Skip to main content

Choosing the option between fibula plate and nail



 Fibula is the secondary bone of our leg which connects knee to ankle along aside tibia as a secondary part . 

It usually  broke along aside tibia as an evidence of major accident 

There is two option to fix it . 

Firstly we are choosing  about fibula nail as a simple procedure . 

Surgeon needs only a pliers and nail after creating a port according to its position to fix it under the guidance of c arm . 

If Surgeon go for here need to open the fracture to fix plate on the area . And needs for clam k wire and other nessary things to fix the fracture.  

Why the options? 

Surgeon choose the options according to the fracture  , if the fracture line goes vertically ways or the both part of fibula resting perfectly and doesn't dislocated from its own  position  , surgeon goes for nail fixation.  

If the fracture is not showing properly in x ray and both end of the bone misplaced after the injury or fracture line  is going in a curved ways from upper end to other side lower end in a improper ways or reverse then we go for plate  . 

N. B  Many times it can be chosen by patient himself as better option . 


Comments

Popular posts from this blog

Patient Shifting from O.T to Post Operative Care ( Part 2)

  Standard of Practice II It is the responsibility of the HCWs to safely transport a patient to the preoperative holding area or operating room. Confirm IV lines, indwelling catheters, monitoring system lines and drains, and any other lines are secure and patent, and IV bag and collection containers are hanging away from the patient’s head..  Ensure head, arms and legs are protected, adequately padded, and patient is comfortable as possible.  . The patient should be transported feet first; rapid movements, particularly when going around a corner should be avoided. Rapid movements, especially if the patient has received preoperative medications, can cause the patient to become disoriented, dizzy, and nauseated, and induce vomiting .. The staff person moving the transportation device should be positioned at the patient’s head in order to look forward for potential hazards. This also allows immediate access to the patient’s airway in case of respiratory distress or vomiting...

the abdominal arota branches

  The abdominal aorta in a nutshell The abdominal aorta is a continuation of the descending thoracic aorta . It supplies all of the abdominal organs , and its terminal branches go on to supply the  pelvis and lower limbs . It also supplies the undersurface of the diaphragm and parts of the abdominal wall . It begins at T12 and ends at L4 , where it divides into the right and left common iliac arteries . It enters the abdomen through the aortic opening of the diaphragm , which is located beneath the median arcuate ligament between the crura of the diaphragm   at T12 . It is accompanied through the aortic opening by the azygos vein and the thoracic duct . It is located on th e posterior abdominal wall in the retroperitoneal space of the abdomen. It descends on the left of the inferior vena cava  (IVC) over the anterior surface of the bodies of the lumbar vertebrae and follows the curvature...

Dynamic Hip Screw or DHS ACCOURDING TO ORTHO SURGICAL ASSISTANT PERSPECTIVE

 AT FIRST WE NEED A SCRUB TROLLY , AND THEN WE COVER THE UPPER PART WITH STERILE RUBBER SHEET , THEN AGAIN WE WOULD LIKE TO COVER IT WITH STERILE SHEET PROPERLY ,  AFTER FIXING IT PROPERLY , BELOW MENTION INSTRUMENT  PROVIDED  INSTRUMENT DRAPPING PART  BOWL + SWAB HOLDING FORCEP  + GAUZE  FOR PROPER DISINFECTENT THE AREA  THEN STERILE RUBBER SHEET AND THEN STERILE NORMAL COTTON SHEET  FOR PROPER COVERING THE OTHER BODY PART RATHER THAN THE DRAPPING SITE ONE  SURGICAL PART  AT FIRST WE NEED USUALLY 4 NO BARD PARKER HANDLE AND 24 NO BLADE FOR INCISION AND THEN WE NEED A ARTERY FORCEP , A RETRACTOR AND ALSO A DIATHERMY TO COAGULATE THE ARTERY AND VEIN ONE OF THE PARTICULAR OPERATION SITE  AND THEN WE WOULD LIKE TO USE HOMANS FORCEP AND BONE LIVER TO EXPOSE THE BONE AND THEN WE TAKE THE C- ARM SHOT TO SEE THE POSITION OF THE FRACTURE SITE AND THE DISPLACED BONE WE WOULD LIKE TO USE A STAINMANN PIN TO RELOCATE THE FRACTURE SITE BONE...