Muscle Strength Assessment
5 Muscle Strength Assessment For additional ancillary materials related to this chapter, please visit thePoint. INTRODUCTION The human body has over 600 muscles that are used for work, for play,…
External Fixation Tibia Fracture
External Fixation Tibia Fracture Benjamin Shore, MD, MPH, FRCSC Indications Diaphyseal, proximal, or distal metadiaphyseal tibia fracture Closed unstable fracture pattern (comminuted, long oblique, butterfly fragment) Open fracture Other wounds…
Ankle Fractures
Ankle Fractures Dennis E. Kramer, MD Indications Displaced unstable ankle fractures Fibular fracture with ankle instability (mortise widening, medial malleolar fracture) mortise widening is defined as the medial clear space…
Distal Femur Fracture Fixation
Distal Femur Fracture Fixation Melissa A. Christino, MD Indications Unstable/misaligned distal femur fractures Failure/inability to treat closed Intra-articular fractures with any displacement Sterile Instruments/Equipment Radiolucent operating table Fracture reduction forceps…
Arthroscopic Tibial Spine Fixation
Arthroscopic Tibial Spine Fixation Yi-Meng Yen, MD, PhD Indications Unreducible hinged tibial spine fracture (Type II) Completely displaced or comminuted tibial spine fracture (Type III) (Figure 23-1) Figure 23-1 ▪…
ORIF Tibial Tubercle Fracture
ORIF Tibial Tubercle Fracture Mininder Kocher, MD, MPH Indications Displaced tibial tubercle fracture (Figure 24-1) Figure 24-1 ▪ Lateral X-ray demonstrating displaced tibial tubercle fracture. Sterile Instruments/Equipment 4.5 mm or…
Leg Fasciotomy
Leg Fasciotomy M. Timothy Hresko, MD Indications Acute compartment syndrome Prophylaxis in limb revascularization Sterile Instruments/Equipment Standard lower extremity tray Patient Positioning Supine on an operating table. Bump underneath ipsilateral…
Flexible Intramedullary Nailing Tibia
Flexible Intramedullary Nailing Tibia Craig M. Birch, MD Indications Displaced diaphyseal tibial fracture Ipsilateral femur fracture requiring surgery Unable to obtain/maintain closed reduction with casting Length stable fracture pattern (transverse,…
Submuscular Plating of Femoral Fracture
Submuscular Plating of Femoral Fracture Eduardo Novais, MD Indications Subtrochanteric, diaphyseal, distal metadiaphyseal femoral fracture Length unstable fracture pattern (comminuted, long oblique, butterfly fragment) Ages: 5 to 11 Sterile Instruments/Equipment…
Lateral Entry Trochanteric Intramedullary Nailing of Femur
Lateral Entry Trochanteric Intramedullary Nailing of Femur Michael Glotzbecker, MD Indications Diaphyseal femoral fracture Subtrochanteric and distal metadiaphyseal fractures may be amenable Any fracture pattern Ages 11 until skeletal maturity…
