No significant differences in long-term functional outcomes, revision rates, or incidence of aseptic loosening between conventional and navigation TKR Kim et al in their study found higher prevalence of anterior femoral notching in CN Routine use of PSI is not recommended in non-complicated TKA PSI is simpler, faster, and more accurate than CI. Predescu et al do not recommend PSI…
Caused by contracture of the sternocleidomastoid (SCM) muscle Result of intrauterine compartment syndrome of SCM muscle Associated with DDH (5 – 20% association) metatarsus adductus, plagiocephaly, congenital atlanto-occipital abnormalities Head tilt towards the affected side with chin rotation away from the affected side Treatment starts with Passive stretching Operative- Failed response to at least 1 year of stretching, Significant deformity SCM…
Dorsolateral dislocation of the talonavicular joint genes identified relate to homeobox transcription factors Suspect in infants presenting with plantar fullness in the medial midfoot and a dorsolateral crease D/D: Calcaneovalgus foot, Oblique talus Seimon first showed that minor surgery—a limited dorsolateral capsulotomy and pinning—is sufficient Reverse Ponseti casting with or without dorsolateral capsulotomy+pinning +/- percutaneous TA lengthening Talectomy-indicated in resistant…
Mixed pain relief and functional improvement after 5 to 10 sessions of spinal manipulation over 2 to 4 weeks NSAIDs or skeletal muscle relaxants – first line, use should be limited to 4 weeks after acute onset most patients with acute or subacute low back pain improve over time regardless of treatment Greater likelihood for a positive response from ESI…
Recurrence of instability is glenoid bone loss ≥30% bone loss in the glenoid need bone graft Bone defect involving > 21% glenoid decreases force required to subluxation Latarjets procedure increases the stability by restoring the AP diameter, sling effect to support the anteroinferior aspect of the capsule and dynamic contraction of the conjoined muscles Screw in the coracoid process is…
Damage control orthopaedics is an approach that contains and stabilizes orthopaedic injuries so that the patient’s overall physiology can improve It focuses on control of hemorrhage, management of soft-tissue injury, achievement of provisional fracture stability, avoiding additional insults to the patient It remains a clinical decision when to shift from early total care to damage control orthopaedics Days 2, 3,…
