Mosaicplasty or autologous osteochondral autograft/allograft transfer system or OATS is a single stage resurfacing procedure for focal defects of the femoral condyles, trochlea, patella, proximal and distal tibia, and talus. It may be used for both focal chondral defects as well as cases of osteochondritis dissecans. Indications of Mosaicplasty Ideal lesions are small, focal, full-thickness […]
Procedures
Radiofrequency Chondroplasty
Radiofrequency chondroplasty is a technique where heat is used to remove the unstable edges of the defect producing a smooth, stable articular cartilage surface and slow the progression of discrete chondral defects. Articular cartilage damage leads to fibrillation, delamination, and swelling of the cartilage due to increased permeability. This reduces its ability to absorb compressive […]
Microfracture Chondroplasty
The microfracture chondroplasty is a technique to treat full-thickness cartilage defects that lead to the formation of new joint surface cartilage. It includes the debridement of the damaged area and puncturing the underlying bone with a micro-instrument or pick to allow bleeding from the bone. The resulting blood clot that fills the cartilage defect has […]
What is Bivalved Cast?
Bivalved cast means the cast cut into two halves. This might be required in cases where frequent inspection in the cast is required, the patient is to be put on a range of motion exercises or a patient Position the patient. Depending on the type of cast applied his cast, it could be sitting or […]
What is Buddy Wrapping?
Buddy wrapping is also called as buddy taping or buddy strapping. It is used in injury to the digits of hand or toes of the foot. In nutshell, buddy wrapping means bandaging the injured digit or toe together with an adjacent digit or toe. It could be done as a temporary measure or it could […]
Bone Plates in Orthopedics – Principle, Types and Uses
Bone plates are used in internal fixation of fractures. The plate is fixed to the bone by application of screws on both sides of the fracture. Plating is widely used for fixation of diaphyseal fractures of upper extremity and metaphyseal and articular fractures. Plates for fixation of long bone fractures were first recorded by Hansmann, […]
Dynamic Compression Plate Fixation Procedure for Forearm
A patient with fracture proximal radius and ulna was treated by dynamic compression Plate fixation. Fractures of forearm bones [radius or ulna or both] require open reduction and internal fixation in most of the adult cases. While ulna is subcutaneous bone which you can palpate from elbow to wrist,the radius is deep situated. The radius can […]
Wrist Arthrodesis – Indications and Procedure
Wrist arthrodesis or wrist fusion is a salvage procedure where the wrist is immobilized by fusing the radius and carpal bones. It aims to provide a pain-free immobile wrist in a maximum functional position. The wrist arthrodesis procedure is used in advanced wrist arthritis, after complex wrist fractures wrist fractures, or severe ligament injuries. It […]
Proximal Row Carpectomy [Wrist]
Proximal row carpectomy is a surgical procedure that involves the removal of bones of the proximal row of the wrist namely the scaphoid, lunate, triquetral, and in some cases radial styloid. It is a motion-sparing procedure. Proximal row carpectomy converts complex wrist joint to a simple hinge joint creating a radiocarpal articulation and preserves about […]
Sauve Kapandji Procedure
Sauve Kapandji procedure includes an arthrodesis across the distal radioulnar joint and creating a pseudarthrosis of the ulna, proximal to the fusion. This allows the distal radioulnar joint to be arthrodesis and restore pronation and supination. Another commonly used procedure for distal radioulnar joint or distal ulna conditions is Darrach’s procedure. The Sauve-Kapandji procedure differs […]