The Hip - book

Fusion of the Spine

– See:        – ALIF with Revision Decompression and Reinstrumentation        – Anterior-Posterior Lumbar Interbody Fusion        – Posterior Lumbar Single-Level Decompression and Fusion with Instrumentation          – Anterior Arthrodesis of the Subaxial Cervical Spine:        – AAOS – Bulletin: A minute of malpractice – Cage Fixation: (interbody fusion) … Read more

Fusion to Sacrum

– Discussion:     – in adults, a two-stage anterior and posterior procedure is performed;     – w/ this technique, rate of pseudarthrosis is < 5 %;     – CD instrumentation:             – another advantage of this instrumentation is improved fixation to sacrum, w/ pedicular screws used instead … Read more

FVFG: Clinical Hours and Operative Scheduling

div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”> b>- Clinic Hours:/b> Duke South Hospital Orthopaedic Surgery Private Diagnostic Clinic First floor, yellow zone Appointments: (919)684-4007 or 684-3328 8:30 a.m. – 5:00 p.m. M-F Dr. Urbaniak is in the clinic on Tuesday Dr. Nunley is in the clinic on Wednesday & Thursday b>- The Telephone/b> The telephone is … Read more

Frx thru Tubercle of the Scaphoid

– Discussion:     – frx usually is not widely displaced, and healing is generally prompt if immobilization in a plaster gaunlet is maintained for 6-8 wks;            – frx of distal third heal in approx 6-8 weeks;     – if x-rays fail to clearly demonstrate trabeculae crossing site of frx, CT … Read more

Frx thru Waist of the Scaphoid

– Discussion:      – 70% of carpal frx occur at waist of scaphoid (narrow part of bone);      – 90% heal after w/ immobilization, but there is 5-10% complication rate;      – blood supply to the proximal portion is usually intact and healing will take place if adequately reduced;       … Read more

Full Thickness Burns

– See:       – Burn Management:       – Chemical Burns:       – Electrical Burns:       – Frost Bite: – Discussion:     – full thickness injury which extends thru the entire dermis, and therefore spontaneous re-epithelialization will not occur;     – clinical features: wound is insensate, … Read more

Full Thickness Skin Grafts

– See: STSG – Discussion:     – full thickness grafts transfer all organs contained in the dermis in addition to some Pacinian corpuscles (when the graft is taken from the             palm or sole);     – these grafts allow more durable coverage and more sensation than STSG;     – donor site:       … Read more

Frozen Sections in Total Joint Arthroplasty

– Discussion:     – infected prosthesis can be difficult to evaluate and diagnose;     – however if preoperative aspiration, white cell scan, & sed rate rate are negative, then the chance of doing a successful revision             arthroplasty w/o subsequent infection is good; – Criteria for Infection:     – at the time of … Read more