Data Trace Editor 1) Reduction of Post Op Surgical Bleeding. Why is this important? Recent paper on hematoma formation after TKR concludes: “Patients who return to the operating room within thirty days after the index TKA for evacuation of a postoperative hematoma are at significantly increased risk for the development of deep infection and/or … Read more
– Discussion: – posterior splint for 10 days in maximum equinus to reduce tension on the incision; – cam walker w/ 15 deg of equinus (or gravity equinus), non wt bearing; – pts are permitted non wt bearing ankle ROM exercises out of the … Read more
Foot Ankle Int. 2006 Dec;27(12):1109-1114 Han SH, Lee JW, Lee DY, Kang ES ABSTRACT BACKGROUND: Subchondral cysts are a type of osteochondral defect of the talus and can be a source of chronic ankle pain. The treatment modality of this cystic lesion is similar to that of other osteochondral defects, but results from previous … Read more
– Discussion: – most indicated for unstable burst frx w/ cord impingement along w/dural tear and nerve root entrapment from frx of posterior elements; – most effective at the thoracolumbar junction and in the lumbar spine as more direct means of reducing the bony fragments; – procedure involves hemilaminectomy and … Read more
– Discussion: – arises from disruption of the lateral collateral and annular ligaments; – associated conditions: elbow dislocation, radial head excision, coronoid fracture; – diff dx: lateral epicondylitis – LCL anatomy: – lateral collateral ligament consists of a ligamentous expansion proceding down from lateral … Read more
Foot Ankle Int. 2003 Apr;24(4):368-371 Thomas RH, Daniels TR ABSTRACT BACKGROUND: For a 29-year-old man with a three-week-old Hawkins Type IV talar neck fracture, intra-operative reduction and fixation were not possible due to soft tissue contrac-tures and severe comminution. METHODS: A primary talonavicular and subtalar arthrodesis with the use of iliac crest … Read more
– Discussion: – proper head hight: – established by placing the articular surface of the prosthetic head at the midpoint of the glenoid – with trial prosthesis in place, apply gentle traction and ensure that the prosthetic head remained within the glenoid fossa; – tuberosity fixation: – prior to cement … Read more
Foot Ankle Int. 2009 Jul;30(7):579-596 Saltzman CL, Mann RA, Ahrens JE, Amendola A, Anderson RB, Berlet GC, Brodsky JW, Chou LB, Clanton TO, Deland JT, Deorio JK, Horton GA, Lee TH, Mann JA, Nunley JA, Thordarson DB, Walling AK, Wapner KL, Coughlin MJ ABSTRACT BACKGROUND: Mobile-bearing ankle replacements have become popular outside of the United … Read more
– Anatomy: – anterior compartment – lateral compartment – deep posterior compartment – superfical posterior – Anatomy: – position: either prone or on side, with the affected extremity uppermost; – incision: – incision is made just posterior to the … Read more
Foot Ankle Int. 1994 Jun;15(6):293-296 Dohm M, Purdy BA, Benjamin J ABSTRACT BACKGROUND: A review of 37 ankle arthrodesis procedures done over a 12-year period by multiple surgeons at a single institution was performed. METHODS: Six different techniques were used during the study period. RESULTS: The initial success rate, defined … Read more