Ortho Oracle - orthopaedic operative atlas

Antihemophilic Factor VIII

– for treatment of classical hemophilia A to replace missing clotting factor to correct or prevent bleeding episodes of perform emergency or elective surgery;  – Dosage: 1 AFH unit/kg increases Factor VIII concentration in body by approx 2%;  – Prophylaxis of spontaneous hemorrhage = 5% normal;  – Hemostasis following trauma or surgery = 30% normal;  … Read more

Antibiotic Prophylaxis

– See:       – Antibiotic Menu       – Osteomyelitis – Perioperative Prophylactic Antibiotics:     – the main question we need to ask is what are we trying to accomplish?     – obviously we want a strategy that prevents the infection of MRSA, MSSA, staph epi, and anaerobic infections;     – giving ancef alone, … Read more

Classification of Anterior Posterior Compression Injuries

– Seee: Anterior Pelvic Injuries – Discussion:     – symphyseal diastasis and/or longitudinal rami fractures;     – these injuries result from relatively anterior or posterior forces applied to the anterior or posterior superior iliac spine areas;     – this gives rise to forces that tend to disrupt anterior pelvis, either by fracturing … Read more

Anterior Shoulder Reconstruction

– See: – Arthroscopic Reconstruction – Historic Operations – Revision Bankart Procedure – Bankart Repair: – reattachment of the capsule and glenoid labrum to the glenoid lip; – subscapularis is carefully divided to expose the capsule, and is reapproximated without any overlap or shortening; – PreOp Eval: – rotatory stress test for anterior instability; – … Read more

Anterior Tibial / Dorsalis Pedis Arteries

– See posterior tibial artery – Anatomy:     – anterior tibial artery passes from behind through gap above interosseous membrane to enter anterior compartment of leg and supply its muscles;     – as it crosses membrane, it gives off a  recurrent branch;             – ref: The risk of injury to anterior tibial artery in posterolateral approach to … Read more

Anterior Instability of the Shoulder

– Discussion:   – ON THE ARTICULATIONS. by Hippocrates. – pathoanatomy: – bankart lesion – hill sachs lesion – stabilizers of the shoulder: – dynamic / muscular stabilizers – static stabilizers – anteroinferior glenohumeral ligament – references: – Pathoanatomy of first-time, traumatic, anterior glenohumeral subluxation events. – mechanism of anterior dislocations: – combination of abduction, … Read more

Anterior Pelvic Injuries: Open Surgical Approach w/ Plates

  – See: Anterior Plate Fixation Methods – Indications:     – open book pelvis injury w/ greater than a 2.5 cm pubic diastasis;     – note that fixation of pubic rami fractures can be much more complex than the fixation of a             simple diastasis;     – controversies:             – posterior injury and need for … Read more