Blood supply of Head of Femur
Blood supply to the head of the femur 4 groups of arteries : Extra-capsular arterial ring Trochanteric anastomosis Major contributions posteriorly from the horizontal branch of the medial femoral circumflex artery and anteriorly from ascending branch of the lateral femoral circumflex artery Ascending cervical branches Retinacular branches Arise from extra-capsular arterial ring Pass up beneath […]
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Fellowship in Orthopaedic Oncology – Tata Memorial Hospital, Mumbai, India
Bone and Soft Tissue Services at Tata Memorial Hospital invites application for the post of Senior Resident (I year) and 2 year certified fellowship (HBNI) in orthopedic oncology. Bone & Soft Tissue [SR] 1. M.S./DNB (Orthopedics). 1 year experience in Orthopedics after basic qualification is preferable. Rs.50,000/-p.m. fixed [SPSR] 2. M.S./DNB (Orthopedics). 3 years […]
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Damage Contol Orthopaedics
Damage Contol Orthopaedics Involves staging and defininitive management to avoid adding trauma to patient during vulnerable period. The decision to operate and surgical timing on multiple injured trauma patients remains controversial Intra-operative hypotension increases mortality rate in patients with head injury Parameters that help decide who should be treated with DCO ISS >40 (without thoracic […]
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Levels of Amputation
With the advent of the modern prosthetic care , the lengths of the amputation stump are not that important now . A/K Amputation : 18 cm below the tip of Greater trochaenter or 12 cm from the medial joint line B/K Amputation : 15 cm from the medial joint line ( Ideal is at the […]
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Ulnar Variance
Normal ulnar variance 80% of load goes to the radius This X ray shows : Positive ulnar variance In +2.5mm of ulnar variance 60% of load goes to radius while 40% goes though ulna. It leads to ulnar sided wrist pain from increased impact stress on the lunate and triquetrum. associated conditions include Ulnar […]
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NPWT
Negative-pressure wound therapy (NPWT) is a therapeutic technique using a vacuum dressing to promote healing in acute or chronic wounds and enhance healing of first and second degree burns. The therapy involves the controlled application of sub-atmospheric pressure to the local wound environment, using a sealed wound dressing connected to a vacuum pump. The use […]
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