Data Trace Editor – Discussion: – based on available data, the results of external fixation is comparable to IM nailing when the frx ends can be keyed together (maximal bone loading), in which case there will be minimal loss of reduction and minimal frx site motion w/ wt bearing; – proximal tibial frx: (see IM … Read more
Current Concepts Review. Treatment of Unstable Fractures of the Shaft of the Tibia. Current Concepts Review. Timing of Operative Treatment of Fractures in Patients Who Have Multiple Injuries. Pelvic and Lower Extremity Trauma–Symposium: Intramedullary Devices for Tibial Fracture Stabilization. The use of a tourniquet when plating tibial fractures. Conservative management or closed nailing for tibial shaft fractures. … Read more
– Considerations: – pin care: – tissue motion impairs tissue resistance to infection; – excess motion at pin skin interface can be reduced by wrapping sterile gauze between the pin clamp and skin; – surgical sponges around pins … Read more
– Considerations: – consider applying an arthroscopy post to the table inorder to assist w/ reduction; – w/ the post in place, 3 point pressure can be applied; – fracture should be reduced as much as possible prior to application of external fixator; – … Read more
– General Discussion of IM Nails – PreOp Planning – positioning – note rotational alignment of the opposite non injured side. – cautions: – proximal tibial fractures (high complication rate w/ IM nailing) – distal tibia fracture – IM nailing of open tibial fractures – segmental tibia fractures: / treatment methods for tibial … Read more
– See: Preparation for Proximal Tibial Cut: – Discussion: – intrameduallary & extrameduallary systems are available for aligning the proximal tibial cut; – IM system is less accurate, particularly when tibia has varus bow and may lead to excessive cement column; – ref: Extramedullary … Read more
– See: – Enhancement of Fixator Stability – Ilizarov Menu – Ring characteristics – Safe Zone of Pin Insertion – Foot Inclusion – Synthes Hybrid Fixator – Wire Insertion Technique – Discussion: – in the report by Paley D and Maar DC (2000), … Read more
– Discussion: – mangled extremity severity score: – main controversy is whether tibial defect reconstruction and soft tissue reconstruction are indicated; – indications: – high velocity open tibia frx, w/ concomitant nerve, artery, &/or massive soft tissue disruption; – types IIIB … Read more
– Discussion: – look for fever, severe tachycardia, dehydration, & mental abnormalities; – thyroid storm is rare and precipitated by infection, trauma, surgery, labor and delivery, or radiation thyroiditis; dz procedes to death; – Treatment: – immediate therapuetic approach: propanolol; – propanolol also blocks the conversion of T4-to- T3; – will … Read more
– Discussion: – for hypothyroidism (otherwise healthy): 100ug/day, initially, – maintenance dose: 100-200ug/day over 3 week period; – in elderly: 25ug/day initially, increasing by25ug/day at 4 week intervals; – Labs: thyroid panel __________________________________ Wound complications in thyroxine-supplemented patients following foot and ankle surgery.