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Orthopaedic Wiki

Ankle Fractures β€” Lauge-Hansen

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

Trauma | πŸ‘ 4 | 2 weeks ago

Talar Neck Fractures β€” Hawkins

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

Trauma | πŸ‘ 3 | 2 weeks ago

Lisfranc Injuries

Lisfranc joint = tarsometatarsal articulation; key stabilizer = Lisfranc ligament (medial cuneiform to 2nd MT base). Mechanism: axial load with plantar flexion/twist. Diagnosis: wi...

Trauma | πŸ‘ 6 | 2 weeks ago

Distal Femur Fractures

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

Trauma | πŸ‘ 3 | 2 weeks ago

Tibial Plateau β€” Schatzker

I lateral split, II split+depression, III depression, IV medial, V bicondylar, VI dissociation. Surgical principle: elevate, graft, raft screws, plate. Complications: compartment s...

Trauma | πŸ‘ 4 | 2 weeks ago

Tibia Shaft Fractures β€” Compartment Risk

Tibia shaft β†’ highest risk of compartment. Signs: pain out of proportion, stretch pain. Ξ”P

Trauma | πŸ‘ 4 | 2 weeks ago

Acetabular Fractures β€” Letournel

Elementary: PW, PC, AW, AC, Transverse. Associated: PC+PW, Trans+PW, T-type, AC+PHT, Both-column. Views: Judet + CT 3D. Approaches: KL (post), Ilioinguinal/Stoppa (ant). Goal: anat...

Trauma | πŸ‘ 4 | 2 weeks ago

Intertrochanteric Fractures β€” AO/OTA

AO 31-A: A1 simple, A2 comminuted, A3 reverse oblique. Implants: DHS for stable A1/A2, CMN for unstable A2/A3. TAD

Trauma | πŸ‘ 3 | 2 weeks ago

Subtrochanteric Femur β€” Fixation

Deforming forces: flex-abd-ER proximal; add distal. Implant: CMN gold standard. Reduction aids: Schanz, cerclage, clamps. Entry point crucial (piriformis/trochanteric). Complicatio...

Trauma | πŸ‘ 3 | 2 weeks ago

Shaft of Femur Fractures β€” Reamed Nailing

Gold standard for adult diaphyseal femur. Reaming adds biology + bigger nail. Supine position, piriformis/trochanteric entry. Complications: fat embolism, malrotation, knee pain.

Trauma | πŸ‘ 5 | 2 weeks ago

Clavicle Fractures β€” Management

Most common: midshaft fractures; assess displacement, shortening, comminution, skin tenting, neurovascular status. Nonoperative for minimally displaced; operative indications inclu...

Trauma | πŸ‘ 5 | 2 weeks ago

Proximal Humerus Fractures

Neer classification (parts displaced >1 cm or >45Β°): guides management. Non‑operative for minimally displaced; ORIF (locking plate) for displaced 2–3 part; hemiarthroplasty/RSA for...

Trauma | πŸ‘ 3 | 2 weeks ago