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
Colles fracture is the fracture at the distal end of radius, at its
cortico cancellous junction(about 2cm from the distal articular
surface).
It is not just the fracture of distal radius but the fracture
dislocation of the inferior radio-ulnar joint.
This is a lecture presentation on applying external fixator on open fracture specially on tibia. This method is a classical method. Various new and dynamic fixators are there but the basics are the same.
Colles fracture is the fracture at the distal end of radius, at its
cortico cancellous junction(about 2cm from the distal articular
surface).
It is not just the fracture of distal radius but the fracture
dislocation of the inferior radio-ulnar joint.
This is a lecture presentation on applying external fixator on open fracture specially on tibia. This method is a classical method. Various new and dynamic fixators are there but the basics are the same.
Screw and plates are most common used devices in orthopedics. However, sometimes we forget their principles, so this presentation hopes to review most their problems. Thank you for your attention!
MBBS STUDENTS UNDER GRADUATES ..WITH USES PROPERTIE IMAGES......FOLEYS CATHETER MALECOTS CATHETER ARTERY FORCEPS SMALL MEDIUM LARGE RETRACTOR KELLYS SURGERY SURGICAL INSTRUMENTS MBBS STUDENTS UNDERGRADUATES SUTURE MATERIALS MAYOS SCISSORS MBBS STUDENTS UNDER GRADUATES .......LISTERS SINUS FORCEPS....RIGHT ANGLED FORCEPS....KOCHERS CLAMP...suture material suture removal Jolls thyroid retractor .....WITH USES PROPERTIE IMAGES......FOLEYS CATHETER MALECOTS CATHETER ARTERY FORCEPS SMALL MEDIUM LARGE RETRACTOR KELLYS SURGERY SURGICAL INSTRUMENTS MBBS STUDENTS UNDERGRADUATES SUTURE MATERIALS MAYOS SCISSORS ..FOLEYS CATHETER ....3 WAY 2WAY RYLES TUBE.........HILTONS METHOD ..ALLIS .... MOSQUITO . LANES FORCEPS ....Lanes twin anastomosis clamp......MALECOTS CATHETER.. ARTERY FORCEPS..... SMALL MEDIUM LARGE ......RETRACTOR ....KELLYS ....SURGERY SURGICAL INSTRUMENTS MBBS STUDENTS UNDERGRADUATES..... SUTURE MATERIALS.... MAYOS SCISSORS
...........................MBBS STUDENTS UNDER GRADUATES ..COMPARISON WITH IMAGES NOTES FROM LECTURE CLASSES.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Definition: The ideal tooth extraction is painless removal of the whole tooth or tooth root with minimal trauma to the investing tissues so that the wound heals uneventfully and no post operative prosthetic problem is created.
STRAIGHT WIRE APPLIANCE THAT WE USE IN ORTHODONTICS, ROTH APPLIANCE OVERCORRECTION AND ITS MODIFICATION. MBT APPLIANCE AND ITS VERSATILITY, ANCHORAGE IN MBT, BRACKET POSITIONING IN MBT, WAGON WHEEL EFFECT. COVERING EACH AND EVERYTHING OF MBT
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
We understand the unique challenges pickleball players face and are committed to helping you stay healthy and active. In this presentation, we’ll explore the three most common pickleball injuries and provide strategies for prevention and treatment.
4. TONY KRISHNAKUMAR 2010 MBBS
Steinmann pin no threads
• Skeletal traction
• Compression arthrodesis
TONY KRISHNAKUMAR 2010 MBBS
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Denham pin middle thread
• Skeletal traction in osteoporotic bone to prevent slipping
TONY KRISHNAKUMAR 2010 MBBS
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Schantz pin thread at ends
• External fixator
TONY KRISHNAKUMAR 2010 MBBS
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Harrington rod
Blunt with threads at one end but each is far apart
• Spine #
• Scoliosis
•
TONY KRISHNAKUMAR 2010 MBBS
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Rush nail
For easy insertion
Hook for extraction
Indication
• # humerus fibula
Disadvantage
• Chance of rotation due to circular cross section
TONY KRISHNAKUMAR 2010 MBBS
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Square cross section
Intramedullary nail for forearm bones
TONY KRISHNAKUMAR 2010 MBBS
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Ulnar square intramedullary nail
TONY KRISHNAKUMAR 2010 MBBS
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Kuntscher cloverleaf intramedullary nail /k
nail****
Clover leaf shaped to prevent rotation
TONY KRISHNAKUMAR 2010 MBBS
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Kuntscher cloverleaf intramedullary nail /k
nail
• Indication
• # shaft of femur,humerus tibia
• Ideally
• In a young patient with
• # at junction of upper & middle 1/3rd(narrowest portion)
• no comminution
• Transverse /short oblique #
TONY KRISHNAKUMAR 2010 MBBS
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Longitudinal slit
occupies
anterolateral part
of femur
2 eyes for removal on
posteromedial part of
femur
TONY KRISHNAKUMAR 2010 MBBS
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K nail can be introduced by
• Open (retrograde) method
• Open # site with a gluteal incision
• 100% redn but no hematoma formation
• Closed (anterograde )method
• # site is not opened only gluteal incision
• Hematoma formn + bur not perfect reduction
TONY KRISHNAKUMAR 2010 MBBS
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Interlocking intramedullary nail
Comminuted # humerus tibia TONY KRISHNAKUMAR 2010 MBBS
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• Cortical screws
• More threads
• Pitch and lead is less
• Cancellous
• Less number of threads
• Pitch and lead is more
TONY KRISHNAKUMAR 2010 MBBS
23. SCREWS
CORTICAL
• Fully threaded
• Used for diaphyseal #
• 3.5 mm
• Radius ulna fibula
• 4.5mm
• Humerus tibia femur
CANCELLOUS
• Partially threaded
• Used for metaphyseal &
diaphyseal #
• 4mm
• Medial & lateral malleoli
• 6.5mm
• Condyles (tibial femoral )
• # neck of femur
TONY KRISHNAKUMAR 2010 MBBS
25. TONY KRISHNAKUMAR 2010 MBBS
Austin moore prosthesis ****
Eye
for removal
Fenestration s
• For detecting direction in x ray
TONY KRISHNAKUM•AR 2F0o10r MbBoBnS e graft
26. TONY KRISHNAKUMAR 2010 MBBS
• Indication
• Intracapsular # neck of femur( transcervical & subcapital #)
• With little bit of intact neck
TONY KRISHNAKUMAR 2010 MBBS
27. Austin moore prosthesis Thompsons
Basal # neck of femur with no neck
TONY KRISHNAKUMAR 2010 MBBS
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Bipolar prosthesis (2 heads )
Used in young individuals to reduce wear & tear
TONY KRISHNAKUMAR 2010 MBBS
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Bipolar prosthesis (2 heads )
Indication
same as AM prosthesis
TONY KRISHNAKUMAR 2010 MBBS
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• Complications
• Sciatic n injury
• Loosening
• Infection
TONY KRISHNAKUMAR 2010 MBBS
32. Chisel & osteotome
Chisel
• one edge beveled
• used to chip the bone.
Osteotome
• both the edges beveled.
• used to cut /divide the bone.
TONY KRISHNAKUMAR 2010 MBBS
39. TONY KRISHNAKUMAR 2010 MBBS
THOMAS KNEE-BED SPLINT
• Thomas splint.
• Devised by Hugh. Owen Thomas.
• Initially used for immobilisation for tuberculosis of the knee.
TONY KRISHNAKUMAR 2010 MBBS
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PARTS OF THOMAS SPLINT
• Consist of:
Ring
Medial bar
Lateral bar
TONY KRISHNAKUMAR 2010 MBBS
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USE
• Immobilisation of lower limb
TONY KRISHNAKUMAR 2010 MBBS
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• Bohler’s modification of braun splint.
• Consisted of only 1 pulley.
TONY KRISHNAKUMAR 2010 MBBS
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• Pulley a-calcaneal/
distal
tibeal traction.
• Pulley b-distal
femoral/proximal
tibial traction
• Pulley c-change
angle of traction
TONY KRISHNAKUMAR 2010 MBBS
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ADVANTAGES
• Angle of traction can be changed without changing traction
arrangements.
• Simultaneous tractions possible.
TONY KRISHNAKUMAR 2010 MBBS
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DISADVANTAGE
• Not suitable for transportation.
TONY KRISHNAKUMAR 2010 MBBS
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External fixator clamp
rod
Steinmann pin
TONY KRISHNAKUMAR 2010 MBBS
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K wire / kirschner wire
Small fragment fixation
Metacarpal # fixation
JESS
CTEV
TONY KRISHNAKUMAR 2010 MBBS
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Stapler
To Arrest growth of epiphysis on one side
• Correct genu valgum /varum
Arthrodesis
In OA (closed wedge osteotomy)
TONY KRISHNAKUMAR 2010 MBBS
51. TONY KRISHNAKUMAR 2010 MBBS
Joshi’s external stabilization system (JESS)
retractor
Screw for adjusting Slot for k wire
distance
Comminuted distal radius #
CTEV
distal tibial# TONY KRISHNAKUMAR 2010 MBBS
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Charnleys compression device
One slot for Steinmann
pin
Arthrodesis by compression
TONY KRISHNAKUMAR 2010 MBBS
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Smith Petersen nail for trochanteric #
TONY KRISHNAKUMAR 2010 MBBS
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Jewett nail plate for trochanteric #
TONY KRISHNAKUMAR 2010 MBBS