The Hip

TKR: Day 3

     blood draw: A blood drawing technician will draw your blood at 6 AM (will test for your red blood cell level          – hematocrit – and possibly chemitry level).  Ask your nurse about your hematocrit (should be above 30 and if          the hematocrit is below 26 we may recommend a transfusion)          On day … Read more

Total Knee Replacement – Day 2

         blood draw: A blood drawing technician will draw your blood at 6 AM (will test for your red blood cell level          – hematocrit – and possibly chemitry level).  Ask your nurse about your hematocrit (should be above 30 and if          the hematocrit is below 26 we may recommend a transfusion)          vitals and … Read more

Total Knee Replacement – Day 1

           blood draw: A blood drawing technician will draw your blood at 6 AM (will test for your red blood cell level          – hematocrit – and possibly chemitry level).  Ask your nurse about your hematocrit (should be above 30 and if          the hematocrit is below 26 we may recommend a transfusion)          vitals … Read more

Work Up for Pelvic Fracture

– Trauma Management:     – damage control resusitation             – ref:  Damage-Control Orthopedics Versus Early Total Care in the Treatment of Borderline High-Energy Pelvic Fractures     – fluid management             – hypotension is associated with an increased risk of mortality, ARDS, and multiple organ failure;             – IV access is secured with at least … Read more

Workup for Femoral Shaft Frx

– Trauma Workup        – assessment of perfusion: damage control orthopaedics        – timing of surgery in orthopaedic patients with brain injury        – surgical timing and prevention of pulmonary complications in patients with femur frx  – PreOp Planning for IM Nailing: (IM Nailing Technique)           – Fracture Classification            – Open Femur Frx     … Read more

Work Up and Treatment of Acetabular Frx

– See: Trauma Menu – Discussion:     – note that with acetabular fracture associated with major trauma that there will be 50% chance of            at least one other major injury;            – neuro and head injury (see Glasgow)            – abdominal and chest injury (pulmonary … Read more

Type 2 Dens Frx

– Discussion:     – most common;     – occur thru base of odontoid process & may be caused by either hyper-flexion or hyperextension forces;     – blood supply is often comprimised in a type 2 frx     – type II frx occurs at base of dens, typically, frx plane is transverse; … Read more

Tumors of the Cranium

                                                  Local Tenderness – Fibrous Dysplasia ————————————— Yes – Eosinophilic granuloma: ——————————— Yes      (may also occur in mandible) – Adamantinoma (mandible); – Osteoma     (rare but occurs in … Read more