Author: Dr. Tushar Mehta
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Toddler’s Fracture
Orthopaedic Update :: Toddler’s Fracture – External Rotation of the foot with the knee in fixed position , producing a spiral fracture of the tibia with or without concomitant fibular fracture.
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Doctors or Dacoits !
Before you visit a new doctor, it may be a good idea to check where he got his medical degree and whether he was part of the college’s ‘management quota’. I know it may not sound good to all of us but still this “quota” has to upkeep the medical education system of the…
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Anterior Cruciate Ligament
Anatomy ACL Function Provides 85% of the stability to prevent anterior translation of the tibia relative to the femur. Acts as secondary restraint to tibial rotation and varus/valgus rotation. ACL Anatomy 33mm x 11mm in size. Goes from Lateral femoral condyle to anterior tibia (Tibial insertion is broad and irregular and inserts just anterior and between…
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Platelet Rich Plasma – How does it work ?
Platelet rich plasma (PRP) consists of plasma sample from one’s own blood enriched with autologous platelets Indications : Controversially used in Orthopaedics for possible stimulation of bone and soft tissue healing. Preparation technique : PRP is created by centrifugation of blood to separate platelet rich plasma layer from a sample of whole blood. Calcium chloride used to…
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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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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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Cast syndrome
SMA syndrome / Wilkie’s syndrome / Cast syndrome / Mesenteric root syndrome / Chronic duodenal ileus and intermittent arterio-mesenteric occlusion. * It is distinct from Nutcracker syndrome, which is the entrapment of the left renal vein between the Abdominal aorta and the SMA. Superior mesenteric artery (SMA) syndrome is a very rare, life-threatening gastro–vascular disorder…