locking screws.

Tibial shaft fracture extending into the plafond—intramedullary fixation

    Tibial shaft fracture extending into the plafond—intramedullary fixation       Case description   a     A 25-year-old woman landed forcefully with a twisting motion on her

Custom Triflanged Devices in the Revision Acetabulum

  Custom Triflanged Devices in the Revision AAcetabulum   INDICATIONS With massive bone loss, these custom devices allow acetabular component placement at the correct anatomic level to restore hip biomechanics and stability. The decision to use a custom triflanged acetabular

TIBIA/FIBULA SHAFT Fractures

TIBIA/FIBULA SHAFT Fractures         EPIDEMIOLOGY Fractures of the tibia and fibula shaft are the most common long bone fractures. In an average population, there are about 26 tibial diaphyseal fractures per 100,000 population per

Supramalleolar Osteotomy with Internal Fixation: Perspective 2

DEFINITION A supramalleolar osteotomy is an osteotomy at the level of the distal tibia with or without osteotomy of the fibula. The correction is intended to normalize altered load distribution across the joint and may be indicated in cases of asymmetric osteoarthritis, malunited fractures of

Midfoot Arthrodesis

DEFINITION This is a procedure to definitively treat midfoot arthrosis with or without deformity.     ANATOMY   Midfoot articulations include the following:       Tarsometatarsal (TMT) joints Naviculocuneiform joints   In the

Intramedullary Fixation of Humeral Shaft Fractures

r       DEFINITION Incidence: 3% to 5% of all fractures12 The AO/ASIF classification of humeral shaft fractures is based on increasing fracture comminution and is divided into three types according to the contact between the two

Treatment of Periprosthetic Femoral Fractures above a Total Knee Arthroplasty

Introduction Periprosthetic fractures remain problematic complications after total knee arthroplasty. The number of knee arthroplasties performed worldwide continues to increase, and with the ever-growing elderly population, the number of periprosthetic fractures will continue to increase

Knee Arthrodesis

DEFINITION Knee arthrodesis offers an excellent salvage option for an infected total knee arthroplasty (TKA), periarticular tumor, posttraumatic arthritis, and chronic sepsis in the knee. It is a viable solution that allows for stable and painless lower extremity ambulation. The energy

Upper Tibial Osteotomy (High Tibial Osteotomy)

DEFINITION High tibial osteotomy (HTO) is realignment surgery, which has developed for treating medial compartment osteoarthritis (OA) of the knee.7 One of the main etiologic factors of knee OA is excessive biomechanical stress loaded on a focal area due to varus deformity of the lower limb

Total Hip Arthroplasty for Malignant Lesions

DEFINITION Metastatic bone disease (MBD) afflicts more than half of the 1.2 million patients newly diagnosed with cancer annually.4,8 Bony involvement can be a major source of morbidity and mortality if not treated appropriately. The femur is the long bone most commonly affected, with 25%

Surgical Management of Metastatic Bone Disease: Femoral Lesions

BACKGROUND     The femur is the most common site for metastatic bone disease requiring surgery. Because it is a major weight-bearing bone with minimal space for surgical errors, the operative procedure must be carefully planned and meticulously executed, with the aim of achieving

Surgical Management of Metastatic Bone Disease: Humeral Lesions

BACKGROUND     The humerus is a common site of metastatic bone disease requiring surgery. A metastasis at that site, and especially one involving the dominant extremity, has an immediate and profound impact on the affected individual's ability to perform activities of daily

Intramedullary Nailing of Metaphyseal Proximal and Distal Fractures

DEFINITION A fracture of the proximal or distal tibial metaphysis can occur from a variety of high- and low-energy trauma. Fractures may be confined to the metaphysis or extend into the articular surface. Simple fractures suggest lower energy injuries, whereas comminution signifies a

Intramedullary Nailing of the Tibia

DEFINITION Intramedullary nailing techniques are typically used for closed and open displaced diaphyseal tibial fractures. The indications for intramedullary nailing can be extended to proximal and distal metaphyseal tibia fractures, including those associated with simple articular

Open Reduction and Internal Fixation of the Distal Femur

DEFINITION Distal femur fractures are difficult, complex injuries that can result in devastating outcomes. The distal part of the femur is considered the most distal 9 to 15 cm of the femur and can involve the articular surface. The intra-articular injury can vary from a simple split to

Retrograde Intramedullary Nailing of the Femur

DEFINITION Retrograde femoral nailing can be defined as any femoral nailing technique with a distal entry from the condyles or through an intercondylar, intra-articular starting point. For this chapter, retrograde femoral nailing will refer to nails with an intercondylar starting

Fixation of Periprosthetic Fractures Above Total Knee Arthroplasty

DEFINITION Fractures that occur above or around the femoral component of a total knee arthroplasty (TKA). The rates of periprosthetic fractures for TKA vary. The incidence is reported to be 0.3% to 5.5% after primary TKA and up to 30% after revision

Fixation of Periprosthetic Fractures About/Below Total Hip Arthroplasty

DEFINITION Periprosthetic fractures about a total hip arthroplasty are fractures which occur in the femur or acetabulum adjacent to either the femoral or acetabular component, respectively. These fractures can occur intraoperatively or postoperatively. The focus of this chapter will be

Open Reduction and Internal Fixation of Peritrochanteric Hip Fractures

DEFINITION Peritrochanteric hip fractures are defined as extracapsular hip fractures, always involving the trochanter and frequently with extension into the subtrochanteric region. Medicare data indicates that as management of osteoporosis has improved, individual risk of sustaining a

Intramedullary Fixation of Humeral Shaft Fractures

Bridge Plating of Distal Radius Fractures

DEFINITION High-energy fractures of the distal aspect of the radius with extensive comminution of the articular surface and extension into the diaphysis represent a major treatment challenge. Standard plates and techniques may be inadequate for the management of such fractures. Before the

Arthroscopic Reduction and Fixation of Distal Radius and Ulnar Styloid Fractures

DEFINITION A bimodal age distribution exists for patients with distal radius fractures (ie, young adults vs. elderly persons), and they frequently have a different mechanism of injury. Patients 65 years of age or older have an annual incidence of 8 to 10 fractures of the distal radius per

Upper Tibial Osteotomy (High Tibial Osteotomy)

Bridge Plating of Distal Radius Fractures

  Bridge Plating of Distal Radius Fractures       DEFINITION High-energy fractures of the distal aspect of the radius with extensive comminution of the articular surface and extension into the diaphysis represent a major treatment challenge. Standard plates and

Arthroscopic Reduction and Fixation of Distal Radius and Ulnar Styloid Fractures

  Arthroscopic Reduction and Fixation of Distal Radius and Ulnar Styloid Fractures         DEFINITION A bimodal age distribution exists for patients with distal radius fractures (ie, young adults vs. elderly persons), and they frequently have a

ORTHOPEDIC MCQS ONLINE QUESTION BANK H3A

ORTHOPEDIC MCQS ONLINE QUESTION BANK H3A     1)      3341. (2079) Q8-2501: Indications for internal fixation of the humeral shaft include all of the following except:   1) Acute radial nerve palsy 3) Bilateral humeral fractures 2)

ORTHOPEDIC MCQS ONLINE QUESTION BANK H3A

ORTHOPEDIC MCQS ONLINE QUESTION BANK H2E

ORTHOPEDIC MCQS ONLINE QUESTION BANK H2E The diagnosis of chronic exertional compartment syndrome is confirmed by measuring a resting pressure of more than    mm Hg, 1-minute postexercise pressure of more than    mm Hg, or a 5-minute postexercise pressure

ORTHOPEDIC MCQS ONLINE BANK

(OBQ04.118) What muscles are responsible for the most common deformity after antegrade intramedullary nailing for a subtrochanteric femur fracture?           Hip

Intramedullary Nailing of Metaphyseal Proximal and Distal Fractures of the Mature Tibia

Chapter 33 Intramedullary Nailing of Metaphyseal Proximal and Distal Fractures of the Mature Tibia   Robert Ostrum Michael Quackenbush   DEFINITION A fracture of the proximal or distal tibial metaphysis can occur from a variety of high- and low-energy

Intramedullary Nailing of the Mature Tibia

Chapter 32 Intramedullary Nailing of the Mature Tibia   Mark A. Lee Jonathan G. Eastman Brett Crist   DEFINITION Intramedullary nailing techniques are typically used for closed and open displaced diaphyseal tibial fractures. The indications for intramedullary nailing

Open Reduction and Internal Fixation of the Distal Femur

Chapter 29 Open Reduction and Internal Fixation of the Distal Femur   Animesh Agarwal     DEFINITION Distal femur fractures are difficult, complex injuries that can result in devastating outcomes. The distal part of the femur is considered the most distal 9 to

Trochanteric Entry Nailing for Pediatric Femoral Shaft Fractures

Chapter 27 Trochanteric Entry Nailing for Pediatric Femoral Shaft Fractures   J. Eric Gordon June C. Smith   DEFINITION Fractures of the femoral shaft are characterized by acute, nonpathologic fractures of the femur in which the primary portion of the fracture is at

Submuscular Plating of Pediatric Femur Fractures

Chapter 26 Submuscular Plating of Pediatric Femur Fractures   Ernest L. Sink Benjamin F. Ricciardi   DEFINITION Submuscular bridge plating is a minimally invasive, soft tissue preserving approach that provides relative stability for length-unstable pediatric diaphyseal

ORTHOPEDIC MCQS ONLINE BANK OITE23

Orthopedics MCQS ONLINE OITE23 1.03 What is the most common complication associated with surgical fixation of a transverse midshaft humeral fracture using antegrade statically locked medullary nail?   Infection Radial nerve palsy Brachial artery injury during

Knee Arthrodesis

      Knee Arthrodesis     DEFINITION Knee arthrodesis is an excellent salvage option for infected total knee arthroplasty (TKA) and for severe trauma about the knee. It is a durable solution that lasts a lifetime and allows for a stable,

Total Hip Arthroplasty for Malignant Lesions

  DEFINITION Metastatic bone disease (MBD) afflicts more than half of the 1.2 million patients newly diagnosed with cancer annually.3,5 Bony involvement can be a major source of morbidity and mortality if not treated appropriately. The femur is the long

Intramedullary Nailing of the Tibia

  Chapter 16 Intramedullary Nailing of the Tibia   Mark A. Lee and Brett D. Crist   DEFINITION Intramedullary nailing (IMN) techniques typically are used for closed and open displaced diaphyseal tibial fractures. With additional techniques

Open Reduction and Internal Fixation of the Distal Femur

  Chapter 11 Open Reduction and Internal Fixation of the Distal Femur   Animesh Agarwal   DEFINITION Distal femur fractures are difficult, complex injuries that can result in devastating outcomes. The distal part of the femur is considered

Retrograde Intramedullary Nailing of the Femur

  Chapter 9 Retrograde Intramedullary Nailing of the Femur   Laura S. Phieffer and Ronald Lakatos   DEFINITION Retrograde femoral nailing can be defined as any femoral nailing technique with a distal entry from the condyles or through an

Open Reduction and Internal Fixation of the Distal Femur

  Open Reduction and Internal Fixation of the Distal Femur   A   DEFINITION Distal femur fractures are difficult, complex injuries that can result in devastating outcomes. The distal part of the femur is considered the most distal 9 to 15 cm of the

ORTHOPEDIC MCQS ONLINE OB 20 TRAUMA 2D

ORTHOPEDIC MCQS ONLINE OB 20 2D         OrthoCash 2020   1216) Poor pre-injury cognitive function has been proven to increase mortality for which of the following injuries? Proximal humerus fracture Distal

ORTHOPEDIC MCQS ONLINE OB 20 TRAUMA 2B

ORTHOPEDIC MCQS ONLINE OB 20 TRAUMA  2B CT angiography and admit the patient for hourly neurovascular checks Interventional radiology consult for formal angiography and stenting Corrent answer: 2 This patient has a posterior knee dislocation with an ischemic limb

ORTHOPEDIC MCQS ONLINE 20 OB TRAUMA 2A

ORTHOPEDIC MCQS ONLINE OB 20 TRAUMA  2A OrthoCash 2020   A 25 year-old-male presents with the injury seen in Figure A. Which of the following would be a contraindication to closed management with a functional

ORTHOPEDIC MCQS ONLINE 20 OB TRAUMA 1D

ORTHOPEDIC MCQS ONLINE 20 OB TRAUMA 1D   fractures is associated with decreased shoulder strength and increased nonunion rates. Risk factors for non-union in non-operative management of midshaft clavicle fractures include advanced age, female gender, displacement and comminution. Open