Chronic osteomylitis of tibia with infected gap non union treated by jess external fixator
•Download as PPTX, PDF•
1 like•814 views
This case report describes a 15-year-old boy named Ankit who was treated for chronic osteomyelitis of the tibia with an infected non-union bone gap at the District Hospital in Barabanki. Ankit had a segment of the tibia bone extruding from its bed, leading to a non-union of the bone. The doctors used Charnley compression clamps incorporated into a Jess external fixator frame to squeeze off the infected bone segment over 7 days. After corticotomy and fibula cutting, distraction was performed over 3 weeks and the wound eventually healed, restoring length after 6 weeks.
Report
Share
Report
Share
Recommended
Perio surgery
This document describes a procedure for treating localized gum recession using a connective tissue graft and lateral sliding flap. The procedure involves raising a flap, placing a connective tissue graft underneath to reinforce the area, and closing the flap laterally to cover the exposed root surface. Post-operative care includes a perio pack dressing that is removed after one week, showing healed tissue where the gum recession was corrected.
Zygomatic dental implant
When your dentist have told that there is not enough bone in your upper jaw to replace your teeth permanently or in a condition where sinus (curved sinus located below cheeks and above teeth) has been dropped down,we are here to make an stop to these problems and fix teeth permanently with ZYGOMA implants
Sinus lift and its alternatives-pterygoid implants and basal implants
A sinus lift procedure involves adding bone graft material between the upper jaw and maxillary sinuses to increase bone height for dental implants. The sinus membrane is lifted to make space for the bone graft. This surgery is needed when there is insufficient bone above the upper back teeth due to aging, gum disease, or long-term missing teeth. Risks include membrane tears or infection, which could delay the procedure. Sinus lift procedures also require a long wait time for implants versus newer techniques like pterygoid and basal implants that allow for immediate loading of teeth.
Mandibular fracture- diagnosis
This document discusses the classification, diagnosis, and treatment of mandibular fractures. Key points include:
- Mandibular fractures are classified based on location and examined clinically and radiographically.
- Treatment options include closed or open reduction, with closed reduction used for minimally displaced fractures and open reduction for more complex cases.
- Internal fixation methods like miniplates are used to achieve rigid stabilization during open reduction, while intermaxillary fixation can be used short-term for closed reduction.
- Potential complications include hemorrhage, infection, nonunion, and neurosensory changes. Proper treatment aims to restore occlusion and minimize complications.
Instruments orthopaedics for mbbs students
plates
screws
cortical
cancellous
shanz pin plates
screws
cortical
cancellous
shanz pin
derhums pin
k wire
k nail
Radius square nail
DCP
dynamic hip screw
ulna square nail
prosthesis
derhums pin
k wire
k nail
Mid face fracture-Maxillary fracture
A Le Fort I fracture involves the maxilla below the nasal floor, canine eminence, lateral antral wall, pterygomaxillary fissure, and pterygoid plate. It is typically treated using closed reduction with mandibulomaxillary fixation or open reduction with plate fixation. A Le Fort II fracture extends above the nasal bone and involves the orbit. It requires surgical management like closed reduction with suspension or open reduction with multiple fixation points. A Le Fort III fracture extends through the frontal bone and involves the orbital roof. It presents with symptoms like edema and requires open reduction and internal fixation at multiple sites.
Tmj Replacement crash course
This document discusses a customized total joint replacement (TJR) for the temporomandibular joint (TMJ). It aims to encourage surgeons familiar with TMJ procedures like open disc surgery and condyle fracture treatment to perform a simple alloplastic TJR, without complex reconstructions. The procedure involves using CT scans to design cutting guides and 3D-printed dummy components for a fossa component, mandibular component, and coronoid resection if needed. The surgery is described step-by-step, from exposure via submandibular or retromandibular incision to component insertion, fixation, and closure. Indications, considerations, and example pre- and post-operative outcomes are presented.
External fixater for femoral trochantric fractures
External fixater can be used for trochantric fractures as an alternative to surgery for patients whose medical condition does not allow for surgery. It can be done under local anesthesia for lean, thin patients as it is more likely to fail in obese patients. The fracture must be a stable type with an intact lateral cortex for external fixater to be effective.
Recommended
Perio surgery
This document describes a procedure for treating localized gum recession using a connective tissue graft and lateral sliding flap. The procedure involves raising a flap, placing a connective tissue graft underneath to reinforce the area, and closing the flap laterally to cover the exposed root surface. Post-operative care includes a perio pack dressing that is removed after one week, showing healed tissue where the gum recession was corrected.
Zygomatic dental implant
When your dentist have told that there is not enough bone in your upper jaw to replace your teeth permanently or in a condition where sinus (curved sinus located below cheeks and above teeth) has been dropped down,we are here to make an stop to these problems and fix teeth permanently with ZYGOMA implants
Sinus lift and its alternatives-pterygoid implants and basal implants
A sinus lift procedure involves adding bone graft material between the upper jaw and maxillary sinuses to increase bone height for dental implants. The sinus membrane is lifted to make space for the bone graft. This surgery is needed when there is insufficient bone above the upper back teeth due to aging, gum disease, or long-term missing teeth. Risks include membrane tears or infection, which could delay the procedure. Sinus lift procedures also require a long wait time for implants versus newer techniques like pterygoid and basal implants that allow for immediate loading of teeth.
Mandibular fracture- diagnosis
This document discusses the classification, diagnosis, and treatment of mandibular fractures. Key points include:
- Mandibular fractures are classified based on location and examined clinically and radiographically.
- Treatment options include closed or open reduction, with closed reduction used for minimally displaced fractures and open reduction for more complex cases.
- Internal fixation methods like miniplates are used to achieve rigid stabilization during open reduction, while intermaxillary fixation can be used short-term for closed reduction.
- Potential complications include hemorrhage, infection, nonunion, and neurosensory changes. Proper treatment aims to restore occlusion and minimize complications.
Instruments orthopaedics for mbbs students
plates
screws
cortical
cancellous
shanz pin plates
screws
cortical
cancellous
shanz pin
derhums pin
k wire
k nail
Radius square nail
DCP
dynamic hip screw
ulna square nail
prosthesis
derhums pin
k wire
k nail
Mid face fracture-Maxillary fracture
A Le Fort I fracture involves the maxilla below the nasal floor, canine eminence, lateral antral wall, pterygomaxillary fissure, and pterygoid plate. It is typically treated using closed reduction with mandibulomaxillary fixation or open reduction with plate fixation. A Le Fort II fracture extends above the nasal bone and involves the orbit. It requires surgical management like closed reduction with suspension or open reduction with multiple fixation points. A Le Fort III fracture extends through the frontal bone and involves the orbital roof. It presents with symptoms like edema and requires open reduction and internal fixation at multiple sites.
Tmj Replacement crash course
This document discusses a customized total joint replacement (TJR) for the temporomandibular joint (TMJ). It aims to encourage surgeons familiar with TMJ procedures like open disc surgery and condyle fracture treatment to perform a simple alloplastic TJR, without complex reconstructions. The procedure involves using CT scans to design cutting guides and 3D-printed dummy components for a fossa component, mandibular component, and coronoid resection if needed. The surgery is described step-by-step, from exposure via submandibular or retromandibular incision to component insertion, fixation, and closure. Indications, considerations, and example pre- and post-operative outcomes are presented.
External fixater for femoral trochantric fractures
External fixater can be used for trochantric fractures as an alternative to surgery for patients whose medical condition does not allow for surgery. It can be done under local anesthesia for lean, thin patients as it is more likely to fail in obese patients. The fracture must be a stable type with an intact lateral cortex for external fixater to be effective.
distal femoral fracture
This medical document discusses x-ray timeframes for a postoperative patient. An immediate post-operative x-ray was taken initially, followed by a follow up x-ray 12 weeks later to check for signs of bone union.
Cementing Technique in Arthroplasty - tips, tricks and Traps
This document provides information about a workshop on cementing techniques for orthopedic procedures. The workshop will cover cement basics, bone bed preparation, mixing and delivery of cement, pressurization techniques, safety considerations, and how to expect and handle unexpected situations during surgery. Attendees will get hands-on experience at 8 stations practicing both hand packing of cement and use of cement guns.
Periprosthetic Fractures of Hip - basics & tips & tricks!
Periprosthetic fractures after hip replacement need skill full management. Key is to diagnose them appropriately and instate an early management.
Hoffa's Fracture: Diagnosis, management & New Classification System by BAGARI...
Hoffa's Fracture - coronal split fracture of distal femur, its diagnosis, management strategy, a new classification and tips and tricks of management. First described Hoffa, a new classification system by Bagaria et al helps plan the surgery for these tricky fracture. The most crucial step is not to miss these fractures in ER.
Guidelines in Fracture Management - Proximal Tibia by Babhulkar
Guidelines in Fracture Management - Proximal Tibia by BabhulkarThieme Medical and Scientific Publishers, India
Trauma Society of India is a pioneering initiative to promote knowledge in the fields of orthopedics and traumatology. The society has taken a giant leap in its endeavors by launching the first ever standard guidelines for orthopedic clinicians. These guidelines would go a long way in establishing treatment protocols and providing a roadmap to clinicians that guides them in the assessment, decision-making and management of complex fracture situations.
The guidelines will be published in a series of books titled Guidelines in Fracture Management, compiled by eminent Indian and international clinicians. They illustrate all possible treatment options and latest management techniques that can be used, with special emphasis on the health scenario in the Asia-Pacific region.
Guidelines in Fracture Management--Proximal Tibia discusses the classification, assessment of personality, and planning and treatment protocols for the much-debated proximal tibia fractures.Congenital vertical talus
The normal foot has an arch that allows it to bend and flex during walking or running. In contrast, vertical talus is a rare birth defect where the foot is rigid with no arch and the heel and front of the foot point upwards instead of flat on the ground. This makes walking difficult without special braces or surgery to reconstruct the arch and tendons.
Knee biomechanics dr.bhuvanesh
This document discusses knee biomechanics and provides definitions of key concepts. It summarizes the biomechanics of the knee joint, including range of motion, meniscus function, ligament function, and alignment. Key points are that the knee is a hinge joint with rolling and sliding motion. The menisci absorb shock, distribute load, and aid lubrication. The ACL and PCL prevent unwanted translation of the tibia. Proper lower extremity alignment and the Q-angle are important for knee function.
Congenital clubfoot
Congenital clubfoot is a deformity of the foot characterized by equinus, inversion, cavus, and adduction. It occurs in 1-2 per 1000 births and is more common in males. The Ponseti technique involving serial casting and Achilles tenotomy has a success rate of 90% and is the preferred treatment. Complications can include relapse, residual deformity, or abnormal gait if not properly corrected.
Foot injuries
This document discusses various foot injuries in three areas: rearfoot, midfoot, and forefoot. In the rearfoot, it describes plantar fasciitis, fat pad contusion, and calcaneal stress fractures. Plantar fasciitis is a degenerative condition of the plantar fascia caused by repetitive microtrauma. Fat pad contusions result from falls onto the heel. Stress fractures of the calcaneus can be seen on bone scans. In the midfoot, it discusses navicular stress fractures, extensor tendonitis, and midtarsal joint sprains. Navicular stress fractures require bone scans and CT scans for diagnosis. Extensor tendonitis causes dorsal midfoot pain. In the fore
Knee biomechanics
The document summarizes the anatomy and function of the knee joint. It describes the articulating surfaces of the patella and femur, the muscles that act on the knee joint as flexors, extensors, and rotators, and how the angle of pull of the quadriceps femoris muscle is increased by the patella acting as a pulley. It also discusses the Q-angle and how increased or decreased angles can impact patellofemoral contact pressures.
Fracture of shaft and distal part of Femoral bone by Dr. Ammar Alsabae
This ppt show the fracture of shaft and distal part ( condylar and supracondylar ) of femuarl bone which include anatomy , classification , clinical picture , diagnosis , treatment and complications .
This PPT prepared by Ammar Alsabae , A medical student , faculity of medicine , Taiz university . Yemen .
Tibial fracture
A 18-year-old female presented with tibial pain after increased physical activity in training camp. MR imaging showed findings consistent with a fatigue fracture of the tibia. Fatigue fractures typically show edema and bone marrow changes on MR imaging before the development of an overt fracture. Increased stress can cause microscopic cracks and osteopenia leading to resorption cavities that may join to cause a fatigue fracture if the inciting activity is not decreased.
Femoral neck fractures
Femoral neck fractures most commonly occur in elderly patients due to osteoporosis and osteopenia. Displaced fractures have higher rates of complications like nonunion and osteonecrosis compared to non-displaced fractures. Treatment depends on fracture displacement and patient factors, ranging from non-surgical management of non-displaced fractures to internal fixation, hemiarthroplasty, or total hip arthroplasty for displaced fractures. Large randomized controlled trials have shown that arthroplasty results in better functional outcomes and fewer reoperations compared to internal fixation for displaced fractures in healthy elderly patients.
Journal Club
This study investigated cardiovascular and gastrointestinal outcomes in clopidogrel users who were also taking proton pump inhibitors (PPIs) using a large cohort of patients in the Netherlands. The study found that clopidogrel users who were also taking PPIs had a 75% higher risk of cardiovascular events compared to clopidogrel-only users. However, the study had limitations such as channeling bias since PPI users had more risk factors, and residual confounding since important risk factors could not be adjusted for. While providing useful insights, the study's findings on the risks of PPI co-administration should be interpreted cautiously due to its limitations.
knee biomechanics
The knee is made up of four bones that interact in two joints: the tibiofemoral and patellofemoral joints. These joints allow flexion/extension, rotation, and translation while providing load transfer. The knee flexes from 0-135 degrees, and the femoral condyles translate posteriorly during flexion. The tibia externally rotates in extension and internally rotates in flexion, locking the knee. Larger Q angles increase risk of lateral patellar subluxation. Forces through the knee increase with activity from 0.3 times body weight while walking to 7 times body weight while squatting.
Femur fracture
This document discusses various types of femoral fractures including: femoral head fractures, femoral neck fractures, intertrochanteric fractures, subtrochanteric fractures, and distal femur fractures. It provides details on mechanisms of injury, clinical presentation, imaging, classification systems, and treatment approaches for each type of femoral fracture. Nonoperative and operative treatment options are described depending on the fracture pattern and patient factors.
1. biomechanics of the knee joint basics
This document provides an overview of the biomechanics of the knee complex. It describes the knee as the largest and most complex joint, consisting of the tibiofemoral and patellofemoral joints. The knee functions to flex and extend the leg, support body weight, and facilitate locomotion. Key components include the articular surfaces, menisci, capsule, collateral and cruciate ligaments, muscles, bursae, and plicae. The document outlines the roles and mechanics of each of these structures, as well as common injuries associated with the knee.
Proximal tibia fracture
This document discusses proximal tibial fractures, including:
- Types of tibial plateau and tibial spine fractures are described based on the Hohl and Moore and Schatzker classifications.
- Mechanisms of injury typically involve shear, compressive, valgus or varus forces.
- Evaluation involves physical exam including neurovascular assessment, imaging like x-rays and CT to classify the fracture.
- Management depends on the fracture type but may involve temporary stabilization, open reduction and internal fixation, with approaches like lateral or medial parapatellar depending on the fracture pattern.
Management of tibial plateau fracture
This document provides an overview of the management of tibial plateau fractures. The goals of management are to restore joint congruity, preserve the normal mechanical axis, achieve a stable joint, and restore knee motion. Surgical treatment is indicated for fractures with articular depression over 2mm, condylar widening over 5mm, or instability. Implant options include plating, screws, external fixation, and hybrid fixation depending on the fracture pattern and soft tissue injury. Schatzker classification and AO/OTA classification are discussed to characterize the fracture personality and guide appropriate treatment.
X-ray spine
X-rays are commonly used to image the spine. The cervical spine can be imaged using anteroposterior, lateral, open mouth, flexion/extension, and oblique views. Key anatomical structures like the vertebrae and discs can be evaluated. Common fractures include teardrop fractures and hangman's fractures. The thoracolumbar spine is also imaged with AP and lateral views. Unstable injuries like burst fractures involve vertebral body collapse while stable injuries include wedge fractures. Spondylolysis is a stress fracture of the pars interarticularis seen best on oblique views.
Osteo-arthritis Knee, strategies for management
Strategies for management of Osteo-arthritis of knee. A talk given by Dr.A.K.Venkatachalam at the Joint Replacement conclave in Mumbai.
Knee
This document provides information on common orthopedic conditions of the knee, including descriptions of bones and soft tissues in the knee, causes and symptoms of injuries and diseases like arthritis, torn meniscus, patellofemoral pain syndrome, shin splints, and torn ACL. Treatment options ranging from rest, ice, braces to surgery are mentioned for each condition.
More Related Content
Viewers also liked
distal femoral fracture
This medical document discusses x-ray timeframes for a postoperative patient. An immediate post-operative x-ray was taken initially, followed by a follow up x-ray 12 weeks later to check for signs of bone union.
Cementing Technique in Arthroplasty - tips, tricks and Traps
This document provides information about a workshop on cementing techniques for orthopedic procedures. The workshop will cover cement basics, bone bed preparation, mixing and delivery of cement, pressurization techniques, safety considerations, and how to expect and handle unexpected situations during surgery. Attendees will get hands-on experience at 8 stations practicing both hand packing of cement and use of cement guns.
Periprosthetic Fractures of Hip - basics & tips & tricks!
Periprosthetic fractures after hip replacement need skill full management. Key is to diagnose them appropriately and instate an early management.
Hoffa's Fracture: Diagnosis, management & New Classification System by BAGARI...
Hoffa's Fracture - coronal split fracture of distal femur, its diagnosis, management strategy, a new classification and tips and tricks of management. First described Hoffa, a new classification system by Bagaria et al helps plan the surgery for these tricky fracture. The most crucial step is not to miss these fractures in ER.
Guidelines in Fracture Management - Proximal Tibia by Babhulkar
Guidelines in Fracture Management - Proximal Tibia by BabhulkarThieme Medical and Scientific Publishers, India
Trauma Society of India is a pioneering initiative to promote knowledge in the fields of orthopedics and traumatology. The society has taken a giant leap in its endeavors by launching the first ever standard guidelines for orthopedic clinicians. These guidelines would go a long way in establishing treatment protocols and providing a roadmap to clinicians that guides them in the assessment, decision-making and management of complex fracture situations.
The guidelines will be published in a series of books titled Guidelines in Fracture Management, compiled by eminent Indian and international clinicians. They illustrate all possible treatment options and latest management techniques that can be used, with special emphasis on the health scenario in the Asia-Pacific region.
Guidelines in Fracture Management--Proximal Tibia discusses the classification, assessment of personality, and planning and treatment protocols for the much-debated proximal tibia fractures.Congenital vertical talus
The normal foot has an arch that allows it to bend and flex during walking or running. In contrast, vertical talus is a rare birth defect where the foot is rigid with no arch and the heel and front of the foot point upwards instead of flat on the ground. This makes walking difficult without special braces or surgery to reconstruct the arch and tendons.
Knee biomechanics dr.bhuvanesh
This document discusses knee biomechanics and provides definitions of key concepts. It summarizes the biomechanics of the knee joint, including range of motion, meniscus function, ligament function, and alignment. Key points are that the knee is a hinge joint with rolling and sliding motion. The menisci absorb shock, distribute load, and aid lubrication. The ACL and PCL prevent unwanted translation of the tibia. Proper lower extremity alignment and the Q-angle are important for knee function.
Congenital clubfoot
Congenital clubfoot is a deformity of the foot characterized by equinus, inversion, cavus, and adduction. It occurs in 1-2 per 1000 births and is more common in males. The Ponseti technique involving serial casting and Achilles tenotomy has a success rate of 90% and is the preferred treatment. Complications can include relapse, residual deformity, or abnormal gait if not properly corrected.
Foot injuries
This document discusses various foot injuries in three areas: rearfoot, midfoot, and forefoot. In the rearfoot, it describes plantar fasciitis, fat pad contusion, and calcaneal stress fractures. Plantar fasciitis is a degenerative condition of the plantar fascia caused by repetitive microtrauma. Fat pad contusions result from falls onto the heel. Stress fractures of the calcaneus can be seen on bone scans. In the midfoot, it discusses navicular stress fractures, extensor tendonitis, and midtarsal joint sprains. Navicular stress fractures require bone scans and CT scans for diagnosis. Extensor tendonitis causes dorsal midfoot pain. In the fore
Knee biomechanics
The document summarizes the anatomy and function of the knee joint. It describes the articulating surfaces of the patella and femur, the muscles that act on the knee joint as flexors, extensors, and rotators, and how the angle of pull of the quadriceps femoris muscle is increased by the patella acting as a pulley. It also discusses the Q-angle and how increased or decreased angles can impact patellofemoral contact pressures.
Fracture of shaft and distal part of Femoral bone by Dr. Ammar Alsabae
This ppt show the fracture of shaft and distal part ( condylar and supracondylar ) of femuarl bone which include anatomy , classification , clinical picture , diagnosis , treatment and complications .
This PPT prepared by Ammar Alsabae , A medical student , faculity of medicine , Taiz university . Yemen .
Tibial fracture
A 18-year-old female presented with tibial pain after increased physical activity in training camp. MR imaging showed findings consistent with a fatigue fracture of the tibia. Fatigue fractures typically show edema and bone marrow changes on MR imaging before the development of an overt fracture. Increased stress can cause microscopic cracks and osteopenia leading to resorption cavities that may join to cause a fatigue fracture if the inciting activity is not decreased.
Femoral neck fractures
Femoral neck fractures most commonly occur in elderly patients due to osteoporosis and osteopenia. Displaced fractures have higher rates of complications like nonunion and osteonecrosis compared to non-displaced fractures. Treatment depends on fracture displacement and patient factors, ranging from non-surgical management of non-displaced fractures to internal fixation, hemiarthroplasty, or total hip arthroplasty for displaced fractures. Large randomized controlled trials have shown that arthroplasty results in better functional outcomes and fewer reoperations compared to internal fixation for displaced fractures in healthy elderly patients.
Journal Club
This study investigated cardiovascular and gastrointestinal outcomes in clopidogrel users who were also taking proton pump inhibitors (PPIs) using a large cohort of patients in the Netherlands. The study found that clopidogrel users who were also taking PPIs had a 75% higher risk of cardiovascular events compared to clopidogrel-only users. However, the study had limitations such as channeling bias since PPI users had more risk factors, and residual confounding since important risk factors could not be adjusted for. While providing useful insights, the study's findings on the risks of PPI co-administration should be interpreted cautiously due to its limitations.
knee biomechanics
The knee is made up of four bones that interact in two joints: the tibiofemoral and patellofemoral joints. These joints allow flexion/extension, rotation, and translation while providing load transfer. The knee flexes from 0-135 degrees, and the femoral condyles translate posteriorly during flexion. The tibia externally rotates in extension and internally rotates in flexion, locking the knee. Larger Q angles increase risk of lateral patellar subluxation. Forces through the knee increase with activity from 0.3 times body weight while walking to 7 times body weight while squatting.
Femur fracture
This document discusses various types of femoral fractures including: femoral head fractures, femoral neck fractures, intertrochanteric fractures, subtrochanteric fractures, and distal femur fractures. It provides details on mechanisms of injury, clinical presentation, imaging, classification systems, and treatment approaches for each type of femoral fracture. Nonoperative and operative treatment options are described depending on the fracture pattern and patient factors.
1. biomechanics of the knee joint basics
This document provides an overview of the biomechanics of the knee complex. It describes the knee as the largest and most complex joint, consisting of the tibiofemoral and patellofemoral joints. The knee functions to flex and extend the leg, support body weight, and facilitate locomotion. Key components include the articular surfaces, menisci, capsule, collateral and cruciate ligaments, muscles, bursae, and plicae. The document outlines the roles and mechanics of each of these structures, as well as common injuries associated with the knee.
Proximal tibia fracture
This document discusses proximal tibial fractures, including:
- Types of tibial plateau and tibial spine fractures are described based on the Hohl and Moore and Schatzker classifications.
- Mechanisms of injury typically involve shear, compressive, valgus or varus forces.
- Evaluation involves physical exam including neurovascular assessment, imaging like x-rays and CT to classify the fracture.
- Management depends on the fracture type but may involve temporary stabilization, open reduction and internal fixation, with approaches like lateral or medial parapatellar depending on the fracture pattern.
Management of tibial plateau fracture
This document provides an overview of the management of tibial plateau fractures. The goals of management are to restore joint congruity, preserve the normal mechanical axis, achieve a stable joint, and restore knee motion. Surgical treatment is indicated for fractures with articular depression over 2mm, condylar widening over 5mm, or instability. Implant options include plating, screws, external fixation, and hybrid fixation depending on the fracture pattern and soft tissue injury. Schatzker classification and AO/OTA classification are discussed to characterize the fracture personality and guide appropriate treatment.
X-ray spine
X-rays are commonly used to image the spine. The cervical spine can be imaged using anteroposterior, lateral, open mouth, flexion/extension, and oblique views. Key anatomical structures like the vertebrae and discs can be evaluated. Common fractures include teardrop fractures and hangman's fractures. The thoracolumbar spine is also imaged with AP and lateral views. Unstable injuries like burst fractures involve vertebral body collapse while stable injuries include wedge fractures. Spondylolysis is a stress fracture of the pars interarticularis seen best on oblique views.
Viewers also liked (20)
Cementing Technique in Arthroplasty - tips, tricks and Traps
Cementing Technique in Arthroplasty - tips, tricks and Traps
Periprosthetic Fractures of Hip - basics & tips & tricks!
Periprosthetic Fractures of Hip - basics & tips & tricks!
Hoffa's Fracture: Diagnosis, management & New Classification System by BAGARI...
Hoffa's Fracture: Diagnosis, management & New Classification System by BAGARI...
Guidelines in Fracture Management - Proximal Tibia by Babhulkar
Guidelines in Fracture Management - Proximal Tibia by Babhulkar
Fracture of shaft and distal part of Femoral bone by Dr. Ammar Alsabae
Fracture of shaft and distal part of Femoral bone by Dr. Ammar Alsabae
Similar to Chronic osteomylitis of tibia with infected gap non union treated by jess external fixator
Osteo-arthritis Knee, strategies for management
Strategies for management of Osteo-arthritis of knee. A talk given by Dr.A.K.Venkatachalam at the Joint Replacement conclave in Mumbai.
Knee
This document provides information on common orthopedic conditions of the knee, including descriptions of bones and soft tissues in the knee, causes and symptoms of injuries and diseases like arthritis, torn meniscus, patellofemoral pain syndrome, shin splints, and torn ACL. Treatment options ranging from rest, ice, braces to surgery are mentioned for each condition.
Knee Arthroscopic Surgery
If you are suffering from knee pain and suggested by doctors for knee Arthroscopy then you can find the best hospitals and meet with top Orthopedic surgeons for knee Arthroscopic Surgery in India.
Read More
http://www.indiahealthtour.com/treatments/orthopedics/knee-arthroscopy/arthroscopy-surgery.html
Revision THR
The majority of elderly patients who receive a hip replacement retain the prosthesis for 15 to 20 years, and sometimes for life. However, some patients may need one or more revisions of a hip replacement, particularly if the initial hip replacement surgery is performed at a young age and the patient chooses to have a very active physical lifestyle.
Osteoarthritis of Knee Joint
The document discusses the knee joint anatomy, ligaments, movements, and osteoarthritis. It describes that the knee joint is stabilized by ligaments including the collateral and cruciate ligaments. Osteoarthritis is characterized by cartilage destruction and causes pain, stiffness, swelling and limitation of movement. Treatment involves relieving pain, restoring function and rehabilitation. Surgical options for osteoarthritis include joint debridement, osteotomy, and arthroplasty.
Minimally invasive knee surgeries
Arthroscopy is a minimally invasive technique that is associated with a faster recovery time compared to traditional surgeries.
A case presentation on infected non union
This document describes a case study of a patient with an infected non-union of the left distal femur fracture treated using the Masquelet technique. The patient underwent debridement, antibiotic cement spacer placement with external fixation, followed by bone grafting and plating. However, the initial plating failed after 8 months, requiring another surgery with fibular grafting and double plating for stability. At the 8-month follow up, the patient had healed with no pain or infection and was walking normally. The conclusion drawn is that Masquelet technique for large distal femur defects should use double plating rather than single plating for sufficient stability.
Hip
This document describes the anatomy of the hip joint, including the femur, femoral head, femoral neck, pelvis, acetabulum, acetabular labrum, and femoral ligaments. It then provides overviews of hip arthroscopy and total hip replacement procedures. Hip arthroscopy involves making small incisions to examine and repair damaged structures like the labrum or cartilage using tools inserted through the incisions. Total hip replacement removes damaged bone and implants a metal shell in the socket and stem in the femur, joining them with a ball to form an artificial joint.
Shoulder arthroplasty & Physiotherapy
Dr. Satyendra Bhattacharyya's document discusses the history and procedure of shoulder arthroplasty. It begins with the first documented shoulder replacement in 1894, but focuses on developments starting in 1951 by Dr. Charles Neer, who created the first hemi-arthroplasty and total shoulder replacement. The document then discusses factors that influence arthroplasty outcomes, indications for the procedure for conditions like osteoarthritis and rheumatoid arthritis, and details each step of the surgical procedure. It concludes by describing postoperative rehabilitation protocols.
Ankle Arthodesis.pptx
This document discusses ankle arthritis and its treatment options. It notes that ankle arthritis can be caused by trauma, inflammation, degeneration, avascular necrosis or malalignment. Non-surgical treatments include orthotics, casting, medication and activity modification, but arthritis that does not improve may require surgery. Surgical options include arthroscopic debridement, ankle fusion or ankle replacement. Ankle fusion involves removing bone from the talus and tibia and stabilizing the joint with pins, screws or plates until fusion occurs. Precise positioning during fusion is important for optimal function.
Ankle arthodesis
This document discusses ankle arthritis and its treatment options. It provides details on the anatomy of the ankle joint and common causes of ankle arthritis, including post-traumatic, inflammatory, degenerative, and avascular necrosis. Non-surgical treatments for ankle arthritis like orthotics, bracing, injections and activity modification are outlined. Surgical options covered include arthroscopic debridement, ankle fusion (arthrodesis), and total ankle replacement. Specific techniques for ankle fusion using both external and internal fixation are summarized. Complications associated with ankle fusion like nonunion are also mentioned.
Orthocon 2015 complications
This document discusses several orthopedic complication cases:
1) A young lady with grade IIIB fractures of both legs from a car accident who developed infection, nonunion, and failed corticotomy before finally achieving union with IM nailing.
2) A woman with recurrent sacrococcygeal chordoma after excision who underwent marginal excision with nerve root preservation and post-op radiation for recurrence.
3) A young lady with a neglected patellar tendon cut who underwent reconstruction with a semi-T tendon graft and hardware fixation to regain extension.
4) A young lady with a recurrent giant cell tumor of the distal radius with infection who underwent wide excision and reconstruction with a nonvascular
Treatment of osteoarthritis of knee
The document discusses the treatment of osteoarthritis of the knee. It outlines various treatment options including non-surgical and surgical approaches. Non-surgical early treatment involves physiotherapy, load reduction, and analgesics. Intermediate treatment may include joint debridement and realignment osteotomy. Late stage treatment consists of arthroplasty or arthrodesis. Surgical options such as arthroscopic debridement, osteotomies, chondrocyte transplantation, and knee arthroplasty are also described in detail. The goal of treatment is to relieve pain, restore function, reduce disability, and enable rehabilitation.
pptoaknee-150829171939-lva1-app6892(1).pptx
The document summarizes the treatment options for osteoarthritis of the knee. It discusses conservative treatments like physiotherapy, analgesics, and lifestyle changes for early stage osteoarthritis. For intermediate stages, options like joint debridement, autologous chondrocyte grafting, and realignment osteotomies are covered. Late stage treatments discussed include arthroplasty procedures like knee replacement as well as arthrodesis. Surgical techniques for various realignment osteotomies and knee replacement are explained in detail.
Cost effective Vertebroplasty surgery now available in India
Vertebroplasty surgery in India is available at leading medical institutions concerning spine surgery that gives our overseas clients the opportunity to access world class quality medical treatments at a very affordable price. India is a leading player in the medical tourism/healthcare facilitation industry. It is increasingly emerging as the destination of choice for a wide range of medical procedures. India offers internationally accredited medical facilities using the latest technologies, highly qualified physicians/surgeons and hospital support staff. The cost of Vertebroplasty surgery in India is lower by 35-40% when compared to similar procedures in North America and the UK.
Vertebroplasty surgery is a spine treatment procedure where bone cement is injected into a fractured spine vertebra to stabilize it. The procedure of vertebroplasty is typically used for a spine fracture caused by osteoporosis, a disease that causes weakening of the bones and can lead to fractures in the spine vertebra. An osteoporotic spine fracture can become the cause of extreme back pain along with other symptoms such as decreased height and spinal deformity or a hunchback appearance. The primary aim of vertebroplasty is to reduce pain caused by spine fracture by stabilizing the bone. Vertebroplasty surgery is typically performed by a spine surgeon or interventional radiologist. It is a minimally invasive procedure and patients usually go home the same day after the completion of the procedure.
Right candidates for Vertebroplasty surgery:
Right candidates for vertebroplasty include:
1. Elderly patients who are suffering from osteoporosis, compression fractures or a weakened vertebrae due to cancer.
2. Younger patients who have developed osteoporosis after long-term use of steroid treatment, cigarettes or metabolic disorder.
3. Individuals with malignant tumors on the spine.
Some common use of Vertebroplasty surgery procedure:
Vertebroplasty surgery is used to treat pain caused by vertebral compression fractures in the spine. Typically, vertebroplasty is recommended after simpler treatment such as bed rest, a back brace or pain medication have been ineffective or once medications have begun to cause other problems such as stomach ulcers. Vertebroplasty can be performed immediately in patients who have severe pain requiring hospitalization or conditions that limit bed rest and medications.
How does the procedure work?
Vertebroplasty surgery involves injecting a special cement mixture into the small holes in weakened vertebrae to strengthen the spinal bones making them less likely to fracture again and providing relief from pain. Using image-guidance, a hollow needle called a trocar is passed through the skin into the spinal bone and a cement mixture is then injected into the vertebra.
Vertebroplasty surgery procedure:
Since Vertebroplasty main indication is to treat osteoporosis, which is the weakening of the bones due to tiny porous holes that form as a result of genetics, ethnicity or diet. Medical-grade spine cement is inserted into the fractured vertebral body with a tiny needle, filling up the porous areas of the bone.
Recovery from Vertebroplasty surgery:
Most patients prefer Vertebroplasty surgery over any other orthopedic procedure that treats the spine because there is no incision. Only a tiny prick in the skin is made for the special needle-like camera to be inserted for optimum visualization. Stitches are not needed. Recovery time is minimal. Normally the pain from osteoporosis or slightly fractured vertebrae is relieved immediately after this procedure.
Result:
Success rates for treating osteoporotic fractures are high. The percentage of individuals who experience complications after Vertebroplasty surgery is less than 1%.
Why India:
Getting outpatient Vertebroplasty surgery in India doesn’t require much trouble as medical tourism in India has affiliations with the most reliable spine surgery institutions i
Osteoid osteoma
A 21-year-old male presented with left knee pain for 3 months. Clinical examination found localized tenderness over the distal femur with a full range of motion of the knee joint. CT scan revealed a bull's-eye appearance with a central nidus and surrounding reactive bone, consistent with osteoid osteoma. Conservative treatment with NSAIDs provided no relief. The patient subsequently underwent percutaneous radiofrequency ablation under CT guidance to treat the osteoid osteoma.
Role of arthroscopy
Arthroscopy is a minimally invasive surgical procedure that uses an arthroscope to examine the inside of a joint like the knee. An arthroscope is a thin fiber-optic telescope inserted into the knee joint through small incisions, allowing the surgeon to view the inside of the joint on a video monitor. Common indications for knee arthroscopy include repairing torn cartilage or ligaments like the ACL, removing loose bodies in the joint, trimming damaged tissue, and diagnosing conditions. The procedure allows accurate diagnosis and treatment of many knee problems in a less invasive manner compared to traditional open surgery.
Updated HTO vs UniKnee for Postgraduate Orthopaedic Course in Newcastle March...
Updated HTO vs UniKnee for Postgraduate Orthopaedic Course in Newcastle March...Professor Deiary Kader
This document discusses osteotomy and unicompartmental knee replacement (UKR or "Uni Knee") for the treatment of varus malalignment and osteoarthritis in the knee. It provides details on the surgical techniques, outcomes, advantages, and contraindications of high tibial osteotomy (HTO) and UKR. Non-operative treatments for knee osteoarthritis like weight loss, exercise, and injections are also summarized.Limb salvage of lower extremity
1. Reconstructive surgeries aim to restore skeletal continuity and function after tumor resection through techniques like arthrodesis, bone grafts, and endoprosthetic replacements.
2. Limb salvage surgery is now possible in 90% of cases due to improved chemotherapy, diagnostics, and surgical techniques. The goal is a painless, functional tumor-free limb.
3. Evaluation includes biopsy, imaging to determine tumor extent and involvement of surrounding structures, staging, and psychosocial/functional assessment. Wide local excision with clear margins while preserving neurovascular structures is key.
Stiff elbow
This document discusses the anatomy, biomechanics, causes of stiffness, classification, and surgical and non-surgical treatment options for elbow contractures. It covers the relevant bones and joints, range of motion, causes of stiffness like trauma and arthritis, physical therapy approaches like splinting and motion, and surgical procedures for releasing soft tissues and reconstructing the joint surface.
Similar to Chronic osteomylitis of tibia with infected gap non union treated by jess external fixator (20)
Cost effective Vertebroplasty surgery now available in India
Cost effective Vertebroplasty surgery now available in India
Updated HTO vs UniKnee for Postgraduate Orthopaedic Course in Newcastle March...
Updated HTO vs UniKnee for Postgraduate Orthopaedic Course in Newcastle March...
Recently uploaded
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
PPT RELATED TO ARTHROLOGY ACCORDING TO NCISM AYURVEDA
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).
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
It includes regulation of combination products and medical devices. FDA and industry liaisons.
Adhd Medication Shortage Uk - trinexpharmacy.com
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
Non-respiratory Functions of the Lungs.pdf
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
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.
Light House Retreats: Plant Medicine Retreat Europe
Our aim is to organise conscious gatherings and retreats for open and inquisitive minds and souls, with and without the assistance of sacred plants.
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
Valuable Content of Human Anatomy and Physiology of Urinary system as per PCI Syllabus for Pharmacy and PharmD Students.
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
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
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 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
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
micro teaching on communication m.sc nursing.pdf
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Recently uploaded (20)
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Light House Retreats: Plant Medicine Retreat Europe
Light House Retreats: Plant Medicine Retreat Europe
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Identification and nursing management of congenital malformations .pptx
Identification and nursing management of congenital malformations .pptx
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Chronic osteomylitis of tibia with infected gap non union treated by jess external fixator
- 1. Chronic Osteomylitis of Tibia with Infected gap non union Case report of 15 years boy Ankit treated at District Hospital Barabanki
- 2. I will like to introduce myself Because such opportunity rarely comes
- 5. Dr Rajesh Ojha Orthopedic Surgeon District Hospital Barabanki
- 7. Ankit a 15 years old boy suffring from chronic osteomylitis of tibia with segmental sequestration of the bone getting extruded from its bed leading to gap non union
- 8. Whole tubular Segment of tibia getting extruded
- 9. X ray shows segmental sequesrtum
- 10. Sequstrum getting extruded like seed from the fruit
- 11. Charnleys compression clamps incarporated in Jess frame
- 12. After 7 days sequesrtum sqeezed off from its bed
- 13. Corticitomy Fibula cut
- 14. After 10 days
- 17. After 3 weeks
- 18. 6 weeks Finally success ,as wound healed and length restored, a small surgery however was needed to achieve union