Safe Surgical Dislocation

Description

This VTT transcript is an instructional guide for a surgical technique video presented by Ashok Gavaskar, focusing on safe surgical dislocation for femoral head fractures. The patient in the video is a 22-year-old male who suffered a femoral head fracture dislocation due to a motor vehicle accident, along with pelvic injuries. Following the injury, the patient underwent an initial reduction and CT imaging revealed a complex type II Pipkin injury.



The surgical procedure is meticulously outlined, starting with patient positioning and the necessary preparations for a safe dislocation. Key anatomical landmarks for incision are described, along with the need for a timeout to confirm the correct side for surgery. The technique includes a detailed step-by-step explanation of the surgical approach, encompassing skin incision, muscle identification, and dissection techniques to appropriately expose the femoral head.



Crucial steps such as identifying critical structures like the sciatic nerve, performing a trochanteric osteotomy, and the subsequent access to the femoral head are discussed thoroughly. The repair phase includes fracture reduction techniques using clamps and screws, ensuring appropriate fixation for both the femoral head fracture and the osteotomy site. Attention is placed on the need for assessing blood supply and ensuring stability.



Postoperative care recommendations are summarized, including restricted weight-bearing protocols and follow-up imaging to ensure proper healing of fractures and surgical sites. The VTT highlights the importance of each step and caution against potential complications, making it a valuable resource for orthopedic surgeons performing similar procedures.

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