Data Trace Editor – Fracture: – displaced unstable fractures of the styloid process; – Implant: – 4.0 mm cancellous bone screws, 3.5 mm cortex screws or 3.5 mm cannulated screws; – 2.7 mm condylar plate; – lag screw fixation with 4.0 mm … Read more
– See: – Pathogenesis of DDH – Table I – Discussion: – soft-tissue impediments to adequate reduction include: – constriction of the joint capsule of hip: most important type of obstruction in older children; – contraction of the psoas tendon over … Read more
for depression; childhood enuresis; trycyclic antidepressant; Adult: Hospitalized: Start at 100mg/24hr in divided doses; can increase over several weeks to 250-300mg/24hr; Outpatient: Maintainance of 50-150mg/24hr in divided doses; not to exceed 300 mg/24hr; Do not use with MAO inhibitors; less sedation that with Amitriptyline; Note Side Effects: Sedation: ++;Insomnia: 0; Anticholinergic: ++;Orthostatic Hypotension: … Read more
– Discussion: – 0.5-1gm q6-8h IV; – good for Pseudomonas, Enteric, Coag pos Staph (except for MRS) and Staph producing B lactamases, anaerobes, w/ enterococci/ NonEneterococciStrep; Poor activity against Coag neg Staph; – mild infections: 250-500mg IV q6hr; – severe infections: 500mg-1gm IV q6-8hr; – maximum … Read more
– Skin Incision and Initial Exposure: – as noted by Keating, et al (1997), 77% of patients who had a mid-patellar tendon splitting incision had significant knee pain; – in the report by Toivanen JA, et al (2002), the authors evaluated anterior knee pain in patients … Read more
– Radiographs: – Positioning: – supine, HOB elevated to 30-40 deg; – head is held with a dedicated ring holding device (McConnel); – one rolled towel is placed underneath the operative shoulder and one rolled towel is placed around the contralateral … Read more
– Technique: – at a point 3-5 cm above post. tip of greater troch., an incision is made which extends obliquely (proximally & posteriorly) for 10 cm; – for obese pts begin incision well above greater troch. (7-10 cm) & again extend proximally and posteriorly; … Read more
– See: IM Nailing of Tibia Fractures – Discussion: – IM naling of these fractures is technically difficult and often results in malalignment; – other options include: external fixation for open fractures; – Intramedullary nailing versus percutaneous locked plating of extra-articular proximal tibial fractures: comparison of 56 … Read more
– Discussion: – see pediatric femur frx – commonest site of fracture of the femoral shaft is in its middle third, where normal anterolateral bowing of diaphysis is at its maximum; – torsional force produced by indirect violence results in a long spiral or oblique frx, whereas a transverse frx … Read more
– See: – Open Tibia Fractures – Infections of the Tibia – ” There have been major improvements in the surgical treatment of open tibial fractures during the past two decades. These improvements include aggressive treatment of soft tissue injury by means of immediate debridement and early coverage as well as … Read more