By Michael J. Gardner MD, Robert Dunbar MD, M. Henley MD, Sean Nork MD
Harborview Illustrated counsel and tips in Fracture Surgery provides innovations built through orthopaedic surgeons on the collage of Washington Harborview health facility, the prime orthopaedic trauma middle on the planet. The publication focuses completely on unique descriptions of technical counsel and methods for fracture aid and fixation, implant administration, implant placement, and sufferer positioning. The easy-to-follow layout beneficial properties succinct bulleted textual content and countless numbers of illustrations.
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Extra resources for Harborview Illustrated Tips and Tricks in Fracture Surgery
Entire ipsilateral extremity prepped and draped circumferentially to allow freedom of movement and facilitate reduction. indd 35 4/16/2010 7:00:47 AM 36 • Section 2/Shoulder/Arm Surgical Approaches Anteroinferior approach ● ● ● The incision is centered over the fracture site and extended in line with the inferior border of the clavicle. 1 Laterally, the deltoid origin is taken sharply off the anterior border of the clavicle. ● It should be repaired at closure. Anterosuperior approach ● ● Skin incision similar to anteroinferior.
2-17). ▼ Figure 2-17. Anterior glenoid fracture (arrow). ● ● They may include the coracoid process. The fragment can be of variable size, and the most common indication for surgical fixation is instability of the glenohumeral joint. Position ● Supine or beach chair. Surgical Approach, Reduction, and Fixation ● ● Deltopectoral. Visualization usually requires that the subscapularis be tenotomized. indd 33 The location of the subscapularis tenotomy should be 1 cm from its insertion on the lesser tuberosity to facilitate repair.
Nork SE, Barei DP, Gardner MJ, et al. Surgical exposure and fixation of displaced type IV, V, and VI glenoid fractures. J Orthop Trauma. 2008;22(7):487–493. indd 34 4/16/2010 6:59:52 AM Clavicle Fractures Chapter Michael L. Brennan 3 Sterile Instruments/Equipment ● ● Draping to include impervious stockinette and 4 inch elastic bandage wrap for forearm and hand. Selection of bone clamps for reduction. , from small external fixator) for manipulation and intramedullary fixation. Small distractor (especially for delayed treatment, nonunions or malunions).