Ends of ellipse (Apical angles): Dimension of ellipse: Axis of ellipse: Margin of excision: Lesion type Surgical margin Uncertain Consider shave or punch biopsy to…
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Category: Surgical Skills
Surgical instruments and surgical techniques
Swashbuckler (Modified Anterolateral) Approach to Distal Femur
Advantages: Patient position: Supine with a roll under the knee to allow knee flexion Tourniquet: Not used unless required Incision: Superficial dissection: 1. Fascia is…
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Shoelace technique for Delayed Primary Closure
Indication: Delayed primary closure of fasciotomy wounds Sutures that can be used: Anchors: Staples (can apply 2 staples) or Metal clips Knotting pattern: The suture…
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Biomechanics in MIPO (Minimally Invasive Plate Osteosynthesis)
1. Provides optimal environment for fracture healing: 2. Relative stability of fracture: 3. Acts as internal fixator: 4. Plate length and Number of screws in…
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Syringe Suction Vacuum Drain : Technique
1. A small stab incision is made on skin with a no. 11 Blade where the drain is anticipated. 2. A feeding tube of an…
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Circumferential Periosteal Block (CPB)
Use: Alternative to hematoma block in reduction of distal radius and ulna fractures Advantage: Providing distance from the fracture hematoma (no theoretical risk of converting…
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Anteromedial Ankle Hematoma Block
Mechanism of action of Hematoma Block Indications of Anteromedial Portal Injection Landmarks Technique
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Bilateral V-Y (Kutler) flap for finger stump closure
Indications Classically, this flap is indicated in patients with transverse or volar oblique amputations. In actuality, the patient in whom this flap is useful generally…
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