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Orthopaedic Wiki

Sterility & Theatre Protocols

Goal: prevent surgical site infections (SSI). Airflow: laminar, HEPA, positive pressure. Staff: gown, glove, mask, restrict movement. Instruments: autoclave, ETO, H2O2 plasma. Preo...

General | πŸ‘ 4 | 2 weeks ago

Amputation β€” Levels & Prosthetics

Level selection balances wound healing potential, prosthetic energy cost, and function. Upper limb: transmetacarpal, wrist disarticulation, trans‑radial, elbow disarticulation, tra...

General | πŸ‘ 4 | 2 weeks ago

Nonunion β€” Weber & Cech Classification

Viable (hypertrophic/oligotrophic) vs non‑viable (atrophic, necrotic, defect, comminuted). Radiographic callus indicates biology; absence suggests poor biology. Guides treatment: s...

Trauma | πŸ‘ 9 | 2 weeks ago

Pelvic Ring Injuries β€” ATLS & Tile

ATLS: binder early for unstable pelvis; hemorrhage control is priority. Tile A stable, B rotationally unstable, C rot + vertical unstable. Hemorrhage control: binder, ex-fix, C-cla...

Trauma | πŸ‘ 3 | 2 weeks ago

Femoral Neck Fracture β€” Garden/Pauwels

Garden I–II = non-displaced, III–IV = displaced. Pauwels I 50Β° vertical shear. Young = urgent reduction + fixation (CS/DHS). Elderly = arthroplasty if displaced. Complications: AVN...

Trauma | πŸ‘ 4 | 2 weeks ago

Thomas Splint β€” Indications & Technique

Indications: femoral shaft fractures, temporary stabilization. Provides traction + splintage. Structure: proximal ring, side bars, distal crossbar. Complications: sores, nerve pals...

Trauma | πŸ‘ 4 | 2 weeks ago

BΓΆhler Braun Splint β€” Set-up

Used for tibia/femur fractures with traction. Has pulleys, slings; allows elevation and adjustment. Complications: sores, stiffness, peroneal palsy.

Trauma | πŸ‘ 3 | 2 weeks ago

Skin Traction in Children

Non-invasive traction in children. Types: Gallows (

Trauma | πŸ‘ 3 | 2 weeks ago

Orthoses β€” Lower Limb (KAFO/AFO)

AFO: ankle-foot support in drop foot, CP, polio. KAFO: supports knee in quadriceps paralysis, SCI. Types: rigid, hinged, leaf-spring (AFO); locked, drop lock, offset (KAFO). Goals:...

General | πŸ‘ 3 | 2 weeks ago

Malunion and Nonunion β€” Biology & Management

Malunion = fracture healing in unacceptable position (angulation, rotation, shortening, translation). Nonunion = failure of fracture to heal in expected time (9 months with no sign...

Trauma | πŸ‘ 4 | 2 weeks ago

Compartment Syndrome β€” Diagnosis and Management

Raised intracompartmental pressure β†’ ischemia/necrosis. Causes: tibia/forearm fractures, crush injury, reperfusion, tight casts. Early signs: pain out of proportion, pain on passiv...

Trauma | πŸ‘ 5 | 2 weeks ago

Imaging β€” CT & MRI Essentials

CT: excellent for cortical bone, 3D recon. MRI: excellent for marrow, soft tissue, ligaments, cartilage. CT indications: complex fractures (pelvis, acetabulum, calcaneus). MRI indi...

General | πŸ‘ 4 | 2 weeks ago