Ortho Oracle - orthopaedic operative atlas

Data Trace Editor

Neiserria Gonnorhea

– Discussion:     – most common form of septic arthritis in young adults;     – women are affected two to four times as often as men;             – disseminated infection may occur more frequently in women because gonorrhea in women is often asymptomatic, allowing                       for dissemination before symptoms … Read more

Neomycin Sulfate

– Neomycin alone and a mixture of Bacitracin and polymxin should be effective against all strains except proteus;   – Evidence shows that 0.5% Neomycin solution irrigation may not decrease  infection, however, gentle scrubbing with this solution will dramatically decrease infections; (0.1% concentration is too weak);   – the side effects of these topical ATB … Read more

Nerve Entrapment

– See: – Carpal Tunnel – Cervical Disc Disease – Cubital Tunnel Syndrome – Nerve Entrapment: – w/ entrapment, nerve fibers are not affected uniformly; – superficially located fibers tend to bear the brunt of compression, while central fibers are relatively spared; – large diameter, heavily myelinated fibers are more sensitive to compression than poorly … Read more

Nerve Injuries in THR

– See: Total Hip Replacement Menu:             – arterial injuries: in THR              – nerve injury              – nerve palsy from TKR – Discussion:     – incidence of sciatic (tibial and/or peroneal) &/or femoral palsies after THR ranges from 1-3%;     – incidence of nerve palsy is 1-2% of primary … Read more

Nerve Injury

– See: EMG – Nerve Injury Discussion:     – remember that in any case of presumed nerve injury, always consider whether an isolated compartment syndrome had occured; – neuropraxia: – least severe injury, is characterized by a conduction block (focal conduction block); – conduction across the zone of nerve injury is inhibited, however, conduction within the nerve both proximal and … Read more

Navicular Body Fractures

– Discussion:     – frx of body of navicular may be associated w/ mid-tarsal joint injuries;     – classification: 3 types:          – coronal plane fracture w/ no angulation of the forefoot;                 – displaced frx require ORIF w/ lag screw fixation;   … Read more

Navicular Stress Fracture

Discussion: Navicular stress fractures: a prospective study on athletes Tarsal navicular stress injury: long-term outcome and clinicoradiological correlation using both computed tomography and magnetic resonance imaging. Navicular stress fractures: outcomes of surgical and conservative management Outcome of conservative and surgical management of navicular stress fracture in athletes. Eighty-six cases proven with computerized tomography. Clinical and … Read more

Necrotizing Soft Tissue Infections

– Discussion:     – necrotizing fascitits is any necrotizing soft tissue infection spreading along fascial planes, with or without overlying cellulitis;      – rapidly progressive inflammation and necrosis of subQ tissues and deep layer of superficial fascia with sparing of deep fascia and muscle;     – also called Meleney ulcer, NF is severe manifestation of … Read more

Narcotics

Move to Restrict Pain Killers Puts Onus on Doctors Washington State’s guidelines on use of opioids for chronic non-cancer pain—frequently asked questions Guidelines For the Use of Analgesia and Sedation in the ICU, Paul Marik, MD http://www.agencymeddirectors.wa.gov/Files/DosingCalc.xls Pain and Policy Studies Group Reduction in narcotic use after primary total knee arthroplasty and association with patient … Read more