– See: Watson Jones Approach – Discussion: – frx of anterior column & some anterior column-posterior hemitransverse frx are approached using ilioinguinal approach; – ilioinguinal approach can give simultaneous access to both anterior & posterior portions of the pelvic ring; – medial portion of this approach … Read more
– Discussion: – an overuse phenomenon which is common in runners (more common w/ downhill running); (see running injuries) – pts usually have pain over lateral femoral epicondyle, which is caused by inflammation resulting from friction as iliotibial band slides over condylar prominence; – syndrome may be more common in … Read more
– See: Safe Zone of Pin Insertion – Discussion: – whether a ring or unilateral fixator is used, there is some evidence that a better regenerate is formed with the use of titanium half pins rather than transfixation wires; – ref: Limb lengthening by callus distraction (callotasis). – … Read more
– Discussion: – approach is similar to Smith Peterson; – provides exposure to the outer aspect of the iliac bone and gives exposure of the anterior and posterior columns; – extended iliofemoral approach provides best access to both column fractures (esp w/ greater sciatic notch involvement) & allows best … Read more
– Hypothyroidism in Infants and Children: – in the newborn period, hypothyroidism manifests itself as cretinism; – infant is described as sluggish, has a short stature, coarse hair, protruding tongue and protuberant abdomen; – retardation of growth late appearance of secondary ossification centers which may fragment and increased increased … Read more
– Discussion: – finding include hypertrophy of bone ends & sclerosis at 6 months post injury; – these non unions theoretically have sufficient vascularity to heal but stability is lacking or normal axial alignment has not been restored; – it is important to point out, however, that even with … Read more