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Category: Surgical Skills

Surgical instruments and surgical techniques

Surgical Skills

Percutaneous Achilles Tenotomy for CTEV

Dr. Sulabh Kumar Shrestha, MS Orthopedics Aug 29, 2022 No Comments OrthopedicsPediatricsSurgical skills

Indications Cavus, Adductus and Varus are fully corrected but ankle dorsiflexion remains <10 degrees above neutral Adequate abduction: Best sign: Ability to palpate anterior process…

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Surgical Skills

Hip Spica Cast

Dr. Sulabh Kumar Shrestha, MS Orthopedics Aug 7, 2022 No Comments Emergency medicineOrthopedicsSurgical skills

Acceptable angulation in Femoral Shaft Fractures Age Varus/Valgus (degrees) Anterior/Posterior (degrees) Shortening (mm) <2 yr 30 30 15 2-5 yr 15 20 20 6-10 yr…

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PGMEE, MBBS, MD/MS Surgical Skills

Compartments, Muscles and Fasciotomy of the leg

Epomedicine Jul 27, 2022 No Comments AnatomyMusculoskeletal systemOrthopedics

Muscle Origin Insertion Action Innervation Anterior compartment 1. Tibialis anterior (TA) Superior 2/3 lateral surface of tibia Medial cuneiform, 1st metatarsal Dorsiflexion, foot inversion Deep…

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Surgical Skills

Volar V-Y advancement flap for fingertip amputations

Epomedicine May 25, 2022 No Comments OrthopedicsPlastic surgerySurgical skills

Indications Transverse or dorsally angulated traumatic amputations of the fingertip involving exposed distal phalanx Tissue loss distal to the lunula (Zone I and Zone II…

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Surgical Skills

Krackow Suture Technique

Epomedicine Apr 9, 2022 No Comments Orthopedics

The Krackow technique is a continuous locking loop suture technique commonly used in tendon repair. The classic Krackow stitch involves 3 or more locking loops…

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Surgical Skills

DIY Vac Dressing for Wounds

Dr. Sulabh Kumar Shrestha, MS Orthopedics Feb 22, 2022 No Comments OrthopedicsSurgerySurgical skills

Pre-requisites for Vac Dressing Thorough debridement Adequate hemostasis Components of Vac Dressing 1. Pump for Negative Pressure: A wall suction or a portable suction unit…

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Emergency Medicine Surgical Skills

Bier Block

Epomedicine Jan 11, 2022 No Comments AnesthesiaOrthopedics

Named after: German Surgeon August Bier (first introduced the block in 1908) Definition: It is a peripheral intravenous local anesthetic block (IVRA; Intravenous Regional Anesthesia)…

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Surgical Skills

Orthopedic Screw Insertion Mnemonic

Dr. Sulabh Kumar Shrestha, MS Orthopedics Dec 18, 2021 No Comments Orthopedics

Don’t Marry Too Soon DRILL Choose the correct drill bit Insert the drill bit correctly in the chuck Tighten the chuck sufficiently Start the drill…

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