Hook Plate Fixation Case Study

This was then measured and 85 mm was found to be the appropriate length. The core was cut for the sliding screw without complication using a pre-set reamor set at 85 mm. The tap was then used to tap the way for the proximal screw and an 85 mm sliding screw was inserted across the fracture sight into the head and neck without complication. A four hole 135 degree side plate was then attached. We slid it over the depwheeze sliding screw and attached it to the proximal femur using a lommen turkey claw clamp. With the fixation in place AP and lateral fluoroscopic images throughout the fracture sight and hardware position confirmed good reduction and good placement of the hardware. At this point the side plate was then secured to the proximal femur using the 3-2 drill bit to drill a hole measuring the approximate length with the depth gauge and placing 4-5 cortical screws of the appropriate length without complication. At this point the compression screw was inserted. All traction was left off and the compression screw was tightened impacting the fracture nicely. All screws were then tightened with the screwdriver. The lommen was removed, as was all hardware. Multiple views in the AP and lateral plains of the fracture

Patients that experience hip fractures will die within a year. Many of these fractures are due to immobility according to assessment and Management of Clinical Problems (1788). Many falls occur in the older adult population and usually age over 60. Hip fractures not only happen with falls but also can come from blunt trauma to the hip, car accident, disease like osteoporosis and obesity can all be a major concern to hip fractures. The video talks about the common hip joint site are dislocation. Hip fracture may involve both vascular and bony damage to the body. Hip fractures are determined by atomic location of the fracture. These common fractures occur at the head of the femur, neck and greater trochanter. Over my twenty years of health care experience I have witness patients going through some difficult physical therapy. Many patients do not bounce back and many give up because the rehab is so

Two major classification are utilized, the Denis Weber, AO and the Lauge Hansen. The Denis Weber classified fractures as to the location of the fibula and the components of the ankle that have been injured. In the Weber type A fracture, The fibula is avulsed distal to the syndesmotic ligaments, and the medial malleolus is fractured vertically. (19)

The term “Lisfranc” refers to the tarso-metatarsal articulation. These injuries may include sprains, fractures, and/or dislocations. The term was coined from the name of the French field surgeon Jacques Lisfranc, who first discovered the amputation technique through this joint. Lisfranc injuries are rare (0.2% of all fractures) and commonly missed. Approximately 20% of all Lisfranc injuries remain undiagnosed. Although there is low incidence and prevalence, overlooked Lisfranc injury is cited as one of the most common reasons for malpractice lawsuits against radiologists and emergency medicine physicians. These injuries occur in an area whose bony anatomy is not clearly visualized. Lack of a properly diagnosing the injury and delayed treatment

One device used in treating a complex acetabular defect, fracture, or THA revision is an acetabular cage, shown in Figure 1. This type of device is necessary for fractures or defects in which acetabular bone loss is severe, and typical fixation methods will not be effective. The cage is made of a replacement acetabular cup with flanges for attachment and fixation to pelvic bone in order to keep the cup in place. Important factors included in the placement of these devices are the anatomic position and alignment, which is necessary to equalize leg length and allow for joint functionality, as well as the fixation to the bone. While a cage is often what is used, a commercially-available cage is often not the best fit for a patient with a severe

Humeral shaft fractures account for 3 to 5% of all fractures in adults and for 20% of all humeral fractures. Fractures of the humerus can occur proximally, mid-shaft, or distally. Humeral shaft fractures occur most commonly in the elderly and are significantly associated with impairment of independence and quality of life. Majority of the fractures are non-displaced and can be treated non-operatively, which is still the standard treatment of isolated humeral shaft fractures. Although non-surgical management of humeral shaft fracture can be associated unsatisfactory results. Surgical treatment is reserved for specific conditions and offers better outcomes. Humeral shaft fractures those managed with internal fixation supports relative stabilization

DOI: 5/5/2000. Patient is a 34-year-old male employee who sustained a right shoulder injury while framing the column and wall fell on his shoulder. As per OMNI notes, the patient sustained a right shoulder injury. He underwent arthroscopic posterior and posteroinferior labral repair, subacromial decompression and distal clavicle resection of the right shoulder on 5/4/2015 and revision of the arthroscopic posterior and posteroinferior labral repair of the right shoulder with subacromial bursectomy on 11/02/15.

Surgical dislocation of the hip gives a sheltered intends to treat FAI. It is conceivable to completely assess the femoral head-neck junction, and to examine the labrum and adjacent acetabular cartilage . An entire 360º perspective of the acetabulum can be obtained . With a blunt probe, the articular cartilage assessed and the integrity of the labrum and the articular cartilage is determined. This methodology gives access to perform osteochondroplasty and labral reattachment as required. By restoring the congruency between the femoral head and the acetabulum, this approach might permit the patient to come back to appeal exercises without encountering the manifestations and dynamic joint obliteration seen with FAI. [22]

Immobilizer splints can be used to prevent misalignment of hip and aid in the healing process. ("Oxford Textbook of Trauma and Orthopaedics," n.d.)

HA coated implants are also being used for un-cemented hemiarthroplasty for fracture neck of femur. These implants have shown comparable outcomes to the published data from cemented hemiarthroplasty (Nawaz et al., 2017). These implants have only

The loss of the tendon-to-bone insertion site is a common and difficult problem in orthopedic injuries of the hand, elbow, knee, shoulder, heel and foot. These types of injuries may be treated surgically by repair, reconstruction or grafting solutions. Tears of flexor tendons of the hand, for instance, requires surgical attachment of a tendon to its bony insertions. The processes may be beneficial to the patient but have the potential to lead to possible complications including adhesion formation, tenolysis, persistent tears and sub-optimal function as result of limited motion. [1-2] In addition, in the case of traumatic injuries, amputation maybe necessary but has the potential for inducing permanent functional, psychosocial, and cosmetic

In the discussion at hand few where asked to to select an upper body injury in any sport and elaborate on the subject matter. The first thing that we need to do is define the appendicular skeleton. “The axial skeleton includes all the bones (that form bony structures) along the body’s long axis. The bones of the appendicular skeleton make up the rest of the skeleton and are so called because they are appendages of the axial skeleton. The appendicular skeleton includes the bones of the shoulder girdle, the upper limbs, the pelvic girdle, and the lower limbs.” (Publishing). The injury that I was enlightening to highlight within the appendicular skeleton is tennis elbow or in medical terms (lateral epicondylitis. The sport that this is most prevalent in is weight lifting.

For the purpose of evaluation and correct diagnosis it is necessary to correctly classify the fractures and also assess correctly the extent of soft tissue injury. For assessment and classification of peri-articular fractures, the OTA/AO classification is a widely accepted method. (Figure.1) Classification and diagnosis is simplified by breaking the process down into simple algorithms. Type A for any fracture which is completely extra articular. Type B injuries are those intra-articular fractures which have some intact portion of metaphysis. Types C intra-articular fractures are with complete metaphyseal-diaphyseal separation.There are further sub classification in each subgroup. Specific fracture patterns and

Figure 4: Philip Wiles’s ball-and-cup arthroplasty developed in 1938. (Left) The cup was fixed to the acetabulum with two screws. Bolts passing through the femoral neck secured the femoral component. (Right) Radiograph of an implant after thirteen years. The lug and screws retaining the metal acetabulum have disintegreated, much of the neck of the femur has been absorbed, and the bolt has broken away from the head (18).

Generally, reconstructive surgeries are performed to treat structures of the body exaggerated functionally or aesthetically by genetic defects, trauma, developmental abnormalities, infection, tumors or disease. Orthobiologics material is used in reconstructive surgeries for quick healing. As orthobiologics are major material that are employed for quickening the recovery from any disease or a fracture and thus, finds significant applications in the global reconstructive surgeries market. Orthobiologics play a significant role in promoting or accelerating the treatment or recovery of musculoskeletal wound or reconstruction. The increasing hip and joint reconstruction surgeries in the middle east region is the growing factor of the orhtobiologics market in the reconstructive surgeries segment. According to international osteoporosis