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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

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Instruments orthopaedics for mbbs students

  1. 1. TONY KRISHNAKUMAR 2010 MBBS Instruments ortho TONY KRISHNAKUMAR 2010 MBBS
  2. 2. TONY KRISHNAKUMAR 2010 MBBS Pins and nails TONY KRISHNAKUMAR 2010 MBBS
  3. 3. TONY KRISHNAKUMAR 2010 MBBS Circular in cross section TONY KRISHNAKUMAR 2010 MBBS
  4. 4. TONY KRISHNAKUMAR 2010 MBBS Steinmann pin no threads • Skeletal traction • Compression arthrodesis TONY KRISHNAKUMAR 2010 MBBS
  5. 5. TONY KRISHNAKUMAR 2010 MBBS Denham pin middle thread • Skeletal traction in osteoporotic bone to prevent slipping TONY KRISHNAKUMAR 2010 MBBS
  6. 6. TONY KRISHNAKUMAR 2010 MBBS Schantz pin thread at ends • External fixator TONY KRISHNAKUMAR 2010 MBBS
  7. 7. TONY KRISHNAKUMAR 2010 MBBS Harrington rod Blunt with threads at one end but each is far apart • Spine # • Scoliosis • TONY KRISHNAKUMAR 2010 MBBS
  8. 8. TONY KRISHNAKUMAR 2010 MBBS Rush nail For easy insertion Hook for extraction Indication • # humerus fibula Disadvantage • Chance of rotation due to circular cross section TONY KRISHNAKUMAR 2010 MBBS
  9. 9. TONY KRISHNAKUMAR 2010 MBBS Square cross section Intramedullary nail for forearm bones TONY KRISHNAKUMAR 2010 MBBS
  10. 10. TONY KRISHNAKUMAR 2010 MBBS Ulnar square intramedullary nail TONY KRISHNAKUMAR 2010 MBBS
  11. 11. TONY KRISHNAKUMAR 2010 MBBS Radius square nail TONY KRISHNAKUMAR 2010 MBBS
  12. 12. TONY KRISHNAKUMAR 2010 MBBS RADIUS square nail TONY KRISHNAKUMAR 2010 MBBS
  13. 13. TONY KRISHNAKUMAR 2010 MBBS Kuntscher cloverleaf intramedullary nail /k nail**** Clover leaf shaped to prevent rotation TONY KRISHNAKUMAR 2010 MBBS
  14. 14. TONY KRISHNAKUMAR 2010 MBBS 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
  15. 15. TONY KRISHNAKUMAR 2010 MBBS Longitudinal slit occupies anterolateral part of femur 2 eyes for removal on posteromedial part of femur TONY KRISHNAKUMAR 2010 MBBS
  16. 16. TONY KRISHNAKUMAR 2010 MBBS 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
  17. 17. TONY KRISHNAKUMAR 2010 MBBS Interlocking intramedullary nail Comminuted # humerus tibia TONY KRISHNAKUMAR 2010 MBBS
  18. 18. TONY KRISHNAKUMAR 2010 MBBS V nail • Used for # tibia TONY KRISHNAKUMAR 2010 MBBS
  19. 19. TONY KRISHNAKUMAR 2010 MBBS TONY KRISHNAKUMAR 2010 MBBS
  20. 20. TONY KRISHNAKUMAR 2010 MBBS Moores pin # neck of femur in children other screws mays sisruption of growth plate TONY KRISHNAKUMAR 2010 MBBS
  21. 21. TONY KRISHNAKUMAR 2010 MBBS Screws TONY KRISHNAKUMAR 2010 MBBS
  22. 22. TONY KRISHNAKUMAR 2010 MBBS • Cortical screws • More threads • Pitch and lead is less • Cancellous • Less number of threads • Pitch and lead is more TONY KRISHNAKUMAR 2010 MBBS
  23. 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
  24. 24. TONY KRISHNAKUMAR 2010 MBBS Prosthesis TONY KRISHNAKUMAR 2010 MBBS
  25. 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. 26. TONY KRISHNAKUMAR 2010 MBBS • Indication • Intracapsular # neck of femur( transcervical & subcapital #) • With little bit of intact neck TONY KRISHNAKUMAR 2010 MBBS
  27. 27. Austin moore prosthesis Thompsons Basal # neck of femur with no neck TONY KRISHNAKUMAR 2010 MBBS
  28. 28. TONY KRISHNAKUMAR 2010 MBBS TONY KRISHNAKUMAR 2010 MBBS
  29. 29. TONY KRISHNAKUMAR 2010 MBBS Bipolar prosthesis (2 heads ) Used in young individuals to reduce wear & tear TONY KRISHNAKUMAR 2010 MBBS
  30. 30. TONY KRISHNAKUMAR 2010 MBBS Bipolar prosthesis (2 heads ) Indication same as AM prosthesis TONY KRISHNAKUMAR 2010 MBBS
  31. 31. TONY KRISHNAKUMAR 2010 MBBS • Complications • Sciatic n injury • Loosening • Infection TONY KRISHNAKUMAR 2010 MBBS
  32. 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
  33. 33. Chisel Osteotome TONY KRISHNAKUMAR 2010 MBBS
  34. 34. Chisel & osteotome TONY KRISHNAKUMAR 2010 MBBS
  35. 35. TONY KRISHNAKUMAR 2010 MBBS Periosteal elevator TONY KRISHNAKUMAR 2010 MBBS
  36. 36. TONY KRISHNAKUMAR 2010 MBBS TONY KRISHNAKUMAR 2010 MBBS
  37. 37. TONY KRISHNAKUMAR 2010 MBBS Bohler stirrup*** • Used for skeletal traction TONY KRISHNAKUMAR 2010 MBBS
  38. 38. TONY KRISHNAKUMAR 2010 MBBS Thomas splint TONY KRISHNAKUMAR 2010 MBBS
  39. 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
  40. 40. TONY KRISHNAKUMAR 2010 MBBS PARTS OF THOMAS SPLINT • Consist of: Ring Medial bar Lateral bar TONY KRISHNAKUMAR 2010 MBBS
  41. 41. TONY KRISHNAKUMAR 2010 MBBS USE • Immobilisation of lower limb TONY KRISHNAKUMAR 2010 MBBS
  42. 42. TONY KRISHNAKUMAR 2010 MBBS BOHLER BRAUN SPLINT TONY KRISHNAKUMAR 2010 MBBS
  43. 43. TONY KRISHNAKUMAR 2010 MBBS • Bohler’s modification of braun splint. • Consisted of only 1 pulley. TONY KRISHNAKUMAR 2010 MBBS
  44. 44. TONY KRISHNAKUMAR 2010 MBBS • Pulley a-calcaneal/ distal tibeal traction. • Pulley b-distal femoral/proximal tibial traction • Pulley c-change angle of traction TONY KRISHNAKUMAR 2010 MBBS
  45. 45. TONY KRISHNAKUMAR 2010 MBBS ADVANTAGES • Angle of traction can be changed without changing traction arrangements. • Simultaneous tractions possible. TONY KRISHNAKUMAR 2010 MBBS
  46. 46. TONY KRISHNAKUMAR 2010 MBBS DISADVANTAGE • Not suitable for transportation. TONY KRISHNAKUMAR 2010 MBBS
  47. 47. TONY KRISHNAKUMAR 2010 MBBS External fixator clamp rod Steinmann pin TONY KRISHNAKUMAR 2010 MBBS
  48. 48. TONY KRISHNAKUMAR 2010 MBBS K wire / kirschner wire Small fragment fixation Metacarpal # fixation JESS CTEV TONY KRISHNAKUMAR 2010 MBBS
  49. 49. TONY KRISHNAKUMAR 2010 MBBS Stapler To Arrest growth of epiphysis on one side • Correct genu valgum /varum Arthrodesis In OA (closed wedge osteotomy) TONY KRISHNAKUMAR 2010 MBBS
  50. 50. TONY KRISHNAKUMAR 2010 MBBS Bone nibbler TONY KRISHNAKUMAR 2010 MBBS
  51. 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
  52. 52. TONY KRISHNAKUMAR 2010 MBBS Charnleys compression device One slot for Steinmann pin Arthrodesis by compression TONY KRISHNAKUMAR 2010 MBBS
  53. 53. TONY KRISHNAKUMAR 2010 MBBS Smith Petersen nail for trochanteric # TONY KRISHNAKUMAR 2010 MBBS
  54. 54. TONY KRISHNAKUMAR 2010 MBBS Jewett nail plate for trochanteric # TONY KRISHNAKUMAR 2010 MBBS
  55. 55. TONY KRISHNAKUMAR 2010 MBBS Mclaughlin plate TONY KRISHNAKUMAR 2010 MBBS
  56. 56. TONY KRISHNAKUMAR 2010 MBBS Dynamic hip screw Angle of 135* For trochanteric # TONY KRISHNAKUMAR 2010 MBBS
  57. 57. TONY KRISHNAKUMAR 2010 MBBS Dynamic compression plate *** Oval shaped TONY KRISHNAKUMAR 2010 MBBS
  58. 58. TONY KRISHNAKUMAR 2010 MBBS Dynamic condylar plate Angle of 95* TONY KRISHNAKUMAR 2010 MBBS
  59. 59. TONY KRISHNAKUMAR 2010 MBBS Sherman plate TONY KRISHNAKUMAR 2010 MBBS
  60. 60. TONY KRISHNAKUMAR 2010 MBBS one third tubular plate • Thin • Mouldable • distal ulna lower tibia • TONY KRISHNAKUMAR 2010 MBBS
  61. 61. TONY KRISHNAKUMAR 2010 MBBS Thanks to • Our teachers • Rahul Das • Vignesh A • Jogin George • Jomin George TONY KRISHNAKUMAR 2010 MBBS

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