PreOp Planning consider NG tube and foley catheter; have proper sized C-collar available for post operative care; position: supine w/ halter cervical traction (3-5 lbs) w/ head turned slightly to the right; consider placing a rolled towel between the shoulder blades; prep for iliac crest bone graft; hall burr is helpful for shaping bone graft; … Read more
Discussion pathoanatomy: fibular collateral ligament is made up of three separate structures; these are not as strong as medial ligaments, since lateral support of ankle is also provide by the fibula; anterior talofibular ligament calcaneofibular ligament posterior talofibular Ligaments cervical ligaments: ref: Elongation behavior of calcaneofibular and cervical ligaments during inversion loads applied in an … Read more
Discussion varus deformity of the ankle may follow distal tibial fracture or distal tibial epiphyseal frx; deformities due to distal tibial epiphyeal injuries are often progressive; deformities due to tibial plafond injuries are usually static (from malreduction at the time of the original procedure); left untreated, the varus deformity may lead to DJD of the … Read more
Discussion (see also: role of ankle and subtalar joint in gait) normally, during the transition from foot flat to heel off, the foot dorsiflexes as the body moves forward; gait consequences of equinus contracture: patient may adopt a toe to toe gait pattern or a toe to heel gait pattern (premature forefoot loading) reduced propulsion … Read more
(see also: 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 pedis pulse is occluded and vice versa; … Read more
– See: Sub-Talar Fusion Tibial-Talar-Calcaneal Fusion – Discussion: – for pts w/ well-aligned fusion, walking gait in appropriate shoe is almost normal; – expect 16% decrease in gait velocity and 3 % increase in oxygen consumption; – running … Read more
– See: – Development & Anomalies of Axis – Dens Frx: – Extension Teardrop Frx of C2 – Hangman’s Frx – Normal Variants: – Discussion: – C2 provides rotation at its superior articulation w/ C1, … Read more
– See – Normal Variants – Development of Atlas: – Atlantooccipital disassociation – Jefferson frx – Discussion: – C1 has no central body – C1 vertebra is ring of bone w/ large lateral masses that provide only two … Read more
– See: – Total Hip Replacement Menu: – total hip in DDH – acetabular component menu: – crowe classification – Anatomic Position – Discussion: – w/ low dislocation, attempts should be made for antatomic placement, but should also be considered w/ high dysplastic dislocation; – long term success … Read more
– 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