Transtibial Amputation
Chapter 96 Transtibial Amputation Introduction Myofascial posterior skin flap initially used to treat peripheral vascular disease Mixed data on necessity of tibia/fibula bone bridge Ideal tibial bone length 2.5 cm…
Arthrodesis of the Tarsometatarsal Joint
Chapter 91 Arthrodesis of the Tarsometatarsal Joint Introduction Lisfranc ligament runs from medial cuneiform to base of second metatarsal; strongest part is plantar portion; limits movement Tarsometatarsal (TMT) joint movement…
Extensor Tendon Repair
Chapter 53 Extensor Tendon Repair Introduction Figure 1Illustration of the eight extensor tendon zones. T = thumb. (Reproduced with permission from Hunt TR, Wiesel SW : Operative Techniques in Hand,…
Medial Patellofemoral Ligament Reconstruction for Recurrent Patellar Instability
Chapter 21 Medial Patellofemoral Ligament Reconstruction for Recurrent Patellar Instability Introduction The medial patellofemoral ligament (MPFL) is the primary passive soft-tissue restraint to lateral patellar instability Can tear when patella…
Flexor Tendon Repair
Chapter 52 Flexor Tendon Repair Patient Selection Figure 1Photograph shows demonstration of flexor tendon cascade with ring finger FDP disruption and little finger FDP and FDS disruption. Suture techniques have…
Total Knee Arthroplasty via the Mini-Subvastus Approach
Chapter 64 Total Knee Arthroplasty via the Mini-Subvastus Approach Introduction Mini-subvastus approach uses anterior incision and evolved from Hofmann subvastus technique Incision shorter than traditional medial parapatellar approach, but incision…
Open Reduction and Internal Fixation of Forearm Fractures
Chapter 70 Open Reduction and Internal Fixation of Forearm Fractures Introduction The forearm serves as the origin/insertion for muscle groups that control the elbow, wrist, and hand; as well as…
Anterior Cruciate Ligament Reconstruction: Single-Bundle Transtibial Technique
Chapter 16 Anterior Cruciate Ligament Reconstruction: Single-Bundle Transtibial Technique Introduction Surgical reconstruction of the anterior cruciate ligament (ACL) is recommended for active patients. Restores instability and normal knee kinematics Improves…
Tibiotalar Arthrodesis
Chapter 88 Tibiotalar Arthrodesis Patient Selection Indications Mainstay of treatment for end-stage ankle arthritis Posttraumatic arthritis after ankle and tibial plafond (pilon) fractures Rheumatoid arthritis and osteoarthritis Failed total ankle…
Instrumented Lumbar Fusion
Chapter 106 Instrumented Lumbar Fusion Patient Selection Pedicle screws are anchored in corticocancellous core of vertebral pedicle; strongest point of fixation in spine Pedicle screws have biomechanical advantage over hooks,…
