Ortho Oracle - orthopaedic operative atlas

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Stress

– Discussion:     – intensity of internal force     – stress = load / area     – stress cannot be meastured directly;     – both stress and force may be classified as tension, compression, or shear           – tension attempts to pull a substance or material apart … Read more

Streptokinase

– Discussion:  – converts plasminogen to plasmin, which degrades fibrin and Fibrinogen;  – indications: DVT, PE, arterial thrombosis, or embolism;  – contraindications:  – stroke, intracranial surgery or neoplasm, active bleeding;  – need to monitor CBC, DIC panel, and TCT;  – Dose:  – 250,000 units IV bolus over 30 min, then 100,000 units/hr continuous IV infusion … Read more

The Long-Term Results of Ankle Arthrodesis

Acta Orthop Scand. 1981;52(1):107-110   Boobbyer GN   ABSTRACT   Thirty-seven patients who had ankle arthrodesis carried out from 1-17 years previously were reviewed. The commonest indication in this series was post-traumatic osteoarthritis. Five different methods of fusion were used, the most common being the Charnley compression technique. The incidence of union, the fusion position, … Read more

The Effect of Tibiotalar Fixation on Foot Biomechanics

Foot Ankle Int. 1997 Dec;18(12):792-797   Wayne JS, Lawhorn KW, Davis KE, Prakash K, Adelaar RS   ABSTRACT BACKGROUND: Contact areas and peak pressures in the posterior facet of the subtalar and the talonavicular joints were measured in cadaver lower limbs for both the normal limb and after fixation of the tibiotalar joint. METHODS: Six … Read more

Teicoplanin

Discussion: From Wikipedia, the free encyclopedia sanofi-aventis Teicoplanin versus cefamandole in the prevention of infection in total hip replacement. Regional Prophylaxis with Teicoplanin in Monolateral or Bilateral Total Knee Replacement: an Open Study Antimicrobial prophylaxis in orthopaedic surgery: the role of teicoplanin

Osteochondral Lesions of the Talus – Allograft Repair

Co-Authors:  Milford H. Marchant Jr., M.D.; Mark E. Easley, M.D.; James A. Nunley II., M.D. Osteochondral Lesions of the Talus Review Etiology – Primary Causes – Trauma – Ischemic Necrosis – Embolic phenomenon – Ossification Defects – Predisposing Factors – Endocrine Disorders – Peripheral vascular disease – Genetic Predisposition? – 10-25% Bilateral Lesions Evaluation – … Read more

Talocrural Arthrodesis with Absorbable Screws. 12 Cases Followed for 1 Year

Acta Orthop Scand. 1992;63(2):170-172   Partioa EK, Hirvensaloa E,  Partiob E, Pelttaric S,  Jukkala-Partioa K, Böstmana O,  Hänninenc A, Pertti Törmälä P, Rokkanena P   ABSTRACT   In 11 patients, 12 arthrodeses of the ankle joint were performed by using absorbable self-reinforced poly-llactide (SR-PLLA) or polyglycolide (SR-PGA) screws. 8 patients had posttraumatic arthrosis, 3 rheumatoid arthritis, and 1 … Read more

Surgeon Training and Complications in Total Ankle Arthroplasty

Foot Ankle Int. 2003 Jun;24(6):514-518   Saltzman CL, Amendola A, Anderson R, Coetzee JC, Gall RJ, Haddad SL, Herbst S, Lian G, Sanders RW, Scioli M, Younger AS ABSTRACT   BACKGROUND: This study assessed the problems with initial use of ankle arthroplasty by surgeons who were trained by observing the surgeon/inventor (group I), who have … Read more

Supramalleolar Lateral Closing Wedge Osteotomy for the Treatment of Varus Ankle Arthrosis

Foot Ankle Int. 2007 May;28(5):542-548   Harstall R, Lehmann O, Krause F, Weber M   ABSTRACT BACKGROUND: In a 5-year period (1996–2001), the authors performed supramalleolar osteotomies for the correction of distal tibial mechanical malalignment of at least 10° with concomitant pain and with or without radiographic evidence of arthritic changes.  METHODS: The method was … Read more