By J. Francis Silva M.D., F.R.C.S., F.R.A.C.S., F.A.C.S. (auth.), Robert M. Hall (eds.)
Air software surgical procedure, quantity 2: Orthopedics has been compiled to assist within the se lection and use of air tools in orthopedic surgical concepts. In every one example it makes an attempt to illustrate the vintage procedure, leaving it to the person medical professional to improve extra his services and ingenuity with air-driven tools. attainable functions and diversifications are as limitless because the surgeon's ability and mind's eye. distinctive illustrations and textual content deal with using each one air device in a number of proce dures, however the surgical software is given just for that part of every one approach during which handbook operation could be advantageously changed by way of air instru ments. This booklet, as a result, doesn't depict entire surgeries, nor does it contain all of the systems in orthopedic surgical procedure for which air tools at the moment are hired. Use of air-driven tools doesn't suggest any swap in uncomplicated surgical recommendations. It does increase the surgeon's dexterity, elevate his pace and, in a few events, makes a surgical technique attainable for the 1st time. A technical consultant has been wanted considering air tools have been brought. Air In strument surgical procedure, quantity 2: Orthopedics is the second one booklet to fill that desire. Its functionality is to explain difficulties and problems and to indicate ideas through air device surgical procedure. it's also meant to take away any apprehension in regards to the use of air tools. to make sure this, the technical tactics are supplemented with particular directions for assembling, utilizing and protecting the instruments.
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Olecranon - -_ _~~~ 28 }m~r---- Medial Epicondyle Fixation of a Supracondylar Fracture of the Humerus 6. Direct force and variable speed help to insert the threaded pins with ease. Check their position with roentgenograms. 29 Section I UPPER EXTREMITY SURGERY Treatment for Ankylosed Destruction of the Elbow* The importance of preserving maximum range of motion in upper extremities often indicates the desirability of an elbow arthroplasty in preference to an elbow arthrodesis. Approach the joint from a lateral or posterior exposure.
E 19 Section I UPPER EXTREMITY SURGERY Prosthetic Replacement of the Lower End of Humerus (continued) 2. Reflect the skin to expose the triceps muscle and tendon. rII'It'i~f-- Media l Head of T riceps - ..... Tricep Tendo n Lateral ~ -i. ~;t--- Intermuscu lar Se p tum '-([Kl f/lrll. , Medial Humeral Epicondyle O lecranon _~~~... 6 i - - - - - Flexo r Carpi U lnaris Muscle 20 Common Head of Extensor D igitorum ommunis and Extensor Carpi Ulnaris Prosthetic Replacement of the Lower End of Humerus 3.
Drill a hole through the ulnar shaft and reattach a fragment of the ulna with a wire suture through the hole. For further fixation of the triceps expansion fix an additional silk suture to the loop in the ulnar limb and attach the common flexor and extensor origins to the loops in the humeral limb. Close the wound in layers. Apply a pressure dressing with plaster back slab for two weeks. 40 Elbow Arthrodesis Elbow Arthrodesis Before denuding any bone surface with the air drill the cartilage should be removed and periosteum elevated.
Air Instrument Surgery: Vol. 2: Orthopedics by J. Francis Silva M.D., F.R.C.S., F.R.A.C.S., F.A.C.S. (auth.), Robert M. Hall (eds.)
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