1lec Flashcards
OPERATIVE TREATMENT for orthopedic disorders
1- Synovectomy
2-Arthrodesis
3-Osteotomy
4-Arthroplasty
5-Bone grafting operations
6-Tendon transfer operations
7-Tendon grafting operations
8-Equalization of leg length
9-Biopsy
Position for arthrodesis for shoulder
30 degrees of abduction and flexion, with 40 degrees of
medial rotation.
Position for arthrodesis for elbow
one elbow is affected, 75 degrees of flexion from the
fully extended position
I’d both elbows are affected, one should be in flexion 10 (100) degrees above
the right angle and the other about 20 (70) degrees below the right angle.
Position for arthrodesis for forearm
10 degrees of pronation.
Position for arthrodesis for wrist
Extended 20 degrees. Metacarpophalangeal joints:
Flexed 35 degrees. Interphalangeal joints: Semiflexed
Position for arthrodesis for hip
15 degrees of flexion; . no abduction or
adduction
Position for arthrodesis for knee
About 20 degrees of flexion.
Position for arthrodesis for ankle
In men, right angle; in women, 15-25 degrees of
plantarflexion, according to accustomed height of heel.
Position for arthrodesis for metatarsophalangeal
joint of big toe: Slight extension,
depending upon the accustomed height of shoe heel.
Clinical Examination
Inspection
Palpation
Measurements
Movements
Stability
Power
Sensibility
Peripheral circulation
Reflexes
Test of function
Non-operative treatment for orthopedic disorders
Rest
Support
Physiotherapy
Local injections
Drugs
Treatment with physiotherapy by
Active exercises to
1) To mobilize joints
2) To strengthen muscles and
3) To improve coordination or balance
Passive joint movements To
to preserve full mobility when the patient is unable to move
the joint actively.
Electrical stimulation of muscles
To recovery of nerve function.
Electro physical agents.
Devices like: infra red
