The Hip - book

Important Physical Properties of Calcium

– 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

IM Nailing of Pediatric Femur Fractures

 – 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

IM Nailing of Proximal Tibial Fractures

 – 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

IM Pin Fixation of Clavicle Frx

                                                      – 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

Imipenem/Cilastin/Primaxin

– 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

Ilizarov Technique

                                                                           Co-authored by Dr. Mangal Parihar – Fixator Characteristics:     – ring characteristics:     – wire insertion technique:     – half pin insertion techniques: – Specific Uses:     – circular wire fixators for tibial frx:   (foot inclusion);     – circular wire fixators for knee fusion:     – limb … Read more