Orthonotes
Orthonotes
by the.bonestories
v3.0 Fusion
v3.0 Fusion

Category: Trauma

Proximal Fibula (Maisonneuve)
πŸ‘ 30 views

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

Periprosthetic Distal Femur Fracture
πŸ‘ 29 views

Lewis–Rorabeck and Su classifications guide treatment; stability of the femoral component is the key decision point. Stable TKA β†’ fixation (locking pl...

Patella Fractures β€” Tension Band Wiring
πŸ‘ 25 views

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

Peri-implant Fractures
πŸ‘ 40 views

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

Nonunion & Bone Transport β€” Ilizarov
πŸ‘ 23 views

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

Malunion Correction β€” Principles
πŸ‘ 27 views

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

Ankle Fractures β€” Lauge-Hansen
πŸ‘ 25 views

Classification based on position of foot + force direction. Common: Supination-External Rotation (SER), Supination-Adduction (SA), Pronation-Abduction...

Talar Neck Fractures β€” Hawkins
πŸ‘ 20 views

Hawkins classification I–IV based on displacement/dislocation. AVN risk increases with stage: I 90%. Urgent reduction and fixation critical to preserv...

Lisfranc Injuries
πŸ‘ 32 views

Lisfranc joint = tarsometatarsal articulation; key stabilizer = Lisfranc ligament (medial cuneiform to 2nd MT base). Mechanism: axial load with planta...

Distal Femur Fractures
πŸ‘ 23 views

AO 33 classification. Locking plate vs retrograde nail. Principles: joint first, then shaft. Complications: nonunion, malalignment, stiffness.