Data Trace Editor – 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: 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: Total Hip Replacement Menu: and see total knee replacement infections – Diagnosis: – diagnosis of septic loosening is initially based on history, x-ray findings, and elevated sed rate; – clincially patients may note increasing pain at both rest and with activity; – despite the variety of tests available, it may be difficult to distinguish … Read more
– Discussion: – see: femoral non unions / osteomyelitis – three types of infection: – infection of the soft tissues; – infection of the fracture site – infection of the entire marrow cavity:(rare but serious and may require AKA); – infection usually develops with in 3 weeks of IM nailing; – look for continuous deep thrombing pain, which … Read more
Induced Membranes (Masquelet Technique) for Tibia Frx Defects & Nonunions – Discussion: – two-stage technique: first, debridement and filling of bone loss with an acrylic spacer – original technique used external fixator, but new techniques use IM nail; – second, bone reconstruction by filling with cancellous bone in the space left free (following cement removal) … 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
– 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
– 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: – 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
– Myocardial Infarct – Acute Respiratory Failure – Acute CHF – Shock – Sepsis – Burned patient – Peritonitis – Multiple Trauma – Non Cardiogenic pulmonary Edema – Fat emboli – Critically ill