Tibial Knee Fracture Research Paper

Because the tibia was displaced posteriorly, the mostly likely structure to have been damage would be the posterior cruciate ligament (Drake et al., 2012a). This could be

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

A closed reduction is a procedure to align bones that have moved out of place. A knee dislocation occurs when one of the leg bones slips out of its normal position in the knee socket. It typically involves the bones in the lower leg (tibia or fibula) in relation to the thigh bone (femur). Knee dislocation in a leg with an artificial (prosthetic) knee joint is not common. When this injury occurs, it is a medical emergency that needs to be treated right away.

These boots move the forces caused by a fall to the knee rather than the ankle or lower leg. The ACL injury usually occurs when the knee is forcefully twisted, or hyper-extended. Many patients recall hearing a loud pop when the ligament tears, and feel the knee give way. This injury has received a great deal of attention from orthopedic surgeons over the past 15 years and very successful operations to reconstruct the torn anterior cruciate ligament have been performed.

This procedure is done by making a small puncture in the groin or a small incision in the chest.

The athlete that I was able to facilitate preforming his rehabilitation assignment had a slight fracture in the distal end of his fibula causing a tear in his interosseous membrane, which is the membrane in between the tibia and fibula, and a syndesmosis sprain due to the dislocation of the ankle. The surgery consisted of the athlete having a plate in so the fibula could heal correctly and metal pins in near the distal end of the fibula to connect the tibia and fibula back together. The athlete was not able to put weight on injured leg at all from the time of the surgery until two weeks after the athlete gets their pins removed. At the start of the

• The surgeon will make an incision in your abdomen. This is usually an up-and-down incision in the midsection of your abdomen. The incision will extend through the inside lining of your abdomen (peritoneum).

Depending on the specific abnormality, the surgery may require incisions on the abdomen, the buttocks, or both.

The surgeons do this for many reasons. Arthroscopic surgery is easier to see and work on, it uses smaller incisions, it can be done at the same time as diagnostic arthroscopy, and it is a lot safer than open surgery. All arthroscopic surgeries are done under anesthesia or general anesthesia. During arthroscopic ACL surgery, the surgeon makes about two or three small incisions around the knee. The surgeon then pumps sterile saline solution (salt) through one of the incisions. This process expands the knee and washes the blood out from the area. This allows the surgeon to see the knee composition more clearly. An arthroscope is then inserted into one of the incisions. There is a camera on the end of the arthroscope that transfers pictures from the inside of the knee to a TV monitor in the operating room. Next, surgical drills enter through the small incisions. The surgeon drills compact holes into the lower and upper leg bones. This is where the bones come together at the knee joint. The surgeon will then begin to take a

Some doctors may recommend therapy to strengthen the muscle. If the tear does not heal on its own, repair may be necessary. Either through arthroscopic surgery or open surgery, these two surgeries will be performed to trim off the pieces of cartilage damaged by the injury.

An incision will be made from the bottom of your chest to your belly button. Tissues and muscles will be moved out of the way to allow access to the stomach. Part of the top of the stomach may be cut or removed.

The knee is a hinge joint which gives the legs mobility. The muscles and ligaments of this joint allows flexion and extension of the leg. “Because the knee supports the majority of the body weight, it is at risk of overuse and traumatic injuries” (France). The knee is composed of 3 major bones; the femur, tibia, and the fibula. The femur is the biggest bone in the human body, the inferior end flares out into two rounded landmarks called femoral condyles. Their name comes from the side of the body they are on, which is where we get Lateral Femoral Condyle and Media Femoral Condyle. Superiorly to these condlyes are the medial and lateral femoral epicondyles. The bones inferior to the femur are the Tibia and Fibula. The superior end of the Tibia flares out into slightly concave structures called the Tibial Plateaus. A crescent wedge shape of cartilage sits in each plateau. These are the Medial Meniscus and the Lateral Meniscus. This cartilage acts as a shock absorber and distributes forces. “The menisci are bathed by the synovial fluid of the knee” (France). The meniscus is what separates the each side of the Tibia and Femur and the transverse ligament connects each menisci. There is a circular bone on the

The insufflation tubing is attached to the trocar and the pneumoperitoneum established. After that the sharp trocar is inserted blindly through a small abdominal incision as described previously, without prior insufflation or visualization of the abdominal layers and viscera. After the pneumoperitoneum is established, the surgeon places the other operative trocars according to the specific needs of the procedure. A 10-mm port is commonly used for the laparoscope, and 5 to 10-mm ports are used for the surgical instruments. Larger ports are required for hand-assisted procedures and for large specimens. After all ports have been placed, a specific procedure can begin. For diagnostic laparoscopy, two instruments are commonly used to manipulate the tissues and organs. These are the dolphin nose forceps and the probe. Retractors such as the fan retractor are also used by the assistant to assist in viewing the surgical anatomy. At the close of the procedure, the instruments are withdrawn, and the pneumoperitoneum released. The incisions may be closed using a variety of techniques. Figure of-8 sutures of absorbable synthetic size 0 or 2-0 are commonly laced to close the superficial layers of the port

Treatment: Following the diagnosis the patient was scheduled and underwent an open reduction, internal fixation surgery where the orthopedic surgeon used a Stryker dorsal Lisfranc plate and a 4.0 mm cannulated screw to successfully reduce and stabilize the dislocation. The patient remained non-weight bearing in a walking boot until six weeks post

Care is taken to avoid infiltration of the fat pad. It is a relatively aneural structure; however, too much local infiltration causes it to balloon out into the joint during the surgery. Spread of intra-articular solution is encouraged by flexion and extension of the knee joint several times and then 20 minutes allowed for anesthesia to take effect. The arthroscope is inserted into the knee, and inflow through the sheath is established. Saline inflow is maintained through the arthroscope by the gravity system; no pump is used. Gravity outflow takes place through the superolateral portal. A separate egress cannula is used if needed. The patient is encouraged to view (look at) the video monitor during the procedure. When finished, the instruments