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dc.contributor.advisorMaurer, Marilyn A. (Lyn), 1945-
dc.contributor.authorDube, Matthew
dc.description44 p.en_US
dc.description.abstractThe knee appears to be an insecure joint between the two longest bones in the body, it is subject to much leverage; articular surfaces are poorly confruent and range of motion is limited. Nevertheless, the powerful ligaments and strong muscles concerned make it one of the strongest joints. Many muscles have direct attachments to the fibrous capsule. Traumatic dislocation is rare. Injuries of a meniscus are, however, common, resulting in twisting strains applied to the knee when slightly or fully turned. Damage may be a complete tear across the full width, a partial split extending from the free border or a longitudinal tear within the cartilage; Occasionally its periphery is detached from the capsule.(Williams 533) Injuries to cruciate ligaments are also common, ranging from strain to rupture. The anterior is more commonly affected. Damage to the posterior collateral ligament is less common, since excessive strain is likely only in full extension.(Williams 533) The patella, commonly referred to as the "knee cap", and its tendon transmit power from the quadriceps to the lower leg. Normally, as the knee bends, the patella slides smoothly along a groove in the femur. However, under certain conditions the patella may experience forces which push it against the sides of the groove, causing pain. Additionally, inflammation and roughening of the smooth underside of the patella may occur. Collectively, this process is referred to as patellofemoral syndrome.(Wheeless 198) Throughout the development of medicine, several surgical techniques have been developed in order to preserve proper function for such a complex joint. In 1835, Fogn Rhea Barton of Philadelphia introduced the concept of osteotomy, removing a supracondylar wedge from the femur to correct a severe flexion ankylosis of the knee. Without the benefits of anesthesia, antibiotics, or internal fixation, the five minute procedure was nevertheless successful. The subsequent evolution of antiseptic and anesthetic techniques has made surgical treatment safer. The development of fixation devices, combined with advances in metallurgy and an understanding of biomechanics, has made osteotomy the treatment of choice for many congenital and acquired deformities. A successful outcome depends on careful planning and execution of the procedure.(Chapman 783}en_US
dc.publisherKalamazoo, Mich. : Kalamazoo College.en_US
dc.relation.ispartofKalamazoo College Physical Education Senior Individualized Projects Collection
dc.relation.ispartofseriesSenior Individualized Projects. Physical Education.;
dc.rightsU.S. copyright laws protect this material. Commercial use or distribution of this material is not permitted without prior written permission of the copyright holder. All rights reserved.
dc.titleOsteotomy: A Case Study in Orthopedic Medicineen_US
KCollege.Access.ContactIf you are not a current Kalamazoo College student, faculty, or staff member, email to request access to this thesis.

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  • Physical Education Senior Individualized Projects [220]
    This collection includes Senior Individualized Projects (SIP's) completed in the Physical Education Department. Abstracts are generally available to the public, but PDF files are available only to current Kalamazoo College students, faculty, and staff.

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