– Anesthesia: – skeletal traction can be applied under sedation & local anesthesia; – Distal Femoral Pins: – inserted on medial side to avoid injury to femoral artery on pin exist; – flex the knee and thigh on several folded sheets inorder to facilitate pin insertion from the … Read more
– See: adult femoral and acetabular anteversion – Discussion: – femoral version is defined as the angular difference between axis of femoral neck and transcondylar axis of the knee; – excessive femoral anteversion (medial femoral torsion) is most common cause of in-toeing that first presents in early childhood; – … Read more
– Discussion: – femoral version is defined as the angular difference between axis of femoral neck and the transcondylar axis of the knee; – excessive femoral anteversion (medial femoral torsion) is most common cause of in-toeing that first presents in early childhood; – it is twice as common in girls as … Read more
– See: – Compartment Syndrome Menu – Compartment Syndromes resulting from Tibial Fractures – Anterior Compartment – Lateral Compartment – Deep Posterior Compartment – Superfical Posterior – Anterolateral Incision: (Two Incision Technique) – anterior & … Read more
– Discussion: – FES results when embolic marrow fat macroglobules damage small vessel perfusion leading to endothelial damage in pulmonary capillary beds leading to respiratory failure and ARDS like picture; – ref: Early-Onset Fat Embolism Syndrome. A Case Report – risk factors for FES: – … Read more
– See: Arcuate Complex – Anatomy: – arcuate & fabellogibular ligaments insert on apex of fibular styloid process & ascends vertically to lateral head of gastrocnemius, where they merge w/ by posterior termination of oblique popliteal ligament; – arcuate ligament is firmly adherent to underlying musculotendinous … Read more
– See: IM Nailing for Distal Tibia Fracture – Discussion: – outcomes: – in a retrospecitive study, external fixation was considered a risk factor for non union (29% non union rate); – Distal tibia fractures: management and complications of 101 cases – reduction: – … Read more
– External Fixation Main Menu – Discussion: – disadvantages of external fixation: – pin tract infections, delayed union / non-union, and malunion; – cosmetic problems; – advantages of external fixation: – technically easy to perform; – no soft tissue stripping; – ease of removing hardware; – comparison of IM nailing vs external fixation – Initial … Read more
– Mid-Shaft Humeral Fractures: – consider screw placement in the short frx segment first, since the longer fragment will be more forgiving for shorter or longer screw placement; – take care to avoid injury to axillary nerve proximally and the radial nerve distally; – proximal pin … Read more
– General Fixator Considerations: – fracture healing: – references: – Comparison of osteotomy healing under external fixation devices with different stiffness characteristics. – External skeletal fixation of canine tibial osteotomies. Compression compared with no compression. – Comparison of the effects of compression plates and external fixators on … Read more