chelsea.smith

Lengthening/Nailing of 4 Month Old Tibia/Fibula Fracture in 35 Year-Old Female

1) Proximal pin placed from lateral immediately anterior to the fibular head, free hand, but pretty much perpendicular to the axis of the tibia. Drill all the way across, exiting medially, balancing pin lengths medially and laterally, since this is going to be a “full frame” distraction. 2) Apply PAHS Distractor to the proximal pin on the lateral side of the leg. 3) Insert distal pin using the...

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Thoughts and Innovations for Southern Philippines Medical Center

Last week I went into 2 SIGN cases. The first was a proximal femur fracture involving the basicervial and intertrochanteric area.  I indicated this for fixation with the SIGN hip construct nail.  Unfortunately the residents of the service involved had lapses in their preparation and were not able to autoclave the SIGN hip nails– for this lapses they were given sanctions .  We modified and...

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Physical Therapy Website

Free website that has a ton of info for building PT exercises for patients.  These customized exercises can also be posted to the site for sharing and the exercises can be printed out and given to the patient.   http://www.hep2go.com

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Femur Fracture Indications

No.1 – Antegrade femur with Four Interlocking Screws: Antegrade nail is used for fractures in the superior half of the femoral shaft. No.2 – Retrograde Standard Nail: Retrograde standard nail is used for fractures of the distal femur, BUT fin nail is a better choice.   No.3 – Retrograde Fin Nail: The retrograde approach is used to treat fractures of the distal half of the...

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