– See: Pediatric BKA: – Overgrowth Phenomena: – occurs as a result of appositional growth (not physeal growth); – in order of frequency it occurs in the: humerus, fibula, tibia, and femur; – AKA: – hemiatrophy of pelvis associated with coxa valga and elongation of lesser trochanter; femur … Read more
– See: Proximal Tibial Physeal Frx – Discussion: – tibial tuberosity forms at about 13 wks of gestation, as cartilaginous extension of proximal tibial epiphysis; – epiphyseal ossification center of proximal end of tibia appears at 1-3 months; – primary ossification center: – center … Read more
– See: Tibia Fracture Menu and Gustilo Classification – Discussion: – is frx in which there has been extensive stripping of soft tissues and periosteum from bone & where devitalization or loss of soft tissues usually requires plastic reconstructive procedures for closure; – extensive soft tissue loss with periosteal … Read more
div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>- See: a href=”/bones/tibia-fibula/gustilo-classification-of-open-tibial-frxs/”>Gustilo Classification/a>:br/> br/> strong>- Treatment Options:/strong>br/> – a href=”/bones/tibia-fibula/external-fixators-for-tibial-frx/”>external fixation/a>:br/> – a href=”/bones/tibia-fibula/tibial-fractures-technique-of-im-nailing/”>intra-medullary nail/a>;br/> – IM devices control length and rotation as effectively as a href=”/bones/tibia-fibula/external-fixators-for-tibial-frx/”>Ex Fix/a> (w/o complications of soft tissue inpalement & pin tract infection)br/> … Read more
– See: Gustilo Classification – Discussion: – wound less than 10 cm w/ crushed tissue and contamination; – soft tissue coverage of bone is usually possible; – w/ IM nailing, average time to union is 30-35 weeks; – is frx in which there is limited stripping of the periosteum and soft tissues from bone, and bone … Read more
– Discussion: – plantar, medial, posterior, and lateral, modifying the extent of release according to the severity of the deformity; – plantar quadrant includes the plantar fascia, the short toe flexors, and the long and short plantar ligaments. – medial quadrant involves talonavicular and subtalar release, lengthening of the posterior tibial tendon … Read more
Background: By way of background, I performed eight autologous hamstring resurfacing arthroplasties during the later half of 2007 at Franklin Regional Medical Center. This procedure involves harvesting the gracilis and semitendinosus tendons and oppossing them to the medial femoral condyle using knotless absorbable bone anchors. The drill holes for the bone anchors serve as a source for hematopoetic … Read more
– Anatomy: – origin: posterior gluteal line of the ilium, tendon of sacrospinalis, – dorsal surface of sacrum, coccyx and sacrotuberous ligament; – insertion: gluteal tuberosity of femur and iliotibial tract of fascia lata – it inserts partly into the … Read more
– Anatomy: – origin: – outer surface of ilium from iliac crest and posterior gluteal line above to the anterior gluteal line below, gluteal aponeurosis; – note that posterior border of the gluteus medius is almost in line w/ femoral shaft; the anterior border fans anteriorly; … Read more