Surgical Principles Relevant Course of MFCA Surgical Technique 1. Position: Lateral decubitus 2. Incision and approach: Traditional Kocher-Langebeck (KL) approach or Gibson interval (more anterior interval with posterior retraction of gluteus maximus muscle without violating it) 3. Trochanteric (Digastric slide) osteotomy: 4. Exposure: 5. Z-shaped Capsulotomy: 6. Hip Dislocation: 7….
Tag: Surgical skills
Surgical Skills
Boyd (Posterolateral) Approach to Elbow
Indications: Skin incision: Begin the incision just posterior to the lateral epicondyle and lateral to the triceps tendon, and continue the incision distally to the lateral tip of the olecranon and then down the subcutaneous border of the ulna to the junction of its proximal and middle thirds or as…
Surgical Skills
Eponychial Marsupialization for Chronic Paronychia
Chronic paronychia is an inflammatory recalcitrant disorder affecting the nail folds. It can be defined as an inflammation lasting for more than 6 weeks and involving one or more of the three nail folds (one proximal and two lateral). Surgical management is only indicated in cases of chronic paronychia, which…
Surgical Skills
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 is attached to one side and passed through the incision to be attached on the opposite side, in a sequence that resembles a zigzag from…
Surgical Skills
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 appropriate size or IV set tube with side holes is placed through the skin incision site to the desired site. 3. The tube is fixed…
Surgical Skills
Anteromedial Ankle Hematoma Block
Mechanism of action of Hematoma Block Indications of Anteromedial Portal Injection Landmarks Technique
Surgical Skills
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 will have an amputation where there is more tissue on the radial and ulnar margins of an amputation and exposed distal phalanx. Limitations Generally, the…
Surgical Skills
Aberdeen Knot
To end continuous suture, either a square knot, surgeon’s knot or an Aberdeen knot is required. The Aberdeen knot has been shown to be superior to a surgeon’s knot. Recommendations on number of throws: Technique/Steps: