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    Orthopaedic Surgeries: Dr.S.A.Prem Kumar

    Uploaded by

    Roshani P
    This document discusses various orthopaedic surgeries performed by Dr. S.A. Prem Kumar including arthrodesis, arthroplasty, osteotomy, spinal stabilization surgeries, external fixation, limb reattachments, and transport of injured limbs. Arthrodesis refers to surgical fusion of a joint to relieve pain and instability. Arthroplasty involves replacing or remodeling an arthritic joint surface. Osteotomy cuts and realigns bones. External fixation uses implants outside the body to stabilize fractures. Limb reattachments attempt to reattach completely amputated limbs within optimal ischemia times.

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    Orthopaedic Surgeries: Dr.S.A.Prem Kumar

    Uploaded by

    Roshani P
    27 views43 pages
    This document discusses various orthopaedic surgeries performed by Dr. S.A. Prem Kumar including arthrodesis, arthroplasty, osteotomy, spinal stabilization surgeries, external fixation, limb reattachments, and transport of injured limbs. Arthrodesis refers to surgical fusion of a joint to relieve pain and instability. Arthroplasty involves replacing or remodeling an arthritic joint surface. Osteotomy cuts and realigns bones. External fixation uses implants outside the body to stabilize fractures. Limb reattachments attempt to reattach completely amputated limbs within optimal ischemia times.

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    arthroplasty

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    This document discusses various orthopaedic surgeries performed by Dr. S.A. Prem Kumar including arthrodesis, arthroplasty, osteotomy, spinal stabilization surgeries, external fixation, limb reattachments, and transport of injured limbs. Arthrodesis refers to surgical fusion of a joint to relieve pain and instability. Arthroplasty involves replacing or remodeling an arthritic joint surface. Osteotomy cuts and realigns bones. External fixation uses implants outside the body to stabilize fractures. Limb reattachments attempt to reattach completely amputated limbs within optimal ischemia times.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    27 views43 pages

    Orthopaedic Surgeries: Dr.S.A.Prem Kumar

    Uploaded by

    Roshani P
    This document discusses various orthopaedic surgeries performed by Dr. S.A. Prem Kumar including arthrodesis, arthroplasty, osteotomy, spinal stabilization surgeries, external fixation, limb reattachments, and transport of injured limbs. Arthrodesis refers to surgical fusion of a joint to relieve pain and instability. Arthroplasty involves replacing or remodeling an arthritic joint surface. Osteotomy cuts and realigns bones. External fixation uses implants outside the body to stabilize fractures. Limb reattachments attempt to reattach completely amputated limbs within optimal ischemia times.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 43

    Orthopaedic Surgeries

    Dr.S.A.Prem Kumar
    Arthrodesis
    • The term arthrodesis refers to surgical fusion of
    a joint.

    • The indications for this are pain & instability in


    a joint and, in some situations, following the
    failure of joint replacement .

    • With the increase & improvements in the field


    of joint replacement arthrodesis is now carried
    out much less frequently.
    • Ideally arthrodesis is carried out as an intra-articular
    procedure. All articular cartilage is removed from both
    surfaces of the joint and the bone ends shaped to fit in the
    required position.

    • They are held there by internal fixation , an external fixator


    device or external splintage (e.g. POP) or a combination of
    these methods, until the fusion is sound.

    • Where possible compression is applied to the bone ends to


    promote fusion. Occasionally extra-articular arthrodesis is
    carried out.
    Optimum positions

    • ELBOW : 90° of flexion .

    • WRIST: A few degree of extension

    • THUMB: MCP joint in 20° of flexion. IP joint in slight


    flexion.

    • FINGERS: MCP joints in 20° -30° of flexion. (these joints are


    rarely fused).
    Proximal IP joints in 40° -45° of flexion (less in
    middle & index fingers)
    Arthroplasty
    • Is an orthopedic surgical procedure where the
    articular surface of a musculoskeletal joint is
    replaced, remodeled, or realigned
    • Partial
    • Total
    Osteotomy
    • An osteotomy is a surgical operation whereby
    a bone is cut to shorten or lengthen it or to
    change its alignment.
    Pelvis
    Spinal Stabilisation Surgeries
    • Anterior
    • Posterior
    • Combined
    External Fixation
    • Surgical technique of stabilization of a fracture
    by implants outside the body
    • To stabilise fractures when the pt can’t
    tolerate definitive surgery
    • In instances where the skin condition and
    wound contamination precludes internal
    fixation
    Uniplanar Tubular Ex-Fix
    Biplanar Ex-Fix
    Ilizarov Ex Fix
    Limb Reattachments
    • Involves attempts to reattach and reconstruct
    a completely amputated limb or a part of it

    • Age, Severity of Injury, Level Of Injury, Warm


    Ischemia time, Prior disability
    Transport of Injured Limb
    • It may be wrapped with sterile gauze or other clean
    material, soaked in sterile lactated Ringer or saline,
    and placed in a plastic bag, which is then sealed.
    • It may be immersed in a plastic bag containing a
    physiological solution such as lactated Ringer or
    saline.
    • The bag is placed on ice in an insulated container so
    that the part is not touching the ice to avoid
    freezing of the part.
    Ischemia Time
    Warm Cold

    Less Muscle 6 hours 12 hours

    More muscle 8 hours 30 hours


    Sequence of Reconstruction
    • Bone shortening and fixation
    • Arterial Repair
    • Nerve Repair
    • Vein
    • Tendons
    • Skin
    Thank You

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