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Posts Tagged ‘fractures’

A leg injury from Chile

leg%20fracture[1]

This case has been provided by an orthopaedic  colleague from Santiago, Chile, who is studying at the University at the moment.

The series of pdf pages reads from p5 – p1 so scroll down to the end and then read the progression of this injury in reverse page order.

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ISKD

ISKD – overview

The Intermedullary Skeletal Kinetic Distractor (ISKD) is, as it says, an intermedullary method for producing long bone lengthening without having an external fixator exterior to the limb.

Lengthening of a tibia or femur may be indicated as a method of treating  leg length discrepency after trauma, infection or other causes of growth arrest.  Previously managed by an external fixator which could be manually wound longer every day, these cases ran the risk of developing pin track infection from the percutaneous pins used to secure the device to the bone.

In this first article  for Cutting Edge Stuff Katie Ludwig describes the role of this innovative method of leg lengthening as seen at Stracathro Hospital Regional  Treatment Centre which avoids this complication.  I thought this interesting review of the ISKD highlighted a cutting edge approach to debate.

If you have any  thoughts about the role of ISKD or have seen one in  use  elsewhere then please send a comment to DundeeBones.

Anyone who would like to send an article on another innovations in orthopaedics or on an interesting case can do so by emailing a Word doc to j.a.dent@dundee.ac.uk

Follow the link below to the full article:

ISKD – overview

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If you’d  like to get ready for Trauma in week 5 already then you  might like to look at these links to the AO foundation about fracture management.  AO is  a Swiss group which really dominates the realm of fracture classification and management.  AO has developed an extensive range of fixation devices used worldwide and their approach to the mangement of any fracture is internationally recognised and accepted.

See what you think of these sites and let DundeeBones know if they are any good.  They may be too detailed.

http://lifeinthefastlane.com/2010/02/ao-surgery-reference/

http://www.aofoundation.org/wps/portal/!ut/p/c1/04_SB8K8xLLM9MSSzPy8xBz9CP0os3hng7BARydDRwML1yBXAyMvYz8zEwNPQwN3A6B8JJK8gUWAm4GRk6m_oUlwgBFIHr9uP4_83FT9gtyIcgCExWfz/dl2/d1/L2dJQSEvUUt3QS9ZQnB3LzZfQzBWUUFCMUEwOEVSRTAySjNONjQwSTEwRzA!/?showFsk=true

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Internal fixation of vertebral fracture

Internal fixation L3

 

 This injury has been stabilised by internal fixation rods secured into the pedicles of the vertebrae above and below.  In this way the fractured vertebra can be distracted which tends to  pull the boney fragments together ( ligamentotaxis).  Healing can  now take place. 

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