– Knee Joint Tumors – Diff Dx: – synovial cysts (Baker’s) – arterial and venous aneurysms – thrombophlebitis (dvt) – adventitial cysts of artery – popliteal artery aneurysm; – benign and malignant neoplasms – rhabdomyosarcoma: … Read more
– Surgical Considerations: – preoperative anticoagulants: – consider use of cell saver; – if patients have a medical condition that requires preoperative anticoagulants, then consider using press fit femoral and acetabular components; – a prerequisite for cementing femoral stems, is the ability to … Read more
– See: Function and Activity after TKR – Post Operative ROM: – most important factor predicting ultimate ROM is range of motion before surgery; – ref: Range of Motion Correlates with Patient Perception of TKA Outcome. – patients with significant stiffness before surgery will have the most difficulty gaining range of motion; … Read more
– Discussion: – for correction of PT from: warfarin & hyperalimentation; – w/ parental treatment, prothrombin deficiency is controled in 4-8hr, normalized in 24 hrs; – watch for IV anaphyllaxis, give slowly; – patients who require brief reversal of anticoagulation from warfarin therapy are more easily treated … Read more
– See: Acetabular Frx Radiographs Work Up for Pelvic Fracture – Anterior Posterior Compression Injuries – Arterial Anatomy of Lower Limbs – Classification – Crescent Fracture – DVT – External Fixation – Iliac Wing Fractures – Ilioinguinal Approach – Lateral Compression Injuries – Malgaigne Fracture – Neurologic Injury – Pediatric Pelvic Fractures – Posterior Pelvic … Read more
– See: – Diff Dx: Hypercalcemia – Diff Dx: HyperPhosphatemia – Approaches To Differential Diagnosis In Musculoskeletal Imaging: Soft Tissue Calcifications – Discussion: – calcium hydroxyapatite can be deposited in periarticular soft tissues or within joints; – in either event the disease may be monoarticular or polyarticular; … Read more
– See: Total Hip Replacement Menu: – arterial injuries: in THR – nerve injury – nerve palsy from TKR – Discussion: – incidence of sciatic (tibial and/or peroneal) &/or femoral palsies after THR ranges from 1-3%; – incidence of nerve palsy is 1-2% of primary … Read more
– See: – Arteriography – Arterial Trauma – Compartment Syndrome – Knee Dislocation – Popliteal Artery – Reperfusion Injury – Discussion: – note that the worst error to make is to underestimate the need to … Read more
– See: – deep venous thrombosis / respiratory failure – Discussion: – time range of diagnosis of PE following discharge: 14-68 days (JR Lieberman et al); – ref: Early pulmonary embolism after injury: A different clinical entity? – in the report by Lawton RL and Morrey BF (1999), the authors advise that patients … Read more
– Discussion: – for treatment of DVT / PE; – hypercoagulable states – coagulation pathway – anti-Xa to anti IIa ratio for enoxaparin is about 3 to 1 where as unfractionated heparin has a ratio of 1 to 1; – hence LMWH has a greater inhibitory effect … Read more