Data Trace Editor – See: – Subtrochanteric Fractures – Discussion: – failure of nail to fill IM canal of either the proximal or distal fragment, may lead to postoperative instability; – tend to migrate into a varus deformity – requires abduction and traction for reduction; – tends to have an accentuated anterior bow; – internal rotation tends to … Read more
for endogenous depression; tricyclic antidepressant; Adult: 5-10mg PO tid/qid; Monitor elderly patients for cardiovascular side effects; anticholinergic effects
– See: Proximal Humeral Physeal Injuries – Discussion: – classification of proximal humeral fractures: – anatomic neck fracture: – one part fracture – two part fractures – two part surgical neck fracture – two part tuberosity fractures: – lesser tuberosity frx; – greater tuberosity frx; – three part fractures – four part fracture: – fracture … Read more
Prosthetic grafts in vascular trauma: a controversy. Five-year experience with PTFE grafts in vascular wounds. Polytetrafluoroethylene grafts in the rapid reconstruction of acute contaminated peripheral vascular injuries.
– See: Technique of Free Tendon Grafting – Discussion: – prosthetic graft serves as temporary spacer around which a pseudotendon sheath forms, & provides a healthy bed in which to place tendon autograft; – pulleys can be reconstructed at time of insertion of prosthesis – … Read more
– Discussion: – Reversal of Heparin effect; binds heparin within 5min of IV infusions (give slowly as 2mg/ml solution in saline); – Monitor PTT for effects; – Protamine sulfate itself has anticoagulant properties, hence judge needed amount conservatively; – Precautions: – hypotension may result from rapid infusion; – watch for anaphylactoid like reactions; – Dose: … Read more
– Discussion: – protein polysaccharides account for approx 4.4% of organic components of bone and may be defined as compounds of carbohydrate and protein in which carbohydrate is a polysaccharide attached to a protein by covalent bonds; – principle polysaccharide (mucopolysaccharide) of bone is chondroitin-4-sulfate (chondroitin sulfate A); – … Read more
Darvon Pulled From Market by F.D.A. Propoxyphene – Mongabay.com
Discussion: – see anaerobic joint infections – slow growing, typically aerotolerant anaerobic gram positive bacterium; – found in skin pores and the gut. – may colonize the axilla (esp in males) – positive cultures may be seen patients having revision shoulder arthroplasty performed for pain, stiffness, and component loosening – … Read more
– See: Foot Selection for AKA Prosthesis: – Discussion: – excessive heel softness: causes knee hyper-extension; – excessive heel stiffness: knee tends to hyper-flex at heel strike; – Types of Prosthetic Feet: – SACH foot: – single axis foot: – used since … Read more