“Modified oblique Lobenhoffer approach” to expose the posteromedial and posterolateral columns of the tibial plateau
The knee joint is rich in blood vessels and nerves and has a complex bone structure. Exposure and fixation of #tibial plateau #fractures involving the posterior column are still difficult. For tibial plateau posteromedial column fractures, the prone Lobenhoffer approach or the “inverted L-shaped approach” of Professor Luo Congfeng of the Sixth Hospital can be […]
Surgical technique | Closed reduction and Kirschner wire fixation of the fourth metacarpal fracture
Metacarpal fractures account for 60% of hand fractures. Direct violent injuries can lead to transverse metacarpal fractures, while indirect and torsional violence often lead to spiral or comminuted fractures. Most metacarpal fractures can be treated with closed reduction and plaster fixation. For patients with angulation > 30°, rotation > 5°, shortening > 5mm and difficulty […]
Intraoperative fluoroscopic reduction of intertrochanteric fractures: which one is more reliable, the anteroposterior or the lateral view?
Intertrochanteric #fracture is the most common hip fracture in clinical practice and one of the three major osteoporotic fractures in the elderly. Conservative treatment requires long-term bed rest, with extremely high risks of bedsores, lung infection, pulmonary embolism, deep vein thrombosis, etc., and is difficult to care for and has a long recovery period, which […]
How to remove the suprapatellar intramedullary nail? Suprapatellar or infrapatellar?
Intramedullary nail fixation is the gold standard for tibial shaft fractures. It has excellent biomechanical advantages with axial fixation and minimally invasive placement. The infrapatellar approach requires extreme knee flexion and is not suitable for some special types of fractures, such as proximal 1/4 tibial fractures, multiple tibial fractures, extreme distal fractures, infrapatellar soft tissue […]
What imaging should be obtained and reviewed in the perioperative management of a femoral shaft fracture to reduce the chance of missed femoral neck fractures?
1. Obtain preop hip xrays2. If CT obtained for abdo/pelvic injuries – review for hip fracture3. Obtain intraop fluoro before nailing.4. Obtain intraop fluoro after nailing with the hip in 10-15 deg of IR5. Obtain postop hip radiographs prior to leaving the OR #Orthopedic#Implants#Spinal#Knee#Hip#BoneHealing#FractureTreatment#Trauma#SurgicalStaplers#PowerTools#SpineHealth#OrthopedicResearch#MedicalInnovation
How to evaluate and treat suspected limb vascular injuries in orthopedic emergency patients?
The most common limb trauma in orthopedic emergencies has the possibility of potential vascular injury, such as knee joint injury is prone to damage the popliteal artery, forearm injury is prone to damage the ulnar artery, etc. Studies have shown that 1.6% of adult limb trauma is combined with vascular injury. If vascular injury is […]
What are methods for assessing restoration of rotation in diaphyseal femur fracture nailing?
1. Assess the LT profile in comparison to the contralateral side– Take a perfect lateral of the knee or an AP with the #patella centered over the distal femur then take an AP of the #hip– the amount of visualized LT should be equal side to side post #femoral nailing2. Key in fracture #fragments3. Match […]
What is a ‘Bosworth fracture-dislocation”?
Fracture of the distal fibula with an associated fixed posterior dislocation of the proximal fibula fragment which becomes entrapped behind the posterior tibial tubercle
