Shepard Splain, DO - PowerPoint PPT Presentation

1 / 38
About This Presentation
Title:

Shepard Splain, DO

Description:

Shepard Splain, DO. Chairman, Orthopaedic Surgery ... PALPATION. Joint Specific tests. VARUS. VALGUS. LACHMAN'S. POSTERIOR DRAWER. QUADRICEPS ACTIVE TEST ... – PowerPoint PPT presentation

Number of Views:126
Avg rating:3.0/5.0
Slides: 39
Provided by: michaelas5
Category:

less

Transcript and Presenter's Notes

Title: Shepard Splain, DO


1
Surgical Management of Knee Pain
  • Shepard Splain, DO
  • Chairman, Orthopaedic Surgery
  • Brookdale University Hospital
  • and Medical Center

2
NEVER
3
MUST HAVE A DIAGNOSIS
4
HISTORY
  • ACUTE EVENT
  • INSIDIOUS ONSET

5
  • Physical Examination
  • INSPECTION
  • PALPATION
  • Joint Specific tests
  • VARUS
  • VALGUS
  • LACHMANS
  • POSTERIOR DRAWER
  • QUADRICEPS ACTIVE TEST

6
Varus Stress
7
Pivot Shift
8
Lachmans Test
9
Radiology
  • Xray
  • MRI

10
(No Transcript)
11
(No Transcript)
12
(No Transcript)
13
(No Transcript)
14
  • AGE AFFECTS OUR THOUGHT PROCESS

15
  • ADOLESCENT
  • Osteochondral Defect
  • IN SITU
  • DETACHED HINGED
  • FREE

16
(No Transcript)
17
Discoid Meniscus
  • TYPES
  • SYMPTOMS
  • MRI
  • ARTHROSCOPIC TREATMENT
  • RESHAPING

18
(No Transcript)
19
(No Transcript)
20
OSGOOD SCHLATTERS
  • PATHOPHYSIOLOGY
  • TREATMENT

21
(No Transcript)
22
  • PROGRESSING TO TIBIAL TUBERCLE AVULSION

23
TIBIAL SPINE AVULSION
  • Mechanism

24
  • PROGNOSIS IS NOT ALWAYS FAVORABLE!

25
Adult Problems
  • TRAUMATIC
  • FRACTURES
  • SUPRACONDYLAR FEMUR FRACTURES
  • PATELLA FRACTURE
  • TIBIAL PLATEAU
  • NONFRACTURE
  • LIGAMENTOUS INJURY
  • MENISCAL

26
Adult problems
  • DEGENERATIVE
  • PALLIATIVE
  • ARTHROSCOPY
  • DEFINITIVE
  • Total Knee Arthroplasty

27
(No Transcript)
28
Adult Problems
  • INFLAMMATORY
  • Collagen vascular disease--palliative treatment
    ie. synovectomy
  • Infectious arthritis
  • wbc's in knee aspirate gt 50,000
  • organisms on gram stain
  • ESR, CRP
  • Drain except in low virulence organisms or GC

29
CUTTING EDGE SURGERY
  • UNICOMPARTMENTAL KNEE REPLACEMENT
  • MENISCAL TRANSPLANT
  • CARTILAGE REGENERATION PROCEDURES
  • MOSIACPLASTY
  • MICROFRACTURE
  • CARTILAGE TRANSPLANT

30
Indications for UKR
  • Age (gt60 years)
  • Weight (lt82kg)
  • Level of activity
  • Pain
  • Range of motion
  • Angular deformity (lt15º)
  • Acceptable intraoperative findings
  • Kozinn SC, Scott RD. Unicondylar knee
    arthroplasty. JBJS 71145, 1989.
  • Thornhill, Scott. Surgical reconstruction of the
    Arthritic knee II. Clin Orthop 202. April 1989.

31
(No Transcript)
32
Chondrocyte TransplantLars Peterson
33
Osteochondral AllograftsAllan Gross-Toronto
34
Shell Allografts
35
Periosteal GraftsShawn ODriscoll
36
Abrasion ArthroplastyJohnson 1981
37
Microfracture/DrillingSteadman/Pridie
38
Thank you
Write a Comment
User Comments (0)
About PowerShow.com