Data Trace Editor – Discussion: – in sharp clean wounds primary repair is indicated; – by definition primary repair is performed within 7 days of injury; – age of the patient is single most critical factor in sensory recovery after nerve repair, & results are adversely affected by associated … Read more
– See: Knee Joint Menu – Patient Positioning and Preparation: – positioning: – opposite limb is well padded to prevent potential pressure problems; – operative thigh is placed against an arthroscopy post or is placed in a circular thigh immobilizer; … Read more
– Discussion: – telescoping tibial alignment device has proximal platform that conforms to the curved shape of the anterior cortex of the tibia; – this allows the cutting platform to fit snugly up against the tibial cortex and improve the accuracy of the resection; – cylinder of stylus assembly is inserted into its receptable on … Read more
– Discussion: – this is the earliest clinical manifestation of the syndrome; – most common symptom, seen in 50% of cases, is sudden pain in groin; – this may be progressive, & be associated with radiation to thigh, which is often worse at night; – exam of hip … Read more
– Surgical Considerations for Specific Diseases and Conditions: – Medical Assesment: – surgical risk assessment – risk factors for infection: are taken into consideration; – anesthesia consult and posting – anesthesia, medical consderations, and timing for … Read more
– See: TKR Menu – Checklist: – surgical risk assessment – preop cardiology, dental, GI, and urological consults – risk factors for infection: are taken into consideration; – tranexamic acid – anesthesia consult and posting – Pulmonary embolism prophylaxis in more than 30,000 total knee arthroplasty patients: is there a best choice? – autologous blood / … Read more
– See: Radiology of the Hip: – Discussion: – obtain view w/ 15 deg of internal rotation; – draw a line at level of, & parallel to, ischial tuberosities and intersecting the lesser trochanter on each side; – compare 2 points of intersection & measure difference to determine the amount of … Read more
– Radiographs – History: – note that age, smoking history, and diabetes are all risk factors for skin slough; – Exam: – compartment syndrome – deep central compartment is involved most often in calcaneal frx; – reference: … Read more
– See: Position of Subtalar Fusion – Discussion: – knee deformities should be corrected prior to any forefoot fusions; – varus hindfoot may have compensatory forefoot valgus w/ plantarflexed 1st ray; – look for cavus type deformity – hammer toes may also be present; … Read more
– Discussion: – risk factors for total joint infections – diabetic – sugar – control: (for prevention of infection) – preoperative blood glucose should be less than 125 and postoperative glucose should be less than 200; – ref: Preoperative hyperglycemia predicts infected total knee replacement. – pre-operative anemia: … Read more