Data Trace Editor – Discussion: – it has long been recognized that following any significant trauma or elective surgery, the body undergoes a catabolic state, which means that the body’s ability to withstand further stress (such as additional surgery) diminishes with time; – add to this, the effect of immobilization due to pain (pressure sores, atelectasis, poor diet) and … Read more
– Discussion: – SH III frx involving avulsion of anterolateral tibial epiphysis; – occurs in older adolescents, after the middle and medial parts of epiphyseal plate has closed, but before the lateral part closes (usually 12 to 15 yrs of age); – because, this frx occurs in … Read more
(See Compliance/Resp Failure) – normal Tidal Volume w/ spontaneous breathing is 5 ml/kg; – w/ Ventilator, Initially set at 10-15 cc/kg body wt, in Newborns as well as Adults; – adjust as needed w/ ABG; – Tidal vol may need to be increased in individuals w/ Resp acidosis despite adequate frequency of ventialation; – w/ … Read more
– See: – Timentin – Pen Family – AntiPseudo – There are small differences in the pattern of activity of these agents against gram-negative organisms. Ticarcillin is two to four times more active than carbenicillin against P. aeruginosa; – less active against gram positive organisms; – Dose: … Read more
– See: – Pen Family – AntiPseudo – Adult: 9-12 gm/ 24 hr; 3.1 gm q6-8hr Injection; 5.4mEq Na/gm; – Clavulanate protects ticarcillin from degradation rom Beta-lactamases; – Ratio CSF to Blood Level(%): Normal Meninges: 6; Inflammed Meninges: 40; – Dosing Regimens for Patients w/ Renal Insufficiency: … Read more
– Discussion: – on mortise view line formed by subchondral bone of distal tibia & medial spect of the fibula should be continuous; – articlar surface of talus should be congruous w/ that of distal fibula (called tibiofibular line); – disruption of this line indicates: … Read more
– PreOp Planning: – tendon transfer is chiefly indicated for stage II tenosynovitis; – subtalar joint must demonstrate nearly a full range of inversion; – early synovectomy of the tendon sheath not only relieves discomfort but will possibly delay or prevent attenuation or rupture; – in … Read more
– Anatomy: – origin: lateral part of posterior surface of tibia, medial 2/3 of fibula, interosseous membrane, intermuscular septa and deep fascia; – mid course: – it runs in the deep post compartment and passes posterior to the medial malleolus; … Read more
– See: Anterior Compartment: – Anatomy: – origin: lateral condyle of tibia, proximal 2/3 of lateral surface of tibia, interosseous membrane, deep fascia and lateral intermuscular septum; – insertion: plantar surface on base of first metatarsal and medial plantar surface of 1st cuneiform; – action: dorsiflexes and inverts foot at the ankle; … Read more
– Discussion: – considerations for graft placement – optimal graft angle – land marks for graft entry point – determination of graft length – retention of remnant ligament: – ref: Anterior cruciate ligament reconstruction with remnant preservation: a prospective, randomized controlled study. – Transtibial Technique: – tibial tunnel guide is … Read more