Data Trace Editor – See: TKR Menu – Distal Femoral Resection – Distal Femoral Sizing Guide (and Rotational Alignment) – Anterior, Posterior, and Chamfer Cuts – Location of Entry Hole: – ideally the starting point is slightly medial and posterior to the center of the notch; – generally the drill needs to be inserted 1 … Read more
– Definition: – see instability following TKR – is space between the posterior coronal cut on the distal femur & transverse cut on proximal tibia, while knee is in flexion; – effect of resection of PCL (see posterior stabilized prosthesis); – in report by Kadoya, et al, effect of PCL resection … Read more
CPT Brendan Masini, MD A. Define compartment syndrome and describe the diagnostic limitations presented by an austere environment I. Acute Compartment Syndrome A. Occurs when pressure within myofascial compartment exceeds threshold perfusion gradient across capillary beds 1. if unchecked, leads to tissue hypoxia and cell death 2. ischemia and necrosis … Read more
CPT Daniel J. Stinner, M.D. CPT Chad A. Krueger, M.D. A. Describe the initial evaluation and management of a burn patient I. Background A. Types of burn injuries 1. thermal 2. electrical 3. chemical 4. cold 5. radiation B. Recent civilian disasters resulting in multiple burn casualties1 … Read more
CPT Daniel Stinner, M.D. B. Define early management of extremity burns I. Early Wound Management A. Introduction 1. not necessary to perform immediately, but should be done within first 24 hours 2. ensure patient receives adequate pain medicine, as wound care can be very painful B. Goal 1. … Read more
CPT David Crawford MAJ Joanna Branstetter A. Define the initial evaluation and demonstrate appropriate evaluation techniques of a patient with an extremity vascular injury I. Initial Evaluation A. Initial evaluation should always follow acute trauma lifesaving support (ATLS) B. Application of a tourniquet above the level of injury is appropriate … Read more
– Discussion: – Intra-articular injection of hyaluronic acid following arthroscopic partial meniscectomy of the knee. – Intra-articular hyaluronic acid after knee arthroscopy: a two-year study – [Intra-articular sodium hyaluronate injections after arthroscopic debridement for osteoarthritis of the knee: a prospective, randomized, controlled study]. – [The efficacy of low- and high-molecular-weight hyaluronic … Read more
– Discussion: – if there is free movement at hip, subtalar & mid-tarsal joints rotation at the knee is not essential for restricted function of prosthetic joint; – in contrast, an arthrodesed ipsilateral hip is a relative contra indication to knee replacement, for it prevents rotation of thigh as … Read more
CPT Jeanne Patzkowski, M.D. CPT Chad Krueger, M.D. A. Describe the initial management, resuscitation, and stabilization of pelvic fractures Pelvic Fractures I. Epidemiology A. High energy mechanism of injury requires instantaneous deceleration of 30 mph to injure pelvic ring B. Large association with other injuries including head, chest, abdomen, and extremity trauma … Read more
V. Axial Skeleton Injuries in an Austere Environment (continued) CPT Jeanne Patzkowski, M.D. CPT Chad Krueger, M.D. A. Describe the initial management, resuscitation, and stabilization of pelvic fractures III. Resuscitation A. Mortality rates as high as 40% with hemodynamic instability 1. major cause of death in first 24 hours: exsanguinating … Read more