![]() ![]() ipsilateral arm on stack of blankets over chest and taped down, contralateral arm on arm board.padded post deep into groin, move genitals and Foley catheter out of the way.patient supine with feet padded with webril and placed firmly in fracture table boots if contralateral leg dropped down, if raising contralateral leg up 90° use thigh holder.radiolucent fracture table (Jackson fracture).contraindications to sliding hip screw include reverse obliquity fractures and lack of lateral femoral wall.can use sliding hip screw in stable intertrochanteric fractures in ambulatory patients.cephalomedullary nailing system (Stryker Gamma, Synthes TFN).definitive stabilization within 48-72h associated with decreased pulmonary complications, thromboembolic events, length of hospital stay, and morbidity/mortality.make sure patient has Foley urinary catheter in place.identify patient comorbidities and ASA status (predictor of mortality).unstable fracture patterns include reverse obliquity, large posteromedial fragment, subtrochanteric extension (will collapse into varus or displace shaft medially).before case need to check if intertrochanteric fracture is stable (will resist medial compressive loads) vs. ![]() weight-bearing as tolerated, physical therapy, immediate range of motion exercises to hip and knee, DVT prophylaxis.get perfect circles of two distal interlock screws, drill and insert.drill, measure, and insert lag screw watching for fracture compression.insert nail over guidewire, follow anterior bow of femur and mallet in using strikeplate.size 9mm reamer then ream 1.0-1.5mm above size of final nail.insert entry reamer (~15mm) over starting guidewire then long balltip wire.start point is on tip of GT on AP xray and in center of GT on Lat xray.incision 3-4cm above greater trochanter (GT) in line with femur, split fascia lata.reduction before prep/drape using traction, abduction/adduction, and internal/external rotation.take fluoro AP/Lat and mark location and positioning of C-arm for xrays.c-arm from contralateral side at 45° angle towards hip.supine with feet padded with webril in fracture boots.contralateral leg dropped down in fracture boot or raised up with thigh holder.Orthobullets Technique Guides cover information that is "not testable" on ABOS Part I RETIRE Transtibial Below the Knee Amputation (BKA) Tibial Plafond Fracture ORIF with Anterolateral Approach and Plate FixationĪnkle Simple Bimalleolar Fracture ORIF with 1/3 Tubular Plate and Cannulated Screw of Medial MalleolĪnkle Isolated Lateral Malleolus Fracture ORIF with Lag ScrewĬalcaneal Fracture ORIF with Lateral Approach, Plate Fixation, and Locking Screws Tibial Plafond Fracture External Fixation Tibial Plateau Fracture External Fixationīicondylar Tibial Plateau ORIF with Lateral Locking Plate Patella Fracture ORIF with Tension Band and K Wires ![]() Subtrochanteric Femoral Osteotomy with Biplanar Correctionĭistal Femur Fracture ORIF with Single Lateral Plate ![]() Intertrochanteric Fracture ORIF with Cephalomedullary Nailįemoral Shaft Fracture Antegrade Intramedullary Nailingįemoral Shaft Fracture Retrograde Intramedullary Nailing Femoral Neck Fracture Closed Reduction and Percutaneous Pinningįemoral Neck FX ORIF with Cannulated Screwsįemoral Neck Fracture ORIF with Dynamic Hip Screwįemoral Neck Fracture Cemented Bipolar Hemiarthroplasty ![]()
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