The Hip - book

Locking Plates: General Concepts

– Locking Plates: LCP Locking Compression Plate.         – locking screws makes plate fixation more resistant to failure from screw loosening and pullout;         – for failure to occur, a locking screw construct will fail as a unit as opposed to sequential screw failure with non locking plates;         – far cortical locking:                – … Read more

Moxifloxacin

Penetration of moxifloxacin into bone in patients undergoing total knee arthroplasty.

Melatonin

Discussion: The benefit of a supplement with the antioxidant melatonin on redox status and muscle damage in resistance-trained athletes.

Medial Malleolar Osteotomy for the Correction of Varus Deformity during Total Ankle Arthroplasty: Results in 15 Ankles

Foot Ankle Int. 2008 Feb;29(2):171-177   Cornelis Doets H, van der Plaat LW, Klein JP ABSTRACT  BACKGROUND: Preoperative deformity in the frontal plane in the arthritic ankle is a risk factor for failure after total ankle arthroplasty. Medial malleolar lengthening osteotomy was developed to correct varus malalignment.  METHODS: From 1998 to 2005 total ankle arthroplasty … Read more

Hallux Valgus: Mau Osteotomy

Discussion:     – oblique diaphyseal osteotomy that is directed proximal-plantar to distal-dorsal;     – long dorsal shelf of bone supports the distal fragment, making dorsal displacement of the osteotomy unlikely;     – type of intrinsically stable metatarsal osteotomy (weightbearing on the foot compresses the osteotomy)            – other types of intrinsically stable osteotomies include the proximal … Read more

Lumbar Total Disc Replacement

Richard D. Guyer, MD Texas Back Institute Rationale  – It is natural for the spine to move  – Lumbar fusion is the standard of care for many degenerative spinal conditions including symptomatic disc degeneration  – Lumbar total disc replacement (LTDR)  is designed to remove the degenerated tissue and replace it with a device allowing mobility of … Read more

Local Anesthetic Properties for Lidocaine

– See: systemic lidocaine administration – Discussion:     – maximum dose: 4.5mg/kg or 300mg (28 ml of 1% solution) or 50 mL of 1% solution w/ added Epinephrine (1:200,000);     – duration of action:            – anesthetic onset in 5-30 min, lasting 2-3 hr;           … Read more