It is a systemic manifestation of fat emboli in the circulation seen mostly after long bone fractures Triad of findings: hypoxia, confusion, and petechia. Young obese males more affected especially following femur shaft fracture The fat cells exhibit inflammatory properties that leads to ARDS Gurds and Wilsons criteria is used to diagnose FES Chest X ray reveals snow storm appearance …
Pre-injury mobility is the most significant determinant for post-operative survival Radiographs sufficient THA demonstrated superior clinical and functional outcomes Lower revision rates for primary total hip arthroplasty (THA) when compared to primary internal fixation Cemented femoral stem resulted in better quality of life and hip function Anterolateral surgical approach results in a lower risk of prosthetic dislocation Secondary THR after…
Stabilize the patient before you investigate Operative options include intramedullary nailing, ex-fix and plating Indications for retrograde nailing are: ipsilateral acetabular/neck fracture, floating knee, distal end fracture, morbid obesity etc Platting indications: deformed femur, neck fracture, pregnancy, narrow canal, impending FES Reaming not an issue in trauma patients without chest injuries who have been well resuscitated Benefits of reaming include…
Traumatic condition classified by the zone of injury Tendon healing occurs via intrinsic and extrinsic pathways 5 annular pulleys (A1 to A5), A2 and A4 arise from the periosteum, A1, A3, and A5 arise from the volar plate and 3 cruciate pulleys Thumb contains 2 annular pulleys and 1 interposed oblique pulley Zone I – distal to FDS insertion, Zone II – FDS insertion…
greater remodelling potential Galeazzi and Monteggia are common fractures Diaphyseal fractures : long arm cast with acceptable reduction consists of angulation <15°and alignment of the proximal and distal rotational landmarks Proximal-third radius fractures are the hardest to control nonoperatively Surgical fixation for unacceptable reduction with plates or intramedullary nails is accepted Plates : higher complication rates and difficult to remove
Metatarsalgia (metatarsal pain) is a common complaint Weil osteotomy: Metatarsanl shortening osteotomies, 90% of patients reported good to excellent results Proximal Gastrocnemius Release: 69% patient satisfaction and increased ankle dorsiflexion after the surgery Repair of plantar plate and capsular insufficiency : Improvements in pain, deviation of the toe, MTP joint stability, muscle imbalance, joint congruence, and AOFAS scores
