Orthopaedics video

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Orthopaedics video - Surgery Videos for Specialty Orthopaedics

Tibia—Intraarticular Fracture—Large External Fixator: Ankle-bridging Delta Frame

In this presentation, an intraarticular fracture of the distal tibia will be reduced and
stabilized using the large external fixator in an ankle-bridging delta frame.
Objectives
-Clinical indications for the application of a large external fixator
-Positioning and correct insertion of the Schanz screws
-Construction of the ankle-bridging delta frame

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Femur, Tibia—Articular Fracture—Large External Fixator: Knee-bridging Frame with Multi-pin Clamps

This presentation demonstrates the reduction and stabilization of articular fractures of the femur
and tibia with the large external fixator in a knee-bridging frame using multi-pin clamps.

The objectives of the exercise are to understand:
The clinical indications for the application of a large external fixator
The positioning and correct insertion of the Schanz screws
and the construction of the knee-bridging frame using multi-pin clamps.

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Tibia Fractures - Intramedullary Nailing with the Expert Tibial Nail (with reaming)

The Expert Tibial Nail has a new anatomic bend that makes nail insertion and extraction easier. The
cannulated version enables nail insertion over a guide wire. The main objectives of this presentation
are to show: the patient positioning, reduction, the approach and entry point and the procedure for
nailing using the Expert Tibial Nail. In this exercise reaming is performed.

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Tibia—Intraarticular Fracture—Large External Fixator: Ankle-bridging Frame with Multi-pin Clamps

In this presentation, an intraarticular fracture of the distal tibia will be reduced and stabilized
using the large external fixator in an ankle-bridging frame with multi-pin clamps.
Objectives
-Clinical indications for the application of a large external fixator
-Positioning and correct insertion of the Schanz screws
-Construction of the ankle-bridging frame using multi-pin clamps

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Femur, Tibia—Articular Fracture—Large External Fixator: Knee-bridging Modular Frame

In this presentation, an articular fracture about the knee will be reduced and stabilized
using the large external fixator in a knee bridging modular frame.
Objectives
-Clinical indications for the application of a large external fixator
-Positioning and correct insertion of the Schanz screws
-Construction of the knee-bridging modular frame

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Tibia—Shaft Fracture (42-A1)—Large External Fixator: Multi-pin Clamp Frame


In this presentation, a type 42-A1 fracture of the tibial shaft will be reduced and stabilized using
the large external fixator with a multi-pin clamp frame.
Objectives
-Clinical indications for the application of the large external fixator
-Positioning and correct insertion of the Schanz screws
-Construction of the multi-pin clamp frame


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Tibia – Shaft Fracture - Large External Fixator: Modular Frame

A type 42-A1 fracture of the tibial shaft will be reduced and stabilized using the large external
fixator with a rod-to-rod modular frame.

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Tibia – Shaft Fracture - Large External Fixator: Uniplanar Double-rod Frame

A type 42-A1 fracture of the tibial shaft will be stabilized using the large external
fixator in a uniplanar double-rod frame.

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Approach to the Proximal Femur and Elbow

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Approaches to the Arm

Different standard approaches are shown:
- Henry approach on the volar side of the radius
- Dorsal lateral approach to the arm
- Posterior approach to the humerus

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Approaches to the knee. Cadaveric demonstration

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Condylar Plate Fixation in the Distal Femur

The video demonstrates
Application of a condular plate in the distal femur

A great video ! , enjoy


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Implants and Instruments: Angled Blade Plate - Condylar Plate on the Distal Femur

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DISPOFIX An External Fixator for Countries with Limited Resources. A Training Video for Health Professionals

imited resources. A training video for health professionals.
In this presentation we will discuss:
- Components
- Application
- Post-operative treatment
- Indications
- Rotational malalignment
- Pin track infection
- Delayed union.

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DISPOFIX: Disposable Aluminium External Fixator

Dispofix - an external fixator for countries with limited resources. A training video for health
professionals. In this presentation we will show the components and the application.

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Distal Interlocking with the Radiolucent Drill Attachement

The new radiolucent drill attachment greatly simplifies distal interlocking and reduces x-ray
exposure of both patient and surgeon

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Dynamic Hip Screw

Pietro Regazzoni (CH)
1986
12'05''
During this exercise we are going to practise the technique of fixation of a pertrochanteric fracture with the Dynamic Hip Screw.
The basic technique is briefly outlined as follows:
- The fracture is reduced and provisionally fixed with Kirschner-wires.
- A guide pin is then drilled into the femoral head and its length measured.
- Then the tunnel for the implant is drilled and the lag screw introduced.
- Finally the barrel of the side plate is introduced over the screw shaft and fixed to the femur with screws

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Forearm Shaft Fracture 22-C1 - 3.5 LCP (8 and 11 holes)

Forearm shaft fracture, AO Classification 22-C1.
Simple radius fracture stabilized with a 3.5 LCP in the conventional way, providing absolute
stability.
Complex ulna fracture repaired with a 3.5 LCP used as a bridging plate following the internal fixator
principle, providing relative stability.

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Video: Fracture of the Radius Shaft 3.5 LC-DCP

We are treating an oblique shaft fracture of the radius with the new LC-DCP and its corresponding screws, using the principles of axial and interfragmentary compression. The small fragment instruments will be used,
supplemented with the two new LC-DCP drill guides

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Hip Replacement Patient Education

You doctor has recommended that you undergo hip replacement surgery. But what exactly does that mean?

The hip joint is the place where the thighbone - called the femur - and the hipbone - called the pelvis - meet.

As you walk, the ball-shaped end of the thigh moves within a cuplike depression on the side of the hip.

As long as the thigh can move smoothly against the hip, you are able to walk comfortably. But over time, especially in patients who suffer from arthritis or rheumatism, the hip joint can wear down.

Cartilage, the tissue that cushions the bones and makes it possible for them to move smoothly against each other can wear away.

When this happens, the bones rub together causing pain and even restricting the ability to walk. * In some cases, hip surgery is recommended for people who have suffered a hip fracture. * No matter what the cause, one of the most effective ways to fix a damaged hip is to replace it surgically.

In this procedure, the ball-shaped bone at the top of the thigh is removed and replaced with a metal substitute.

The hip socket is widened and lined with a smooth pad that allows the metal ball joint to move more freely against the pelvis.

Hip replacement surgery is a major operation, but your doctor believes that the procedure -- followed up with physical therapy and time to heal -- will result in reduced pain and greater mobility.

So make sure that you ask your doctor to carefully explain the reasons behind this recommendation.

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Internal Fixation with Screws and Plates Providing Absolute Stability - video

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The Principle of the Internal Fixator Using the Locking Compression Plate (LCP)

Objectives: To understand the principles of the internal fixator using the Locking Compression Plate
(LCP).
1. Simple fracture: LCP as internal fixator protecting an independent lag screw
2. Complex fracture: LCP as internal fixator in a bridging function
3. Osteoporotic bone model: advantages of locking head screws providing angular stability

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Femur - Trochanteric fractures - Intramedullary Nailing with the PFNA

The Proximal Femoral Nail Antirotation, known as the PFNA, is an intramedullary implant for
the treatment of unstable trochanteric femoral fractures. This presentation shows the main
steps of intramedullary nailing with the PFNA. Preoperative planning, opening the femoral
shaft, the introduction of the nail and blade, distal locking and implant removal.neu

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Posterior Wall Fracture through Kocher-Langenbeck Approach

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Reduction and Fixation of Forearm Fractures

The plastic model used has a short oblique fracture of the radius, just distal to the mid shaft,
combined with a mid shaft multifragmented fracture of the ulna. The radial fracture, when reduced,
will be held by a 7-hole LC-DCP incorporating a lag screw. For the ulna, indirect reduction will be
followed by fixation with a 12-hole LC-DCP used as a bridge plate.

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Stabilization of the Anterior Pelvic Ring with an External Fixator

The objectives of this exercise are to understand:
- The indications
- The different Schanz screw insertion techniques: supra-acetabular and iliac crest
- The construction of the anterior frames
- Positioning of the Schanz screws with the pelvis covered

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Tension Band Wiring of the Elbow

Summary :

On our bone model a transverse fracture of the olecranon has been made. We will carry out a tension
band internal fixation of the fracture. With a correctly constructed band, tension forces from the
pull of the triceps are transformed into compression forces at the fracture site.

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The 7.3mm Cannulated Screw: Femoral Neck Fracture

This new implant is mainly indicated to stabilize femoral neck fractures, but may also be used in
pelvic ring and tibia plateau fractures. The tip of the screw has a new design with a self-drilling
and self-tapping flute, which allows introduction of this screw in a not too hard bone without any
predrilling.

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In this presentation, the construction of the non-spanning frame with the small external fixator will be demonstrated.

The objectives of the exercise are to understand:
The clinical indications for the application of the small external fixator,
the correct positioning of the Schanz screws,
and the construction of the non-spanning frame.

The most common indications for the non-spanning frame include:
Extra articular fractures, and simple intraarticular fractures, where reduction and stabilization of
the articular fragment can be achieved with K-wires or cannulated or non-cannulated screws.

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Posterior Screw Fixation of the Sacroiliac Joint

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Type B Malleolar Fracture 44-B

- Malleolar fracture AO type 44-B
- Internal fixation of the fibula with 5-hole one-third tubular plate in buttress position (antiglide
plate according to Weber)
- As alternative: 5-hole one-third tubular plate combined with a plate
independent p-a lag screw

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Type C Malleolar Fracture

A type C malleolar fracture occurs when the foot is in pronation and an extended rotation force is
applied to the ankle joint. First the deltoid ligament ruptures or the medial malleolus is avulsed.
The talus rotates externally, it forces the fibula to twist about its vertical axis. The result is a
rupture of the anterior syndesmotic ligament, then the interosseous ligament follows. A fracture of
the Volkmann's triangle is caused by shearing of the talus.
The internal fixation is performed with a 7-hole one-third tubular plate with a lag screw through the
plate. The medial malleolus and the Volkmann's triangle are fixed with lag screws. A positioning
screw secures the syndesmotic ligaments temporarily.

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Distal Radius - Small External Fixator: Wrist-spanning Frame

The construction of a wrist-spanning frame with the Small External fixator will be
demonstrated.

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