– See: – Q angle – Malalignment of Patella – Discussion: – distal realignment procedures are chiefly indicated in pts w/ patellar subluxation, absence of hyper-laxity, and increased Q angle; – as pointed out by Fulkerson, et al (1990), less than 2% of patients w/ patellofemoral pain will require tibial tubercle transfer; – as noted … Read more
– See: – IM nailing of tibia fractures – menu – tibial plafond fractures – Distal Tibia Fracture: – see: external fixation for distal tibia fracture, outcomes of external fixation vs IM nailing, and plate fixation; – w/ frx extension into the joint, consider placement of percutaneous … Read more
div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>hr size=”3″/> strong>- Technique:/strong>br/> – while obtaining a perfect circle under flouroscopy it is important not to rotate the foot because this will cause a malalignment of the foot progression angle;br/> – instead, rotate either the entire leg as a unit or … Read more
– See: – Growth Deformities of Limbs – Growth Plate Arrest – Discussion: – anatomy of distal femoral physis: – account for approx 5% of all physeal frx; – displacement in sagittal plane is assoc w/ N/V injury in popliteal fossa and instability on closed reduction; – … Read more
– See: – Femoral and Tibial Traction Pins – Supracondylar Femoral Fractures – Discussion: – failure of the nail to fill the canal of either the proximal or distal fragment, may lead to postoperative instability; – distal fractures within 10 cm of the joint line often can be treated successfully with standard IM nailing; – Traction Pins: … Read more
– See: Pediatric Elbow Injuries – Discussion: – most frx involving total distal humeral physis occur before age 6 or 7; – in an infant less than one year of age, whose elbow is swollen 2nd to trauma or suspected trauma, frx involving the entire distal humeral physis should always be … Read more
– Discussion: – degenerative valgus deformity of knee is less common than varus deformity; – genu valgum is more common in pts w/ history of trauma, RA, renal osteodystrophy, rickets, or infantile poliomyelitis; – Treatment Options: – goal of is to correct the angle between anatomic … Read more
– Discussion: – see: elbow dislocations in children: – elbow dislocation is the second most common major joint dislocation; – dislocation is usually closed and posterior; – mechanism: – dislocations of elbow usually result from fall onto extended elbow. … Read more
– Discussion: – history: Intramedullary nailing in fracture treatment: History, science and Küntscher’s revolutionary influence in Vienna, Austria – healing and prognosis of tibia fracture – PreOp Planning: – Contra-indications: – open growth plates; (pediatric tibial frx); – … Read more
– See: – Limb Lengthening Fixators – Distraction Histiogenesis – Post Op Care in the Ilizarov Method: (by Dr. Mangal Parihar) – Discussion: – growth deformities of the limbs – it is important to distinguish between limbs with good potential for lengthening … Read more