5/31/2018. Ipsilateral Femoral Neck And Shaft Fractures. Ipsilateral Neck-Shaft Fractures Introduction. Ipsilateral Neck-Shaft Fractures Introduction
|
|
- Judith Gaines
- 5 years ago
- Views:
Transcription
1 Ipsilateral Femoral Neck And Shaft Fractures Exchange Nailing For Non- Union Donald Wiss MD Cedars-Sinai Medical Center Los Angeles, California Introduction Uncommon Injury Invariably High Energy Trauma Typically In Young Male Patient Associated Injuries Common Requires Prompt Diagnosis & Rx Introduction Incidence 3% - 5% Difficult To Manage When Displaced Timing Of Treatment Controversial Complications High In Many Series 1
2 Mechanism Of Injury High Energy Trauma Longitudinal Force Flexed & Abducted Hip Flexed Knee Resultant Femoral Neck Fracture Basilar In Location Vertical In Orientation Displacement Variable Hard To Visualize Sub-Optimal X-Rays Missed Diagnosis Literature Up To 1/3 Femoral Neck Fractures Are Missed My Case 1982 When The Femoral Neck Fracture Is Missed Treatment Options Later Become More Limited And Difficult With Outcomes Worse Dedicated Hip X-Rays & CT Scans On Initial Trauma Work-Up Decrease Incidence Of Missed Fractures 2
3 Knee Injuries Knee Injuries In 25% - 50% Patella Fractures Femoral Condyles PCL Injuries Easily Missed Pre-Op Exam Difficult High Index Of Suspicion Late Morbidity Treatment Wide Consensus That Fractures Of The Hip Should Take Precedence Over The Femoral Shaft Fracture Consequences Of The Neck Fracture Avascular Necrosis Non-Union Varus Mal-Union All Challenging To Treat Arthroplasty Unattractive 3
4 Femoral Neck Fracture Non-Displaced Fxs In-Situ ORIF Displaced Fractures Direct Anterior Approach Antero-Lateral Approach Goal Is Anatomical Reduction Treatment Alternatives Reconstruction Nail Antegrade Nail & Nail Cannulated Screws & Retrograde Nail SHS And Retrograde Nail Femoral Neck Screws And Plate Treatment Alternatives Reconstruction Nail Antegrade Nail & Nail Large Screws & Retrograde Nail SHS And Retrograde Nail Femoral Neck Screws And Plate 4
5 Treatment Alternatives Reconstruction Nail Antegrade Nail & Nail Cannulated Screws & Retrograde Nail SHS And Retrograde Nail Femoral Neck Screws And Plate Treatment Alternatives Reconstruction Nail Antegrade Nail & Nail Cannulated Screws & Retrograde Nail SHS And Retrograde Nail Femoral Neck Screws And Plate Treatment Alternatives Reconstruction Nail Antegrade Nail & Nail Cannulated Screws & Retrograde Nail SHS And Retrograde Nail Femoral Neck Screws And Plate 5
6 Treatment Anatomical Reduction & Stable Internal Fixation Of The Femoral Neck Fracture Is Mandatory Attempts To Fix Both Fractures With One Implant Have Been Unpredictable Alho A. Concurrent Ipsilateral Fractures Of The Hip & Femoral Shaft: A Meta-Analysis Of 659 Cases Acta Orthop Scand 67: 19-28, Studies 78% Motor Vehicle Accidents, Median Age 34 Yrs 1/3 rd Had Multiple Injuries ½ Had Ipsilateral Knee Injuries Femoral Neck Fracture Mostly Basilar In Location AVN Rate 3%, 99% Healed Locked Nails Gave Better Results Than Unlocked Nails or Plates Reconstruction Nails Gave Equal Results To Separate ORIF Femoral Neck & IM Nails Tornetta P, Kain M, Creevy W. Diagnosis of Femoral Neck Fractures in Patients With a Femoral Shaft Fracture J Bone Joint Surg 89: 39-43, 2007 Developed A Protocol To Diagnose A Femoral Neck Fracture In Pts With A Shaft Fx Dedicated AP Internal Rotation Plain X-Ray; 2mm CT Scan Thru Hip; & Intra-Op Fluroscopic AP And Lateral Views Prior To And After Fixation N=268 Femoral Shaft Fractures Identified 16 Associated Femoral Neck Fractures Using Protocol Conclusion: 91% Reduction In Delay in Diagnosis Compared To Year Prior To Protocol 6
7 Ostrum R, Tornetta P, Watson J, et al. Ipsilateral Proximal Femur & Shaft Fractures Treated With Hips Screws & Reamed Retrograde IM Nail Clin Orthop Relat Res 472: , 2014 N=92 40 SHS 52 Multiple Cannulated Screws All Retrograde Nail Femoral Neck Union Rate 98% Femoral Shaft Union Rate 91% Proximal Femoral Mal-Union 5% Avascular Necrosis 1% No Difference Between SHS Vs Cannulated Screws Conclusion: Independent Screw Fixation Of The Femoral Neck Fracture & Reamed Retrograde IM Nailing Leads To High Rates Of Union & Low Complication Rates Conclusions Independent Fixation Both Fractures Often Requires Open Reduction Of Neck Fx Cannulated Screws Or SHS Retrograde Locked Nailing Reconstruction Nails Only In Truly Non- Displaced Femoral Neck Fractures Illustrative Cases 7
8 46 Yr Male Involved In High Speed Motorcycle vs Auto Accident Sustaining An Open Grade IIIA Segmental Femur Fracture, Displaced Femoral Neck Fracture, & Acetabular Iliac Oblique Confirms & Complex Acetabular Fracture Obturator Oblique Pelvis Looks Bad 8
9 I & D Open Femur Fracture; Temporary Two Pin External Fixator, Direct Anterior Approach; 3 Cannulated Screws; Retrograde Nailing And Placement Of Temporary Traction Pin To Manage Acetabular Fx Post-Op CT Scan With 3D Reconstruction Shows T-Type Acetabular Fx CT Pelvis With 3D Reconstructions Show Both Column Involvement 9
10 ORIF On Profx Table Via A Stoppa Approach Courtesy Charles Moon MD Radiographs At 6 Months ROM Of Hip Degrees; ROM Knee Degrees; Healed 10
11 41 Yr Old Male Fell 15 Feet From Balcony While Intoxicated Sustaining A Vertical Femoral Neck Fracture As Well As A Grade IIIA Open Segmental Femur Fracture & Ipsilateral Patella Fracture Emergent I & D And External Fixation Of The Femur To Allow For Fixation Of The Femoral Neck Fracture 11
12 Direct Anterior Approach With Anatomic Reduction And Fixation With Two Cannulated Screws 3 Days Lateral Removal Ex Fix; Retrograde Femoral Nailing; Two Additional Femoral Neck Screws; ORIF Patella; Follow-Up At 8 Weeks On Crutches Improving ROM Hip & Knee 12
13 ROM Hip 0-90 Degrees ROM Knee 0-70 Degrees Lost To Follow-Up 24 Yr Swedish Female Working /Living In LA Related To Film Industry Suicide Attempt Following Jump From 6 th Story Apartment Building Hemodynamically Unstable Pelvis Fracture Bilateral Pneumonthorax & Multiple Rib Fractures Unstable Thoracic Spine Fracture and T-6 Paraplegia Bilateral Closed Femur Fractures Displaced Right Femoral Neck Fracture Left Supracondylar Humerus Fracture Distraction-Compression Injury & Burst Fracture T-Spine Complete T-6 Paraplegic 13
14 Bilateral Femur Fractures & Right Femoral Neck Fracture Reduction, Instrumentation, & Fusion Thoracic Spine T-2 To T- 11 Bilateral Retrograde Femoral Nailing & CRPP Of Right Femoral Neck After Spine Stabilization 14
15 Post-Op ORIF Right Femur Closed Reduction & Percutaneous Pinning Of The Pelvis POD #4 ORIF Segmental Humerus, Clavicle, & Calcaneus Post-Op Day 9 15
16 Fixation Of All Fractures By Injury Day 11 Air Ambulance Back To Sweden 7 Weeks After Injury It Is Not Enough To Stare Up The Steps; We Must Step Up The Stairs Donald.Wiss@cshs.org 16
FIRST DESCRIBED RETROGRADE TECHNIQUE USING MEDIAL EPICONDYLE 6/5/2018. RETROGRADE vs. ANTEGRADE FEMORAL NAILING
What do I do? ISSUES ANTEGRADE vs. RETROGRADE PIRIFORMIS vs. TROCHANTER FLAT vs. FRACTURE TABLE SWIONTKOWSKI, 1984 FIRST DESCRIBED RETROGRADE TECHNIQUE USING MEDIAL EPICONDYLE 1 RETROGRADE NAILING SANDERS
More informationPhyseal Fractures and Growth Arrest
Physeal Fractures and Growth Arrest Raymond W. Liu, M.D. Victor M. Goldberg Master Clinician-Scientist in Orthopaedics Rainbow Babies and Children s Hospital Case Western Reserve University Outline General
More informationEVOS MINI with IM Nailing
Case Series Dr. John A. Scolaro EVOS MINI with IM Nailing A series of studies Introduction Intramedullary nailing has become the standard for many long bone fractures. Fracture reduction prior to nail
More informationFailed Subtrochanteric Fracture How I Decide What to Do?
Failed Subtrochanteric Fracture How I Decide What to Do? Gerald E. Wozasek Thomas M. Tiefenboeck 5 October 2016, Washington Medical University of Vienna, Department of Trauma Surgery ordination @wozasek.at
More information7/23/2018 DESCRIBING THE FRACTURE. Pattern Open vs closed Location BASIC PRINCIPLES OF FRACTURE MANAGEMENT. Anjan R. Shah MD July 21, 2018.
BASIC PRINCIPLES OF FRACTURE MANAGEMENT Anjan R. Shah MD July 21, 2018 DESCRIBING THE FRACTURE Pattern Open vs closed Location POLL OPEN HOW WOULD YOU DESCRIBE THIS FRACTURE PATTERN? 1 Spiral 2 Transverse
More informationFemoral Neck Fractures- Gold standards and breaking news. Anna Ekman, MD, PhD Stockholm South hospital Sweden
Femoral Neck Fractures- Gold standards and breaking news Anna Ekman, MD, PhD Stockholm South hospital Sweden Learning outcomes Learning Outcomes Epidemiology Preoperative planning Reduction techniques
More informationFractures of the shoulder girdle, elbow and fractures of the humerus. H. Sithebe 2012
Fractures of the shoulder girdle, elbow and fractures of the humerus H. Sithebe 2012 Fractures of the Clavicle (mid-shaft). Fractures of the clavicle Fractures of the clavicle Treatment- conservative.
More informationDr A. C. Mageza. Dept of Orthopaedics and Trauma Surgery. MBChB(UZ); FCS Orth(ECSA) Orthopaedic Surgeon
Management of Ipsilateral Neck and shaft of femur fractures using SIGN intramedullary locked system and lag screws. A case series of patients managed at Parirenyatwa hospital between March 2013 and December
More informationCase Study: David. Conditions Treated Femoral Neck Fracture with Avascular Necrosis of the Hip. Age Range During Treatment 16 Years
Case Study: David Conditions Treated Femoral Neck Fracture with Avascular Necrosis of the Hip Age Range During Treatment 16 Years David S. Feldman, MD Chief of Pediatric Orthopedic Surgery Professor of
More informationDISCLOSURES Hassan R. Mir, MD, MBA, FACS
DISCLOSURES Hassan R. Mir, MD, MBA, FACS Medical/Orthopaedic Publications Editorial/Governing Board OTA Newsletter Editor OsteoSynthesis, The JOT Online Discussion Forum Editor JOT Associate Editor JAAOS
More informationA Clinical Study For Evaluation Of Results Of Closed Interlocking Nailing Of Fractures Of The Shaft Of The Tibia
ISPUB.COM The Internet Journal of Orthopedic Surgery Volume 17 Number 2 A Clinical Study For Evaluation Of Results Of Closed Interlocking Nailing Of Fractures Of The Shaft Of R Gupta, T Motten, N Kalsotra,
More informationIndex. B Backslap technique depth assessment, 82, 83 diaphysis distal trocar, 82 83
Index A Acromial impingement, 75, 76 Aequalis intramedullary locking avascular necrosis, 95 central humeral head, 78, 80 clinical and functional outcomes, 95, 96 design, 77, 79 perioperative complications,
More informationPelvis injuries Fractures of the femur (proximal,shaft) Dr Tamás Bodzay
Pelvis injuries Fractures of the femur (proximal,shaft) Dr Tamás Bodzay Pelvis anatomy Pelvis function - axial load bearing - protection: abdominal, pelvic structures Pelvic injury mechanism Falling from
More informationTreatment of ipsilateral femoral neck and shaft fractures. Mohamed E. Habib, Yasser S. Hannout, and Ahmed F. Shams
Treatment of ipsilateral femoral neck and shaft fractures Mohamed E. Habib, Yasser S. Hannout, and Ahmed F. Shams Department of Orthopedic Surgery, Faculty of Medicine, University of El Minoufiya, Egypt
More informationSubtrochanteric Femur Fracture. 70 yo female 7/22/2013
Subtrochanteric Femur Fracture Philip J. Kregor, MD 70 yo female Mild hypertension, Type II Diabetes Fell from 20 feet while at a party when the porch collapsed Mild head injury, Rib fractures Had been
More informationTibial Shaft Fractures
Tibial Shaft Fractures Mr Krishna Vemulapalli Consultant Orthopaedics Surgeon Queens & King George Hospitals Queens Hospital 14/03/2018 Google Maps Map data 2018 Google 10 km Orthopaedics Department Covers
More informationDiaphyseal Humerus Fractures. OTA Course Dallas, TX 1/20/17 Ellen Fitzpatrick MD
Diaphyseal Humerus Fractures OTA Course Dallas, TX 1/20/17 Ellen Fitzpatrick MD OBJECTIVES TREATMENT OPTIONS SURGICAL INDICATIONS CONTROVERSIES IN MANAGEMENT Humerus Fractures Treatment Goals: Functional
More information4/28/2010. Fractures. Normal Bone and Normal Ossification Bone Terms. Epiphysis Epiphyseal Plate (physis) Metaphysis
Fractures Normal Bone and Normal Ossification Bone Terms Epiphysis Epiphyseal Plate (physis) Metaphysis Diaphysis 1 Fracture Classifications A. Longitudinal B. Transverse C. Oblique D. Spiral E. Incomplete
More informationVasu Pai FRACS, MCh, MS, Nat Board Ortho Surgeon Gisborne
Vasu Pai FRACS, MCh, MS, Nat Board Ortho Surgeon Gisborne FRACTURE MANAGEMENT I Simple closed fracture : Complete or Incomplete Stable or unstable II Open fracture III Multiple fracture IV Polytrauma Fractures
More informationHUMERAL SHAFT FRACTURES: ORIF, IMN, NONOP What to do?
HUMERAL SHAFT FRACTURES: ORIF, IMN, NONOP What to do? TRAUMA 101 2018 FRACTURE CARE FOR THE COMMUNITY ORTHOPEDIST William W. Cross III, MD Assistant Professor Division of Orthopaedic Trauma Chair, Division
More information76 F: Plays tennis, lives independently, told she has weak bone
Femoral Neck Fractures In the ELDERLY What to do, when and why Frank Liporace, MD Chairman & VP, Dept of Orthopaedics Chief of Trauma & Adult Reconstruction Jersey City Medical Center / RWJ Barnabas Health
More informationDistal Femur Fractures: Tips and Tricks for Plating and Nailing? Conflict of Interest 9/24/2015
Distal Femur Fractures: Tips and Tricks for Plating and Nailing? Cory Collinge, MD Professor of Orthopedic Surgery Vanderbilt University Medical Center Nashville, TN Conflict of Interest Consultant: Smith
More informationPractical Reduction Techniques: Diaphyseal Reduction. Philip Wolinsky University of California at Davis Medical Center
OTA Specialty Day 2016 Practical Reduction Techniques: Diaphyseal Reduction Philip Wolinsky University of California at Davis Medical Center 8:55 am 9:55 am Tips and Tricks: Practical Reduction Techniques
More informationSurgical Care at the District Hospital. EMERGENCY & ESSENTIAL SURGICAL CARE
Surgical Care at the District Hospital 1 18 Orthopedic Trauma Key Points 2 18.1 Upper Extremity Injuries Clavicle Fractures Diagnose fractures from the history and by physical examination Treat with a
More informationElbow Fractures ORIF VS Arthroplasty
Elbow Fractures ORIF VS Arthroplasty Oke Anakwenze, M.D. Olympus Orthopedics No disclosures Disclosures Distal humerus fractures 0.5-0.7% of all fractures 30% of all elbow fractures Bimodal etiology Young
More information2017 Resident Advanced Trauma Techniques Course COMPLICATIONS / CHALLENGES MALUNIONS/DEFORMITY
2017 Resident Advanced Trauma Techniques Course COMPLICATIONS / CHALLENGES MALUNIONS/DEFORMITY What is a Malunion? Definition: a fracture that has healed in a nonanatomic (i.e. deformed) position Must
More informationCost and Time Considerations: Are Minifragment Plates Worth It? Disclosure. More Disclosures. Are minifragment plates worth it? it depends!
Cost and Time Considerations: Are Minifragment Plates Worth It? Andrew Choo, MD Vumedi Webinar November 15, 2016 Disclosure Paid speaker: Depuy Synthes More Disclosures Price quotes are estimates only!
More informationFractures of the tibia shaft treated with locked intramedullary nail Retrospective clinical and radiographic assesment
ARS Medica Tomitana - 2013; 4(75): 197-201 DOI: 10.2478/arsm-2013-0035 Șerban Al., Botnaru V., Turcu R., Obadă B., Anderlik St. Fractures of the tibia shaft treated with locked intramedullary nail Retrospective
More informationDistal Femur Fractures in The Elderly The Ideal Construct
Distal Femur Fractures in The Elderly The Ideal Construct Tak-Wing Lau Department of Orthopaedics and Traumatology Queen Mary Hospital The University of Hong Kong Singapore Trauma 2015 Trauma Through the
More informationProximal Humerus Fractures: contemporary perspectives
Proximal Humerus Fractures: contemporary perspectives Diego L Fernandez M.D Professor of Orthopaedic Surgery Department of Orthopaedic Surgery Lindenhof Hospital, Berne, Switzerland www.diegofernandez.ch
More informationLocked plating constructs are creating a challenge for surgeons.
Locked plating constructs are creating a challenge for surgeons. Three recent studies examining supracondylar femur fractures show concern for the high degree of stiffness of locked plating constructs
More informationIpsilateral femoral neck and shaft fractures: a retrospective analysis of two treatment methods
J Orthopaed Traumatol (2008) 9:141 147 DOI 10.1007/s10195-008-0025-3 ORIGINAL ARTICLE Ipsilateral femoral neck and shaft fractures: a retrospective analysis of two treatment methods Roop Singh Æ Rajesh
More informationCase Report. Antegrade Femur Lengthening with the PRECICE Limb Lengthening Technology
Case Report Antegrade Femur Lengthening with the PRECICE Limb Lengthening Technology S. Robert Rozbruch, MD Hospital for Special Surgery New York, NY, USA ABSTRACT This is a case illustrating a 4.5 cm
More informationIntramedullary Rodding of Distal Tibial Shaft Fractures with Intra Articular Extension
Intramedullary Rodding of Distal Tibial Shaft Fractures with Intra Articular Extension My Name is Claude Sagi CSOT Tampa, FL 2018 Disclosures: None, I am just a simple man. This talk is about treating
More informationDISLOCATION AND FRACTURES OF THE HIP. Dr Károly Fekete
DISLOCATION AND FRACTURES OF THE HIP Dr Károly Fekete 1 OUTLINE Epidemiology Incidence Anatomy Patient s examination, clinical symptons Diagnosis Classification Management Special complications 2 EPIDEMIOLOGY,
More informationOrthopedics in Motion Tristan Hartzell, MD January 27, 2016
Orthopedics in Motion 2016 Tristan Hartzell, MD January 27, 2016 Humerus fractures Proximal Shaft Distal Objectives 1) Understand the anatomy 2) Epidemiology and mechanisms of injury 3) Types of fractures
More informationPROXIMAL HUMERUS FRACTURE TSHT 2017
PROXIMAL HUMERUS FRACTURE TSHT 2017 ANIL DUTTA, M.D. ASSOCIATE PROFESSOR Displacement > 1 cm Angulation > 45 degree SHOULDER AND ELBOW SURGERY UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER SAN ANTONIO DISCLOSURE
More informationNo disclosures relevant to this topic Acknowledgement: some clinical pictures were obtained from the OTA fracture lecture series and AO fracture
CALCANEUS FRACTURES No disclosures relevant to this topic Acknowledgement: some clinical pictures were obtained from the OTA fracture lecture series and AO fracture lecture series INCIDENCE 2% of all fractures
More informationComplications Cast Treatment Psychosocial effect on children Economoic effects on their families [Hughes 1995] ORIF with Plate Ex Fix Antegrade Nail L
Introduction Cast or Traction + cast Nicol [2000] ORIF Kregor [ 93], Ward [92] Ex Fix Aronson [ 92], Tolo [93] Antegrade Nail Beaty [94], Buford [98], Galpin [ 94], Herndon [ 89] Flexible IM Pinning [00],
More informationOutcome of surgical implant generation network nail initiative in treatment of long bone shaft fractures in Kenya
Original Article Outcome of surgical implant generation network nail initiative in treatment of long bone shaft fractures in Kenya O.O. Soren, MBChB (Moi), MMed (Orthopaedics) (Makerere), Consultant Orthopaedic
More information1/28/2017. Orthopedic Implications Of Osteoporosis Introduction. Orthopedic Implications Of Osteoporosis Introduction
The Orthopedic Implications Of Prolonged In Osteoporosis Donald A. Wiss MD Director Of Orthopedic Trauma Cedars Sinai Medical Center Orthopedic Implications Of Osteoporosis Introduction Osteoporosis Most
More informationCrossed Steinmann Pin Fixation In Supracondylar Femur Fractures In Adults A Case Series
Article ID: WMC005027 ISSN 2046-1690 Crossed Steinmann Pin Fixation In Supracondylar Femur Fractures In Adults A Case Series Peer review status: No Corresponding Author: Dr. Mohit K Jindal, Senior Resident,
More informationUse of Unlocked Intramedullary Nailing in Winquist Type I and II Femoral Isthmus Fracture
Use of Unlocked Intramedullary Nailing in Winquist Type I and II Femoral Isthmus Fracture HT Ling, MBBS (UM), WM Ng, MS Ortho (UM), MK Kwan, MS Ortho (UM), LK Fathi Aizuddeen, MBBS (UM), PCM Tay, MBBS
More informationLower Extremity Fracture Management. Fractures of the Hip. Lower Extremity Fractures. Vascular Anatomy. Lower Extremity Fractures in Children
Lower Extremity Fracture Management Brian Brighton, MD, MPH Levine Children s s Hospital Carolinas Medical Center Charlotte, NC Oscar Miller Day October 16, 2009 Lower Extremity Fractures in Children Anatomic
More informationPediatric Tibia Fractures Key Points. Christopher Iobst, MD
Pediatric Tibia Fractures Key Points Christopher Iobst, MD Goals Bone to heal Return to full weight bearing Acceptable alignment rule of 10s 10 degrees of varus 8 degrees of valgus 12 degrees of procurvatum
More informationSC FE. Slipped Capital Femoral Epiphysis SPR
SC FE Slipped Capital Femoral Epiphysis SPR Disclosures Lecture specific-nothing to disclose. Dr. Taragin is a member of the medical advisory board of Carestream Health. SAM Goal SCFE = SCIFI PRESENTATION
More informationCASES: DISTAL FEMUR & PLATEAU. Distal Femur. Case 1: MC 25 foot fall 11/21/2016. What to do first? Ex Fix? CT?
CASES: DISTAL FEMUR & PLATEAU Frank A. Liporace, MD Associate Professor Dept. of Orthopaedics Director Orthopaedic Trauma Research New York University / Hospital for Joint Diseases, NY, NY Chairman Dept.
More informationProximal Humeral Fractures: Why My Practice Has Changed
Proximal Humeral Fractures: Why My Practice Has Changed Clifford B. Jones, MD FACS The CORE Institute Banner University Medical Center University of Arizona Orthopaedic Residency Program Phoenix AZ Proximal
More informationTraumatic injuries of knee and hip
Traumatic injuries of knee and hip Martin W. Korn, MD The United States secretary of transportation recently announced that highway deaths had risen from the previously announced 56,000 for 1969 to a new
More informationPrinciples of intramedullary nailing. Management for ORP
Principles of intramedullary nailing Eakachit Sikarinklul,MD Basic Principles of Fracture Management for ORP Bangkok Medical Center Bangkok, 22-24 July 2016 Learning outcomes At the end of this lecture
More informationType I : At the level of lesser trochanter Type II : Less than 2.5 cm below lesser trochanter. Type III : cm below lesser trochanter
Type II : Major fracture line along the intertrochanteric line with communition in coronal plain. Type III : Fracture at the level of lesser trochanter with variable communition and extension in subtrochanteric
More informationOrthopedic Trauma. I have nothing to disclose. Objectives 3/7/2018. What is Orthopedic Trauma? What is Orthopedic Trauma? Trauma
Orthopedic Trauma I have nothing to disclose. David Miller Memorial Trauma Symposium 2017 James Black, MD Mercy Orthopedic Trauma - Springfield 10/27/2017 Objectives What is Orthopedic Trauma? What is
More informationThe study of distal ¼ diaphyseal extra articular fractures of humerus treated with antegrade intramedullary interlocking nailing
2018; 4(4): 46-50 ISSN: 2395-1958 IJOS 2018; 4(4): 46-50 2018 IJOS www.orthopaper.com Received: 01-08-2018 Accepted: 03-09-2018 Dr. Ankur Parikh Orthopaedics, Jehangir Hospital, Sassoon road, Pune, Dr.
More information9/24/2015. When Can I Use a SHS? When CAN T I Use a SHS? Sliding Hip Screw. Time proven. Technically simple. Cheap. Quick
When Can I Use a SHS? Frank A. Liporace, MD Associate Professor Director of Orthopaedic Trauma Research Director of Orthopaedic Trauma Jersey City Medical Center New York University / Hospital for Joint
More informationSpecification Summary
Specification Summary TRIGEN Trochanteric Antegrade Nail (TAN) Specifications From bone shaft centerline 130 or 135 From bone shaft centerline Standard Femoral Lock 130/135 TAN Recon Lock (12 Anteversion)
More informationTrauma fixation choices chart your fracture
Trauma fixation choices chart your fracture This brochure is intended for informational and educational purposes only. It is the responsibility of operating physicians to determine and utilize the appropriate
More informationPediLoc 3.5mm and 4.5mm Contour Femur Plate Surgical Technique
PediLoc 3.5mm and 4.5mm Contour Femur Plate Surgical Technique Surgical Technique Contour Femur Plate The technique description herein is made available to the healthcare professional to illustrate the
More informationInjuries to the lower extremity II Aree Tanavalee MD Associate Professor Department of Orthopaedics Faculty of Medicine Chulalongkorn University
Injuries to the lower extremity II Aree Tanavalee MD Associate Professor Department of Orthopaedics Faculty of Medicine Chulalongkorn University Topics Fracture of the shaft of the femur Fractures around
More informationCase Presentation: Comminuted Fractures of the Proximal Ulna 11/28/2017. Disclosures. Surgical Strategy. Implant Choice. Melvin P.
Current Solutions in Orthopaedic Trauma Case Presentation: Comminuted Fracture of the Proximal Ulna Melvin P. Rosenwasser, MD Robert E. Carroll Professor of Surgery of the Hand Chief, Orthopaedic Hand
More informationAustin Hill MD MPH. Assistant Professor Dell Medical School Dept of Surgery and Perioperative Care Orthopaedic Trauma
Austin Hill MD MPH Assistant Professor Dell Medical School Dept of Surgery and Perioperative Care Orthopaedic Trauma Disclosures Orthopedic Implant Company ownership, stock, or options Increasing volume
More informationFractures of the Calcaneus
Fractures of the Calcaneus Anthony T. Sorkin, M.D. Rockford Orthopedic Trauma Service Rajeev Garapati, MD Illinois Bone and Joint Institute Assistant Clinical Professor University of Illinois at Chicago
More informationCommon fracture & dislocation of the cervical spine. Theerachai Apivatthakakul Department of Orthopaedic Chiangmai University
Common fracture & dislocation of the cervical spine Theerachai Apivatthakakul Department of Orthopaedic Chiangmai University Objective Anatomy Mechanism and type of injury PE.and radiographic evaluation
More informationVLIFT System Overview. Vertebral Body Replacement System
VLIFT System Overview Vertebral Body Replacement System VLIFT System System Description The VLIFT Vertebral Body Replacement System consists of a Distractible In Situ (DIS) implant, which enables the surgeon
More informationLengthening & Deformity correction with. Fixator Assisted Nailing
Lengthening & Deformity correction with Fixator Assisted Nailing External Fixation Used as *Intra-Op Alignment tool * for lengthening with the main intention of reducing External fixation time! Advantages
More informationPeritroch Hip Fractures. Robert M Harris MD. Hip Fractures. Factors Influencing Construct Strength: Uncontrolled factors 4/28/2016
Peritroch Hip Fractures Should be treated with an IMHS Robert M Harris MD Hip Fractures General principles Approximately 250,000 hip fractures/ year Cost approximately $8.7 billion annually The number
More informationMedial circumflex artery Lateral circumflex artery
Femoral Head Fractures: A Critical But Frequently Missed Injury Susanna C. Spence MD Manickam Kumaravel MBBS University of Texas Health Science Center at Houston Background Femoral head fractures: A complication
More informationOUTCOME OF MANAGEMENT OF CLOSED PROXIMAL TIBIA FRACTURES IN TERTIARY HOSPITAL OF SURAT Karan Mehta 1, Prashanth G 2, Shiblee Siddiqui 3
OUTCOME OF MANAGEMENT OF CLOSED PROXIMAL TIBIA FRACTURES IN TERTIARY HOSPITAL OF SURAT Karan Mehta 1, Prashanth G 2, Shiblee Siddiqui 3 HOW TO CITE THIS ARTICLE: Karan Mehta, Prashanth G. Shiblee Siddiqui,
More informationClosed reduction and internal fixation of fractures of the shaft of the femur by the Titanium Elastic Nailing System in children.
ISPUB.COM The Internet Journal of Orthopedic Surgery Volume 17 Number 1 Closed reduction and internal fixation of fractures of the shaft of the femur by the Titanium Elastic Nailing System in children.
More informationSubaxial Cervical Spine Trauma Dr Hesarikia BUMS
Subaxial Cervical Spine Trauma Dr. Hesarikia BUMS Subaxial Cervical Spine From C3-C7 ROM Majority of cervical flexion Lateral bending Approximately 50% rotation Ligamentous Anatomy Anterior ALL, PLL, intervertebral
More informationFractures of the Hand in Children Which are simple? And Which have pitfalls??
Fractures of the Hand in Children Which are simple? And Which have pitfalls?? Kaye E Wilkins DVM, MD Professor of Orthopedics and Pediatrics Departments of Orthopedics and Pediatrics University of Texas
More informationDifficult Hosts. Treatment Options. Distal Femoral Replacement for Distal Femur Fractures When is it the Best Choice
Distal Femoral Replacement for Distal Femur Fractures When is it the Best Choice Walter W. Virkus, MD IU Health Methodist Hospital Indianapolis, IN Difficult Hosts Distal femur fractures common Distal
More information1/19/2018. Winter injuries to the shoulder and elbow. Highgate Private Hospital (Whittington Health NHS Trust)
Winter injuries to the shoulder and elbow Omar Haddo Consultant Orthopaedic Surgeon, Shoulder, Elbow, Hand & Wrist Specialist MBBS, BmedSci, FRCS(Orth) Highgate Private Hospital (Whittington Health NHS
More informationShould We Really be Performing HHR for Proximal Humeral Fractures Anymore?
Should We Really be Performing HHR for Proximal Humeral Fractures Anymore? Anthony A. Romeo, MD Professor, Dept. of Orthopaedic Surgery Head, Section of Shoulder and Elbow Rush University Medical Center
More informationIntroduction to Fractures and Dislocations. CAPA 2016 Winnipeg, MB
Introduction to Fractures and Dislocations CAPA 2016 Winnipeg, MB CAPA 2016 Dr. Chris Graham Orthopedic surgeon Practice primarily trauma related Assist. Prof. U of M Health Sciences Centre No conflicts
More informationDistal femoral fracture with subsequent ipsilateral proximal femoral fracture
Distal femoral fracture with subsequent ipsilateral proximal femoral fracture by M Agarwal, MS FRCS, AA Syed, FRCSI, PV Giannoudis (!), BSc,MB,MD,EEC(Orth) Dept. of Orthopaedics and Trauma, St.James University
More informationManagement of Hip Fractures
Management of Hip Fractures in the Elderly Patient David A. Brown MD COL U.S. Army Ret. The Center for Orthopedics and Neurosurgery Optimizing Management of Hip Fractures in the Elderly Patient Optimizing
More informationCase Report Low-Energy Traumatic Obturator Hip Dislocation with Ipsilateral Femoral Shaft Fracture in a Patient with Omolateral Knee Arthroplasty
Case Reports in Orthopedics Volume 2016, Article ID 8754893, 5 pages http://dx.doi.org/10.1155/2016/8754893 Case Report Low-Energy Traumatic Obturator Hip Dislocation with Ipsilateral Femoral Shaft Fracture
More informationCASE REPORT. Bone transport utilizing the PRECICE Intramedullary Nail for an infected nonunion in the distal femur
PRODUCTS CASE REPORT Bone transport utilizing the PRECICE Intramedullary Nail for an infected nonunion in the distal femur Robert D. Fitch, M.D. Duke University Health System 1 1 CONDITION Infected nonunion
More informationPertrochanteric femur fracture at the proximal end of a retrograde intramedullary nail a case report
Injury Extra (2005) 36, 271 276 www.elsevier.com/locate/inext CASE REPORT Pertrochanteric femur fracture at the proximal end of a retrograde intramedullary nail a case report Timothy O Mara, David P. Barei*,
More informationProvision of Rotational Stability: Prevention of Collapse: Closed Fracture Reduction: Minimally Invasive Surgery with no Exposure of the Fracture:
INTRODUCTION Percutaneous Compression Plating was developed by considering each of the stages in the surgical procedure for pertrochanteric fractures and the ways in which these might be improved. Primary
More informationAOTrauma Course Fragility Fractures and Orthogeriatrics
Thursday, 22 Oct 2015 (Day 1) 09:00 09:30 Other REGISTATION AND WELCOME COFFEE Sokos Hotel Viru, Bolero venue 30 09:30 12:25 Module 1: The Geriatric Patient and Fracture 175 09:30 09:50 Lecture The Morbidity
More informationDISCLOSURE FNFX ORIF OR ARTHROPLASTY? 11/21/2016 FEMORAL NECK FRACTURES: ORIF OR ARTHROPLASTY? ROYALTIES DEPUY, BIOMET
FEMORAL NECK FRACTURES: ORIF OR ARTHROPLASTY? GEORGE HAIDUKEWYCH, MD ORLANDO, FLORIDA DISCLOSURE ROYALTIES DEPUY, BIOMET CONSULTING DEPUY, SYNTHES, BIOMET, RESPONSIVE ORTHOPEDICS STOCK OWNERSHIP ORTHOPEDIATRICS
More informationThe Flower Medial Column Fusion Plate
The Flower Medial Column Fusion Plate PROCEDURE GUIDE www.flowerortho.com The Flower Foot & Ankle Application NC FUSION PLATE 2-HOLE COMPRESSION PLATE TMT FUSION PLATE LAPIDUS FUSION PLATE COMPRESSION
More informationIMPORTANT MEDICAL INFORMATION Advanced Orthopaedic Solutions INTRAMEDULLARY NAILS Warnings and Precautions (SINGLE USE ONLY)
IMPORTANT MEDICAL INFORMATION Advanced Orthopaedic Solutions INTRAMEDULLARY NAILS Warnings and Precautions (SINGLE USE ONLY) IMPORTANT NOTE Intramedullary nails provide an alternative to open reduction
More informationSlipped Capital Femoral Epiphysis (SCFE)
Slipped Capital Femoral Epiphysis (SCFE) DR MUMTAZ HUSSAIN Senior Registrar DR ABDUL LATIF SAMI (Associate Professor) Head of Department Pediatric Orthopedics Introduction and Definition Epidemiology and
More informationTypes of Plates 1. New Dynamic Compression Plate: Diaphyseal fracture: Radius, Ulna, Humerus, Rarely tibia
Types of Plates 1. New Dynamic Compression Plate: DCP Diaphyseal fracture: Radius, Ulna, Humerus, Rarely tibia 1. Undercut adjacent to the holes low contact: less stress shield 2. Undercut at the undersurface
More informationRELEVANT DISCLOSURES OR CONFLICTS OF INTEREST PATHOPHYSIOLOGY -MECHANICAL STRESS FRACTURES OF THE LOWER EXTREMITIES
RELEVANT DISCLOSURES OR CONFLICTS OF INTEREST STRESS FRACTURES OF THE LOWER EXTREMITIES NONE Mark A Foreman M.D. Assistant Professor, UTHSCSA General Orthopedics and Trauma WHAT IS A STRESS FRACTURE? A
More informationYoung Bones. Characteristics. Klaus Hindsø
Young Bones Characteristics Klaus Hindsø What s so special Periostium Elasticity Growth The envelope Periostium Elasticity Growth Connects displaced fragments building a bridge during healing Interposed
More informationOrthopedic Injury Coding. Bryant Oliphant 10:20
Orthopedic Injury Coding Bryant Oliphant 10:20 Orthopaedic Trauma in MTQIP Bryant Oliphant, MD, MBA, MSc Research Investigator bryantol@med.umich.edu @BonezNQuality DEPARTMENT OF ORTHOPAEDIC SURGERY None
More informationPelvic Fractures. AOCP National Course Belfast City Hospital. 11 th June D Swain BSc; FRCSI; FRCS (Orth.)
Pelvic Fractures AOCP National Course Belfast City Hospital 11 th June 2010 Who s this bloke? Consultant orthopaedic surgeon RVH Trained in Belfast, England and Toronto Interests - pelvic and acetabular
More informationJMSCR Vol. 03 Issue 08 Page August 2015
www.jmscr.igmpublication.org Impact Factor 3.79 Index Copernicus Value: 5.88 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: http://dx.doi.org/10.18535/jmscr/v3i8.08 Study of Functional and Radiological Outcome
More informationRetrograde Locked Intramedullary Nailing For The Stabilisation Of Femoral Fractures With Ipsilateral Tibial Fractures (Floating Knee): A Case Report
ISPUB.COM The Internet Journal of Orthopedic Surgery Volume 4 Number 1 Retrograde Locked Intramedullary Nailing For The Stabilisation Of Femoral Fractures With Ipsilateral Tibial Fractures (Floating Knee):
More informationDisclosure 11/28/2017. Tibia Plateau Fractures: Case Presentations. Educational Consultant AO, Stryker, Biomet. Royalties Biomet
Tibia Plateau Fractures: Case Presentations Frank A. Liporace, MD VP & Chairman Dept. Of Orthopaedics Chief Orthopedic Trauma & Adult Reconstruction Director Orthopaedic Institute Jersey City Medical Ctr
More informationPediLoc 3.5mm and 4.5mm Bowed Femur Plate Surgical Technique
PediLoc 3.5mm and 4.5mm Bowed Femur Plate Surgical Technique 2957 Bow Broch_REV_B.indd 1 2/10/11 12:47 PM Surgical Technique Bowed Femur Plate The technique description herein is made available to the
More informationAngular Malalignment in Subtrochanteric and Proximal Shaft Femur Fractures after Intramedullary Nailing using SIGN Nails
Angular Malalignment in Subtrochanteric and Proximal Shaft Femur Fractures after Intramedullary Nailing using SIGN Nails Rolando Junior L. Torres, MD Jeremiah R. Morales, MD, FPOA Subtrochanteric Femur
More informationUnstable fractures of the pelvis treated with a trapezoid compression frame
Acta Orthop Scand 55, 325-329, 1984 Unstable fractures of the pelvis treated with a trapezoid compression frame Sixteen patients with unstable pelvic fractures were treated by early reduction and fixation
More informationZłamania trzonu kości ramiennej kiedy nie operować?
Złamania trzonu kości ramiennej kiedy nie operować? Jakub Kamiński, Damian Kusz. Humeral shaft fractures when not to operate? Jakub Kamiński, Damian Kusz. Humeral shaft fx general considerations Incidence
More informationIntramedullary Nailing: History & Rationale
Intramedullary Nailing: History & Rationale Overview 1. What is IM Nailing? 2. History 3. Design Rationale & Evolution 4. Modern IM Nails 5. The Future What is IM Nailing? Method of internal fixation in
More informationHIGH-ENERGY TRAUMA OF THE LOWER EXTREMITY NORDIC FORUM 2016, AARHUS
HIGH-ENERGY TRAUMA OF THE LOWER EXTREMITY NORDIC FORUM 2016, AARHUS Ken F. Linnau, MD, MS Emergency Radiology Harborview Medical Center University of Washington Seattle, WA ACKNOWLEDGMENTS Nicole Kansier,
More information