– Vessel Exposure: Exposure of the donor vessels is optimized with the use of a large self retaining retractor superior in the wound as well as the Charnley retractor. The microscope is brought in to perform the anastamosis. The vein is coupled first. This prevents any bleeding which could obscure the field if the … Read more
div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”> b>- Clinic Hours:/b> Duke South Hospital Orthopaedic Surgery Private Diagnostic Clinic First floor, yellow zone Appointments: (919)684-4007 or 684-3328 8:30 a.m. – 5:00 p.m. M-F Dr. Urbaniak is in the clinic on Tuesday Dr. Nunley is in the clinic on Wednesday & Thursday b>- The Telephone/b> The telephone is … Read more
– Technique: The fibula is approached through a lateral incision simultaneous to the hip approach. The surgeon stands on the posterior side. The incision is planned on a line directly over the fibula. The fibular bone cuts will be 15 cm apart with the distal cut at 10 cm proximal from the distal fibular tip. … Read more
– See: – Growth of Proximal Tibial Epiphysis – Avulsion of the Tibial Tubercle – Discussion: – injuries of prox tibial epiphysis are rare (3 % of lower extremity epiphyseal frx); – injury is uncommon because knee ligaments bypass proximal tibial epiphysis and instead insert more distally; … Read more
– 2 types: Avulsion and Compression Fractures – Avulsion Fractures: – is the more common of the 2 fractures; – mech: adduction, plantarflexion, & tension placed on bifurcate ligament; – bifurcate ligament: – this ligament connects the anterior process of the calcaneus to both the cuboid and navicular bones; … Read more
– See: – Adult Lateral Condylar Fractures – Pediatric Elbow – Discussion: – common frx in children (20% of pediatric elbow frx); – occurs most often between 6-10 yrs of age; – mechanism: fall on the outstretched arm w/ forearm in abduction & elbow in extension; … Read more
– See: – Frx of Medial Condyle in Adult: – Discussion: – rare injury; – look for medial sided pain; – unlike frx of medial epicondyle, elbow dislocation usually does not occur in this injury; – in the report by Leet AI, et al … Read more
– Type I: – non displaced fracture of talar neck: – only those frxs in which there is no displacement of the subtalar joints should be designated as type I frxs; – type I frxs are treated w/ below the knee cast immobilization for 8-12 weeks until clinical & x-ray signs … Read more
– Discussion: – displaced tibia frx assoc w/ intact fibula are difficult to maintain in plaster; – varus malunion of tibia is common and difficult to overcome; – delayed union and tibial non unions are also common when tibial frx occurs with an intact fibula; – hypertrophic … Read more
– Surgical Technique: – Post Operative Care and Rehab: – FVFG at Duke University: The staff of the Duke University Orthopaedics wishes to provide efficient & effective care for you. The following information will enable you to utilize our practice most effectively. – Clinic Visits and … Read more