Ortho Oracle - orthopaedic operative atlas

Sulfamylon: Mafenide Acetate

– Discussion:     – often this agent is used on recipient autograft sites or on partial-thickness burn wounds;     – its bacteriostatic properties against both gram-positive and gram- negative organisms (especially pseudomonas aeruginosa) and some anaerobes make it an especially useful agent;     – this agent has the broadest spectrum of activity … Read more

Sucralfate/Carafate

 – Discussion:  – for short term treatment of duodenal ulcers, gastric ulcers,  – provides local acid resistant barrier, inhibits pepsin;  – constipation may be a frequent side effect;  – may be of benefit in intubated patients  – does not increase gastric pH  – because of risk of aluminum toxicity, (released when compound ionizes), sucralfate is … Read more

Succinylcholine

– Precautions:  – because succinylcholine causes an increase in intra gastric pressure that may lead to gastric aspiration, crycothyroid pressure should be applied; – also causes increase in intraocular pressure and in relatively contra- indicated with injuries in an open globe;  – increases intracranial pressure;  – Precautions w/ Spinal Cord Injury:  – w/ possible cervical … Read more

Sulfasalazine

– Discussion:     – sulfasalazine was developed over 50 years ago to specifically treat RA;     – more recently it has been found to be efficacious for psoriatic arthritis;     – typical adult dose is 1 gm per day, but may be increased to 2 gm per day; – Cautions:     … Read more

Subsynovial Intra Articular Ring

– Discussion:     – arises from ascending cervical arteries     – epiphyseal arterial branches form at subsynovial intra articular ring, and go on to enter the head of the femur;     – disruption of this arterial ring occurs from high femoral neck frx;             – these pts … Read more

Subtalar Fusion for Treatment of Calcaneal Fracture

– See: subtalar arthrodesis – Primary Fusion: – indicated for fractures w/ more than 3 parts; – restores length of gastrocnemius-soleus complex – corrects flat foot – relieves the narrow peroneal space; – in the presentation by Infante AF, et al (15th Annual Meeting of the Orthopaedic Trauma Association 1999), the authors advocate immediate subtalar … Read more

Subtrochanteric Fracture Stability

– Discussion:     – classifaction and fracture stability     – frx stability is based on presence or absence of posteromedial butress;     – farther down shaft of femur primary frx is located, greater incidence of delayed union and implant failure;     – forces acting on hip joint           … Read more

Subcutaneous Transposition of Ulnar Nerve

– See:      – Ulnar Nerve:      – Anatomy & Sites of Compression of Cubital Tunnel: – Surgical Considerations:     – transposition can entail subQ or submuscular transposition with excision of medial intermuscular septum, and release of             arcade of Struthers;     – in the presence of H.O. the nerve should be … Read more