pH Specific Gravity Blood Glucose Ketones Nitrite/Leukocyte Esterase Protein Pyuria Spot/Random Urine Chem Urine culture Perioperative factors associated with septic arthritis after arthroplasty. Prospective multicenter study of 362 knee and 2,651 hip operations. – prospectively evaluated perioperative factors associated with septic arthritis after 362 knee and 2,651 hip arthroplasties; – preoperative urinary tract … Read more
– Increased: – Volume depletion, CHF, Adrenal Insufficiency, DM, SIADH, Increased proteins (nephrosis) (upto 1.050); – If markedly increased (1.040-1.050), Suspect artifact or excretion of radiographic contrast media; – Decreased: – DI, Pyelonephritis, Glomerulonephritis, Waterload w/ Nl Renal Function; – Misc: – Specific gravity varies inversely with urine excretion – In some conditions this relationship … Read more
– UTI in the Spine Injured Patient Management: – Rx with ATB’s, pending urine culture – Consider single dose therapy for symptomatic non-pregnant women with no known anatomic abnormalities; – Follow up culture in 7 to 14 days; – Prolonged therapy (7-10 days) is for symptomatic men, pregnant women or patients with … Read more
– Discussion: – length & alignment are restored by use of femoral distractor in saggital plane, w/o need for fracture table; – this permits hip and knee to be flexed on the table during nailing; – the distractor may be particularly suited to poly trauma patients; – disadvantage … Read more
– See: – Radiographic Findings – Sliding Hip Screw w/ Unstable Frx – Discussion: – it is important prior to reduction to distinguish between unstable and stable frx intertroch fractures; – w/ cortical instability on one side of frx owing to cortical overlap or destruction, frx … Read more
– See: DDH – Discussion: – ultrasound allows description of the morphology of the acetabulum and the stability of the joint (dynamic examination); – ultrasound becomes less useful after 6 months of age because of progressive ossification of the femoral head; – joint stability: … Read more
– Discussion: – press fit femoral stem main discussion – coating press fit femoral stem; – to maintain bone stock, proximal stress transfer must be a prominent feature of any cementless implant system; – proximal part of femur is often exposed to high longitudinal strain, & bone … Read more
– See: Total Hip Replacement Menu – Cemented Femoral Component: Loosening: – Bending Cantilever – Calcar Pivot: (distal toggle) – Medial Midstem Pivot – Pistoning: – Exam: for THR Loosening
– See: – Austin Moore Prosthesis: – only true calcar support prosthesis is the old Moore implant, whose stem was too small to provide canal fill in most cases; – designed for patients w/ 1/2 to 3/4 inches of remaining femoral … Read more
– See: Unstable Intertrochanteric Fractures – Discussion: – consist of an intertrochanteric frx w/ a subtroch component; – constitutes 15% of intertroch frx; – Treatment Options: – sliding hip-screw or 2nd-generation locking nail may be used in rx of intertroch-subtroch frx that have femoral shaft extension; … Read more