What is the Essex-Lopresti classification of calcaneus fractures?
Classifies calcaneus fractures into two types – Joint Depression-type and Tongue-type. Primary fracture line is oblique from lateral to medial through the posterior facet dividing it into two fragments The secondary fracture line determines the type:Tongue-type – secondary fracture line exits at the posterior aspect of the tuberosity, articular fragment remains attached to the tuberosity […]
Surgical procedure illustration | Posterolateral approach internal fixation for posterior ankle fracture
Volkmann #fracture, also known as posterior #malleolus fracture, is an avulsion fracture of the posterior tibiofibular ligament at the starting point of the tibia. The fracture fragment may or may not involve the posterior malleolus joint surface. In the original report by German doctor Volkmann in 1875, Volkmann fracture actually described an avulsion fracture of […]
Surgical techniques | Indications and surgical procedures for suprapatellar intramedullary nailing
Intramedullary nailing of long bone #fractures has become the gold standard. For most #tibial shaft fractures, the infrapatellar approach is applicable to intramedullary nailing. However, for some special types, such as patients with infection of the proximal 1/3, the distal end, or the infrapatellar nailing point, or patients with limited knee flexion, it is difficult […]
Introducing a technique for intraoperative assessment of fracture reduction: the “transparency film method”
Open reduction and internal fixation of fractures are the most common and basic operations for orthopedic surgeons. The purpose of surgical treatment of fractures is to restore normal anatomy (or functional reduction) as much as possible to create the hardware prerequisite for functional recovery. Fracture reduction is the most important part. Usually, fracture reduction is […]
Surgical Techniques | “Joystick Technique” Minimally Invasive Reduction and Fixation of Clavicle Fractures
Title: Surgical Techniques: Joystick Technique for Minimally Invasive Clavicle Fracture Fixation
Discover the innovative Joystick Technique for minimally invasive reduction and fixation of clavicle fractures. This cutting-edge approach offers precision, reduced recovery times, and optimal outcomes for patients. Learn how this technique can enhance your orthopedic practice and improve patient care.
Surgical procedures | Treatment of calcaneal fractures with plate and screw internal fixation via the tarsal sinus approach
Calcaneus fracture is a common injury in clinical practice, accounting for 17% of foot fractures. Calcaneus fractures usually have obvious fracture displacement, and conservative treatment cannot effectively reduce the collapsed posterior articular surface and reconstruct the height and width of the calcaneus, so most calcaneal fractures require surgical treatment. The “lateral L-shaped enlarged approach” is […]
Surgical Techniques | Should the Clavicle Plate be Placed on the Top or the Front?
Although the literature and textbooks tend to prefer conservative treatment for #clavicle #fractures and believe that despite the presence of malunion, it does not significantly affect the shoulder and upper limb function; some studies even believe that the nonunion rate of surgical treatment of clavicle fractures is higher than that of conservative treatment. However, in […]
What are surgical indications for tibia shaft fractures?
1. Unacceptable alignment2. Soft tissue injury not amenable to cast3. Floating knee (ipsilateral femoral fracture)4. Polytrauma5. Morbid obesity6. Unreliable patient7. Vascular injury8. Patient preference (favor early WB and joint ROM) #OrthopedicImplants #SpinalImplants #TraumaImplants #SportsMedicineDevices #ExternalFixation #SurgicalInstruments #MedicalPowerTools #SkinStaplers #SpinalFusionDevices #BonePlates #BoneScrews #JointReplacement #Arthroscopy #MinimallyInvasiveSurgery #Biomechanics #OrthopedicRobotics
“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 […]
