Category Archives: Orthopedic Trauma

Orthopedic Trauma, Print Release

PUBLISHED: Open Reduction and Internal Fixation of a Trimalleolar Ankle Fracture

Open Reduction and Internal Fixation of a Trimalleolar Ankle Fracture
Michael J. Weaver, MD
Brigham and Women’s Hospital

The goal of ankle fracture management is to restore a stable and congruent joint. Operative management is recommended for most displaced fractures, fractures with dislocations, and open fractures.

This video article walks through the surgical management of a 23-year-old male who sustained a trimalleolar ankle fracture with concomitant dislocation and syndesmotic injury following a motor vehicle collision. Dr. Weaver discusses the surgical landmarks and approaches to the ankle, the methods of fixing the malleoli and the syndesmosis, and common concerns that arise during the surgical management of ankle fractures.

Hand Surgery, Orthopedic Trauma, Orthopedics, Print Release

PUBLISHED: Flexor Tendon Repair for a Zone 2 FDP Tendon Laceration

 

Flexor Tendon Repair for a Zone 2 FDP Tendon Laceration

Asif M. Ilyas, MD, FACS
Rothman Institute at Thomas Jefferson University

Chaim Miller
Sidney Kimmel Medical College at Thomas Jefferson University

In this case, Dr. Asif Ilyas at the Rothman Institute presents a zone 2 flexor tendon repair with a 4-0 Ethibond suture with a modified Kessler stitch that resulted in an 8-core strand repair. The procedure was done under wide awake local anesthesia no tourniquet (WALANT) protocol, which among other strengths allows the surgeon to test the repair and set postrehabilitation expectations for the patient.

 

Announcement, Content, Orthopedic Trauma, Orthopedics, Print Release

PUBLISHED: Less Invasive Stabilization System (LISS) for Distal Femur Fracture Repair

Less Invasive Stabilization System (LISS) for Distal Femur Fracture Repair
Brigham and Women’s Hospital

Michael J. Weaver, MD
Associate Orthopaedic Surgeon, Brigham and Women’s Hospital
Assistant Professor of Orthopedic Surgery, Harvard Medical School
Brigham and Women’s Hospital

The patient in this case is an 81-year-old male with dementia who sustained an unwitnessed fall that resulted in a displaced intra-articular distal femur fracture. Here, Dr. Weaver at Brigham and Women’s Hospital repairs the fracture by performing an open reduction and internal fixation with a LISS plate. An anterolateral approach was used to visualize the joint surface and obtain an anatomic reduction of the articular surface, and a percutaneously-placed lateral lock plate was used to bridge the area of comminution while restoring length, alignment, and rotation to hopefully allow for biologic fixation that permits the bone to heal well.

General Surgery, Orthopedic Trauma, Orthopedics, Preprint Release, Trauma

PREPRINT RELEASE: Ankle-Brachial Index, CT Angiography, and Proximal Tibial Traction for GSW Femoral Fracture

Ankle-Brachial Index, CT Angiography, and Proximal Tibial Traction for GSW Femoral Fracture
UChicago Medicine

Jack Kent, MD
Resident Physician
General Surgery

James Jeffries, MD
Resident Physician
Radiology

Andrew Straszewski, MD
Resident Physician
Orthopaedics

Kenneth Wilson, MD, FACS
Associate Professor of Surgery

In another trauma case with UChicago Medicine, Drs. Kent, Jeffries, Straszewski, and Wilson evaluate and treat a patient with a gunshot wound and femoral fracture. An ABI was obtained, CT angiography was evaluated, and proximal tibial traction was performed for pain management.

Orthopedic Trauma, Preprint Release

PREPRINT RELEASE: Closed Cephalomedullary Nailing of a Diaphyseal Femur Fracture on a Fracture Table

Leave a comment

0121-feature-imageClosed Cephalomedullary Nailing of a Diaphyseal Femur Fracture on a Fracture Table
Michael J. Weaver MD
Clinical Instructor, Harvard Medical School Dept. of Orthopaedic Surgery, Brigham and Women’s Hospital

Dr. Weaver treats a periprosthetic femur fracture with the patient positioned supine on a fracture table using a cephalomedullary nail. The fracture table provides adequate traction to assist in reduction of the fracture.
Orthopedic Trauma, Orthopedics, Preprint Release

PREPRINT RELEASE: Open Reduction and Internal Fixation of a Diaphyseal Humeral Fracture

Leave a comment

feature photoOpen Reduction and Internal Fixation of a Diaphyseal Humeral Fracture
Michael Weaver MD
Clinical Instructor, Harvard Medical School Dept. of Orthopaedic Surgery, Brigham and Women’s Hospital

Dr. Weaver treats a periprosthetic humeral spiral fracture using contoured plating. The posterolateral approach helps prevent dissection of the triceps for adequate exposure of the fracture.
Announcement, JoMI in Surgical Education, Orthopedic Trauma, Orthopedics

JoMI used in Haiti for Surgical Education (HAAOT 2015, Port-au-Prince, Haiti)

Leave a comment

conf picJoMI’s surgical videos took a trip to Haiti. The Haitian Annual Assembly of Orthopaedic Trauma (HAAOT) is a three-day program held annually in Port-au-Prince and is the only organized orthopaedic continuing medical education course in the country.

Continue reading JoMI used in Haiti for Surgical Education (HAAOT 2015, Port-au-Prince, Haiti) →