Thursday, May 6, 2010

Tibial Plateau Fracture

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Tibial Plateau Fracture

- outline principles of management?
- describe schatzker classification?
- any other classification for tibial plateau fracture?
- what are the problems in the acute stage?
- what are the methods of fixation?
- what are the methods of reduction?
- how has LCP revolutionised the treatment of these injuries
- is there a difference in medial MIPPO and lateral MIPPO?
- role of bone graft substitutes.

Discuss the topic at:

ORTHOPAEDIC PRINCIPLES Forum: 

Tibial Plateau Fracture

 

VIC- volkmans ischemic contracture

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VIC- volkmans ischemic contracture

VIC - Result of several different degrees of tissue injury .
When established compartment syndrome is untreated or inadequately treated----intracompartmental pressure continously increase---irreversible tissue ischemia. 

See details:

 ORTHOPAEDIC PRINCIPLES : VIC- volkmans ischemic contracture

Fracture Neck of femur

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Fracture Neck of femur

Excellent case discussion forum about fracture neck of femur of a lady 60 yrs old, valgus impacted #.. discussion about CCS vs hemiarthroplasty goes on... 

Folks register with website and join the discussion.

Subheadings:

-1. Enumerate reasons as why fracture neck of femur has high incidence of non union
2. What is Garden's alignment index?
3. What is the role of Pauwel's classification in deciding optimum implant for management?
4. Cemented Vs Uncemented?
5. THA or hemiarthroplasty in patients above 60 years?
6. Concept of physiological age.
7. Is bipolar better than unipolar?

See details:

Orthopaedic Principles Forum - DNB topics discussion - Fracture Neck of Femur 

Bone Graft substitutes updates


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Bone Graft substitutes updates 

Aesculap Implant Systems launches new demineralized bone matrix

ProSpace DBM-D is a demineralized bone matrix available in two forms, “flowable” paste or “moldable” putty....

Using rh-BMP-2 may not guarantee fusion in all cases 
 A large consecutive case series of multilevel fusions treated with recombinant human bone morphogenetic-2 yielded a 10.2% pseudarthrosis rate at 6 months.....
 Growing array of bone graft substitutes now available in the United States 
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