Clinical Presentation of Vertebral Artery Dissection
CHAPTER 7 Clinical Presentation of Vertebral Artery Dissection Dr James Inklebarger Vertebral artery dissection (VAD) is a tear in the wall of the vertebral artery located in the neck. This…
Safety and Patient Screening
CHAPTER 4 Safety and Patient Screening Introduction Manipulation is an alternative form of intervention to treat musculoskeletal conditions. It is considered relatively safe and effective when administered skilfully and appropriately….
Surgical Techniques to Avoid Patellar Maltracking in Total Knee Arthroplasty
Fig. 18.1 (a) In some ways the extensor mechanism under load is like a drawn bow: When the energy in the bow is released, the ends spring apart and the…
Trouble Shooting: Intraoperative MCL Injury
Lesion type Frequency* Cause Reference Femoral avulsion 1/48 – [8] 1/16 Osteopenic patient [3] Mid-substance 24/48 – [8] 1/8 Transection with saw during tibial cut [9] 7/7 Unknown, possibly due…
Postoperative Changes in Soft Tissue Balance
Author Year of publication Type of implant Preoperative knee alignment Method of stress Degree of knee flexion Stress direction Angles between the femoral and tibial components (degrees) Intraoperative 3 weeks…
Extensor Mechanism Rupture
Fig. 20.1 Blood supply to the extensor mechanism (From Pawar et al. [6]. With kind permission from Springer Science and Business Media.) Superior lateral genicular artery, inferior lateral genicular artery,…
Complicated Cases: Recurvatum and Severe Contracture
Fig. 11.1 Osteophytes removal with a curved osteotome Fig. 11.2 Release of the posterior capsule We can either use a custom femorotibial spreader or a femoral suspension device introduced in…
