Ortho Oracle - orthopaedic operative atlas

Gout and Pseudogout in the Painful TKR:

– Discussion:       – consideration of gout or pseudogout is appropriate if cultures are negative and yet symptoms are consistent with TKR infection;       – in some cases, the sed rate and/or the CRP may not be elevated as much as would be seen with infection;       – see work up of painful knee replacment … Read more

Grade II Open Tibial Fractures

div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>- See: a href=”/bones/tibia-fibula/gustilo-classification-of-open-tibial-frxs/”>Gustilo Classification/a>:br/> br/> strong>- Treatment Options:/strong>br/>      – a href=”/bones/tibia-fibula/external-fixators-for-tibial-frx/”>external fixation/a>:br/>      – a href=”/bones/tibia-fibula/tibial-fractures-technique-of-im-nailing/”>intra-medullary nail/a>;br/>            – IM devices control length and rotation as effectively as a href=”/bones/tibia-fibula/external-fixators-for-tibial-frx/”>Ex Fix/a>   (w/o complications of soft tissue inpalement & pin tract infection)br/>     … Read more

Grade III A

– See: Gustilo Classification – Discussion:     – wound less than 10 cm w/ crushed tissue and contamination;      – soft tissue coverage of bone is usually possible;      – w/ IM nailing, average time to union is 30-35 weeks;      – is frx in which there is limited stripping of the periosteum and soft tissues from bone, and bone … Read more

GLYCERIN SUPPOSITORY

– For constipation, stimulates peristalisis;  – Adult: 1 adult suppository PR, prn;  – Peds: 1 infant suppository PR, qd-bid prn

Glycosaminoglycans

Discussion glycosaminoglycans are linear polysaccharides composed of repeating disaccharides units, usually more than 20 per chain; glycosaminoglycans attach to a protein core forming a proteoglycan; two major glycosaminoglycans w/ in cartilage ground substance consist of chondroitin sulfate and keratan sulfate; shared characteristics include: straight chains with no branching; disaccharide repeating units of glycosamino-glycans are composed … Read more

Gold

– useful in patients with RA, especially those in early progressive arthritis;  – Toxic Side Effects:  – nephrotoxicity, proteinuria, dermatitis, stomatitis, thrombocytopenia, aplastic anemia, and erythematous maculopapular rash  Comparison of auranofin, methotrexate, and the combination of both in the treatment of rheumatoid arthritis. A controlled clinical trial.

Goldner Four Quadrant Approach

– Discussion:     – plantar, medial, posterior, and lateral, modifying the extent of release according to the severity of the deformity;     – plantar quadrant includes the plantar fascia, the short toe flexors, and the long and short plantar ligaments.     – medial quadrant involves talonavicular and subtalar release, lengthening of the posterior tibial tendon … Read more

Motivation for Soft tissue resurfacing / Enhanced microfracture technique

Background:           By way of background, I performed eight autologous hamstring resurfacing arthroplasties during the later  half of 2007 at Franklin Regional Medical Center.  This procedure involves harvesting the gracilis and  semitendinosus tendons and oppossing them to the medial femoral condyle using knotless absorbable bone  anchors.  The drill holes for the bone anchors serve as a source for hematopoetic … Read more

Glucose/Dextrose

Supplied: 1-2 amps of D50W (25-50 gm glucose); Cautions nutritional support solutions infused peripherally are usually limited to 10-12.5% Dextrose because infusion of more hypertonic solutions into peripheral veins can result in phlebitis or severe infiltration sequelae; Peds w/ Dextrose concentrations of 10-12.5% adequate calories for preterm neonates can be provided peripherally if the patient … Read more