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 software surgical procedure, quantity 2: Orthopedics has been compiled to assist within the se lection and use of air tools in orthopedic surgical strategies. In every one example it makes an attempt to illustrate the vintage method, leaving it to the person health professional to increase additional his services and ingenuity with air-driven tools. attainable purposes and variations are as limitless because the surgeon's ability and mind's eye. targeted illustrations and textual content deal with using every one air device in a variety of proce dures, however the surgical software is given just for that component of every one method within which guide operation will be advantageously changed by means of air instru ments. This booklet, as a result, doesn't depict whole surgeries, nor does it comprise all of the techniques 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 recommendations. It does improve the surgeon's dexterity, raise his pace and, in a few occasions, makes a surgical process attainable for the 1st time. A technical consultant has been wanted on the grounds that air tools have been brought. Air In strument surgical procedure, quantity 2: Orthopedics is the second one booklet to fill that desire. Its functionality is to explain difficulties and problems and to indicate ideas by way of air tool surgical procedure. it's also meant to take away any apprehension in regards to the use of air tools. to make sure this, the technical techniques are supplemented with precise directions for assembling, utilizing and retaining the instruments.
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Additional resources for Air Instrument Surgery: Vol. 2: Orthopedics
33 Section I UPPER EXTREMITY SURGERY Total Prosthetic Replacement of the Elbow* An indication for total elbow replacement is dislocation of long standing with permanent damage to the articular surfaces of the lower end of humerus and upper end of ulna. Other indications are fracture dislocations of the elbow resulting in gross destruction of the joint with loss of function , and long-standing cases of rheumatoid arthritis with destruction of the elbow joint. The Muller osteotomy saw is used to excise the olecranon and humerus.
The cannulated angle attachment is generally considered easier to handle in this type of surgical procedure. Air driver 50 90 ° 500 rpm reaming drive Intramedullary Fixation of a Radial Fracture To assemble the 90 reaming drive: 0 1. Seat the 90 0 attachment over the air driver. Engage hex drive. 2. Turn lock-ring clockwise to secure attachment. 3. Insert reamer or drill into Jacobs chuck. Tighten with key. 4. To control the speed, use the speed selector ring and variable speed at the throttle.
Apply a pressure dressing with plaster back slab for two weeks. 40 Elbow Arthrodesis Elbow Arthrodesis Before denuding any bone surface with the air drill the cartilage should be removed and periosteum elevated. Retract all soft tissue to eliminate entanglement with the burs. Two air drill attachments are used in this procedure to prepare the elbow joint and to remove a graft from the iliac crest. 07 steel bur Medium bur guard 06 carbide-tip bur Air drill 90 ° angle 12 short steel bur 41 Section I UPPER EXTREMITY SURGERY Elbow Arthrodesis ( continued) To assemble the 90° angle and short bur: 42 1.
Air Instrument Surgery: Vol. 2: Orthopedics by J. Francis Silva M.D., F.R.C.S., F.R.A.C.S., F.A.C.S. (auth.), Robert M. Hall (eds.)