My Orthopedic Surgery

Orthopaedic Trauma Association Core Curriculum Presentation Course. Powerpoint Presentation made by well known authorities in the area and hosted by the OTA. You may use and edit these presentations for educational purposes provided you give credit to the original author and the OTA

OTA paper 1998
To determine if intramedullary reaming causes temperature elevation in cortical bone of sufficient magnitude to cause thermal necrosis. Secondly to determine if intermittent IM irrigation or the use of sharp reamers will reduce this temperature elevation.
linical Application: Whenever possible, sharp reamers should be employed. In patients who require large amounts of cortical bone to be reamed, irrigation between reamer passages may provide an inexpensive, simple method to minimize the risk of thermal necrosis.

AO pioneer Martin Allgower gives an illustrated lecture on the development of modern concepts of fracture fixation. Needs RealPlayer media plugin
Archive Copy

OTA Abstract 1998
The purpose of this investigation was to compare the effects of unreamed nail insertion and limited or standard canal reaming, prior to insertion of an intramedullary nail, on cortical bone porosity and new bone formation.
Conclusions: The technique of limited reaming may be advantageous for the treatment of tibial fractures with a compromised circulation when stabilization with an intramedullary nail is being considered.

PDF file of JBJS Review article by Stephan Perren JBJS Br 2002: 84-B 1093 Excellent review of the scientific basis of biological internal fixation; choosing a new balance between stability and biology

Objectives: We investigated the frequency and distribution of childhood fractures seen at the emergency service of Tepecik Education and Research Hospital, Izmir, Turkey
Conclusion: In our area, child fractures generally result from falls in summer and spring months and at play hours and are generally treated with conservative methods. Distal radius fractures are the most frequent.
Önder KALENDERER, Tanzer GÜRCÜ, Ali RE‹SO⁄LU, Haluk A⁄Ufi Acta Orthop Traumatol Turc 2006;40(5):384-387 (full text in Turkish)

Traction produces a reduction through the surrounding soft parts which align the fragments by their tension. When the shaft of a long bone is fractured the elastic retraction of muscles surrounding the bone tends to produce over-riding of the fragments. This tendency is greater when the muscles are powerful and long bellied as in the thigh, when the fracture is imperfectly immobilised so that there is pain and therefore muscle spam and when the fracture is mechanically unstable because the fragments are not in apposition or because the fracture line is oblique.

Wheeless' Textbook of Orthopaedics. Links to a complete list of fractures.
Acetabular Fracture Ankle Fractures Barton's Fracture: Dorsal Barton's Fracture Volar Barton's Fracture Bennet's Fracture Both Bone Forearm Frx Boxer's Fracture Burst Fractures (of spine) Calcaneus, Fracture Capitulum Fractures Chauffeur's Fracture Chance Fracture Clavicle Fracture Colles Fracture Compression Fracture (Spinal) Condylar Fractures (of elbow) Coronoid Process Fracture Cuboid Fracture Den's Fracture Distal Radius Fracture: Distal Femoral Physeal Fractures Epiphyseal Fractures Essex Lopresti Fracture: Extension Teardrop Fracture of C2 Femoral Head Fractures Femoral Neck Fractures Femoral Shaft Fracture (Menu) Flexion Tear Drop Fracture Foot Fractures Galeazzi's Fracture Greater Tuberosity Fracture Greenstick Fracture Hangman's Fracture Hamate Fracture Hip Fracture Hip Fracture Dislocation Humeral Physeal Injuries Humeral Fractures (menu) Intercondylar Eminence Fracture Intertrochanteric Fractures Jefferson Fracture Jones Fracture Lateral Condyle Fracture, Pediatric Lateral Talar Process Fracture: Lisfranc's Fracture Maisonneuve Fracture Mallet Fracture Malgaigne Fracture Medial Epicondyle Fracture of the Humerus Metacarpal Fracture / Dislocation Monteggia's Fracture Navicular Odontoid Fracture Olecranon Fractures Patellar Fracture: Pathologic Fracture: Differential diagnosis Pelvic Fracture Phalangeal Fractures Plafond Fractures - Tibia Posterior Process Talus Fracture: Proximal Humeral Fracture Radius Fracture Rolando's Fracture Sacral Fractures Scaphoid Fracture Scapular Fractures Sesamoid Bones of the Foot: Smith's Fracture Spine: T/L/S Fractures Spinous Process Fracture Stress Fractures Subtrochanteric Fracture Supracondylar Femoral Fractures (adult) Supracondylar Femoral Fractures (children) Supracondylar Humeral Fractures (adult) Supracondylar Fracture of Humerus (pediatric) Syndesmotic Injury Talus Fracture Thumb Fractures Tibial Fracture Tibial Plafond Fractures Tibial Plateau Fractures Tibial Tubercle Fracture: Tillaux Fracture Trimalleolar Fracture Triplane Fracture Torus Fracture Fracture of the Lesser and Greater Trochanter: Ulnar Shaft Fracture Ulnar Styloid Process Fracture