Ortho Oracle - orthopaedic operative atlas

ATRIAL HYPERTROPHY

P wave > 2.5 mm & > 0.12 sec;  —————-  -Left Atrial Enlargement; Duration: 120 msec (3 small squ in lead II) __/ __ Look for notch;  / Amplitude: Negative terminal P wave in Lead V1 > 1mm / in depth and > 40 msec (one small square);  ——————  – Right Atrial Enlargement; / Amplitude: … Read more

Atrophic Non Union

fingings may include osteopenia at frx site & absence of callus; potential for healing is significantly diminished; these require bone grafting & enhanced fixation; Treatment fracture ends of atrophic non union may need to be opened & debrided; typically these fractures will require bone grafting debridement of bone ends may be indicated in atrophic non … Read more

Atropine

For Bradycardia (when hypotension is present), Asystole, preanesthesia, and temporary treatment of symptomatic 2nd and 3rd deg heart block; Bradycardia: 0.5mg IV repeated q5min as required max dose 2mg; – Give undiluted 1 mg/10 ml syringe; Doses less than 0.5 mg may cause Bradycardia; Peds: Emergency Cardiac Care: 0.01-0.03 mg/kg IV q2-5min upto 1.0 mg … Read more

Reduction in Bleeding in TKR

References: Gelatin matrix use reduces postoperative bleeding after total knee arthroplasty.   Efficacy of intra-articular injection of thrombin-based hemostatic agent in the control of bleeding after primary total knee arthroplasty Knee flexion after total knee arthroplasty reduces blood loss.     The influence of immediate knee flexion on blood loss and other parameters following total knee replacement. Can … Read more

Calcaneo-Navicular Coalition. Late Results of Resection

Acta Orthop Scand. 1968;39(3):424-432   Andreasen E   ABSTRACT               After a follow-up period of 10-22 years 31 feet, treated primarily by resection of calcaneo-navicular coalition, were examined. In 6 instances triple arthrodesis had been performed secondarily. The results of the resections were subjectively good in 13 cases, while 9 patients still had mild complaints … Read more

Atlantooccipital disassociation

– See:      – Occipital-Atlanto-Axial Anomalies:      – Anatomy of C1 / C2 – Discussion:     – more common children, since the pediatric occipital condyles are small and almost horizontal & lack inherent stability;     – this injury is usually but not invariably fatal 2nd to respiratory arrest caused by injury … Read more

Atlas Dens Interval

– ADI in Adults:     – in flexion, ADI should be less than 3 mm; – ADI in Children:     – in flexion, ADI should be less than 3.5 mm; – Diff Dx of ADI Wideing:     – Jefferson’s Fracture:     – Atlanto Axial Rotatory Fixation:     – Atlanto Axial … Read more

Rotator Cuff Foot Print – Consideration for Repair

Discussion: (see rotator cuff repair menu) – AP dimension is about 25 mm and the medial-lateral dimension is 14 mm; – the more that a repair covers and secures tendon over the healing zone, the greater the chance for tendon-bone healing;    – anatomy:            – The insertional footprint of the rotator cuff: an anatomic … Read more

Suture-Bone Tunnel Technique for Rotator Cuff Repair

    – if cuff is not repairable, then debride the tendon edges, it remove any further source of impingement;     – bony trough:           – classically an osteotome is used to create a 4-5 mm wide and 25 mm long in the space between greater tuberosity and articular surface;   … Read more