Data Trace Editor – Implants: – 3.5 mm cortex screws as lag screws separate or thru the plate – 3.5 mm DCP or LC-DCP seven, eight, or more hole plate; – in the proximal or distal end a shorter plate may have to be chosen; – 4.5 mm DCP or … Read more
– See: – Hypercalcemia – Hypocalcemia – State of Calcium in Body Fluides – Discussion: – calcium salts make up major inorganic component of our skeletons; – calcium phosphates (secondary & tertiary) form basis of internal skeleton, & their ions circulate freely in controlled amounts w/ in … 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: 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
– 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
– 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
– 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
– 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
– Discussion: – IM nailing of Intertrochanteric fractures – Synthes Trauma Menu / Proximal Femoral Products – nails designed for trochanteric entry and rigid fixation into the femoral head are optimally used; – indications: – interlocking nails have been used for subtroch frx when lesser trochanter remains attached to the proximal … Read more
– See: Humeral Frx – Main Menu: / humeral shaft fractures – Discussion: – may be indicated for multi-trauma patients w/ humeral shaft frx, and patients w/ pathologic frx; – note that following humeral shaft frx, IM nailing provides torsional and bending stiffness of only 20-30% of normal; … Read more