Orthopaedic Surgery Orthopedic Surgery ST 240

Bone Cell

Microscopic View of Bone Tissue

Structure of Long Bone

Types of Bones = Long Bone

Flat Bone: Frontal

Irregular Bone: Vertebra

Short Bone: Cuboid

Long Bone Development

JOINTS Synarthrosis - Immovable Joint Synarthrosis - Immovable Joint Amphiarthrosis- Slightly Movable Joint Freely Amphiarthrosis- Slightly Movable Joint Freely Diarthrosis - Freely Movable Joint Diarthrosis - Freely Movable Joint Ball & socket Ball & socket Condyloid- movement in one plane Condyloid- movement in one plane Gliding- side to side Gliding- side to side Hinge- movement in a Pivot, rotates around an axis Hinge- movement in a Pivot, rotates around an axis Saddle Joints- moves in many planes Saddle Joints- moves in many planes

Diarthrosis (synovial) Joint

Hip X-Ray

Hinge (Knee)

Ball and Socket (Hip)

Hinge (Elbow)

Shoulder X-Ray

Schematic of Shoulder

Shoulder

Rotator Cuff 4 muscles of the Rotator Cuff Supraspinatus Subscapularis Infraspinatus Teres Minor

Anterior Rotator Cuff

Posterior Rotator Cuff

Inflamed Tendon

Rotator Cuff Tear Rotator cuff tear the shoulder easily dislocates

Rotator Cuff Tear

Sutures Placed for Repair

Use of Anchor for Repair

Anatomy of the Elbow

Lateral View of the Elbow

Anterior View of the Elbow

Hand and Wrist Joints

Hand Anatomy

External Fixation for Colles’ Fx

External Fixator of Leg

Schematic of Hip

Head of Femur

Posterior Femur

Anterior Femur

Anatomy of the Hip

Anterior Muscles of the Leg

Posterior Muscles of the Leg

IM Nailing Positioning

IM Nailing Entry point

Reaming Insert guide wire Insert guide wire Ream in.5 increments until ? Ream in.5 increments until ?

IM Nailing The nail should have an anterior bow Key post of the proximal drill guide will point laterally After assembly check for position of screws Insert nail

Proximal & Distal Locking

Cannulated Screws

Compression Hip screws with side plate

Hip Compression Plate

Steps of a Total Hip Replacement

Total Hip Prosthesis

A New Hip!

Schematic of Knee

Knee X-ray

Posterior view of Knee Joint

Anterior view of Knee Joint

Total Knee Replacement

Anatomy of Meniscus

Torn Meniscus

Medial Meniscus Tear with Fragment

Fragment Dislocated into Knee Joint

Arthroscopic Meniscal Resection

Repaired Meniscus Probe

Torn ACL

Patella Tendon Autograft

Tibia Drilling

Inserting new ACL Graft

ACL Graft Placement

Lateral Foot

Superior Foot

FRACTURESFRACTURES

Under-casting Material (cast padding)

Plaster Casting Material

Nice Cover Attempt!

Always Have Back-up Communiques!