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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 Plate Design Features The Acumed Ankle Plating System (3 plates) is specifically designed to be soft-tissue friendly while providing stable fixation. Key Design Characteristics Low-Profile Distal Segment Thinner distal portion Minimizes soft tissue irritation Screw Configuration Distal screw cluster: 2.7 mm locking screws Proximal screws: 3.5 mm Available as […]

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 shafts require precise surgical exposure to achieve anatomical reduction and stable fixation. Key Principles Choice of approach depends on fracture location Each approach utilizes specific intermuscular planes Protection of neurovascular structures is critical Approach to the Ulna Shaft General […]

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 in acetabular fractures depends on multiple factors: Key Determinants Location of the fracture within the acetabulum Fracture pattern and classification Degree of displacement Complexity of fracture fragments Principle An appropriate approach should: Provide adequate exposure for reduction and fixation Minimize […]

Surgical Approaches to the Shoulder for FRCS Orth Viva

Courtesy: FRCS Orth Mentor Group, UK Overview Surgical approaches to the shoulder are fundamental in managing: Trauma Instability Degenerative conditions The two most commonly used approaches are: Anterior deltopectoral approach Posterior approach A thorough understanding of anatomy, positioning, and structures at risk is essential for safe and effective surgery. General Principles for Describing Surgical Approaches […]

Anterior Approach to the Hip

Courtesy: Saqib Masud FRCS,John Davies FRCS Overview The anterior approach to the hip, commonly known as the Smith–Peterson approach, provides safe and direct access to the hip joint. Indications This approach is widely used for: Hip joint procedures Pelvic osteotomies Total hip replacement (THR)  It also allows extension to the pelvis when required. Patient Positioning […]

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