Case file: Rheumatoid arthritis 65 year old female Unstable ankle Plano valgus with foot cavus Difficult walking Techniques and methods taught in this HD video 1, Progressive construct assembly. 2, All wire tibial frame 3, Dr Kir Pat’s Arched wires for calcaneus. 4, Use of threaded sockets for right angling threaded rods. 5, A proper compression for arthrodesis. 6, Use of an olive wire for lateral compression. 7, Use of lateral threaded rod for lateral pull. 8, 5 wires, four half ring assembly for circumferential compression of arthrodesis. 9, Classic pan-talar arthrodesis technique. A 2X speeded HD video is available for view below. Lower resolution face book video here These and more techniques for you at Stanley Ilizarov Workshop Chennai, 9th to 11th March 2018. Welcome to Chennai!!
Views: 1129 Dr L Prakash
Ankle Fusion Surgery Video. This video and other orthopaedic animations (in HD) are available for instant download licensing here: https://www.alilamedicalmedia.com/-/galleries/all-animations/bones-joints-and-muscles-videos Voice by: Sue Stern. ©Alila Medical Media. All rights reserved. Support us on Patreon and get FREE downloads and other great rewards: patreon.com/AlilaMedicalMedia All images/videos by Alila Medical Media are for information purposes ONLY and are NOT intended to replace professional medical advice, diagnosis or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition. Ankle arthrodesis, commonly known as “ankle fusion surgery”, is a reconstructive surgical procedure where the bones of a damaged ankle joint are fused into one single bone. This eliminates motion and reduces pain associated with movement of the joint. It is a highly successful procedure commonly suggested for repair of severely injured joints. During the procedure, the end of the fibula is cut to gain access to the joint. Damaged bones and cartilage are then removed. Screws, and possibly plates, are used to fix the tibia and talus together. With time, bone tissue grows fusing the joint into one solid mass of bone. Sometimes, bone graft may be added to facilitate bone growth. Bone graft is usually taken from some other bones of the same person. Screws and plates will remain inside the body after surgery. After the surgery, the up and down range of motion is mostly restricted, but lateral movement remains unchanged. The majority of people with ankle fusion do not limp. Compared to ankle joint replacement and other ankle procedures, ankle fusion has higher success rate, with less pain and less complication risk.
Views: 42370 Alila Medical Media
Movement After Ankle Fusion Visit http://www.davidgordonortho.co.uk/ for more information
Views: 76244 Mr. David Gordon - Consultant Foot & Ankle Surgeon
This video demonstrates a calcaneal cuboid fusion. It covers the incision, the desired outcome, the osteotomy and fixation. The demonstration is performed by Dr. Donald Bohay and John Anderson of Grand Rapids, MI. For more information, visit http://footankle.stryker.com/en/products/plating-platforms/variax2-foot
Views: 5878 Stryker
Biomechanic Reference: http://astore.amazon.com/nichogiovi-20 Popular Running Shoes: http://astore.amazon.com/nichogiovi-20?_encoding=UTF8&node=2 Dr. Glass DPM Podiatry Resource Network [email protected] www.drglass.org This video illustration depicts the ankle joint complex which includes the tibial talar and subtalar joint in human anatomy. Dr. Glass DPM - This is an illustration that depicts the cardinal plane movements of the lower extremity. This is a biomechanical demonstration of the functional orthopedic nature of podiatry
Views: 691664 DrGlassDPM
Dr. Kevin Lam speaking about a sticky subject that some podiatrists and orthopedic surgeons do not want you to know. Board certification by the American Board of Podiatric Surgery is the gold standard and recognized by the American Podiatric Medical Association. Podiatrists with the designation of Certified Reconstructive Rearfoot / Ankle Surgery has additional certification in Reconstructive Surgery. Previous certification of foot / ankle surgery is mundane and out of date. Those physicians were given the option to test for the new certification, many did and passed, more did not choose to take such due to lack of experience or cases. Why do you get opinions that varies between podiatrist, seemingly the same field? Only a minority of podiatrist are board certified to do reconstructive rearfoot and ankle surgery only 950 in 2014 in the whole US of A. Only a small fraction of orthopedic surgeons are specialty trained in foot and ankle surgery. One guarantee for sure, FFLC does the most reconstructive foot / ankle cases in Collier County.
Views: 63279 Dr. Kevin Lam, DPM: Family Foot and Leg Center, PA
The video with this technique is published on www.ankleplatform.com. Ankle Platform is for Orthopedic Surgeons with special interest in Ankle and Hindfoot. The aim is to share knowledge, operative techniques, tips & tricks and pitfalls & pearls. All information has “free access”. Orthopedic surgeons can also submit their problem cases for an expert opinion. Anterior Ankle Arthroscopy - left ankle.
Views: 233 Ankleplatform
Valmassey's Textbook Clinical Biomechanics of the Lower Extremities is a great reference. I suggest it http://amzn.to/LuvjO2 Biomecanical Reference: http://astore.amazon.com/nichogiovi-20 Popular Running Shoes: http://astore.amazon.com/nichogiovi-20?_encoding=UTF8&node=2 This illustration focuses on the Subtalar Joint of the foot. The narration is as follows: In human anatomy, the subtalar joint is also known as the Talocalcaneal joint, in the foot. This articulation is between the talus and the calcaneus at the posterior, middle, and anterior facets and is capable of both pronation and supination, about a single axis model. This motion exists primarily as transverse and frontal plane motions, depicted in the series shown. In the medial and lateral viewpoints, this motion of pronation and supination will lower and raise the arch height of the foot, respectively. This will be accompanied by change in the talocalcaneal angle which increases and decreases, as well. As the medial column flattens, the talonavicular articulation will fault, with the talar head declining plantarly, splaying of the foot will also result in changes in overall length. Anterior and Posterior views will demonstrate an internal and external rotation of the leg, which translates in frontal plane inversion and eversion of the heel respectively. This subtalar pronation, unlocks the midtarsal joint and in return, creates a mobile and adaptable posture to the foot architecture. There will also be a notable widening and narrowing of the foot shape, visible in the dorsal and plantar viewpoints of this simulation. Here, the Talocalcaneal angle will also demonstrate widening in pronation, while the talar head escapes its articulation with the navicular. The subtalar joint is the primary interface of pronatory and supinatory motions of the foot and leg. The human foot is a remarkable instrument of human locomotion, and is an intriguing accomplishment of engineering. © 2012 DrGlass.org Narrator: Caroline Murphy Illustrations: Nicholas Giovinco & Kevin Kirby Producer: Nicholas Giovinco
Views: 128374 DrGlassDPM
Presented by: Mary Lloyd Ireland Professor Dept. of Orthopaedic Surgery and Sports Medicine University of Kentucky Lexington KY www.marylloydireland.com 0:00 Introduction 0:04 Turf Toe: Football Athlete 0:44 Heel Pain Adolescent male •Rheumatoid condition •Ankylosing spondylitis •Reiter’s syndrome •Enthesistis Related Arthritis Infection •Sever’s disease (usually younger males, peaking at age 8) •Stress fracture •Conditions / tumors •Osteoid osteoma 1:58 YO White Male •Right midfoot pain for 1 month •No specific injury •Baseball athlete •Rapid growth phase PE: •Tenderness over medial arch and midfoot •Stable normal ankle exam •Tenderness over posterior tibialis tendon 2:41 13 YO White MaleWorkup: •Plain xrays – negative •MRI scan – medial cuneiform stress fracture Treatment •Boot •Nonweightbearing 4 weeks •Full weightbearing 4 weeks •Improved •Cleared for return to baseball 3:14 Films in early summer 2009 4:32 Followup 8 months later •Developed recurrent medial foot pain and swelling PE: •Mild ankle effusion, stable •Swelling and pain over posterior tibialis tendon Workup: •Plain films •MRI scan 4:56 RIGHT FOOT 5:17 RIGHT ANKLE 5:39 MRI Scan •Bone edema •Medial mallelous •medial and intermediate cuneiform •Posterior tibialis tenosynovitis •Ganglion cyst, talonavicular joint •Tibiotalar effusion 6:17 Foot and Ankle Consult Recommended •Open exploration Surgery performed •Tenosynovectomy, posterior tibialis tendon •Biopsy Laboratory work: •Rheumatoid profile, rheumatoid factor negative Followup •Used AFO brace •Returned to baseball 6 months later 7:07 1 Year Later •Developed uveitis •Pediatric ophthalmologist requested consult with pediatric rheumatologist Laboratory studies: •HLAB 27: positive •ANA: negative •Rheumatoid factor: negative 8:04 Diagnosis •Enthesistis Related Arthritis •HLAB 27 Positive •No clinical evidence of ankylosing spondylitis Treatment: •Medications: •Methotrexate, Naprosyn •Home Rehab program •Returned to baseball wearing AFO 9:29 15 YO Male •Right ankle •6 Months of Pain •Initial x-ray: 10:04 1 month followup 13:56 14 months post op 14:06 17 YO Male •Left ankle pain x3 weeks •Trying to get in shape, played more basketball than usual •Possible stress fracture of the medial malleolus 14:44 3 months after initial presentation 14:56 5 Months after initial presentation 15:41 7 months after initial presentation 16:01 Small Blue Cell Tumor •Ewing’s sarcoma vs. •Lymphoma 16:09 A good History and Physical is Key 16:53 Thank You
Views: 157 UKyOrtho
Jaw joint effusion describes the collection of fluid in the jaw joint. Having a joint effusion means that the joint interior accumulates joint fluid and/or blood. A joint effusion can be caused by anything from rheumatic conditions to mechanical injuries or bad posture. http://www.checkdent.com
Views: 5567 Checkdent
Dynamic axial 12-5 MHz US demonstrates accumulation of joint effusion into posterior glenohumeral recess during external rotation of the shoulder. Hum= humerus. Gle= glenoid. Glenohumeral joint effusions are more readily detected in the long head of the biceps brachii tendon sheath and the posterior glenohumeral recess. Detection of small effusions collected in the posterior glenohumeral recess is facilitated by the external rotation of the shoulder, which leads to an easier capsule distension. With larger effusions, fluid can be seen in neutral position or even internal rotation.
Views: 4444 ShoulderUS.com