Forearm Fractures and Instabilities-The Malunited Forearm-Planning and Surgical Pearls

Video Transcription

Video Summary

The video transcript is a lecture on preoperative planning and tackling complex cases in orthopedic surgery, specifically focusing on radial malunions and deformities of the forearm. The speaker mentions the work of Milch in 1953, who identified four basic defects: angulation around the longitudinal axis, linear collapse or telescoping, rotation around the longitudinal axis, and translation parallel to the longitudinal axis. The speaker emphasizes the importance of understanding the anatomical landmarks and the relationships between the ulna and radius. They discuss various imaging techniques, including plane radiographs and 3D reconstructed models, to aid in preoperative planning and decision-making. The speaker also highlights the use of 3D printing technology for creating cutting jigs and models. They explain the concept of the center of correction and discuss the advantages of using locking plates. The lecture concludes by emphasizing the importance of restoring the ulna's straightness, re-establishing proper radial bow, equalizing the length of the bones, correcting rotation, and using anatomically designed plates. The speaker also emphasizes the importance of regularly using a computed correction system and allowing the medullary cavity to communicate with the osteotomy site. The lecture recommends further reading and mentions related talks by other experts. No specific credits were mentioned.

Keywords

preoperative planning

radial malunions

forearm deformities

anatomical landmarks

3D printing technology