CHONDORSARCOMA. SHOULDER PROSTHESIS
•Download as PPT, PDF•
1 like•320 views
A case of chondrosarcoma of the humeral head treated by resection of the upper humerus and replacement with a Mathys prosthesis. Operation performed in Mogadiscio, Somalia in 1973. (English text).
Report
Share
Report
Share
Recommended
Dr. ms goud management of forearm fractures
The document discusses the anatomy, biomechanics, classification systems, treatment options, and complications of forearm fractures. It provides details on the bones, joints, ligaments, and muscles of the forearm. Furthermore, it examines various forearm fracture patterns and treatments such as plating, intramedullary nailing, and external fixation. Proper treatment aims to restore alignment, length, rotation, and blood supply to promote healing.
Lefort fractures
These slides include Le fort 1 2 3 fractures
-by prajakta joshi (sinhgad denat college and hospital pune)
Maxillofacial fractures
This document discusses various types of maxillofacial fractures seen on radiographs. It describes recent tooth fractures appearing as thin radiolucent lines through teeth. Alveolar fractures appear as sharply defined radiolucent lines in the alveolus. Mandibular condyle fractures involve the condylar head being "sheared off". Le Fort fractures are classified into types I, II, and III based on the anatomical structures involved. CT is the standard for evaluating maxillary fractures while panoramic radiography is best for the mandible.
Le fort fractures
This document discusses Le Fort fractures and their management. It begins by describing the three areas that make up the facial skeleton: upper third, lower third, and middle third. It then provides detailed descriptions and classifications of Le Fort I, II, and III fractures based on the location and direction of the fracture lines. For each type of fracture, it outlines the characteristic signs, symptoms, and clinical features both externally and internally. It also discusses other midface fractures and dentoalveolar fractures. In summary, the document provides an in-depth overview of Le Fort fractures, including their anatomical basis, classification, and clinical presentation.
Avinash clavicle
Treatment of displaced midshaft clavicle fracture with locking compression plate provides better biomechanical stability, good fracture union rates, high post-operative constant score, early pain resolution, early return to activity, high patient satisfaction rates and excellent functional outcome. These benefits of plating overweigh complications when used in specific indications like displaced with or without comminuted middle third clavicle fracture (Robinson Type 2B1, 2B2).
Technique of thoracic and lumber spine radiography
The technique of thoracic spine and lumbar spine, do check out not section and most of the slide only content picture because this presentation is verbally explained,
Dr. pl srinivas ug class 1
This document discusses injuries around the elbow, including elbow dislocations, fractures of the radial head, olecranon fractures, and fractures of the neck of the radius. It covers the epidemiology, mechanisms of injury, clinical features, classifications, treatment principles and options, complications, and rehabilitation for each of these common elbow injuries. Surgical treatment may be indicated for unstable or displaced fractures to restore anatomy and stability, while simpler injuries can often be treated non-operatively with splinting and physical therapy.
Monteggia fracture & galeazzi fracture
A Monteggia fracture involves a break in the proximal ulna shaft combined with dislocation of the radial head. It most commonly occurs in children following a fall on an outstretched hand. Treatment involves closed or open reduction of the radial head and restoration of the ulna length, with casting or plating depending on patient age. Complications can include nerve injuries or radial head instability.
A Galeazzi fracture is a break of the radius near the middle-distal junction with disruption of the distal radio-ulnar joint. It typically results from a fall onto an outstretched, pronated forearm. Treatment is always surgical via open reduction and internal fixation of the radius and potential K-wiring or
Recommended
Dr. ms goud management of forearm fractures
The document discusses the anatomy, biomechanics, classification systems, treatment options, and complications of forearm fractures. It provides details on the bones, joints, ligaments, and muscles of the forearm. Furthermore, it examines various forearm fracture patterns and treatments such as plating, intramedullary nailing, and external fixation. Proper treatment aims to restore alignment, length, rotation, and blood supply to promote healing.
Lefort fractures
These slides include Le fort 1 2 3 fractures
-by prajakta joshi (sinhgad denat college and hospital pune)
Maxillofacial fractures
This document discusses various types of maxillofacial fractures seen on radiographs. It describes recent tooth fractures appearing as thin radiolucent lines through teeth. Alveolar fractures appear as sharply defined radiolucent lines in the alveolus. Mandibular condyle fractures involve the condylar head being "sheared off". Le Fort fractures are classified into types I, II, and III based on the anatomical structures involved. CT is the standard for evaluating maxillary fractures while panoramic radiography is best for the mandible.
Le fort fractures
This document discusses Le Fort fractures and their management. It begins by describing the three areas that make up the facial skeleton: upper third, lower third, and middle third. It then provides detailed descriptions and classifications of Le Fort I, II, and III fractures based on the location and direction of the fracture lines. For each type of fracture, it outlines the characteristic signs, symptoms, and clinical features both externally and internally. It also discusses other midface fractures and dentoalveolar fractures. In summary, the document provides an in-depth overview of Le Fort fractures, including their anatomical basis, classification, and clinical presentation.
Avinash clavicle
Treatment of displaced midshaft clavicle fracture with locking compression plate provides better biomechanical stability, good fracture union rates, high post-operative constant score, early pain resolution, early return to activity, high patient satisfaction rates and excellent functional outcome. These benefits of plating overweigh complications when used in specific indications like displaced with or without comminuted middle third clavicle fracture (Robinson Type 2B1, 2B2).
Technique of thoracic and lumber spine radiography
The technique of thoracic spine and lumbar spine, do check out not section and most of the slide only content picture because this presentation is verbally explained,
Dr. pl srinivas ug class 1
This document discusses injuries around the elbow, including elbow dislocations, fractures of the radial head, olecranon fractures, and fractures of the neck of the radius. It covers the epidemiology, mechanisms of injury, clinical features, classifications, treatment principles and options, complications, and rehabilitation for each of these common elbow injuries. Surgical treatment may be indicated for unstable or displaced fractures to restore anatomy and stability, while simpler injuries can often be treated non-operatively with splinting and physical therapy.
Monteggia fracture & galeazzi fracture
A Monteggia fracture involves a break in the proximal ulna shaft combined with dislocation of the radial head. It most commonly occurs in children following a fall on an outstretched hand. Treatment involves closed or open reduction of the radial head and restoration of the ulna length, with casting or plating depending on patient age. Complications can include nerve injuries or radial head instability.
A Galeazzi fracture is a break of the radius near the middle-distal junction with disruption of the distal radio-ulnar joint. It typically results from a fall onto an outstretched, pronated forearm. Treatment is always surgical via open reduction and internal fixation of the radius and potential K-wiring or
Fractures of the Midface / Orbit
This document provides an overview of fractures of the midface, including relevant anatomy, classification systems, evaluation, management considerations, operative techniques, and potential complications. It describes the key bones and structures of the midface, including the zygoma, maxilla, and midface buttresses. Classification systems such as the LeFort fractures and Knight and North system for malar fractures are reviewed. Indications, goals, approaches, reduction maneuvers, fixation methods, and postoperative care of midface fractures are discussed in detail. Complications including enophthalmos, nerve dysfunction, diplopia, and ectropion are also reviewed.
Orbital fractures ih
This document discusses orbital fractures, including:
- The surgical anatomy of the orbit and boundaries like the lateral wall and medial wall.
- Biomechanics, etiology, fracture patterns, and classification of orbital fractures.
- Clinical presentation, diagnosis using imaging like CT, and management including complications.
- Recent trends involve use of stereolithography models and computer-assisted reconstruction based on cone beam tomography for complex orbital fractures.
Exercise Modules
This document provides information on various techniques for wiring and fixation of mandibular fractures, including closed reduction, indirect interdental wiring using ivy loops or eyelets, arch bar fixation, maxillo-mandibular fixation screws, and Ernst ligatures. It discusses the indications, prerequisites, materials, and methods for each technique. It also covers the advantages and disadvantages of closed reduction, effects of prolonged intermaxillary fixation, and challenges in treating fractures in edentulous mandibles.
femoral shaft fracture
femoral shaft fracture
Taiz University , faculty of medicine and health sciences
By Dr : Mulk Wadee
Zygomatic complex fractures ih
This document discusses zygomatic complex fractures, which involve breaks in the zygomatic bone and its connections to the maxilla, frontal, and temporal bones. It covers the anatomy of the zygomatic bone, classification systems for fractures, common signs and symptoms, causes, and importance of radiological evaluation in determining the nature and extent of injuries.
Costochondral graft in maxillofacial surgery
This document describes the technique for harvesting a costochondral graft from the rib cage. Key steps include: 1) Marking and prepping the anterior chest wall, 2) Making a 6-8 cm incision over the rib, 3) Developing a tissue plane between the rib periosteum and pleura, 4) Osteotomizing the lateral and medial portions of the rib to harvest the graft with a cartilage cap, 5) Inspecting for pleural tears and closing layers. Costochondral grafts are useful for reconstructing craniofacial and TMJ defects due to their growth potential in children and biocompatibility. Complications can include pneumothorax, fracture, and scar formation
Proximal Humerus Fracture
A 62-year-old female presented to the emergency department after falling down stairs and landing on her right arm. On examination, she had bruising just below her shoulder joint and was unable to move her arm due to pain. X-rays showed a linear fracture through the proximal humerus. The Neer classification system was used, which divides proximal humerus fractures into 1-4 parts based on displacement of fragments. Based on the classification, treatment options range from sling immobilization for nondisplaced fractures to surgery for displaced multi-part fractures. Prognosis depends on the fracture type and degree of displacement.
Lesioni Meniscali
This document discusses the anatomy, pathology, classification, and treatment of meniscal injuries. It provides details on:
- The importance of meniscal tissue in stabilizing the knee joint and preserving cartilage.
- Classification of meniscal injuries as traumatic, degenerative, or a combination. Traumatic injuries are more common in young people from major impacts while degenerative injuries increase with age.
- Surgical treatment options to preserve meniscal tissue including repair techniques like inside-out and all-inside suturing, as well as scaffold and allograft options. Factors like a patient's age, cartilage damage, and activity level help determine the best surgical approach.
Pipjw
The proximal interphalangeal joint (PIPJ) is stabilized by bony articulations, collateral ligaments, a volar plate, and surrounding tendons. Dorsal dislocations of the PIPJ commonly result from hyperextension injuries and can be classified as Type I-III injuries of increasing severity. Treatment depends on the injury type and stability but generally involves reduction, splinting, and avoiding prolonged immobilization to prevent stiffness. Surgical options may be needed for open injuries or unstable fractures.
Pinched nerve-shoulder
This technical note describes an arthroscopic technique for decompressing a bony suprascapular foramen, which has not been previously reported. The technique uses a superomedial portal and Kerrison punch rongeur to safely decompress the suprascapular nerve trapped within the bony suprascapular notch. It presents a case of a patient with longstanding shoulder pain relieved by this procedure and outlines the surgical steps for visualizing and decompressing the suprascapular notch arthroscopically.
Neck dissection
1. Neck dissection involves removing lymph nodes from different levels in the neck to stage and treat head and neck cancers.
2. The extent of neck dissection, such as radical or modified radical, depends on how many non-lymphatic structures like the spinal accessory nerve are preserved.
3. Selective neck dissections remove nodes from only certain levels, while comprehensive dissections are used to treat cancer that has spread to lymph nodes.
Distal Biceps Tendon Rupture
This document discusses the case of a 39-year-old male weightlifter who experienced a painful pop in his elbow followed by inability to carry things, consistent with a distal biceps tendon rupture. Distal biceps tendon ruptures typically occur in dominant arms of men in their 40s during eccentric loading. Surgical repair is usually recommended for young, active patients to restore function, with fixation techniques like suture buttons providing the strongest repair. Postoperative rehabilitation involves immobilization in flexion and supination.
Condyle ppt
Condylar fractures can occur in different locations and with varying degrees of displacement. Treatment depends on factors like the patient's age, whether other fractures are present, and the level and displacement of the condylar fracture. Classification systems aim to describe the anatomic location and relationship of condylar fragments to help determine appropriate treatment, whether closed or open reduction is necessary. The goals of treatment are to relieve pain, achieve stable occlusion, restore jaw function, and avoid long-term complications.
Naso-orbito-ethmoidal fracture
Dr. Bhavik Miyani,
Resident Doctor in Department of Oral and Maxillofacial Surgery,
Narsinhbhai Patel Dental College and Hospital, Visnagar.
Stiff elbow and fffd elbow managememt
This document discusses the evaluation and treatment of stiff elbows. It notes that a functional range of motion of 30-130 degrees is needed for daily activities. Stiff elbows can be caused by contracture of soft tissues like the anterior capsule. Evaluation involves assessing range of motion and functional impairment. Non-operative treatments include splinting and exercises, while surgery (elbow arthrolysis) may be considered after 6 months if insufficient improvement. The goal of surgery is to remove soft tissue contractures while maintaining stability, through approaches like lateral or medial capsulotomy. Post-operative management focuses on early range of motion exercises.
Kambins triangle vs ENR
This review discusses the anatomical orientation, area, and diameter of Kambin’s safety zone and limitations of the transforaminal approach.
Condylar fractures
The document provides information on condylar fractures, including:
1. Condylar fractures account for 26-40% of all mandible fractures and can result in pain, dysfunction and deformity if not treated properly.
2. The condyle has a unique anatomy and is an important growth center for the mandible. Fractures can occur in the condylar head, neck or subcondylar region.
3. Various classification systems are described that categorize fractures by location, degree of displacement, and direction of forces involved. Accurate classification is important for determining appropriate treatment.
Condylar fractures
This document provides an overview of condylar fractures, including:
- The surgical anatomy of the temporomandibular joint region.
- Common mechanisms of injury that can cause condylar fractures.
- Several classification systems used to describe different types of condylar fractures.
- Clinical examination findings and various radiologic imaging modalities useful for diagnosing condylar fractures.
- Considerations for treatment and complications that can arise from condylar fractures.
Surgical approaches to the facial skeleton
This document discusses surgical approaches to different areas of the face and skull. It begins by outlining general principles for facial incisions, including considerations like scar visibility and proximity to vital structures. It then describes specific approaches for different regions, such as the periorbital area (coronal, subciliary incisions), mandible (transoral, transfacial, TMJ approaches), nasal skeleton, and others. For each approach, it discusses preparation, incision placement, planes of dissection, and closure. Throughout, it emphasizes the importance of adequate exposure while avoiding injury to nerves, vessels and ensuring good cosmetic outcomes due to the face's aesthetic significance.
Jugular foramen anatomy and approaches
The jugular foramen is located at the skull base and formed by bones of the temporal and occipital bones. It contains nerves IX-XI and often the inferior petrosal sinus. Approaches to access the jugular foramen include posterior, lateral, and anterior. The posterior approach uses a suboccipital retrosigmoid, transcondylar, or supracondylar route. Lateral approaches are juxtacondylar or lateral skull base. Anterior approaches use a postauricular transtemporal or preauricular subtemporal route. Surgical techniques aim to expose the jugular foramen while preserving nearby structures like cranial nerves and vessels.
Laparoscopy: Historic, Present and Emerging Trends
The document provides a historical overview of laparoscopy from its origins in ancient Greece and Rome to modern developments. Key events and innovators are discussed, including the first laparoscopic procedures in the early 20th century and developments of critical tools like trocars, insufflators, and improved optics. The document also outlines current standard laparoscopic procedures like cholecystectomy and discusses trends in bariatric surgery like the increasing popularity and safety of laparoscopic Roux-en-Y gastric bypass.
Facial nerve seminar
The document provides information on the facial nerve (cranial nerve VII), including its embryology, nuclei, course, branches, landmarks, neurophysiology, causes of damage, and grading systems for facial palsy. It describes the facial nerve's development during gestation, its motor, sensory and parasympathetic functions. Key points along its intra- and extracranial course are identified. Variations, injuries, and resulting functional deficits are also discussed.
More Related Content
What's hot
Fractures of the Midface / Orbit
This document provides an overview of fractures of the midface, including relevant anatomy, classification systems, evaluation, management considerations, operative techniques, and potential complications. It describes the key bones and structures of the midface, including the zygoma, maxilla, and midface buttresses. Classification systems such as the LeFort fractures and Knight and North system for malar fractures are reviewed. Indications, goals, approaches, reduction maneuvers, fixation methods, and postoperative care of midface fractures are discussed in detail. Complications including enophthalmos, nerve dysfunction, diplopia, and ectropion are also reviewed.
Orbital fractures ih
This document discusses orbital fractures, including:
- The surgical anatomy of the orbit and boundaries like the lateral wall and medial wall.
- Biomechanics, etiology, fracture patterns, and classification of orbital fractures.
- Clinical presentation, diagnosis using imaging like CT, and management including complications.
- Recent trends involve use of stereolithography models and computer-assisted reconstruction based on cone beam tomography for complex orbital fractures.
Exercise Modules
This document provides information on various techniques for wiring and fixation of mandibular fractures, including closed reduction, indirect interdental wiring using ivy loops or eyelets, arch bar fixation, maxillo-mandibular fixation screws, and Ernst ligatures. It discusses the indications, prerequisites, materials, and methods for each technique. It also covers the advantages and disadvantages of closed reduction, effects of prolonged intermaxillary fixation, and challenges in treating fractures in edentulous mandibles.
femoral shaft fracture
femoral shaft fracture
Taiz University , faculty of medicine and health sciences
By Dr : Mulk Wadee
Zygomatic complex fractures ih
This document discusses zygomatic complex fractures, which involve breaks in the zygomatic bone and its connections to the maxilla, frontal, and temporal bones. It covers the anatomy of the zygomatic bone, classification systems for fractures, common signs and symptoms, causes, and importance of radiological evaluation in determining the nature and extent of injuries.
Costochondral graft in maxillofacial surgery
This document describes the technique for harvesting a costochondral graft from the rib cage. Key steps include: 1) Marking and prepping the anterior chest wall, 2) Making a 6-8 cm incision over the rib, 3) Developing a tissue plane between the rib periosteum and pleura, 4) Osteotomizing the lateral and medial portions of the rib to harvest the graft with a cartilage cap, 5) Inspecting for pleural tears and closing layers. Costochondral grafts are useful for reconstructing craniofacial and TMJ defects due to their growth potential in children and biocompatibility. Complications can include pneumothorax, fracture, and scar formation
Proximal Humerus Fracture
A 62-year-old female presented to the emergency department after falling down stairs and landing on her right arm. On examination, she had bruising just below her shoulder joint and was unable to move her arm due to pain. X-rays showed a linear fracture through the proximal humerus. The Neer classification system was used, which divides proximal humerus fractures into 1-4 parts based on displacement of fragments. Based on the classification, treatment options range from sling immobilization for nondisplaced fractures to surgery for displaced multi-part fractures. Prognosis depends on the fracture type and degree of displacement.
Lesioni Meniscali
This document discusses the anatomy, pathology, classification, and treatment of meniscal injuries. It provides details on:
- The importance of meniscal tissue in stabilizing the knee joint and preserving cartilage.
- Classification of meniscal injuries as traumatic, degenerative, or a combination. Traumatic injuries are more common in young people from major impacts while degenerative injuries increase with age.
- Surgical treatment options to preserve meniscal tissue including repair techniques like inside-out and all-inside suturing, as well as scaffold and allograft options. Factors like a patient's age, cartilage damage, and activity level help determine the best surgical approach.
Pipjw
The proximal interphalangeal joint (PIPJ) is stabilized by bony articulations, collateral ligaments, a volar plate, and surrounding tendons. Dorsal dislocations of the PIPJ commonly result from hyperextension injuries and can be classified as Type I-III injuries of increasing severity. Treatment depends on the injury type and stability but generally involves reduction, splinting, and avoiding prolonged immobilization to prevent stiffness. Surgical options may be needed for open injuries or unstable fractures.
Pinched nerve-shoulder
This technical note describes an arthroscopic technique for decompressing a bony suprascapular foramen, which has not been previously reported. The technique uses a superomedial portal and Kerrison punch rongeur to safely decompress the suprascapular nerve trapped within the bony suprascapular notch. It presents a case of a patient with longstanding shoulder pain relieved by this procedure and outlines the surgical steps for visualizing and decompressing the suprascapular notch arthroscopically.
Neck dissection
1. Neck dissection involves removing lymph nodes from different levels in the neck to stage and treat head and neck cancers.
2. The extent of neck dissection, such as radical or modified radical, depends on how many non-lymphatic structures like the spinal accessory nerve are preserved.
3. Selective neck dissections remove nodes from only certain levels, while comprehensive dissections are used to treat cancer that has spread to lymph nodes.
Distal Biceps Tendon Rupture
This document discusses the case of a 39-year-old male weightlifter who experienced a painful pop in his elbow followed by inability to carry things, consistent with a distal biceps tendon rupture. Distal biceps tendon ruptures typically occur in dominant arms of men in their 40s during eccentric loading. Surgical repair is usually recommended for young, active patients to restore function, with fixation techniques like suture buttons providing the strongest repair. Postoperative rehabilitation involves immobilization in flexion and supination.
Condyle ppt
Condylar fractures can occur in different locations and with varying degrees of displacement. Treatment depends on factors like the patient's age, whether other fractures are present, and the level and displacement of the condylar fracture. Classification systems aim to describe the anatomic location and relationship of condylar fragments to help determine appropriate treatment, whether closed or open reduction is necessary. The goals of treatment are to relieve pain, achieve stable occlusion, restore jaw function, and avoid long-term complications.
Naso-orbito-ethmoidal fracture
Dr. Bhavik Miyani,
Resident Doctor in Department of Oral and Maxillofacial Surgery,
Narsinhbhai Patel Dental College and Hospital, Visnagar.
Stiff elbow and fffd elbow managememt
This document discusses the evaluation and treatment of stiff elbows. It notes that a functional range of motion of 30-130 degrees is needed for daily activities. Stiff elbows can be caused by contracture of soft tissues like the anterior capsule. Evaluation involves assessing range of motion and functional impairment. Non-operative treatments include splinting and exercises, while surgery (elbow arthrolysis) may be considered after 6 months if insufficient improvement. The goal of surgery is to remove soft tissue contractures while maintaining stability, through approaches like lateral or medial capsulotomy. Post-operative management focuses on early range of motion exercises.
Kambins triangle vs ENR
This review discusses the anatomical orientation, area, and diameter of Kambin’s safety zone and limitations of the transforaminal approach.
Condylar fractures
The document provides information on condylar fractures, including:
1. Condylar fractures account for 26-40% of all mandible fractures and can result in pain, dysfunction and deformity if not treated properly.
2. The condyle has a unique anatomy and is an important growth center for the mandible. Fractures can occur in the condylar head, neck or subcondylar region.
3. Various classification systems are described that categorize fractures by location, degree of displacement, and direction of forces involved. Accurate classification is important for determining appropriate treatment.
Condylar fractures
This document provides an overview of condylar fractures, including:
- The surgical anatomy of the temporomandibular joint region.
- Common mechanisms of injury that can cause condylar fractures.
- Several classification systems used to describe different types of condylar fractures.
- Clinical examination findings and various radiologic imaging modalities useful for diagnosing condylar fractures.
- Considerations for treatment and complications that can arise from condylar fractures.
Surgical approaches to the facial skeleton
This document discusses surgical approaches to different areas of the face and skull. It begins by outlining general principles for facial incisions, including considerations like scar visibility and proximity to vital structures. It then describes specific approaches for different regions, such as the periorbital area (coronal, subciliary incisions), mandible (transoral, transfacial, TMJ approaches), nasal skeleton, and others. For each approach, it discusses preparation, incision placement, planes of dissection, and closure. Throughout, it emphasizes the importance of adequate exposure while avoiding injury to nerves, vessels and ensuring good cosmetic outcomes due to the face's aesthetic significance.
Jugular foramen anatomy and approaches
The jugular foramen is located at the skull base and formed by bones of the temporal and occipital bones. It contains nerves IX-XI and often the inferior petrosal sinus. Approaches to access the jugular foramen include posterior, lateral, and anterior. The posterior approach uses a suboccipital retrosigmoid, transcondylar, or supracondylar route. Lateral approaches are juxtacondylar or lateral skull base. Anterior approaches use a postauricular transtemporal or preauricular subtemporal route. Surgical techniques aim to expose the jugular foramen while preserving nearby structures like cranial nerves and vessels.
What's hot (20)
Similar to CHONDORSARCOMA. SHOULDER PROSTHESIS
Laparoscopy: Historic, Present and Emerging Trends
The document provides a historical overview of laparoscopy from its origins in ancient Greece and Rome to modern developments. Key events and innovators are discussed, including the first laparoscopic procedures in the early 20th century and developments of critical tools like trocars, insufflators, and improved optics. The document also outlines current standard laparoscopic procedures like cholecystectomy and discusses trends in bariatric surgery like the increasing popularity and safety of laparoscopic Roux-en-Y gastric bypass.
Facial nerve seminar
The document provides information on the facial nerve (cranial nerve VII), including its embryology, nuclei, course, branches, landmarks, neurophysiology, causes of damage, and grading systems for facial palsy. It describes the facial nerve's development during gestation, its motor, sensory and parasympathetic functions. Key points along its intra- and extracranial course are identified. Variations, injuries, and resulting functional deficits are also discussed.
Approaches of forearm
This document provides an overview of surgical approaches to the forearm bones - the radius and ulna. It describes the anterior and posterior approaches to the radius, including landmarks, incisions, planes of dissection, and dangers such as the posterior interosseous nerve. The approach to the ulna is also outlined. The goal is to expose the bones while protecting surrounding nerves and muscles through careful subperiosteal dissection in appropriate intermuscular planes.
Socket variants in upper extremity prosthesis.pptx1
The document discusses various socket designs for different levels of upper limb amputations. It describes the key factors in socket design such as maximizing range of motion, stability, and force distribution. For transradial amputations, common socket designs include supracondyler brims, external suspension sleeves, and internal roll-on locking liners. The Munster and Northwestern sockets are described as examples of supracondyler designs. For transhumeral amputations, designs include open shoulder above elbow sockets and closed encasulated designs. The document also discusses some novel designs like the TRAC, CRS, and ACCI sockets that aim to improve suspension, reduce motion at bone-socket interface, and control rotation.
Humerus fracture
This document provides an overview of humerus shaft fractures, including:
- Epidemiology showing they are most common in young males from high-energy trauma and elderly females from low-energy mechanisms.
- Classification systems including the AO classification system.
- Treatment options of non-operative management with splinting or bracing for most fractures, and operative options including plating or intramedullary nailing for displaced or unstable fractures.
- Surgical approaches and techniques for plating and nailing are also described.
Pilon
This document summarizes the surgical treatment of a pilon fracture with impacted articular fragments. Key steps included:
1) Surgical exposure was performed medial to the tibialis anterior tendon sheath to access the impacted articular fragments.
2) A no-touch technique using retractors exposed the impacted articular fragment and anterolateral fragment.
3) An osteotome was used to reduce the impacted fragment against the talus, which was then fixed with a lag screw and medial push plate.
4) The anterolateral fragment was reduced and fixed with a screw and anterolateral push plate, restoring the joint surface anatomically.
ISMT - Day 381 - Manefo - Posterior Lumbar Interbody Fusion.pptx
Posterior lumbar interbody fusion (PLIF) is a widely used technique for treating spinal instability. It involves performing a decompression from the back followed by placing bone grafts or implants in the disc space from the posterior approach. PLIF is indicated for conditions requiring decompression and fusion, such as herniated discs or deformities. The procedure involves placing screws and rods for instrumentation followed by extensive decompression. Bone grafts or implants are then packed in the disc space to fuse the vertebrae. Patients are mobilized soon after surgery and followed up regularly until fusion is seen on imaging. PLIF provides high fusion rates and good clinical outcomes.
Bowel resection and anastomosis
This document discusses intestinal anastomosis, beginning with definitions of resection and anastomosis. It then covers the history, indications, types based on orientation and technique, principles of safe anastomosis, healing process, techniques including hand sewn and stapling methods, as well as complications and their management. The ideal goals and factors for a safe anastomosis are presented.
Surgical approaches to the elbow
Osseous anatomy, Types of approaches(Position,landmarks,Incision,Superficial and Deep surgical dissection) , structures at risk, Extensile approaches with diagrams and eponymous .
Castagna 2007- arthroscopic rotator cuff repair using a triple-loaded suture ...
Castagna 2007- arthroscopic rotator cuff repair using a triple-loaded suture anchor and a modified mason-allen technique (alex stitch)
Shoulder
The document discusses different approaches to the shoulder joint for surgical procedures, including the anterior, posterior, and lateral approaches. It describes the indications, patient positioning, incision sites, surgical planes, and structures at risk for each approach. It also covers the rotator cuff muscles, labrum, biceps tendon, and concavity compression theory of shoulder joint stability. The concavity compression theory demonstrates that the humeral head is stabilized in the glenoid cavity by compressive forces, and this effect is increased by an intact labrum.
Posterior approach to elbow
This document describes several posterior surgical approaches to the elbow. It provides details on the techniques for the posterolateral extensile approach, the posterolateral approach in elbow contracture, the Wadsworth extensile posterolateral approach, the Macausland & Müller posterior approach using an olecranon osteotomy, and the Bryan and Morrey extensile posterior approach. Key steps common to many of the approaches include exposing the triceps tendon, retracting the ulnar nerve, reflecting the triceps mechanism or tendon, and exposing the posterior aspect of the elbow joint.
Brachial plexus block by PNS and ultrasound guided block
This document provides an overview of brachial plexus anatomy and techniques for brachial plexus nerve blocks. It begins with a description of the brachial plexus formation from cervical and thoracic nerve roots and its branching pattern. Four main approaches for brachial plexus nerve blocks are described: interscalene, supraclavicular, infraclavicular, and axillary. Details are provided on the anatomy and techniques for performing interscalene and supraclavicular brachial plexus blocks. Ultrasound guidance is discussed as an advancement which allows real-time visualization of needle and nerve. Complications are also summarized.
Hemiarthroplasty shlulder
The document discusses the procedure of hemiarthroplasty for the shoulder, including the history, anatomy, surgical approach, indications, and complications. It provides details on prosthesis designs, preoperative planning, surgical steps such as exposure and implantation of the prosthesis, and postoperative management considerations. The objective of hemiarthroplasty is to relieve pain and restore functional range of motion to the shoulder joint.
Distal humerus journal.pptx
This document describes a surgical technique using parallel plates for internal fixation of complex distal humeral fractures. The technique aims to provide stable fixation even in osteoporotic or comminuted bones. It involves restoring the articular surface anatomy with K-wires followed by applying medial and lateral precontoured plates. Screws are placed through the plates into opposing articular fragments to interlock them. Compression is applied across the supracondylar region to stabilize the construct. A study using this technique achieved union in 33 of 35 fractures with a mean Mayo Elbow Performance Score of 85, demonstrating the technique can successfully treat complex distal humeral fractures.
Hemiarthroplasty
This document provides an overview of hemiarthroplasty, which involves replacing the femoral head with a prosthesis while retaining the natural acetabulum. It discusses the history and types of prostheses used in hemiarthroplasty. The indications, surgical procedure, postoperative care, and possible complications of hemiarthroplasty are described. A case example of a 78-year-old female undergoing cemented bipolar hemiarthroplasty for a fractured neck of femur is presented.
Median Nerve Injury and Carpal Tunnel Syndrome
Carpal tunnel syndrome results from median nerve compression in the carpal tunnel of the wrist. It is caused by narrowing of the tunnel or swelling of its contents. Symptoms include numbness, tingling and pain in the hand and fingers. Conservative treatments include splinting and steroid injections while surgery involves cutting the transverse carpal ligament to relieve pressure on the median nerve. Recurrence after surgery can occur due to incomplete release, scarring or persistent swelling.
Radial Forearm Flap
It is one of basic very versatile flaps in plastic surgery with a lot of indications in reconstruction.
Radial Forearm Flap - Hand Surgery
The radial forearm flap is based on the radial artery and its venae comitantes. It can be harvested as a fasciocutaneous or osteocutaneous flap with a long vascular pedicle. The radial forearm flap is commonly used in reconstructive surgery due to its reliable vascular anatomy, long pedicle length allowing for versatile positioning, and ability to provide a hairless skin match. Potential donor site complications include functional impairment and need for skin grafting or local flaps.
advanced diagnostic aids
MRI provides high quality soft tissue imaging and is useful for evaluating many conditions of the head and neck region. It can identify soft tissue lesions, assess intracranial pathology, stage tumors, evaluate salivary glands and lymph nodes, and precisely image the TMJ for disorders like internal derangement. Dynamic contrast-enhanced MRI is particularly helpful for distinguishing normal and malignant tissues, differentiating tumor types, and assessing vascularity and recurrence risk.
Similar to CHONDORSARCOMA. SHOULDER PROSTHESIS (20)
Laparoscopy: Historic, Present and Emerging Trends
Laparoscopy: Historic, Present and Emerging Trends
Socket variants in upper extremity prosthesis.pptx1
Socket variants in upper extremity prosthesis.pptx1
ISMT - Day 381 - Manefo - Posterior Lumbar Interbody Fusion.pptx
ISMT - Day 381 - Manefo - Posterior Lumbar Interbody Fusion.pptx
Castagna 2007- arthroscopic rotator cuff repair using a triple-loaded suture ...
Castagna 2007- arthroscopic rotator cuff repair using a triple-loaded suture ...
Brachial plexus block by PNS and ultrasound guided block
Brachial plexus block by PNS and ultrasound guided block
Recently uploaded
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
Identification and nursing management of congenital malformations .pptx
Identification and nursing management of congenital malformations .pptxMGM SCHOOL/COLLEGE OF NURSING
Identification and nursing management of congenital malformations The Best Ayurvedic Antacid Tablets in India
Treat the symptoms of indigestion, heartburn and stomach reflux with the 10 Best Ayurvedic Antacid Tablets in India.
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidadeProf. Marcus Renato de Carvalho
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Histololgy of Female Reproductive System.pptx
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Top-Vitamin-Supplement-Brands-in-India List
Swisschem Dermacare provides the Top 10 Vitamin Supplement Brands in India. To know more about us give us call at our official number
Role of Mukta Pishti in the Management of Hyperthyroidism
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Journal Article Review on Rasamanikya
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Top Effective Soaps for Fungal Skin Infections in India
Swisschem Dermacare has mentioned the List of The Best Antifungal Soap In India 2022. All of these soaps are trusted by various Dermatology Experts.
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
A Classical Text Review on Basavarajeeyam
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler Community Health Nursing A Canadian Perspective, 5th Edition TEST BANK by Stamler Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Study Guide Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Studocu Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Course Hero Community Health Nursing A Canadian Perspective, 5th Edition Answers Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Course hero Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Studocu Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Study Guide Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Ebook Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Questions Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Studocu Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Stuvia
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
The Electrocardiogram - Physiologic Principles
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Recently uploaded (20)
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
Identification and nursing management of congenital malformations .pptx
Identification and nursing management of congenital malformations .pptx
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Role of Mukta Pishti in the Management of Hyperthyroidism
Role of Mukta Pishti in the Management of Hyperthyroidism
Top Effective Soaps for Fungal Skin Infections in India
Top Effective Soaps for Fungal Skin Infections in India
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdf
CHONDORSARCOMA. SHOULDER PROSTHESIS
- 1. Alberto Bencivenga MD, DCh, PhD, FCS (ECSA) Facharzt für Chirurgie (M. Chir.) (Tübingen) Specialista in Chirurgia (M. Chir.) (Florence) Specialista in Chirurgia addominale (M. Abdominal Surg.) (Florence) Specialista in Urologia (M. Urol.) (Florence) Professor Emeritus of General Surgery, Somali National University Professor Emeritus of Orthopaedic Surgery, University of Nairobi CONSULTANT GENERAL AND TRAUMA SURGEON TECHNIQUE OF UPPER HUMERUS REPLACEMENT. THE FIRST CASE OF CHONDROSARCOMA EVER TREATED WITH THIS TECHNIQUE (26.12.1973)
- 2. Asha A. age 17 . History of fast growth in the left shoulder during the previous few months. Irregular and unex-plained fever episodes most recently. Clinical aspect of her lesion
- 3. Radiological aspect of the lesion (totally extra-articular). Lungs free.
- 4. THE CUSTOM MADE PROSTHESIS
- 7. DIVISION OF THE DELTOID
- 8. THE CAPUT LONGUM OF THE BICEPS
- 9. IDENTIFYING THE LEVEL OF THE BONE RESECTION (BELOW THE SO CALLED WAX DROP)
- 10. CUTTING THE SHAFT WITH THE OSCILLATING SAW
- 11. REMOVAL OF THE SPECIMEN
- 12. REAMING OF THE MEDULLARY CANAL TO 9 mm, THE ACTUAL SIZE OF THE PROSTHESIS STEM
- 13. DO NOT REAM MORE THAN THE NECESSARY DIAMETER AND THE NECESSARY LENGTH!
- 14. SPECIAL REAMER TO SHAPE THE ENTRANCE INTO THE MEDULLARY CANAL TO EXACTLY ACCEPT THE TAPERED BASE OF THE PROSTHESIS STEM
- 15. VERY CAREFUL FINAL REAMING BY HAND, AND UNDER PROTECTION OF THE BONE WITH ONE OR TWO AO CLAMPS
- 16. SECOND SPECIAL REAMER TO FINALISE THE SHAPE OF THE ENTRANCE POINT OF THE PROSTHESIS STEM
- 17. FINISHING THE TAPERING TO THE EXACT SHAPE OF THE PROSTHESIS STEM. AGAIN BY HAND
- 18. INSERTING THE PROSTHESIS INTO THE PREPARED CHANNEL WHERE IT SHOULD NOW FIT PERFECTLY
- 19. ARTE , NON VI ! TAP GENTLY WITH YOUR HAND
- 20. SECURING THE ROTATIONAL STABILITY WITH AN AO SMALL-FRAGMENT-SET SCREW THROUGH THE STEM DRILLING A 2 mm HOLE
- 21. MEASURING THE LENGTH OF THE NECESSARY SCREW
- 24. THE CAPUT LONGUM OF THE BICEPS WAS PRESERVED AS LONG AS POSSIBLE, NOT ONLY FOR ITS RE-INSERTION, BUT ALSO TO OBTAIN A STUCTURE WHERE THE GLENO-HUMERAL LIGAMENTS CAN BE SUTURED
- 26. SPLITTING THE TENDON END INTO TWO HALVES
- 27. THREADING THE TENDON INTO THE CENTRAL HOLE OF THE PROSTHESIS HEAD AND PULLING OUT THE TWO HALVES THROUGH THE TWO SIDE HOLES
- 28. SUTURING THE TWO TENDON HALVES INTO THE MAIN TENDON WITH BUNNEL’S TECHNIQUE
- 29. SUTURING THE ARM MUSCLES TO THE PROSTHESIS USING THE AD HOC HOLES IN THE PROSTHESIS SHAFT
- 31. SUTURING THE DELTOID MUSCLE
- 32. THE INCISION AFTER REMOVING THE INCISION DRAPE
- 33. PRIMARY WOUND CLOSURE, LEAVING ONE REDON DRAIN IN EVERY LAYER
- 34. SKIN DRESSING
- 35. A BACK SLAB WAS USED FOR PATIENT’S CONFORT UNTIL THE WOUND HEALED
- 36. THE SPECIMEN WITH AN IRREGULAR JOINT SURFACE, BUT ONE NOT INVADED BY THE NEOPLASM
- 37. SECTION TH SECTION THROUGH THE NEOPLASM
- 38. POST-OPERATIVE CHECK X-RAY. NOTE THE EXTREMELY THIN HUMERAL SHAFT, WHICH INITIALLY WOR-RIED US AND ROBERT MATHYS Sen., THE MANU-FACTURER OF THE PRO-STHESIS. NOTE ALSO THE PERFECT JOINT CONGRUENCE.
- 39. CHECK X-RAY PICTURE AFTER 8 MONTHS. OBSERVE THE BONE GROWTH FIXING THE STEM BIOLOGICALLY.
- 40. 11 MONTHS AFTER THE SURGERY. THE NEW FORMED BONE SHELF IS BEGINNING TO PRODUCE A “MEDULLARY” CANAL!
- 41. AFTER 7 YEARS, A SORT OF A MEDULLARY CANAL DEVELOPED AROUND THE PROSTHESIS STEM, WITHIN THE NEOFORMED BONE SHELF ( * ) * * POST-OPERA_ TIVE PICTURE CHECK X-RAY AFTER 7 YEARS AND 4 MONTHS
- 42. A STUDY OF THE SCAPULO-HUMERAL JOINT CONGRUENCE UNDER AXIAL PRESSURE. ( PATIENT SUSPENDED ON PARALLEL BARS ).