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Medial cortex of the femoral neck apparently intact.
Following this, the medial cortex of the tibia is osteotomised, under the protection of the elevator.
A radiograph of the left shoulder reveals mild scalloping at the medial cortex of the proximal humeral metaphysis (arrow).
The epiphyseal tubercle was present in one slice in every specimen and the fractures tended to originate laterally to the epiphyseal tubercle and extend through the medial cortex of the femoral neck.
Meticulous insertion and application of the transfixing wires with just few millimeters of protrusion from the medial cortex of the proximal femur is recommended and can be assured through the use of an image intensifier.
It should be noted that the medial cortex of the distal femur in general is weaker and the hinge point of the osteotomy will fracture more often as compared to the lateral cortex hinge point in a medial closing-wedge osteotomy.
Similar(38)
Coronal a and axial b non-enhanced CT images show cortical thickening with reactive sclerosis (arrow) involving the postero-medial cortex of the femur, surrounding a low-attenuation nidus with central mineralization.
Screws were inserted until their rear end was at the level of the entrance of the tunnel (at the antero-medial cortex of the tibial shaft), a 1 mm nitinol guide wire was passed among the tendon bundles for this purpose.
It may take several minutes to enable plastic deformation of the medial cortex to close the osteotomy gap.
Inherent bone stability and bone contact, especially of the medial cortex, are of utmost importance for fixation stability that enables the patient to weight bear early.
Due to the compressive forces applied in the vertically loaded specimens, the tubercle compresses the medial wall of the socket, resulting in a fracture of the metaphysis through the medial cortex instead of dislodging the tubercle from the socket.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com