Data Trace Editor – for hypothyroidism, T3 replacement; – Adult: initial dose of 25ug/24hr, then titration q1-2 weeks according to clinical response & thyroid function tests to maintenance of 25-75ug PO qd; – 25ug equivalent to 1 grain desiccated thyroid or .10 mg of levothyroxine; – Reduce dose in elderly
– Discussion: – indicators for poor outcome: – encroachment of tumor on the popliteal neurovascular bundle; – pathologic fracture with contamination of multiple tissue compartments; – local recurrence from previous surgery The Treatment of Lower Extremity Sarcomas With … Read more
– Theoretical Considerations: – Discussion of Limb Lengthening: – Distraction Histiogenesis: (osteoclasis): – Ilizarov Menu – Technique: – ring characteristics: – w/ the original Ilizarov technique, only two rings (each with drop wires) were used; … Read more
– Discussion: – PFFD – its impotant to distinguish between lengthening down the anatomic axis and lengthening down the mechanical axis; – lengthening along the anatomic axis will displace the knee medially (displacing the mechanical axis); – lengthening along the mechanical axis does not … Read more
– Discussion of Limb Lengthening: – Distraction Histiogenesis: (osteoclasis): – whether a ring or unilateral fixator is used, there is some evidence that a better regenerate is formed with the use of titanium half pins rather than transfixation wires; – ref: Limb lengthening by callus distraction (callotasis). – … Read more
– See: – Discussion of Limb Lengthening – Limb Lengthening Fixators – Post Op Care in the Ilizarov Method: (by Dr. Mangal Parihar) – management of tibial bone defects – Osteotomy Considerations: – first described by DM Bosworth (SGO 1938), which … Read more
– See: Methods to Etimate Growth Potenital – Arrest of the Growth Plate / Epiphysiodesis: – disruption of contra-lateral (normal) distal femora or proximal tibial growth plates is indicated when future discrepancies are < 5.1 cm at maturity; – references: – Closed shortening of the femur … Read more
– Discussion: – see: limb development and physeal anatomy; – leg length discrepancy leads to awkward gait, & pelvic obliquity. – treatment of limb length inequality, requires an ability to predict leg length discrepancy at skeletal maturity; – differential diagnosis of limb length inequality – … Read more
– Discussion: – limb-girdle muscular dystrophy encompasses a wide variety of clinical diseases; – characterized by weakness of the shoulders and hips with weakness of the distal muscles of the limbs in more severely affected patients; – usually transmitted in an autosomal recessive mode but there … Read more
– See: – Anatomy of the Physis – Deformities – Enchondral Ossification – Longitudinal Growth: – Pediatric Bone Circulation – Salter Harris – Discussion: – at about the 4th week of development, paired upper and … Read more