(see also: Elbow Arthritis) Equipement 30 deg, 4 mm arthroscope; arthroscopic pump; Positioning patient is usually prone with sandbag placed under antecubital fossa; TV monitor is positioned opposite of the patient; ulnar nerve is palpated to pinpoint its location and to ensure that it does not subluxate with elbow flexion instill fluid into the joint … Read more
PreOp Prepartion – Drill and Screw Sizes: – 6.0/5.0 mm cortical screws require 4.8 mm drill (110 mm long and 30-50 mm thread); – 6.0/5.0 mm cancellous screws require 3.2 mm drill (100-130 length, 40-60 mm thread); – 4.5/3.5 mm cortical screws require 3.2 mm drill; (80-100 length, 30-40 mm thread); … Read more
Current Concepts Review. Prevention of Venous Thromboembolism after Total Hip and Knee Arthroplasty. Current Concepts Review. Prophylaxis of Venous Thromboembolic Disease Following Hip and Knee Surgery. Original Articles: Deep-Vein Thrombosis And The Incidence Of Subsequent Symptomatic Cancer. Deep venous thrombosis and pulmonary embolism after major reconstructive operations on the spine. A prospective analysis of three … Read more
– Discussion: – most effective way to reduce pin bone stress and motion – dynamization compensates for fragment end resorption; – failure to adjust the fixator for maximum maintenance of fragment contact can leave the fracture surfaces fixed apart; – Technique: – adjust fixator … Read more
– See: DVT Discussion: – Discussion: – 30-50 % occurance of DVT in trauma pts w/ lower extremity fractures; – preexisting conditions such as heart disease, obesity, carcinoma, diabetes, and hypertension could theoretically push the numbers even higher; – mortality for pulmonary embolism may approach 10%; – ref: … Read more
– See: Reconstructive Foot Surgery – Discussion: – is used for coverage of distal tibia and ankle; – during dissection paratendon is left over the extensor tendon, allowing donor site to do welll, with skin graft; – to avoid devascularizing foot, the posterior tibial artery must be intact
– many techniques described with one or two tibial and one or two femoral tunnels – much biomechanical data confirms that both bundles are necessary to restore – ACL function – main findings are that PL bundle contributes to rotational stability closer to full extension – Distribution of in situ forces in the anterior … Read more
– See: – Plating Techniques – Radial Shaft Fractures: Discussion – Discussion: – dorsolateral approach is best suited to frxs of proximal & middle thirds of radius as well as to address injury to proximal RU joint; – advantages: – … Read more
– Discussion: – contractures and progressive weakness of lower extremities render walking increasingly difficult for patients who have DMD; – average patient is unable to walk effectively by the time that he is ten years old, in the absence of treatment; – age at which walking ceases, however, is … Read more
Discussion progressive paralytic equinovarus is an important reason for gait deterioration in pts w/ DMD; equinus contracture compensates for incr quadriceps weakness & allows knees to lock by enabling wt line to pass in front of knee joint; feet become progressively fixed in equinus & then equinovarus position; posterior tibial muscle retains good f(x) despite … Read more