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Integrating Principles and Evidence

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-Approaches

Posteromedial Approach for Posterior Malleolus fractures

Courtesy: Anish Kadakia and Acumed LLC Posteromedial Approach for Posterior Malleolus Fracture (Ankle fracture fixation) Plate Design Features The Acumed Ankle Plating System 3 plates are designed to be soft-tissue friendly. Key features: Distal portion: thinner profile ? reduces soft tissue irritation • Distal screw cluster: 2.7 mm locking screws • Proximal screws: 3.5 mm […]

Anterior(Smith-Peterson) approach to the Hip

Courtesy: Harry Benjamin Laing, MRCS, UK Overview The anterior approach to the hip joint is a commonly used surgical technique that provides access to the hip through natural muscular intervals. This method minimizes muscle damage because the dissection follows intermuscular and internervous planes. Proper preparation, positioning, and understanding of anatomical landmarks are essential for safe […]

Approach to Radius and Ulna shaft fractures

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA Overview Fractures of the radius and ulna shaft require careful surgical exposure to achieve accurate reduction and fixation. Several standard approaches are used depending on the location of the fracture along the bone. Each approach utilizes specific intermuscular planes while protecting important nerves and blood vessels. […]

Thompson’s approach to Radial Shaft

Courtesy: Hans Kreder, University of Toronto, Canada

Direct Anterior Approach for Total Hip Replacement

Courtesy: Sharan Patil, Ashok Shyam, IORG, OrthoTV

Surgical approaches to the Acetabulum

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA Overview Selection of the surgical approach for acetabular fractures depends on several factors: Location of the fracture within the acetabulum Type and pattern of the fracture Complexity and displacement of fracture fragments Proper choice of approach allows adequate exposure for reduction and fixation while minimizing complications. […]

Surgical Approaches to the Shoulder for FRCS Orth Viva

Courtesy: FRCS Orth Mentor Group, UK Overview Surgical approaches to the shoulder are essential for treating trauma, instability, and degenerative conditions. Two commonly discussed approaches are: The anterior deltopectoral approach The posterior approach Understanding anatomy, patient positioning, and structures at risk is crucial for safe and effective surgery. General Principles for Describing Any Surgical Approach […]

Anterior Approach to the Hip

Courtesy: Saqib Masud FRCS,John Davies FRCS Overview The anterior approach to the hip provides safe surgical access to the hip joint. This technique is commonly referred to as the Smith–Peterson approach. It can also allow exposure of the pelvis when pelvic osteotomy is required. The approach is widely used for: Hip joint procedures Pelvic osteotomies […]

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