By J. Francis Silva M.D., F.R.C.S., F.R.A.C.S., F.A.C.S. (auth.), Robert M. Hall (eds.)
Air device surgical procedure, quantity 2: Orthopedics has been compiled to help within the se lection and use of air tools in orthopedic surgical ideas. In each one example it makes an attempt to illustrate the vintage method, leaving it to the person health care provider to boost extra his services and ingenuity with air-driven tools. attainable functions and variations are as limitless because the surgeon's ability and mind's eye. distinctive illustrations and textual content deal with using every one air device in numerous proce dures, however the surgical program is given just for that element of every one process within which handbook operation should be advantageously changed via air instru ments. This publication, consequently, doesn't depict entire surgeries, nor does it contain all of the methods in orthopedic surgical procedure for which air tools at the moment are hired. Use of air-driven tools doesn't suggest any swap in uncomplicated surgical suggestions. It does improve the surgeon's dexterity, raise his velocity and, in a few occasions, makes a surgical strategy attainable for the 1st time. A technical consultant has been wanted because air tools have been brought. Air In strument surgical procedure, quantity 2: Orthopedics is the second one ebook to fill that want. Its functionality is to elucidate difficulties and problems and to indicate suggestions by way of air device surgical procedure. it's also meant to take away any apprehension concerning the use of air tools. to make sure this, the technical techniques are supplemented with specific directions for assembling, utilizing and keeping the instruments.
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Replace washer and nut. Press thumb over wrench and nut and tighten firmly. 4. Use additional throttle extension and run at full speed. 35 UPPER EXTREMITY SURGERY Section I Total Prosthetic Replacement of the Elbow (continued) 5. Following the incision, expose the triceps expansion and its tendon of insertion. Detach, together with a fragment of the olecranon from the ulna, with the Milller saw or osteotome. Mobilize the entire muscle upward from the inter-muscular septa and the posterior surface of the lower end of humerus.
37 Section I UPPER EXTREMITY SURGERY Total Prosthetic Replacement of the Elbow (continued) 7. To prepare the intramedullary canals of both bones utilize a straight reamer and the reaming drive. The speed of the motor can be controlled at the speed selector ring or the throttle. 38 Total Prosthetic Replacement of the Elbow 8. Insert the components of the prosthesis* and preferably fix with bone cement in the intramedullary canals of the respective bones. * Available from the Howmedica Corporation, Rutherford, New Jersey/USA.
Olecranon Fos a ---\tLf;7:~~;:---A(fJ~ / 43 Section I UPPER EXTREMITY SURGERY Elbow Arthrodesis ( continued) 6. With the 06 carbide-tip side-cutting bur prepare a slot within the olecranon and lower posterior aspect of the humerus. ,/,'~H-,~ Olecranon 44 Elbow Arthrodesis 7. Complete the slot in the ulna with the same bur. 8. Remove a graft from the ilium with the 90° angle and 12 short steel bur. Shape the graft with the 07 steel bur. 45 Section I UPPER EXTREMITY SURGERY Elbow Arthrodesis ( continued) 9.