Orthonotes
Orthonotes
by the.bonestories
v4.1 Fusion X
v4.1 Fusion X

Category: Trauma

AC Joint Injuries โ€” Rockwood
๐Ÿ‘ 790 views

Rockwood Iโ€“VI classification based on AC/CC ligament disruption and clavicle displacement. Iโ€“II: non-op (sling, rehab). III: controversial; IVโ€“VI: sur...

Pilon Fractures โ€” Strategy
๐Ÿ‘ 336 views

Highโ€‘energy axial load injures distal tibial plafond with severe softโ€‘tissue compromise. Standard of care is staged protocol: **span โ†’ scan โ†’ settle โ†’...

Navicular & Cuboid Fractures
๐Ÿ‘ 197 views

Tarsal navicular: body, tuberosity, and stress fractures; critical for medial column length and talonavicular congruity. Cuboid: 'nutcracker' fracture...

Metatarsal & Phalangeal Fractures
๐Ÿ‘ 405 views

1st metatarsal fractures affect medial column; greater functional impact. 5th metatarsal: distinguish avulsion (zone 1), Jones (zone 2), and diaphysea...

Proximal Fibula (Maisonneuve)
๐Ÿ‘ 280 views

Maisonneuve injury = proximal fibular fracture + syndesmotic disruption + medial injury (deltoid/medial malleolus). Mechanism: external rotation with...

Periprosthetic Distal Femur Fracture
๐Ÿ‘ 307 views

Lewisโ€“Rorabeck and Su classifications guide treatment; stability of the femoral component is the key decision point. Stable TKA โ†’ fixation (locking pl...

Patella Fractures โ€” Tension Band Wiring
๐Ÿ‘ 235 views

Indications: displaced transverse fractures with intact extensor. Principle: converts tensile quadriceps force into compression at fracture site. Tech...

Peri-implant Fractures
๐Ÿ‘ 372 views

Definition: fracture adjacent to fixation device or prosthesis. Differentiate peri-implant vs periprosthetic. Causes: stress risers, osteopenia, traum...

Nonunion & Bone Transport โ€” Ilizarov
๐Ÿ‘ 185 views

Ilizarov fixator allows bone transport for segmental loss. Principle: distraction osteogenesis by gradual tension on callus. Indications: infected non...

Malunion Correction โ€” Principles
๐Ÿ‘ 348 views

Malunion = fracture healed in unacceptable alignment causing functional, cosmetic, or biomechanical issues. Decision to correct depends on symptoms, j...