Data Trace Editor – See: tibial fracture menu and infection menu – Discussion: – by definition involves a tibia fracture infection that has gone on to non union; – by definition, infected non union is a Cierney IV osteomyelitis, meaning that the fracture is unstable before and after the debridement; – infected non union … Read more
– See Laboratory Finding in Infected THR Discussion: – WBC – ERS – IL-6 – C-reactive protein – references: – Mark B. Coventry Award: Synovial C-reactive Protein: A Prospective Evaluation of a Molecular Marker for Periprosthetic Knee Joint Infection – C reactive protein and skin … Read more
– See: TKR menu, work up of the painful knee, and prevention of infection and infected THR; – Diagnosis: – early dx of an infected prosthesis requires a high index of suspicion. – infection may cause only knee pain, persistent effusion, or early painless loosening, or more obvious signs, including inflammation, drainage, and sepsis; – classification: (ref: … Read more
– Septic Thrombophlebitis – Catheter Fever – Central line – Catheter Exit site – Catheter Tip / – Catheter Tip w/ Bacteremia
– Discussion: – ORIF is recomened when: – > 25% of posterior articular surface is involved; – fragment must have a tibial articular surface that is large enough to provide a stable wt bearing surface; – fracture is displaced more than 2 mm; – there is posterior subluxation of talus; … Read more
– Myocardial Infarct – Acute Respiratory Failure – Acute CHF – Shock – Sepsis – Burned patient – Peritonitis – Multiple Trauma – Non Cardiogenic pulmonary Edema – Fat emboli – Critically ill
– Discussion: – abductor weakness: – to improve abductor function when a femoral component is revised for excessive leg lengthening; – acetabular exposure: – difficult acetabular reconstructions may require wide exposure afforded by trochanteric osteotomy (DDH, prior acetabular frx, and … Read more
– See: Patella in TKR Menu – TKR w/o resurfacing: – less than 20 mm of patella thickness is a relative contraindication for patellar resurfacing; – if unsure as to whether or not resurfacing will be performed, then use a TKR design which specifically will accomodate unresurfaced patella; – in report by Barrack, et al, authors … Read more
– Discussion: – if suspected osteomyelitis is superimposed on a disease that causes increased bone remodeling, the combined Indium-111-labeled leukocyte-Technetium-99m bone scan is the procedure of choice in non-marrow-containing skeleton and the Indium-111-labeled leukocyte and Technetium-99m bone marrow scans are the procedures of … Read more
– Adult: – NSAIA w/ analgesic and antipyretic action: – moderate to Severe OA, RA, AS: – 25mg PO bid/tid, incr dose at weekly intervals to max of 150-200 mg/day; – if SR capsule is used, initial dose is 75mg qd; – extended release caps: … Read more