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Ankle Frx: Plate Position and Application

(See also: Antiglide Plate) Discussion position of plate is dependent on level of frx, condition of overlying soft tissues, and the extent of comminution; Posteriorly Positioned Plate see antiglide plate: allows use of a thicker, stronger plate; less risk of wound slough; irritate peroneal tendons; distal screws obtain better purchase, since they engage a thicker part … Read more

Ankle Injury / Fractures

– See: Refereneces for Ankle Fractures: The Segmental Rectus Abdominis Free Flap for Ankle and Foot Reconstruction. The deltoid ligament. An evaluation of need for surgical repair. Salvage procedures for complications of total ankle arthroplasty. Diagnostic and operative arthroscopy of the ankle. An experimental approach. Acute rupture of the peroneal retinaculum. Guidelines for selective radiological … Read more

Ankle Equinus: in CP

– See: Equinovarus: – Discussion:     – most common problem;     – in those w/ diplegia, it is bilateral & almost always flexible in child under three years;     – diff dx: toe walking – Exam:     – it is essential that the ankle and hindfoot be held in varus while … Read more

Ankle Fracture Dislocations

– Treatment Considerations:     – it is essential to reduce the dislocation in the ER, so as to avoid tenting of the skin over the anterior tibia;     – w/ a trimalleolar frx-dislocation, consider a posterior approach using an antiglide plate and fixation of the posterior malleolar fragment (which can be accomplished through … Read more

Ankle Fracture Menu

– See: – Radiographic Studies – AO/Weber Classification & Surgical Treatment: – Type A – Type B    (Antiglide Plate: ) – Type C – Antiglide Plate – Fracture Dislocations of the Ankle – Lateral Malleolar Fractures – Lauge Hansen Classification: – Pronation – Abduction Injuries – Pronation-External (Eversion) Rotation Injuries – Supination – Adduction Injuries – … Read more

Ankle Arthrodesis

– See:  Sub-Talar Fusion Tibial-Talar-Calcaneal Fusion – Discussion and Outcomes: – optimal position for fusion – see gait and role of ankle joint in gait – ref: Ankle arthrodesis. Long-term follow-up with gait analysis. – Exam: – perform an Allen test for the foot vasculature; – note function of posterior tibial pulse while the dorsalis … Read more


  origin: posterior surface of lateral epicondyle of humerus; insertion: lateral side of olecranon process and posterior surface of proximal portion of ulna; action: extension and pronation of the forearm at the elbow; nerve supply: radial, C5, C6; synergist: triceps brachii The aconeus muscle flap: its anatomy and clinical application.

Aneurysmal Bone Cyst

– Discussion:     – non-neoplastic expansile lesion consisting of blood filled spaces separated by connective tissue septa containing bone or osteoid              and osteoclast giant cells     – etiology unknown     – may be primary or secondary;     – an uncommon expansile osteolytic lesion of bone consisting of a proliferation of … Read more