Ortho Oracle - orthopaedic operative atlas

Anatomic Axis

Discussion anatomic axis of femur is approx 6 deg of valgus from mechanical axis or 9 deg of valgus from vertical axis w/ variations according to body habitus; anatomic axis of tibia is in approx 2-3 deg of varus from mechanical axis; lines that intersect the tibia and the femur intersect at knee; this angle averages 6 deg

Anatomic Neck Fracture of Humerus

vascular supply to the humeral head Two Part Articular Segment Displacement fracture plane is through the anatomic (not surgical neck); anatomic neck represents the old eiphyseal plate; surgical neck represents the weakened area below the tuberosities and head approximately 2 cm distal to the anatomic neck; significant chondral defects and minimally separated fragments may go … Read more

Amputation Menu

– Amputations in the Diabetic Patient – Above the Knee Amputation: – AKA prosthetics – Basic Science: – Below Knee Amputation: – amputation following fractures of the tibia – pediatric BKA: – BKA prosthetics – prosthetic feet – Foot and Ankle Amputation – Syme’s Amputation – Transmetatarsal Amputation – Chopart Amputations – Pediatric Amputations – … Read more

Allograft Bone Patellar Bone Reconstruction

– Discussion:     – general discussion of allograft tissue:     – as pointed out by Harner et al. (1996), subjective knee scores were slightly better for knees having ACL – bone patellar bone allograft (as compared to BPB autograft patients)            – objective ratings included normal (or nearly normal) … Read more


– see bone graft menu – Discussion of Allografts:     – see autograft menu and bone healing:      – allografts are most indicated when bone grafting is required along with need for mechanical structural support;     – morselized bone graft:     – structural bone grafts:      – fresh allografts            – generally … Read more

Adult Lateral Condyle Fracture

(See: – Pediatric Lateral Condyle Frx) Discussion frxs of lateral condyle that involve capitulum alone or extend medially to involve the lateral portion of trochlea; see capitellum fracture Lateral approach » typically the plate is positioned posteriorly, and can be placed if needed as far as the posterior aspect of the capitellum; remember that the … Read more

Adult Both Bone Forearm Fracture

– See – Pediatric Both Bone Frx – Deforming Forces – Discussion of Blount Fractures – Implants for Fractures of the Radius and Ulna – Plating Techniques – Indications for Operative Treatment: – all displaced, unstable fractures of the radius and ulna in adults; – radial shaft fractures: all displaced fractures of the radius with … Read more

Adult Humeral Inter-condylar Fractures

 – Fractures Subtypes:     – capitellar and coronal shear frx – distal humeral frx – lateral condyle frx – medial condyle frx – Muller’s Classfication: – type A: extra-articular fracture; – type B: uni-condylar fracture; – type C: bi-condylar fracture; – controversies: – total elbow replacement – Distal humeral fractures treated with noncustom total elbow … Read more

Adult Humeral Inter-condylar Fractures: Restoration of Frx Anatomy

– Technique:      – it is helpful to have the patient paralyzed during the reduction (requires general anesthesia);      – anatomic reduction of the condyles is performed first;      – remember that the  common factor in fixation failure in these fractures is comminution and/or osteoporosis;      – best-fit method:             … Read more