Items tagged “ortho”

27 results found
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Girdlestone procedure

The Girdlestone procedure (also known as a femoral head ostectomy or Girdlestone resection arthroplasty) is an excision arthroplasty of the hip. The procedure inevitably results in limb shortening. Indications  peri-prosthetic infection aseptic loosening recurrent dislocation failed interna...
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Butterfly fragment (fracture)

Butterfly fragments are large, triangular fracture fragments seen commonly in comminuted long bone fractures. The term is commonly used in orthopedic surgery, and results from two oblique fracture lines meeting to create a large triangular or wedge-shaped fragment located between the proximal an...
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Open reduction-internal fixation

An open reduction-internal fixation, commonly abbreviated to ORIF, refers to the orthopedic operative management of a fracture (or fracture-dislocation complex) where reduction requires surgical (hence open) approach and internal fixation is applied. Internal fixation may be in the form of: sc...
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Closed reduction-internal fixation

Closed reduction-internal fixation, often abbreviated to CRIF, refers to the orthopedic operative management of a fracture (or fracture-dislocation complex) where closed reduction is performed (manipulation) and internal fixation is applied, usually in the form of K-wires to stabilize the fractu...
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Closed reduction

Closed reduction or manipulation is a common non-invasive method of treating mildly displaced fractures. Usually performed in an emergency department or orthopedic clinic with light sedation and analgesia, the fracture is manipulated back into anatomic alignment and immobilized with a cast, brac...
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Pirogoff amputation

The Pirogoff amputation is a surgical procedure where the forefoot and talus are removed and calcaneotibial arthrodesis is performed. It is usually performed for advanced diabetic or atherosclerotic disease causing gangrene or infection, but may also be indicated in trauma, malignancy, osteomyel...
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Talonavicular dislocation

Talonavicular dislocations are a rare injury, and is caused by forced extreme abduction or adduction of the forefoot. They are often associated with calcaneocuboid dislocation (often transient) and calcaneal fractures (and are then called transcalcaneal talonavicular dislocations). See also ta...
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Periprosthetic fracture

Periprosthetic fracture is a term used to describe any fracture that occurs around an implanted orthopedic prosthesis, most commonly knee or hip arthroplasties. Epidemiology Periprosthetic fractures complicate, ~1% of total hip arthroplasties and ~1.5% of total knee arthroplasties 1,2 although...
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Total knee arthroplasty

Total knee arthroplasty (TKA), or total knee replacement (TKR), or tricompartmental knee replacement is an orthopedic procedure whereby the three articular surfaces of the knee (femoral, tibial, and patellar) are replaced by prosthetic components. TKA is the most common joint arthroplasty perfo...
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Fracture non-union

Fracture non-union describes the failure of normal fracture healing processes. Solid bone healing will not occur without further treatment or intervention. Terminology There is no consensus definition in the radiology or orthopedic literature, however, FDA (USA) defines it as a fracture with a...
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Shoulder arthroplasty (overview)

Shoulder arthroplasties are a common procedure, being third in joint replacements after knees and hips, and are used to treat a number of conditions, although the most common indication is osteoarthritis 1. There are a number of types of shoulder arthroplasties: anatomic total shoulder arthropl...
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Tibial tunnel cyst

Tibial tunnel cysts, including pretibial cysts, are occasional complications of autologous or synthetic anterior cruciate ligament (ACL) reconstruction surgeries. They are benign ganglion cysts that develop in or around the osseous tibial tunnel made during ACL reconstruction using the transtibi...
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Triple arthrodesis (foot)

Triple arthrodesis is a fusion procedure of three hindfoot joints: the subtalar joint, the talonavicular joint and the calcaneocuboid joint. It is often used as a definite or palliative treatment for many conditions. It reduces pain and enables patients to achieve propulsive gait but at the cost...
Article

Hill-Sachs remplissage procedure

The remplissage procedure is performed to treat engaging/off-track Hill-Sachs defects. Via an arthroscopic approach, the posterosuperior humeral head bone defect is filled with a capsulotendinosis of posterior capsule and infraspinatus. The open approach of the same procedure is the Connolly pro...
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Post-traumatic osteoarthritis

Post-traumatic osteoarthritis (OA) is one of the forms of chronic post-traumatic arthritis.  Epidemiology Post-traumatic OA is common, accounting for ~12% of all OA and can account for ~50% of ankle OA, ~15% of shoulder OA, ~10% knee OA and ~2% of hip OA 1,2,4,6. Patients with post-traumatic O...
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Fracture malunion

Fracture malunion occurs when a fracture heals in a non-anatomical position, which can result in functional impairment and/or a poor aesthetic. If fracture malunions are asymptomatic or not limiting function there is no need for further surgical intervention.  Pathology Malunions can be second...
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TightRope fixation system

The TightRope fixation system (Arthrex, Germany) is a reconstruction technique most commonly used for fixation for distal tibiofibular syndesmotic injuries or acromioclavicular joint injuries. This technique uses a non-absorbable fiber wire held between two or more metal cortical buttons at the...
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Plate and screw fixation

Plate and screw fixation is a method of internal fixation used in orthopedic surgery. It is most commonly used in open reduction internal fixation (ORIF) surgeries as well as fixation of bone post osteotomy (e.g. high tibial osteotomy or rotational osteotomy).  When applied to the convex side o...
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Tibial shaft fracture

Tibial shaft fractures are the most common long bone fractures and the second most common type of open fractures (second only to open phalanx fractures) 1.  Pathology Mechanism  Typically involve high-energy mechanisms such as road traffic accidents (incidence 43%) or sports 1. These are usua...
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Subscapularis tendon tear

Subscapularis tendon tears are a less common rotator cuff tear, and have been considered more difficult to diagnose pre-operatively (both clinically and radiological) and have been known as a "hidden lesion" 5. Accurate pre-operative diagnosis is important as it affects the surgical approach and...