Orthopaedic Surgery Orthopedic Surgery ST 240
Bone Cell
Microscopic View of Bone Tissue
Structure of Long Bone
Types of Bones = Long Bone
Flat Bone: Frontal
Irregular Bone: Vertebra
Short Bone: Cuboid
Long Bone Development
JOINTS Synarthrosis - Immovable Joint Synarthrosis - Immovable Joint Amphiarthrosis- Slightly Movable Joint Freely Amphiarthrosis- Slightly Movable Joint Freely Diarthrosis - Freely Movable Joint Diarthrosis - Freely Movable Joint Ball & socket Ball & socket Condyloid- movement in one plane Condyloid- movement in one plane Gliding- side to side Gliding- side to side Hinge- movement in a Pivot, rotates around an axis Hinge- movement in a Pivot, rotates around an axis Saddle Joints- moves in many planes Saddle Joints- moves in many planes
Diarthrosis (synovial) Joint
Hip X-Ray
Hinge (Knee)
Ball and Socket (Hip)
Hinge (Elbow)
Shoulder X-Ray
Schematic of Shoulder
Shoulder
Rotator Cuff 4 muscles of the Rotator Cuff Supraspinatus Subscapularis Infraspinatus Teres Minor
Anterior Rotator Cuff
Posterior Rotator Cuff
Inflamed Tendon
Rotator Cuff Tear Rotator cuff tear the shoulder easily dislocates
Rotator Cuff Tear
Sutures Placed for Repair
Use of Anchor for Repair
Anatomy of the Elbow
Lateral View of the Elbow
Anterior View of the Elbow
Hand and Wrist Joints
Hand Anatomy
External Fixation for Colles’ Fx
External Fixator of Leg
Schematic of Hip
Head of Femur
Posterior Femur
Anterior Femur
Anatomy of the Hip
Anterior Muscles of the Leg
Posterior Muscles of the Leg
IM Nailing Positioning
IM Nailing Entry point
Reaming Insert guide wire Insert guide wire Ream in.5 increments until ? Ream in.5 increments until ?
IM Nailing The nail should have an anterior bow Key post of the proximal drill guide will point laterally After assembly check for position of screws Insert nail
Proximal & Distal Locking
Cannulated Screws
Compression Hip screws with side plate
Hip Compression Plate
Steps of a Total Hip Replacement
Total Hip Prosthesis
A New Hip!
Schematic of Knee
Knee X-ray
Posterior view of Knee Joint
Anterior view of Knee Joint
Total Knee Replacement
Anatomy of Meniscus
Torn Meniscus
Medial Meniscus Tear with Fragment
Fragment Dislocated into Knee Joint
Arthroscopic Meniscal Resection
Repaired Meniscus Probe
Torn ACL
Patella Tendon Autograft
Tibia Drilling
Inserting new ACL Graft
ACL Graft Placement
Lateral Foot
Superior Foot
FRACTURESFRACTURES
Under-casting Material (cast padding)
Plaster Casting Material
Nice Cover Attempt!
Always Have Back-up Communiques!