The Hip - book

IRB Protocol for Autologous Hamstring Resurfacing Arthroplasty

PURPOSE Biologic hamstring resurfacing arthroplasty was developed in 2007 as an alternative to total knee arthroplasty in selected patients with end stage arthritis of the knee who were at significantly high risk for infection.  A full description of the background of this procedure and the similarity of this procedure to the AMIC procedure can be found at www.orthonc.com/doc6.html.  … Read more

IRON DEXTRAN/IMFERON

– for Iron defficiency when oral supplementaion not possible;  – must give test dose since Anaphylaxis is common

Iron Overload / Hemochromatosis

Discussion – rare disorder manifested by tissue accumulation of iron affecting liver, pancreas, heart, and gonads; – approx 1.7% of men & 0.6 percent of women are homozygotes; – hereditary disorder of iron metabolism – diabetes is common (bronze diabetes) – 20% develop joint involvement; – most pts are male between ages of 40-60 yrs; – … Read more

Intramedullary Nailing of Femoral Shaft Frx

– See:         – Distal Femoral Shaft Fractures         – Infected IM nails         – Open Fractures         – Proximal Femoral Shaft Fractures         – Synthes IM Femoral Nail – Discussion: Intramedullary Nailing:     – closed IM nailing has supplanted other forms of treatment  for femur frx;     – it affords predictable realignment of bone, rapid regeneration … Read more

Intrinsic Muscles of the Hand

– See:       – Dorsal Interossei       – Lumbricals:       – Palmar Interossei – Hypothenar Eminence:     – muscles of hypothenar eminence are  abductor, flexor, opponens digiti minimi, & palmaris brevis;     – muscles of hypothenar eminence are innervated by ulnar nerve; – Thenar Eminence:     … Read more

Intrinsic Tightness and the Intrinsic Plus Hand

– See:     – Intrinsic Muscles: – Discussion:     – results from intrisic stiffness (contracture);     – specific causes:            – truama:                – posttraumatic intrinsic contractures may occur after severe injuries to hand that have resulted in considerable                        edema or … Read more

Intrinsic Weakness and Claw Hand

– Discussion: – claw hand deformity is manifested by flattening of the transverse metacarpal arch and longitudinal arches, with hyperextension of MCP joints and flexion of the PIP and DIP joints; – deformity is produced by imbalance of the intrinsic & extrinsics; – intrinsic muscles must be markedly weakened or paralyzed to produce claw deformity; … Read more

Inverse I:E Ratio

– normally an inspiratory to expiratory time ratio (I/E) of 1:2 is used  – inverse I/E is also utilized in ARDS to prevent barotrauma  – long sustained inspiration reduces mean airway pressure while increasing the PaO2 for a given FiO2;  – despite the benefits in gas exchange, the prolonged inspiratory duration relative to expiration is … Read more

Intrameduallary Devicies

– Ender nails introduced in 1970;     – nails backing out of the medullary canal     – perforation of nails thru the femoral head     – external rotational deformity at the fracture site     – distal migration     – ref:           – The use of Ender’s … Read more