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This sqadia.com medical video lecture is the extensive elaboration of the orthopaedic surgery. Our medical specialist, Dr Hammad Haider has primarily talked about the preparation steps which are followed by the surgeries. Additionally, intraoperative radiography, bloodless field along with a range of thrombotic events have been discussed. In the end, a technique employed for leg length equalization has been delineated in detail.
This section elaborates preparation of any operation. Every orthopaedic surgery follows a preparation strategy. The prime step in preparation is the careful planning of operations. Various techniques employed include X rays, ultrasound, MRI or CT scan. Planning also involves the strategy to opt for any strategy which can either be corrective osteotomies, implant positioning, 3D models alongside rehearsing for the surgery. Additionally, a range of equipment have also been discussed. These include operations like drills, osteotomes, gouges, screwdrivers etc.
The prime focus of section two is on the intraoperative radiography. Fracture reduction, osteotomy alignments, fluoroscopy along with implants positioning has been discussed. It also involves radiograph cassettes and imaging guiding systems. Furthermore, light has also been shed upon robotically assisted surgery. In the end, Dr Hammad has discussed about the radiation exposure as well.
The Bloodless Field
The bloodless flied has been expansively delineated in this section. In the beginning, wide awake local anaesthetic no tourniquet (WALANT) has been talked about. Subsequently, tourniquet cuff and exsanguination has been conversed about. Towards the end, the educator has elucidated about the complications associated with the usage of tourniquet along with the measures to reduce the risks of developing any infection.
Thromboprophylaxis has been focused upon in this section. Dr Hammad has shed light upon venous thromboembolism (VTE), its pathophysiology in addition to an elaboration of deep venous thrombosis (DVT). Another medical condition entitled as pulmonary embolism (PE) and its diagnosis has been discussed about. Additionally, post-thrombotic syndrome has also been explained. Conclusively, the risk of development of venous thromboembolism and measures employed for prevention of these thrombotic events has also been discussed.
Leg Length Equalization
This section emphasizes upon the leg length equalization. Various techniques for correcting leg length have been elaborated. Primarily, leg length difference and operations on the longer leg has been comprehensively expounded. Physeal arrest, bone shortening and lengthening the shorter leg has been deliberated. In the end, Dr Hammad has shed light upon the operations to increase stature.