Data Trace Editor – See – Hemilaminectomy and Decompression L3-4, L4-5 – Diskectomy: – diet: liquids as tolerated on the day of surgery, resume preoperative diet on the day following surgery; – pt may be up to void on the night of surgery (unless dura was opened) – patient may roll … Read more
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
– See: Rx of Hypo K – IV Potassium Infusion: – IV Rx is reverved for severe hypokalemia<-A> or for patients who cannot tolerate PO fmrms; – If the serum potassium is > 2.5 mEq/l and EKG changes are absent, potassium can be given at a rate of upto 10 mEq/hr and in concentrations of … 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
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
– 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
– 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