Ortho Oracle - orthopaedic operative atlas

EBI External Fixators

PreOp Prepartion – Drill and Screw Sizes:     – 6.0/5.0 mm cortical screws require 4.8 mm drill (110 mm long and 30-50 mm thread);     – 6.0/5.0 mm cancellous screws require 3.2 mm drill (100-130 length, 40-60 mm thread);     – 4.5/3.5 mm cortical screws require 3.2 mm drill; (80-100 length, 30-40 mm thread);     … Read more

Econazole (Spectazole)

– Topical antifungal for treatment of most tinea, cutaneous Candida, and tinea vesicolor infections; – Dose: Apply to affected areas bid (qd for tinea versicolor) for 2-4 weeks; – Note that recurrence is common; – Supplied: Topical cream 1%

DVT/PE Prophylaxis in THR

div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>hr size=”3″/> – See strong>a href=”/joints/hip/total-hip-arthroplasty/”>Total Hip Replacement Menu:/a>/strong> br/> br/> strong>- Discussion:/strong> (strong>a href=”/ortho/deep_venous_thrombosis”>general discussion of DVT/a>/strong>) br/>     – 40-60% of THR patients who do not receive prophylaxis will get a DVT (dependment on imaging method); br/>            – ref: Significance of deep … Read more

DVT/PE Ref

Current Concepts Review. Prevention of Venous Thromboembolism after Total Hip and Knee Arthroplasty. Current Concepts Review.  Prophylaxis of Venous Thromboembolic Disease Following Hip and Knee Surgery. Original Articles: Deep-Vein Thrombosis And The Incidence Of Subsequent Symptomatic Cancer. Deep venous thrombosis and pulmonary embolism after major reconstructive operations on the spine. A prospective analysis of three … Read more

Dwarfism and Dysplasias

Deformities of the Limbs Achondroplasia Chondrodysplasia Punctata: Chondroectodermal Dysplasia: Cleidocranial Dysplasia Diastrophic Dwarfism: Hypophosphatemic Vitamin D-resistant rickets Kniest Dysplasia Marfan’s Syndrome Metaphyseal Chondrodysplasia Metatrophic Dysplasia: Morquio’s Syndrome: Mucopolysaccharidoses Multiple Cartilaginous Exostoses Multiple Enchodromatosis (Ollier’s Disease) Multiple Epiphyseal Dysplasia Proximal Femoral Focal Deficiency Osteogenesis Imperfecta Spondyloepiphyseal Dysplasia Congenita: – Short Trunk Dwarfism: – Kniest syndrome – … Read more

Dynamic Compression Plates, DCP, 3.5 mm

– See:  Synthes Plates and Screws:3.5 MM DCP, LC-DCP   3.5 MM LCP    4.5 MM LCP RECONSTRUCTION PLATE       – Dynamic Compression Plates:       – DCP, 3.5 mm Applied as a Self Compression Plate:       – DCP 3.5 mm Applied as Self Compression Plate w/ Lag Screw Thru Plate – Dynamic Compression … Read more

Dynamic Instability

– See: Kinematics         Carpal Instability – Discussion:     – pts w/ dynamic instability can actively subluxate wrist w/ forearm pronated & wrist in or out of ulnar deviation;     – dynamic forms of dorsal or volar intercalated-segment instability are secondary to loss of support across ulnar half of mid-carpal … Read more

Dynamization of External Fixator

– Discussion:       – most effective way to reduce pin bone stress and motion       – dynamization compensates for fragment end resorption;       – failure to adjust the fixator for maximum maintenance of fragment contact can leave the fracture surfaces fixed apart; – Technique:       – adjust fixator … Read more

DVT & PE arising from Trauma, Pelvic Fractures, and Extremity Fractures

– See: DVT Discussion: – Discussion:     – 30-50 % occurance of DVT in trauma pts w/ lower extremity fractures;     – preexisting conditions such as heart disease, obesity, carcinoma, diabetes, and hypertension could theoretically push the numbers even             higher;     – mortality for pulmonary embolism may approach 10%;     – ref: … Read more