Local Vascular Bone Graft Reconstruction
Fig. 8.1 Illustrates the dorsal wrist with potential pedicle sites and their corresponding arterial donors. 1, 2 ICSRA; 2, 3 ICSRA; 4th ECA; 5th ECA. RA radial artery, UA ulnar…
Fig. 8.1 Illustrates the dorsal wrist with potential pedicle sites and their corresponding arterial donors. 1, 2 ICSRA; 2, 3 ICSRA; 4th ECA; 5th ECA. RA radial artery, UA ulnar…
Surgical options for chronic mallet deformity Principle Technique Tendon “repair” at level of DIP joint Tenodermodesis Excision of scar and re-attachment of tendon back to bone Tendon plication Tendon rebalancing…
Fig. 3.1 Comparison of image quality using 1.5 and 3 T MRI. Osteochondral lesion at the talar dome in both images (fat saturated intermediate-weighted fast spin echo sequence). The 3T…
Fig. 9.1 Anteroposterior radiograph (a) and MRI (b) demonstrating an osteochondral defect in the tibial plafond (OLTP) with a large overlying periarticular cyst Diagnosis is usually made on a CT…
Fig. 5.1 Arthroscopic stage D medial talar dome lesion in a right ankle Fig. 5.2 Arthroscopic stage F medial talar dome lesion in a right ankle Grade A: Smooth, intact…
Fig. 4.1 Sagittal CT image (right) depicting small cystic changes in the tibial plafond (arrows). The defect is more clearly seen but overestimated on the fat-suppressed T2-weighted sagittal MR image…
Fig. 2.1 (a) Arthroscopic view of distal tibiofibular joint in a left ankle with medial mortise widening on preoperative radiographs. (b) Widening of the syndesmosis is demonstrated when external rotation…
Osteotomy technique Exposure/visualization Advantages Disadvantages Transverse Inadequate Simple procedure Talar dome covered by tibial plafond Inverted U Inadequate Simple procedure Contraindicated for large OCLs, limited range of motion, and narrow…
Fig. 16.1 Phase I rehabilitation exercises. Physical therapy during phase I focuses on proprioception, motion, and prevention of muscle atrophy. (a) Pool therapy – low-impact activities like swimming or aqua-therapy….
Fig. 12.1 Anterior-posterior x-ray of left ankle following autologous osteochondral transplantation. Healing of the medial malleolar osteotomy required for operative access can be seen. The osteochondral graft has incorporated well…