medical media

the 4 step method is a quick and simple method of teaching medical students and junior residents how to perform a basic running subcuticular suture.
Step 1: Eversion of skin using the Adson Forceps. Step 2:Introduction of Needle at a 90-degree angle at the dermal-epidermal junction with pronation of the wrist for a deep horizontal bite Step 3 : stabilization of needle with Adson forceps.Note that the forceps do not touch the needle tip. Step 4 :Replacement of the needle in the needle holder using Adson forceps ,in preparation for the next throw.The NexGen Lcck is intended for patient who , in the surgeons judgment require additional prosthetic stabilization due to inadequate mediolateral antroposterior and varus / valgus ligament function and require augmentation and stem extention due to inadequate bone stock.
for patient who lack functional collateral ligament or whose knees cannot be stabilized by the usual tissue release.

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